The 2025-26 Budget: Medi-Cal Pharmacy Spending

Apr 3, 2025 - These drugs do not come with rebates, because federally require d price reductions already occurred at the front end when the pharmacy purchased the drugs. Federal guidance also directs states to exclude claims that do not come with a federal share of cost.
https://lao.ca.gov/Publications/Report/5026

The 2026-27 Budget: Department of Developmental Services

Mar 13, 2026 - The department has stated that its goal is to have as many providers as possible earn the quality payments, but it has not yet discussed how it might approach circumstances in which providers do not achieve them.
https://lao.ca.gov/Publications/Report/5157

The 2025-26 California Spending Plan: Health

Oct 16, 2025 - The database, created as part of the 2018-19 budget, includes data from most health care payors in California (including private insurance, Medi-Cal, and Medicare) around health care utilization and costs.
https://lao.ca.gov/Publications/Report/5075

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

Feb 19, 2021 - There is significant variation by county in the rate of felony IST referrals for competency restoration, as shown in figure  2 in 2018 ‑19. (We use 2018 ‑19 data because this is the most recent full year of data that precedes any pandemic ‑related changes to the process of referring felony ISTs to treatment.)
https://lao.ca.gov/Publications/Report/4382

The 2026-27 Budget: Medi-Cal Analysis

Mar 2, 2026 - Although H.R. 1 does not require states to apply the community engagement requirement and six ‑month renewals to adults with UIS (whose Medi ‑Cal full scope coverage is entirely state ‑funded), the administration proposes to do so.  
https://lao.ca.gov/Publications/Report/5146

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

Oct 24, 2025 - The first rule (finalized in 2023) applied to people dually enrolled in Medicare and Medicaid, while the second rule (finalized in 2024) applied to the rest of the Medicaid population. H.R.  1 prohibits federal administrators from enforcing the elements of these rules that have not yet gone into effect, giving states greater flexibility to decide whether to implement the streamlined processes.
https://lao.ca.gov/Publications/Report/5083

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

Aug 17, 2023 - The Veterans and Affordable Housing Bond Act of 2018. The Veterans and Affordable Housing Bond Act of 2018 (Proposition  1) authorized $4  billion in general obligation bonds for various housing programs.
https://lao.ca.gov/Publications/Report/4790

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

Jan 13, 2025 - Finally, the Governor sets the balance of the Special Fund for Economic Uncertainties to $4.5   billion —somewhat higher than the level enacted by recent budgets. Revenue Estimates Reasonable, but Risks Must Be Kept in Focus.
https://lao.ca.gov/Publications/Report/4951

The 2022-23 Budget: Department of Developmental Services

Mar 29, 2022 - Many Providers Still Are Not in Compliance With HCBS Final Rule Set to Take Effect in March   2023. As of October 2021, 43 percent of the 9,050 providers of which DDS required a self‑assessment or on‑site assessment reported they do not meet or only partially meet all federal requirements, as shown in Figure 4.
https://lao.ca.gov/Publications/Report/4577

The 2023-24 Budget: Department of Developmental Services

Feb 15, 2023 - Relative to other recent budgets, the Governor ’s proposal contains relatively fewer major new initiatives and we do not find major issues with these or with the administration ’s underlying caseload assumptions.
https://lao.ca.gov/Publications/Report/4683