The 2022-23 Budget: Department of Developmental Services

Mar 29, 2022 - State and federal policy have shifted in recent years toward promoting competitive integrated employment (CIE) for individuals with developmental disabilities. (In this context, “competitive ” means market rate wages.)
https://lao.ca.gov/Publications/Report/4577

The 2025-26 Budget: Health Care Access and Information

Feb 20, 2025 - HCAI attributes this reduction to the competition created by the new CalRx naloxone product. Whether or not CalRx has broader impacts to consumers, however, will depend on how available these new drugs are to consumers, as well as utilization.
https://lao.ca.gov/Publications/Report/4979

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

Feb 17, 2021 - The Governor ’s budget proposes $ 750  m illion General Fund on a one ‑time basis (available for three years) to provide competitive grants to counties to acquire or renovate facilities for community behavioral health service delivery.
https://lao.ca.gov/Publications/Report/4379

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

Aug 17, 2023 - Whether matching funds or real property should be required as a condition of receiving grants for behavioral health facilities and whether HCD should be required to award grants on a competitive basis.
https://lao.ca.gov/Publications/Report/4790

The 2026-27 Budget: Medi-Cal Analysis

Mar 2, 2026 - Most of the decrease in fee revenu e would result in fewer supplemental payments to private hospitals. There also will be less revenue available to fund existing service levels in Medi ‑Cal, which the administration estimates will cost $652  million General Fund in 2026 ‑27 to backfill.
https://lao.ca.gov/Publications/Report/5146

The 2026-27 Budget: Department of Developmental Services

Mar 13, 2026 - To encourage survey completion, the department offered trainings to providers on the data collection surveys and sent weekly e ‑mail reminders to remind providers to submit their data before the deadline.
https://lao.ca.gov/Publications/Report/5157

The 2022-23 Budget: Health Care Access and Affordability

Feb 23, 2022 - These costs have been attributed to a variety of factors, including a lack of competition within the pharmaceutical industry. The state has taken a number of efforts to address prescription drug costs.
https://lao.ca.gov/Publications/Report/4560

The 2021-22 Budget: Analysis of CalAIM Financing Issues

Feb 16, 2021 - Extending a similar rate ‑setting process to plans in single ‑plan counties, which have not been subject to any competition for decades, could result in similar financial losses (though for an individual plan, they likely would be lower in magnitude). ...And Possibly Impact Access and Quality.
https://lao.ca.gov/Publications/Report/4374

The 2025-26 California Spending Plan: Health

Oct 16, 2025 - Under the health trailer bill, pharmacy benefit managers must now receive licenses from th e Department of Managed Health Care (DMHC) to operate in California. To maintain licensure, these entities must (1)  act in a payor ’s best interests; (2)  submit financial statements to DMHC; and (3)  submit drug pricing data to HCAI, among other requirements.
https://lao.ca.gov/Publications/Report/5075

The 2026-27 Budget: Medi-Cal Fiscal Outlook

Nov 19, 2025 - How much of these savings accru e to California, however, is uncertain. California could choose to continue streamlining eligibility policies, even absent federal enforcement of the new rules. Recoupments for Excess Payments.
https://lao.ca.gov/Publications/Report/5092