The 2021-22 Budget: CalAIM: New Directions for Services for Seniors and Persons With Disabilities

Mar 15, 2021 - In the meantime, under CalAIM, the state would permit plans in CCI counties to transition beneficiaries enrolled in D ‑SNP look ‑alikes to existing D ‑SNPs.) Additionally, D ‑SNPs that are not affiliated with Medi ‑Cal managed care plans ( “non ‑aligned ” D ‑SNPs) would no longer be able to accept new enrollees, although current enrollees could remain in those D ‑SNPs if they chose to do so.
https://lao.ca.gov/Publications/Report/4404

The 2026-27 Budget: Medi-Cal Analysis

Mar 2, 2026 - To mitigate disenrollment impacts of the H.R. 1 requirements, the administration generally plans to require enrollees to d emonstrate a single month of qualifying activities at application and renewal.
https://lao.ca.gov/Publications/Report/5146

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

Mar 6, 2025 - (The ECM program changes made in 2025 will not be reflected in our assessment and coul d increase utilization of the ECM benefit.) Community Supports Services MCPs Have Expanded the Number of Community Supports Available Over Time.
https://lao.ca.gov/Publications/Report/5003

The 2025-26 Budget: Health Care Access and Information

Feb 20, 2025 - Moreover, the partner an d HCAI are engaging with wholesalers and patients to determine distribution. As of our analysis, however, HCAI indicated that it could not provide an estimated time line to receive federal approval to sell  the product.
https://lao.ca.gov/Publications/Report/4979

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

Feb 5, 2025 - The administration is working to allocate the bond funding quickly, with plans to aw ard up to $3.3  billion in May 2025 and a stated commitment to award all funding by 2026. This leaves a brief window in which the Legislature can conduct oversight of the program and influence the administration ’s program administration decisions.
https://lao.ca.gov/Publications/Report/4954

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

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

Oct 24, 2025 - With the tax expected to shrink, providers likely will not receive the larger augmentations planne d for 2027. Private Hospital Fee Also Could Decline Over Time … Federal policy changes also likely will result in a smaller private hospital fee, though for different reasons.
https://lao.ca.gov/Publications/Report/5083

Mental Health Services Act: Proposed Restructuring of the MHSA Funding Categories and Impacts on County Spending

Jul 13, 2023 - We assume that all PEI programs would fall under the BHSS category, while Innovation programs would fall under Housing Interventions an d BHSS. A number of current CSS and PEI programs, that make up the majority of current spending that would fit within the new BHSS category, would likely see reductions in MHSA funding.
https://lao.ca.gov/Publications/Report/4782

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

Feb 17, 2021 - Notably, funding that counties receive from the MHSF is required to be sp ent according to certain parameters, including ( 1)  d irect services and ( 2)  p revention and early intervention activities.
https://lao.ca.gov/Publications/Report/4379

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

Feb 27, 2024 - According to HCAI, manufacturing instead initially will occur at an existing facility in Virginia, with construction of a California facility occurring at a later d ate. In contrast to one-time spending, ongoing General Fund spending is up slightly over the enacted level due to technical compensation-related adjustments.
https://lao.ca.gov/Publications/Report/4860