The 2026-27 Budget: Department of Developmental Services

Mar 13, 2026 - Such goals could include living in an apartment, getting and maintaining a job, and participating in music or art classes. Quality Incentive Payments in Place Since 2025. The final phase of rate reform has been implemented since January 2025.
https://lao.ca.gov/Publications/Report/5157

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

Oct 24, 2025 - Three Key Questions Will Drive Legislative Decision ‑Making. In revisiting the Medi ‑Cal program, the Legislature faces three key questions: (1)  who should Medi ‑Cal serve, (2)  what per ‑enrollee service level should Medi ‑Cal provide, and (3)  what non ‑General Fund financing options are available?
https://lao.ca.gov/Publications/Report/5083

The 2025-26 California Spending Plan: Health

Oct 16, 2025 - This net reduction in General Fund is primarily due to the end of temporary funding, partially offset by one-time supplemental funding for a number of state public health information technology (IT) systems.
https://lao.ca.gov/Publications/Report/5075

The 2026-27 Budget: Medi-Cal Analysis

Mar 2, 2026 - For example, Proposition 35 generally limits the tax rate on commercial enrollment at roughly its current levels. Federal H.R. 1 Legislation Makes Three Key Changes to Provider Tax Rules. Among other changes, H.R. 1 prohibits states from adopting new provider taxes or increasing their existing ones.
https://lao.ca.gov/Publications/Report/5146

An Update on the Public Health Laboratory System After the Pandemic

Jun 12, 2025 - These include: (1)  staffing resources; (2)  laboratory equipment resources and the types of tests that can be performed; (3)  the number and types of tests performed annually over the last several years; and (4)  if applicable, the extent to which existing levels of staffing and equipment allow for testing above current levels.
https://lao.ca.gov/Publications/Report/5056

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

Jul 13, 2023 - Comparing County Spending Categories Significant Level of Discretion Afforded to Counties Within Current Funding Categories. The left side of Figure  3 displays counties ’ 2021-22 program expenditures (totaling $2.1  billion) by funding category as well as examples of the programs that fall under current MHSA categories as reported in the 2021-22 expenditure data.
https://lao.ca.gov/Publications/Report/4782

Realignment and County Indigent Health Care Programs [Publication Details]

Mar 19, 2026 - Presented to: Senate Budget Subcommittee No. 3 on Health and Human Services
https://lao.ca.gov/Publications/Detail/5164

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

Jul 13, 2023 - A reasonable level of reserve caps depends in part on whether the Legislature chooses to change the MHSA funding source to make it less volatile. Assuming no change to the MSHA tax, we think even the current-law reserve caps are too low.
https://lao.ca.gov/Publications/Report/4780

The 2026-27 Budget: Medi-Cal Fiscal Outlook

Nov 19, 2025 - Under current federal law, federal administrators must recoup funds from states when more than 3  percent of Medicaid payments are in error. Federal administrators, however, can waive recoupments if a state makes a good faith effort to reduce its error rate.
https://lao.ca.gov/Publications/Report/5092

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

Feb 10, 2022 - Increase access to technology for older adults and adults with disabilities. $50 Senior Nutrition Infrastructure. Provide capacity and infrastructure improvement grants to senior nutrition program vendors. 40 Modernize Regional Center Information Technology Systems.
https://lao.ca.gov/Publications/Report/4524