The 2023-24 Budget: Department of Developmental Services

Feb 15, 2023 - Issues Many Providers Still Are Not in Compliance With HCBS Final Rule Set to Take Effect in March. Figure   3 shows the share of providers (broken out by service category) who have compliant policies set in place as of December  29,  2022.
https://lao.ca.gov/Publications/Report/4683

The 2026-27 Budget: Department of Developmental Services

Mar 13, 2026 - The Lanterman Act requires DDS to serve all individuals determined eligible by an RC. The program has never required means testing, so income is not considered when an individual applies for services.
https://lao.ca.gov/Publications/Report/5157

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

Nov 9, 2021 - An ICF level of care is defined as having two moderate or seve re support needs in one or more of the following areas: self ‑help, such as dressing or toileting; social ‑emotional to address such issues as aggression, self ‑injurious behavior, or running away; or health, such as tracheostomy care, apnea monitoring, or oxygen therapy.
https://lao.ca.gov/Publications/Report/4471

The 2026-27 Budget: Medi-Cal Analysis

Mar 2, 2026 - The administration’s proposal seems intended to apply a consistent set of requirements across nonelderly adults, regardless of immigration status. In practice, though, adults with satisfactory and unsatisfactory immigration status may experience the requirements differently.
https://lao.ca.gov/Publications/Report/5146

The 2022-23 Budget: Health Care Access and Affordability

Feb 23, 2022 - One approach to controlling health care cost growth is to establish a regulatory body or independent entity tasked with implementing a strategy for doing so. To  achieve the goal of controlling health care cost growth, these regulatory bodies or independent entities could perform several functions, such as (1)  collecting detailed financial information from a comprehensive
https://lao.ca.gov/Publications/Report/4560

The 2023-24 Budget: Analysis of the Governor’s Major Behavioral Health Proposals

Feb 16, 2023 - Federal reimbursement is contingent on meeting a series of milestones that include licensing and increased oversight of participating hospitals and residential settings, the expansion of care coordination and community treatment opportunities for individuals with acute mental health needs, increased acces s to a full continuum of care including crisis
https://lao.ca.gov/Publications/Report/4689

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

Aug 17, 2023 - Remainder Would Be Used for Beds in Community-Based Treatment Settings and Residential Care Settings. Bond proceeds remaining after distribution to HCD — at least $3.8  billion —would be used for DHCS to award grants to construct and rehabilitate beds in unlocked, voluntary, community-based treatment and residential care settings.
https://lao.ca.gov/Publications/Report/4790

The 2025-26 Budget: Medi-Cal Pharmacy Spending

Apr 3, 2025 - As   Figure  2 shows, we estimate (based on historical federal data) that Medi ‑Cal pharmacy spending in 2023 ‑24 was nearly double the level in 2018 ‑19. Pharmacy spending continued growing even after the roll out of Medi ‑Cal Rx in 2022.
https://lao.ca.gov/Publications/Report/5026

The 2025-26 Budget: Health Care Access and Information

Feb 20, 2025 - As Figure  5 shows, however, as measured by the consumer price index, prescription drug cost inflation has slowed over the past 50 years. While drug inflation has tended to exceed overall inflation, this trend reversed in the last few years.
https://lao.ca.gov/Publications/Report/4979

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

Oct 24, 2025 - As Figure  6 shows, only a handful of changes under H.R.  1 took effect immediately. The legislation sets out a schedule for the remaining changes to be implemented over the next few years. For many changes, their full effects will depend in part on forthcoming guidance from federal regulators, as well as state implementation decisions.
https://lao.ca.gov/Publications/Report/5083