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: 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 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

The 2022-23 Budget: Public Health Foundational Support

Feb 16, 2022 - According to CDPH, 22 LHJs are accredited already and 20 LHJs actively are seeking accreditation, meaning they have a CHA and CHIP or are in the process of developing them. This means that up to 19 LHJs are not accredited nor seeking it, and thus may not have a CHA and CHIP in place already. ( An LHJ could have a CHA or CHIP, but not seek accreditation.)
https://lao.ca.gov/Publications/Report/4544

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

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

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

Considering Medi-Cal in the Midst of a Changing Fiscal and Policy Landscape [Publication Details]

Oct 24, 2025 - We describe the changing fiscal and policy landscape for Medi-Cal resulting from Congressional enactment of H.R. 1 and the key issues facing the Legislature.  See our companion infographic
https://lao.ca.gov/Publications/Detail/5083

The 2025-26 Budget: Medi-Cal Pharmacy Spending

Apr 3, 2025 - Rebates for specific drugs, which are considered confidential, are set by formulas. Under these formulas, a dru g ’s initial rebate is between 13  percent and 23  percent of its price, depending on the type of drug.
https://lao.ca.gov/Publications/Report/5026

The 2022-23 Budget: Department of Developmental Services

Mar 29, 2022 - Second, for some individuals served in WAPs, quickly finding a new job that constitutes CIE may be difficult. In such a case, the individual currently served in a WAP is at risk of losing employment altogether as WAPs are phased out.
https://lao.ca.gov/Publications/Report/4577