The 2026-27 Budget: Department of Developmental Services

Mar 13, 2026 - For example, the spending share of residential services has decreased from 46  percent to 38  percent, while the spending share of support and training services has increased from 8  percent to 15  percent.
https://lao.ca.gov/Publications/Report/5157

The 2026-27 Budget: Medi-Cal Fiscal Outlook

Nov 19, 2025 - For existing payments, H.R. 1 allows states to gradually ramp down to the new limit beginning in January 202 8. Much of the hospital fee program supports additional managed care payments to private hospitals, and some of these payments were anticipated to exceed the Medicare limit in the 2025 fee program.
https://lao.ca.gov/Publications/Report/5092

The 2023-24 Budget: Analysis of the Medi-Cal Budget

Feb 10, 2023 - Delay of Funding for Elimination of End ‑of ‑Year Provider Payment Processing Hold. As a budget solution in 2006 ‑07, the state implemented a hold in processing fee ‑for ‑service provider payments for the last two weeks of the fiscal year —a practice which remains in effect today.
https://lao.ca.gov/Publications/Report/4675

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

Oct 24, 2025 - Figure 8 Some Medi ‑Cal Populations Are Optional Under Federal Law Examples of Key Medi ‑Cal Populations Mandatory
https://lao.ca.gov/Publications/Report/5083

Mental Health Services Act: Revenue Volatility and the Governor’s Proposal to Reduce Allowable County Reserves

Jul 13, 2023 - In the first few years of experience, counties received a surge in revenue during 2020-21 (60  percent), followed by healthy growth in 2021-22 (8  percent), and a large decline in revenue in 2022-23 (35  percent).
https://lao.ca.gov/Publications/Report/4780

The 2023-24 California Spending Plan: Health

Oct 23, 2023 - Delays Elimination of End-of-Year Provider Payment Processing Hold. As a budget solution in 2006-07, the state implemented a hold in processing fee-for-service provider payments for the last two weeks of the fiscal year —a practice that remains in effect today.
https://lao.ca.gov/Publications/Report/4810

The 2024-25 California Spending Plan: Health

Sep 17, 2024 - Under the spending plan, General Fund spending for the Department of State Hospitals (DSH) is $3.3  billion in 2024-25, a decrease of $276  million, or about 8  percent, from the revised 2023-24 expenditure estimate.
https://lao.ca.gov/Publications/Report/4930

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

Feb 9, 2022 - Budget Year Proposed General Fund Spending Growth of $8   Billion —to $34.9   Billion —Between 2021 ‑22 and 2022 ‑23. The Governor proposes $34.9  billion in General Fund spending ($133  billion  total funds) in 2022 ‑23, a roughly $8  billion (30  percent) increase in General Fund spending over the revised 2021 ‑22 estimate.
https://lao.ca.gov/Publications/Report/4522

The 2021-22 Budget: Department of Developmental Services (DDS) May Revision Budget Proposal

May 24, 2021 - The administration proposed a similar program in 2020, but chose to withdraw the proposal as the pandemic took hold. At the time the proposal was made, our office noted that the DDS system lacked some of the optimal conditions for a successful performance incentive program, including clear, observable measures and few competing interests (due to RC staff having many different demands on their time, particularly given their individual caseloads).
https://lao.ca.gov/Publications/Report/4438

The 2025-26 Budget: Understanding Recent Increases in the Medi-Cal Senior Caseload

Mar 6, 2025 - Figure  8 shows caseload in the three senior aid categories from April 2021 through December 2024. Senior caseload grew by about 320,000 individuals over the period, with growth occurring almost exclusively in the Medically Needy category.
https://lao.ca.gov/Publications/Report/5010