The 2025-26 Budget: Health Care Access and Information

Feb 20, 2025 - Whether or not CalRx has broader impacts to consumers, however, will depend on how available these new drugs are to consumers, as well as utilization. How Will the Products Compare to Other Competitors?
https://lao.ca.gov/Publications/Report/4979

The 2026-27 Budget: Department of Developmental Services

Mar 13, 2026 - The goals of individual consumers can vary widely and span from short to long term. Such goals could include living in an apartment, getting and maintaining a job, and participating in music or art classes.
https://lao.ca.gov/Publications/Report/5157

Considering Medi-Cal in the Midst of a Changing Fiscal and Policy Landscape

Oct 24, 2025 - At the time of this analysis, the Department of Health Care Services (DHCS) had not provided estimates of how Medi ‑Cal hospital payments compare to Medicare. However, it is our understanding from discussions with stakeholders that some Medi ‑Cal hospital payments are higher.
https://lao.ca.gov/Publications/Report/5083

The 2026-27 Budget: Medi-Cal Analysis

Mar 2, 2026 - Federal rules include an overall limit on how much revenue provider taxes can generate. California historically has set its provider taxes and fees well below this revenue limit. In recent years, however, California pursued notably larger taxes, getting much closer to the federal limit.
https://lao.ca.gov/Publications/Report/5146

The 2025-26 Budget: MCO Tax and Proposition 35

Feb 26, 2025 - Such an approach is likely inefficient and arbitrary, as plans that pay considerably more for services (arguably already providing a more adequate payment) get the same boost in rates as a plan with notably lower payment s.
https://lao.ca.gov/Publications/Report/4992

The 2021-22 Budget: Analysis of CalAIM Financing Issues

Feb 16, 2021 - Although no direct funding for these new managed care plan requirements is provided under the funding plan, in the long run at least, some of these costs could get built into the payments the state makes to managed care plans, which are set in part based on plans ’ reported costs.
https://lao.ca.gov/Publications/Report/4374

The 2022-23 Budget: Analysis of the Medi-Cal Budget

Feb 9, 2022 - How will grant applications be selected and how will the allocation and expenditure of these funds be overseen by DHCS? How will DHCS ’s other efforts to improve data quality and tie managed care plan and provider payments to performance on quality and equity measures sustain ongoing improvement in these areas?
https://lao.ca.gov/Publications/Report/4522

The 2026-27 Budget: Medi-Cal Fiscal Outlook

Nov 19, 2025 - How much of these savings accru e to California, however, is uncertain. California could choose to continue streamlining eligibility policies, even absent federal enforcement of the new rules. Recoupments for Excess Payments.
https://lao.ca.gov/Publications/Report/5092

The 2024-25 Budget: Medi-Cal Analysis

Feb 14, 2024 - Though last year ’s enacted trailer bill legislation set forth specific areas for increases, the Legislature could consider how much funding to allocate and how to structure these allocations. For  example, the Legislature could consider how much funding to allocate for base payment increases and how much funding to allocate for equity adjustments.
https://lao.ca.gov/Publications/Report/4838

The 2021-22 Budget: Behavioral Health: Medi-Cal Student Services Funding Proposal

Feb 17, 2021 - The specific allocation methodology that would determine how incentive payments would be distributed to managed care plans has not yet been determined. The administration has indicated that development of this methodology will begin July 1, 2021.
https://lao.ca.gov/Publications/Report/4377