The 2026-27 Budget: Department of Developmental Services

Mar 13, 2026 - For example, the spending share of residential services has decreased from 46  percent to 38  percent, while the spending share of support and training services has increased from 8  percent to 15  percent.
https://lao.ca.gov/Publications/Report/5157

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

Oct 24, 2025 - Previous Medicaid law allowed, but did not require, states to impose cost ‑sharing requirements on select populations. The new requirement will only apply to childless adults earning more than 100  percent of the federal poverty limit.
https://lao.ca.gov/Publications/Report/5083

The 2026-27 Budget: Medi-Cal Analysis

Mar 2, 2026 - Individuals must generally work, study, or volunteer at least 80  hours per month, or meet an earnings threshold (about $580 per month, equivalent to 80 hours at the federal minimum wage) unless they qualify for certain exemptions (such as having young children or being medically frail).
https://lao.ca.gov/Publications/Report/5146

The 2026-27 Budget: Medi-Cal Fiscal Outlook

Nov 19, 2025 - This increase, however, is slower than the growth rate in the rest of the state budget, with Medi ‑Cal ’s share of overall General Fund spending at 19  percent by 2029 ‑30 (slightly lower than the share in the 2025 ‑26 enacted budget).
https://lao.ca.gov/Publications/Report/5092

The 2025-26 Budget: Medi-Cal Pharmacy Spending

Apr 3, 2025 - State and Federal Government Share Pharmacy Costs and Rebate Savings. As a joint federal‑state program, Medi‑Cal’s costs are shared between federal and state funds. The federal share of cost in each state generally is determined by a formula, with the share in California at 50 percent.
https://lao.ca.gov/Publications/Report/5026

The 2025-26 Budget: Understanding Recent Increases in the Medi-Cal Senior Caseload

Mar 6, 2025 - Individuals who are enrolled in share ‑of ‑cost Medi ‑Cal, but who have not met their share of cost in a given month, are not reflected in the caseload data. By eliminating the share ‑of ‑cost requirement for these individuals, we estimate that this expansion brought around 30,000 new Medi ‑Cal members into the program in a single  month.
https://lao.ca.gov/Publications/Report/5010

The 2024-25 Budget: The MCO Tax Package at May Revision

May 22, 2024 - This is because DHCS did not include revenue MCOs earn from the federal Medicare program in its calculation of the limit. DHCS says it recently learned in discussions with federal administrators that including Medicare revenue in the calculation is allowable.
https://lao.ca.gov/Publications/Report/4905

Mental Health Services Act: Revenue Volatility and the Governor’s Proposal to Reduce Allowable County Reserves

Jul 13, 2023 - Most of the taxable income earned by the vast majority of PIT filers is derived from wages and salaries. Wages and salaries are a relatively stable income category. By contrast, Proposition  63 filers derive a far greater share of their income from relatively volatile sources, including capital gains; partnership income; and dividends, interest, and rent.
https://lao.ca.gov/Publications/Report/4780

The 2021-22 Budget: Analysis of CalAIM Financing Issues

Feb 16, 2021 - Since this blended capitated rate would essentially compensate plans for the combined, average costs of institutionalized and non ‑institutionalized SPDs, plans could receive and retain earnings if they are able to improve their capacities to reduce unnecessary LTC facility stays.
https://lao.ca.gov/Publications/Report/4374

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

Feb 5, 2025 - According to national survey data, the share of Californians experiencing serious mental illness (SMI) and SUD increased during the 2010s at alarming rates. From the three ‑year period of 2008 ‑2010 to three ‑year period of 2017 ‑2019, the share of California adults with SMI increased by around 50  percent, with the share of California young adults with SMI nearly doubling over the period.
https://lao.ca.gov/Publications/Report/4954