The 2026-27 Budget: Department of Developmental Services

Mar 13, 2026 - The funding to implement the rate study ’s recommended rate models was phased in beginning in 2021 ‑22, ramping up to current levels by 2024 ‑25. The increased funding was intended to support a sufficient supply of quality service providers by raising funding levels for providers via increased rates.
https://lao.ca.gov/Publications/Report/5157

The 2026-27 Budget: Medi-Cal Analysis

Mar 2, 2026 - The Governor ’s budget assumes the state receives retroactive approval for a private hospital fee for 2025, but that the fee is about equal to its level in 2024, rather than the much larger level originally submitted for approval.
https://lao.ca.gov/Publications/Report/5146

The 2026-27 Budget: Medi-Cal Fiscal Outlook

Nov 19, 2025 - On the other hand, the freeze could incentivize some undocumented adults to pay the premium t o avoid being permanently locked out of comprehensive coverage. The interplay between these two budget solutions is challenging to predict.
https://lao.ca.gov/Publications/Report/5092

An Update on the Public Health Laboratory System After the Pandemic

Jun 12, 2025 - Counties have significant discretion in how they allocate 1991 realignment funding for health, only a portion of which may support laboratories (in addition to o ther public health activities, 1991 realignment health funds also can support indigent health care).
https://lao.ca.gov/Publications/Report/5056

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

Oct 24, 2025 - Total Level of Disenrollment Is Uncertain. While it is likely that the new eligibility policies will result in some level of disenrollment, the magnitude of this effect is uncertain. Much of the impact will depend on how the state implements the new rules.
https://lao.ca.gov/Publications/Report/5083

The 2025-26 California Spending Plan: Health

Oct 16, 2025 - (These savings are distinct from state operations budget solutions enacted as part of the 2024-25 Budget Act , which directed DOF to identify efficiencies to reduce state costs without diminishing service levels.)
https://lao.ca.gov/Publications/Report/5075

Enhancing Federal Financial Participation for Consumers Served by the Department of Developmental Services

Nov 9, 2021 - The criteria were narrowed by state statute in 2017 t o limit estate recovery to the minimum required by federal law. Estate recovery applies to an individual who either was permanently institutionalized (at a SNF, ICF, or other medical facility) or received HCBS services at age 55 o r older.
https://lao.ca.gov/Publications/Report/4471

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

Feb 16, 2021 - (The General Fund payment levels that go to private hospitals are tied to federal funding levels that go to public hospitals, so reductions in federal funding lower General Fund payments to participating private hospitals.)
https://lao.ca.gov/Publications/Report/4373

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

Feb 5, 2025 - The RAND researchers estimated that the shortage of adult beds totals about 2,000  beds at the acute level, 2,800 beds at the subacute level, and about 3,000 beds at the community residential level. As  shown  in   Figure  1 ,  particularly severe at the community residential level.
https://lao.ca.gov/Publications/Report/4954

The 2021-22 Budget: Behavioral Health: Community Care Demonstration Project

Feb 19, 2021 - (From March   2020 t o April 2020, referrals declined 63  p ercent.) DSH continued to experience lower numbers of felony IST referrals until August  2020, when COVID ‑19 ‑related restrictions were lifted.
https://lao.ca.gov/Publications/Report/4382