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

The 2021-22 Budget: CalAIM: The Overarching Issues

Feb 9, 2021 - Today, such services generally are accessible through other systems of care, but in many cases outside of Medi ‑Cal. Moreover, under CalAIM, additional Medi ‑Cal services would become accessible primarily through managed care.
https://lao.ca.gov/Publications/Report/4357

The 2021-22 Budget: Analysis of CalAIM Financing Issues

Feb 16, 2021 - Today, managed care plans may offer such services but would not be reimbursed for the associated costs. As one final example, CalAIM would require that all counties implement pre ‑release Medi ‑Cal application processes for inmates.
https://lao.ca.gov/Publications/Report/4374

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 2026-27 Budget: Medi-Cal Fiscal Outlook

Nov 19, 2025 - These effects, however, depend on the way that the state and counties will implement the new requirements, which is unknown  today. Spending on Emergency Care for Immigrants Has Fluctuated Notably. As part of a broader reporting requirement, the state annually reports to the federal government on the cost of covering emergency care for undocumented immigrants.
https://lao.ca.gov/Publications/Report/5092

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

Jan 13, 2025 - The underlying budget dynamics today are particularly challenging for three reasons. First, revenues have not caught up with expenditures. Second, under our estimates, expenditure growth exceeds estimated revenue growth.
https://lao.ca.gov/Publications/Report/4951

The 2024-25 Budget: Department of Health Care Access and Information

Feb 27, 2024 - News articles around this time also reported that some hospitals had filed for bankruptcy and that several others were in financial distress. In response to the above concerns, the Legislature enacted a few new programs to provide financial relief to hospitals, described further below.
https://lao.ca.gov/Publications/Report/4860

The 2023-24 Budget: Overview of the Governor's Budget

Jan 13, 2023 - (That is, in our view, these costs would not have occurred absent legislative action and as a result do not contribute to the budget problem the Legislature faces today.) Comparison to LAO November Outlook.
https://lao.ca.gov/Publications/Report/4662

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: CalAIM: Equity Considerations

Mar 12, 2021 - Any improved health outcomes that result from CalAIM could improve health equity insofar as the improved outcomes are concentrated among groups that disproportionately suffer poor health outcomes today.
https://lao.ca.gov/Publications/Report/4402