The 2025-26 Budget: MCO Tax and Proposition 35 [Publication Details]

Feb 26, 2025 - The 2025-26 Budget: MCO Tax and Proposition 35 [Publication Details] Translate Our Website This Google ™ translation feature provided on the Legislative Analyst's Office (LAO) website is for informational purposes only.
https://lao.ca.gov/Publications/Detail/4992

The 2025-26 Budget: MCO Tax and Proposition 35

Feb 26, 2025 - The 2025-26 Budget: MCO Tax and Proposition 35 3.6 MCO = managed care organization. Continues Funding 2024 Rate Increase … Though the MCO tax spending plan has changed over time, a few augmentations have remained throughout each plan.
https://lao.ca.gov/Publications/Report/4992

An Update on the Public Health Laboratory System After the Pandemic

Jun 12, 2025 - The state and several local health jurisdictions (LHJs) —mostly counties and a few cities —have laboratories that provide public health laboratory testing services. (When referring to counties and LHJs, we are also referring to these city LHJs.)
https://lao.ca.gov/Publications/Report/5056

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

Feb 5, 2025 - The managed care organization tax, a tax on health plans that allows California to draw down additional federal funding for Medi ‑Cal, is supporting provider rate increases for a variety of services.
https://lao.ca.gov/Publications/Report/4954

The 2025-26 Budget: Medi-Cal Fiscal Outlook

Nov 20, 2024 - Caseload surged during the pandemic when the state had temporarily suspended redetermining eligibility for enrollees and has begun to decline as counties have resumed conducting eligibility redeterminations.
https://lao.ca.gov/Publications/Report/4941

The 2025-26 Budget: CalAIM Enhanced Care Management and Community Supports Implementation Update

Mar 6, 2025 - The two outliers, as discussed above, are the high Community Supports utilization rates in Orange County (3.7  percent) and Imperial County (4.4  percent). Utilization rates across counties vary considerably, with generally lower utilization rates in the central and eastern portions of the state.
https://lao.ca.gov/Publications/Report/5003

The 2020-21 Budget: Analysis of the Medi-Cal Budget

Feb 14, 2020 - DHCS further proposes to implement a county performance monitoring dashboard that makes information on county performance relative to County Performance Standards and other potential measures yet to be identified public.
https://lao.ca.gov/Publications/Report/4161

The 2020-21 Budget: Analysis of the Medi-Cal Budget [Publication Details]

Feb 14, 2020 - We also discuss the administration’s recent submittal (late January 2020) of a modified managed care organization (MCO) tax proposal. We then provide analysis and recommendations on a series of key issues: (1) Recently proposed draft federal regulations referred to as the “Medicaid Fiscal Accountability Regulation;” (2) proposals related to the Medi‑Cal pharmacy services benefit;
https://lao.ca.gov/Publications/Detail/4161

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

Jul 13, 2023 - Yet, the MHSA tax is perhaps the most volatile source of revenue in the state tax system. Absent other changes, lowering prudent reserve caps as the Governor proposes will only exacerbate county budge ting challenges and place excessive fiscal risk on counties.
https://lao.ca.gov/Publications/Report/4780

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

Mar 6, 2025 - Counties resumed eligibility processing in April 2023, which resulted in overall Medi ‑Cal caseload beginning to decline starting in July 2023. During this continuous coverage unwinding period, the state implemented certain flexibilities meant to limit disruption of eligibility redeterminations on enrollees and simplify and reduce eligibility processing workload for counties.
https://lao.ca.gov/Publications/Report/5010