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

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 2026-27 Budget: Department of Developmental Services

Mar 13, 2026 - The APD process allows the state to request a 90  percent match in federal funding (rather than California ’s standard 50  percent match) to design, develop, and install IT systems that enable the state to more efficiently administer Medicaid benefits.
https://lao.ca.gov/Publications/Report/5157

The 2026-27 Budget: Medi-Cal Fiscal Outlook

Nov 19, 2025 - Under H.R. 1, the federal match for these services will decrease from 90  percent to 50  percent for certain undocumented adults, requiring a backfill from the General Fund to maintain existing services.
https://lao.ca.gov/Publications/Report/5092

The 2023-24 Budget: Analysis of the Medi-Cal Budget

Feb 10, 2023 - Federal Match for Designated State Health Programs. In late January 2023, the Department of Health Care Services received federal waiver approval allowing the state to claim federal matching funds for certain existing programs that would otherwise be funded solely with state funds.
https://lao.ca.gov/Publications/Report/4675

The 2021-22 Budget: Behavioral Health: Continuum Infrastructure Funding Proposal

Feb 17, 2021 - Counties Would Be Required to Provide Matching Funds. Under this proposal, counties would be required to provide matching funds —in the amount of 25  p ercent of grant funds —in order to receive grant funding.
https://lao.ca.gov/Publications/Report/4379

The 2023-24 Budget: Health Workforce Budget Solutions

Feb 21, 2023 - As an alternative to a package of budget solutions focused on delays of funding (that may or may not be restored), the Legislature might take strategic action today to scale back the very broad 2022-23 package of workforce initiatives to focus on policy areas of legislative priority.
https://lao.ca.gov/Publications/Report/4691

The 2023-24 California Spending Plan: Health

Oct 23, 2023 - The waiver —which is contingent on federal approval —is for a five-year demonstration that will, if approved, allow the state to receive federal matching funds for short-term stays in institutions for mental disease.
https://lao.ca.gov/Publications/Report/4810

The 2022-23 Budget: Analysis of the Medi-Cal Budget

Feb 9, 2022 - The administration projects a substantial decline in Proposition  56 revenues between 2021 ‑22 and 2022 ‑23, primarily as a result of the anticipated implementation of a statewide ban on the sale of flavored tobacco products.
https://lao.ca.gov/Publications/Report/4522

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