The 2026-27 Budget: Department of Developmental Services

Mar 13, 2026 - Residential services, which include independent and supported living services either in a consumer ’s home or in licensed facilities that provide 24 ‑hour nonmedical residential care, typically have a relatively higher cost per person due to the comprehensiveness of the service provided (including personal services, supervision, and/or assistance essential for self ‑protection or completing the activities of daily living).
https://lao.ca.gov/Publications/Report/5157

The 2021-22 Budget: Analysis of the Governor’s Medi-Cal Telehealth Proposal

May 13, 2021 - In our review of available literature, we find that the clinical effectiveness of telehealth services tends to vary depending on two main factors, which we discuss below. Modality. Available research indicates that there are differences in the clinical effectiveness of telehealth services based on whether services are provided through live video or through telephone.
https://lao.ca.gov/Publications/Report/4430

The 2023-24 Budget: Department of Developmental Services

Feb 15, 2023 - This  is most evident in the rate for Independent Living Services, which assumes staffing costs equivalent to Supported Living Services despite the former being a much more intensive service model. In addition, we have heard concerns about the lack of ongoing inflation adjustments.
https://lao.ca.gov/Publications/Report/4683

The 2025-26 Budget: CalAIM Enhanced Care Management and Community Supports Implementation Update

Mar 6, 2025 - Nursing facility transition to a home Services provided to assist beneficiaries transitioning from nursing facility care to home settings in which they are responsible for living expenses. Personal care and homemaker services Services provided to assist beneficiaries with daily living activities, such as bathing, dressing, housecleaning, and grocery shopping.
https://lao.ca.gov/Publications/Report/5003

The 2022-23 Budget: Department of Developmental Services

Mar 29, 2022 - Some of this disparity can be explained by more Latino than white consumers living in the family home rather than in a group home or on their own (which is more costly), but it does not explain all o f the disparity.
https://lao.ca.gov/Publications/Report/4577

Enhancing Federal Financial Participation for Consumers Served by the Department of Developmental Services—An Interim Update

Apr 19, 2021 - Enhancing Federal Financial Participation for Consumers Served by the Department of Developmental Services—An Interim Update Enhancing Federal Financial Participation for Consumers Served by the Department of Developmental Services —An Interim Update Introduction The Department of Developmental Services (DDS) currently serves a relatively small share of consumers who are eligible for, but not
https://lao.ca.gov/Publications/Report/4415

Climate Change Impacts Across California - Crosscutting Issues

Apr 5, 2022 - This is due in part to historical discriminatory practices that restricted which racial groups could live and purchase homes in the communities that contained larger and more developed water systems.
https://lao.ca.gov/Publications/Report/4575

Mental Health Services Act: Proposed Bond to Fund Behavioral Health Facilities and Veterans Housing

Aug 17, 2023 - Available research also indicates that experiencing homelessness may lead some individuals to develop or exacerbate existing behavioral health issues due to the chronic stress of living without stable housing.
https://lao.ca.gov/Publications/Report/4790

The 2022-23 Budget: Update on Home- and Community- Based Services Spending Plan

Feb 10, 2022 - Provide medical and supportive services to individuals residing in permanent supportive housing and congregate care settings. 298 Eliminating Assisted Living Waiver Waitlist. Eliminate Assisted Living Waiver waitlist by increasing waiver slots by 7,000. 255 Services: Enhancing HCBS Capacity and Models of Care Developmental Services Rate Model Implementation.
https://lao.ca.gov/Publications/Report/4524

The 2024-25 Budget: Department of Developmental Services

Feb 13, 2024 - DDS reports that adult Hispanic/Latino consumers are more likely than white consumers to live at home and thus consume fewer residential services. While  this could be one contributing factor to lower spending levels for Hispanic/Latino consumers, the circumstances of living at home could mask service needs that are not being met.
https://lao.ca.gov/Publications/Report/4837