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 2025-26 Budget: MCO Tax and Proposition 35

Feb 26, 2025 - For example, were the MCO tax to generate about as much net revenue in 2027 as it does today, we estimate only around one-third of the net revenue (rather than more than half under the Governor ’s budget) would be available for the General Fund offset.
https://lao.ca.gov/Publications/Report/4992

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: Department of Developmental Services (DDS) May Revision Budget Proposal

May 24, 2021 - DDS System Still Faces Challenges Today That Could Affect the Success of a Performance Incentives Program. While the pandemic demonstrated that the DDS system could be somewhat nimble in responding to consumers ’ needs, some of the same challenges facing the department in 2020 exist today.
https://lao.ca.gov/Publications/Report/4438

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

Oct 24, 2025 - Though current law generally will require this new tax to be much smaller, there is a way the state could maintain a similar level of revenue as today (before the required reduction in the revenue limit under federal law).
https://lao.ca.gov/Publications/Report/5083

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

Feb 17, 2021 - . $25   Million Ongoing in Proposition   98 Matching Funds for County Children ’s Mental Health Projects. See our budget post, The 2021‑22 Budget: School Mental Health ,for a description of this proposal.
https://lao.ca.gov/Publications/Report/4377

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 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