The 2021-22 Budget: LAO Preliminary Comments on the May Revision Medi-Cal Budget

May 21, 2021 - Available budget documents do not indicate ( 1)  w hat kinds of agencies would be eligible to receive this funding, ( 2)  h ow the funding would be distributed, ( 3)  w hat capacity ‑building activities would be funded, and ( 4)  w hat the rationale for the proposed funding amount of $ 200  m illion total funds is.
https://lao.ca.gov/Publications/Report/4436

The 2026-27 Budget: Department of Developmental Services

Mar 13, 2026 - What is the role of the California Health and Human Services Agency in this process? It is possible that the state ’s new automated data matching processes could fail to automatically exempt some DDS consumers from the H.R. 1 eligibility requirements.
https://lao.ca.gov/Publications/Report/5157

The 2019-20 Budget: The Governor's Individual Health Insurance Market Affordability Proposals

Feb 7, 2019 - Finally, how FTB would administer a state individual mandate, and at what cost to the state, will significantly depend on what level of enforcement the Legislature desires. Stronger enforcement of a state mandate would likely require enhanced coordination and data ‑sharing among agencies and additional resources for FTB to review tax filings.
https://lao.ca.gov/Publications/Report/3927

The 2026-27 Budget: Medi-Cal Analysis

Mar 2, 2026 - In light of what is known to date about the new federal rules, we recommend the Legislature treat the administration ’s assumptions around the health plan tax and private hospital fee as a reasonable starting point.
https://lao.ca.gov/Publications/Report/5146

The 2021-22 Budget: CalAIM: Equity Considerations

Mar 12, 2021 - For example, Black Medi ‑Cal beneficiaries report worse overall health and suffer from chronic conditions such as diabetes at higher rates than other racial or ethnic groups. Moreover, Black state residents as a whole experience homelessness at highly elevated rates.
https://lao.ca.gov/Publications/Report/4402

Mental Health Services Act: LAO Update: The Governor's Revised Behavioral Health Modernization Proposal

Aug 21, 2023 - Under the Governor ’s revised proposal, there is a process allowing for some flexibility in county spending, potentially mitigating what could otherwise be a negative impact on funding for current services.
https://lao.ca.gov/Publications/Report/4792

The 2021-22 Budget: Medi-Cal Fiscal Outlook

Nov 18, 2020 - Moreover, the budget act assumed that ( 1)  c aseload growth mostly would be concentrated in the families caseload category (which includes parents and children), ( 2)  t hat growth within the ACA optional expansion (which primarily includes childless adults) would be relatively slow, and ( 3)  t hat growth among seniors and persons with disabilities would be fairly robust.
https://lao.ca.gov/Publications/Report/4299

Update on COVID-19 Spending in California

Nov 5, 2020 - What is the administration ’s overall plan to control the spread of the virus and mitigate its negative effects? Does this spending plan align with that plan? Much of the federal COVID-19-related funding provided to California to date has been designated, for example, for K-12 education.
https://lao.ca.gov/Publications/Report/4292

The 2026-27 Budget: Medi-Cal Fiscal Outlook

Nov 19, 2025 - What Are Some Other Key Changes in H.R. 1 to Track? Change in Unsatisfactory Immigration Status (UIS) Definition. Under H.R. 1, more immigrant groups (such as refuges and asylees) will have UIS beginning October 2026.
https://lao.ca.gov/Publications/Report/5092

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

Oct 24, 2025 - 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