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

Oct 24, 2025 - The legislation sets out a schedule for the remaining changes to be implemented over the next few years. For many changes, their full effects will depend in part on forthcoming guidance from federal regulators, as well as state implementation decisions.
https://lao.ca.gov/Publications/Report/5083

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

Feb 10, 2023 - Federal Match for Designated State Health Programs. In late January 2023, the Department of Health Care Services received federal waiver approval allowing the state to claim federal matching funds for certain existing programs that would otherwise be funded solely with state funds.
https://lao.ca.gov/Publications/Report/4675

The 2026-27 Budget: Department of Developmental Services

Mar 13, 2026 - The APD process allows the state to request a 90  percent match in federal funding (rather than California ’s standard 50  percent match) to design, develop, and install IT systems that enable the state to more efficiently administer Medicaid benefits.
https://lao.ca.gov/Publications/Report/5157

The 2023-24 California Spending Plan: Health

Oct 23, 2023 - The waiver —which is contingent on federal approval —is for a five-year demonstration that will, if approved, allow the state to receive federal matching funds for short-term stays in institutions for mental disease.
https://lao.ca.gov/Publications/Report/4810

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

Feb 9, 2022 - The administration projects a substantial decline in Proposition  56 revenues between 2021 ‑22 and 2022 ‑23, primarily as a result of the anticipated implementation of a statewide ban on the sale of flavored tobacco products.
https://lao.ca.gov/Publications/Report/4522

The 2026-27 Budget: Medi-Cal Fiscal Outlook

Nov 19, 2025 - Much like the state budget solutions, many changes are scheduled to become effective in the near future. As a result, as Figure 1 shows, Medi‑Cal faces a steady flow of major state and federal policy changes over the coming years.
https://lao.ca.gov/Publications/Report/5092

The 2022-23 Budget: Analysis of the Governor’s Major Behavioral Health Proposals

Mar 3, 2022 - Local Match Requirement. The amounts that local entities will be required to provide as the match for BH ‑CIP funding vary by applicant type. Specifically, (1)  tribal entities will be required to provide a 5  percent match; (2)  counties, cities, and nonprofits will be required to provide a 10  percent match; and (3)  for
https://lao.ca.gov/Publications/Report/4569

Mental Health Services Act: Impact of Governor's Proposal on Funding for Children and Youth

Aug 10, 2023 - The increased spending associated with the services provided via the fee schedule is unknown but could be significant. Governor ’s Proposal Proposed Funding Categories Shift Mental Health Services Priorities.
https://lao.ca.gov/Publications/Report/4786

The 2021-22 Budget: Behavioral Health: Continuum Infrastructure Funding Proposal

Feb 17, 2021 - Counties Would Be Required to Provide Matching Funds. Under this proposal, counties would be required to provide matching funds —in the amount of 25  p ercent of grant funds —in order to receive grant funding.
https://lao.ca.gov/Publications/Report/4379

The 2021-22 Budget: Analysis of the Medi-Cal Budget

Feb 16, 2021 - After the Governor ’s budget largely was finalized, Congress has delayed the scheduled federal reduction (as it has done previously). Due to the Congressional delay in the scheduled federal reduction, we would expect General Fund costs to be around $ 100  m illion higher in 2021 ‑ 22 t han currently budgeted.
https://lao.ca.gov/Publications/Report/4373