The 2022-23 Budget: Update on Home- and Community- Based Services Spending Plan

Feb 10, 2022 - Additionally, states are given until March  31, 2024 to fully expend the required amount of funding on HCBS enhancements. After March  31, 2024, if it is decided that the program enhancements should continue, California would need to provide funding from an alternative state or local fund source to  do  so.
https://lao.ca.gov/Publications/Report/4524

The 2021-22 Budget: Department of Developmental Services (DDS) May Revision Budget Proposal

May 24, 2021 - (While the higher HCBS matching rate can only be claimed on state HCBS spending between April 1, 2021 through March  31, 2022, states can use the additional funds generated through March  31, 2024.) The ARP Act stipulated that funding could not supplant state funding.
https://lao.ca.gov/Publications/Report/4438

COVID-19: American Rescue Plan’s Major Health-Related Funding Provisions

May 6, 2021 - The ARP Act increases the federal government ’s share of Medicaid-funded HCBS by 10  percentage points during a “program improvement period ” of April 1, 2021 through March  31, 2022. To qualify for this enhanced federal funding, states must “expand, enhance, or strengthen ” their HCBS services.
https://lao.ca.gov/Publications/Report/4425

The 2019-20 Budget: Proposition 56 Revenues: Reductions in Fixed Allocations

Feb 14, 2019 - The resulting 2020 ‑21 allocation would be $31  million. A Better Approach: the “Base Year Method. ” Instead of treating the backfill estimate as a year-over-year change, the administration instead could apply it to the same fixed dollar amount each year.
https://lao.ca.gov/Publications/Report/3939

The 2025-26 California Spending Plan: Health

Oct 16, 2025 - The spending plan eliminates the Skilled Nursing Facility Workforce and Quality Incentive Program (SNF WQIP) as of December 31, 2025. The SNF WQIP provides performance-based directed payments to facilities that satisfied metrics in quality of care, equity in healthcare outcomes, and workforce investments.
https://lao.ca.gov/Publications/Report/5075

The 2019-20 Budget: California Spending Plan—Health and Human Services

Oct 17, 2019 - As described more fully in the “Provisionally Suspends Various HHS Augmentations on December 31, 2021 ” section of this post, this augmentation is subject to possible suspension on December 31, 2021 depending on whether General Fund revenues will exceed General Fund expenditures in 2021 ‑22 and 2022 ‑23.
https://lao.ca.gov/Publications/Report/4104

Upcoming Changes in Medi-Cal Create Fiscal and Policy Uncertainty

Oct 9, 2015 - Section 1115 Waiver Renewal The state ’s current Medicaid Section 1115 waiver is set to expire on October 31, 2015. (The federal government generally grants states flexibility in administering their Medicaid programs through “waivers, ” such as those allowed under Section 1115 of the federal Social Security Act.
https://lao.ca.gov/Publications/Report/3300

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

Mar 6, 2025 - Specifically, between July 1, 2022, and December 31, 2023, the asset limits were increased to $130,000 for individuals and $195,000 for couples (with an additional $65,000 allowable for each additional household member), and were fully eliminated effect ive January 1, 2024.
https://lao.ca.gov/Publications/Report/5010

The 2026-27 Budget: Medi-Cal Fiscal Outlook

Nov 19, 2025 - This disenrollment represents a 4  percentage ‑point reduction in the share of California residents who participate in Medi ‑Cal (from 35  percent to 31  percent). …But Caseload Reductions Yield Relatively Limited State Savings.
https://lao.ca.gov/Publications/Report/5092

The 2020-21 Spending Plan: Health Budget and Policy

Oct 15, 2020 - The potential suspension of the other three items would take effect on December 31, 2021. If these four items of Medi-Cal spending were suspended, there would be estimated General Fund savings of $805  million in 2021 ‑22 and $871  million in 2022 ‑23.
https://lao.ca.gov/Publications/Report/4281