^[PDF] Potential Federal Funding Opportunities in Federal Health Reform (Preliminary)

SPA must be developed and implemented in collaboration with a Development and Implementation Council established by the state as specified. Beginning October 1, 2011 through September 30, 2015 State Balancing Incentive Payments Program A SPA or waiver to expand and diversify medical assistance for home and community-based services and make structural improvements to how the state provides such services.
https://lao.ca.gov/handouts/Health/2010/Potential_Health_Reform_4_26_10.pdf

^[PDF] Enhancing Federal Financial Participation for Consumers Served by the Department of Developmental Services

(In Billions) Medicaid HCBS Funding Provides at Least 30 Percent of Funding in the Department of Developmental Services Budget Figure 1 2011-12 12-13 13-14 14-15 15-16 16-17 17-18 18-19 19-20 20-21 21-22 Other fundsa gutter analysis full L E G I S L A T I V E A N A L Y S T ’ S O F F I C E A N L A O R E P O R T 4 An individual only can be enrolled in one waiver at a time.
https://lao.ca.gov/reports/2021/4471/Enhancing-Federal-Financial-Participation-Consumers-DDS-110921.pdf

Enhancing Federal Financial Participation for Consumers Served by the Department of Developmental Services—An Interim Update

Apr 19, 2021 - Of DDS consumers enrolled in Medi-Cal, a total of 71  percent were either enrolled in the waiver (about 132,000) or eligible for 1915(i) SPA reimbursement (about 48,000). Among DDS consumers who were enrolled in Medi-Cal, but not receiving waiver or 1915(i) SPA reimbursement, most did not receive a service that would make them eligible for the waiver or for 1915(i) SPA reimbursement.
https://lao.ca.gov/Publications/Report/4415

Enhancing Federal Financial Participation for Consumers Served by the Department of Developmental Services

Nov 9, 2021 - The proportion of all consumers enrolled in the waiver (just over 40 p ercent) has increased several percentage points since 2006 ‑07 and the introduction of the 1915(i) SPA has led to another 15 p ercent of DDS consumers drawing down federal funding for their RC ‑coordinated HCBS services.
https://lao.ca.gov/Publications/Report/4471

LAO Publications

We recommend rejecting this proposal because it is not nee ded given that the Legislature has decided it does not want to proceed with the administration’s plan to move ABC and other departments into the proposed privately owned leased spa ce.
https://lao.ca.gov/publications?page=10&year=0&publicationType=0

LAO Publications

We recommend rejecting this proposal because it is not nee ded given that the Legislature has decided it does not want to proceed with the administration’s plan to move ABC and other departments into the proposed privately owned leased spa ce.
https://lao.ca.gov/Publications?page=10&year=0&publicationType=0

Cost containment proposals.

May 20, 2010 - All of these proposals require either federal approval of a waiver or a state plan amendment (SPA) to implement. Federal waivers generally allow a state to waive certain program requirements, in order to further the purposes of the program.
https://lao.ca.gov/Recommendations/Details/238

^[PDF] The 2011-12 Budget: Options to Achieve Saving in the Regional Center System

This represents a net increase of $41 million General Fund, almost 15 percent above the revised estimate of current-year expen- ditures. This is mainly due to the expiration of a temporary increase in the rate at which the state received federal matching funds for services for DC residents.
https://lao.ca.gov/analysis/2011/health/regional_center_020111.pdf

The 2011-12 Budget: Options to Achieve Savings in the Regional Center System

The 2011-12 Budget: Options to Achieve Savings in the Regional Center System $50.9 SPA = State Plan Amendment. Continue Provider Payment Reductions. The administration proposes to achieve $91.5 million in General Fund savings through a one –year extension of the temporary 4.25 percent reduction to provider payments ($76 million) and RC operations ($15.5 million).
https://lao.ca.gov/analysis/2011/health/regional_center_020111.aspx

^[PDF] Higher_Education_Issue_20

Despite intent, some resident students could be affected as well.  AB 131 requires that the number of institutional aid awards to resident students not be diminished as a result of expanding eligibility to nonresident students.
https://lao.ca.gov/sections/higher_ed/FAQs/Higher_Education_Issue_20.pdf