The 2021-22 Budget: LAO Preliminary Comments on the May Revision Medi-Cal Budget

May 21, 2021 - Available budget documents do not indicate ( 1)  w hat kinds of agencies would be eligible to receive this funding, ( 2)  h ow the funding would be distributed, ( 3)  w hat capacity ‑building activities would be funded, and ( 4)  w hat the rationale for the proposed funding amount of $ 200  m illion total funds is.
https://lao.ca.gov/Publications/Report/4436

The 2021-22 Budget: CalAIM: The Overarching Issues

Feb 9, 2021 - To afford itself more time to scrutinize the many reforms under CalAIM and grant the state ’s currently stressed health care infrastructure more time to implement CalAIM ’s major changes, the Legislature could explore ( 1)  w hich decisions can be deferred and ( 2)  w hich implementation dates can be delayed.
https://lao.ca.gov/Publications/Report/4357

The 2021-22 Budget: Assessment of CalHEERS Dashboard

Mar 25, 2021 - More specifically, the Legislature tasked our office with assessing ( 1)  w hether the dashboard comprehensively captures issues known to stakeholders and the administration that cause delays or errors in eligibility processing, ( 2)  h ow the dashboard is being used as part of a process to set a time line for fixing the identified issues, and ( 3)  o pportunities for legislative oversight.
https://lao.ca.gov/Publications/Report/4408

The 2025-26 Budget: Medi-Cal Fiscal Outlook

Nov 20, 2024 - While we project overall caseload to continue to decline, the senior caseload has been increasing for reasons w e discuss below. Recent Surge in Senior Caseload Driving Increase in Costs. From January 2024 through July 2024, we have observed a sharp increase in Medi-Cal enrollment among the senior population.
https://lao.ca.gov/Publications/Report/4941

The 2025-26 Budget: MCO Tax and Proposition 35

Feb 26, 2025 - These rules required states (including California) to change ho w they pass funds through health plans to providers, tying funds more closely to service delivery and improved health outcomes. In 2024 , more federal rules were enacted on directed payments, including new limits for certain kinds of services.
https://lao.ca.gov/Publications/Report/4992

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

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

Aug 17, 2023 - The bonds will be repaid over time using MH SA funds. NPLH has supported 247 projects and 7,852 housing units are anticipated. As of August 2022, 119 projects are under construction, 30 projects have been completed, and 498 units have units have been completed and are occupied.
https://lao.ca.gov/Publications/Report/4790

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

Feb 17, 2021 - The Legislature may wish to ask the administration for further details on ( 1)  h ow the amount in incentive payments proposal was determined and ( 2)  w hat analysis the administration conducted that indicated that this amount would be sufficient to induce the desired behavior from managed care plans.
https://lao.ca.gov/Publications/Report/4377

The 2025-26 Budget: Overview of the Governor's Budget

Jan 13, 2025 - We understand that while the administration indicates it will provide this payment in the future—after the final calculation of the minimum funding requirement—it also has not scored this future obligation in its multiyear budget.
https://lao.ca.gov/Publications/Report/4951

Building California’s Behavioral Health Infrastructure: Progress Update and Opportunities for the Proposition 1 Bond

Feb 5, 2025 - For example, the administration has provided scoring preferences for launch ‑ready projects throughout BHCIP, and continues to prioritize launch ‑ready projects for awards made using Proposition  1 bond dollars.
https://lao.ca.gov/Publications/Report/4954