The 2021-22 Budget: CalAIM: Equity Considerations

Mar 12, 2021 - As a result, which specific ILOS benefits would be available to a Me di ‑Cal beneficiary would vary based on where they live in the state and what managed care plan they are enrolled in. In addition, plans may vary in determining which beneficiaries receive ILOS benefits.
https://lao.ca.gov/Publications/Report/4402

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 2026-27 Budget: Department of Developmental Services

Mar 13, 2026 - Given that the department has made progress in planning LOIS, it is generally reasonable to continue the PAL process, particularly in light of the administration ’s success in securing enhanced federal funding.
https://lao.ca.gov/Publications/Report/5157

The 2025-26 Budget: Overview of the Governor's Budget

Jan 13, 2025 - The Governor ’s budget revenue upgrade, while somewhat higher than ours, is reasonable in light of the recent collection trends. That being said, we continue to be concerned that recent gains are on shaky ground.
https://lao.ca.gov/Publications/Report/4951

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

Oct 24, 2025 - In light of Congress’s enactment of H.R. 1, however, which provides somewhat different time lines than envisioned in the proposed guidance, the due date for California to adjust its taxes is difficult to project.
https://lao.ca.gov/Publications/Report/5083

The 2021-22 Budget: Overview of the Governor's Budget

Jan 10, 2021 - The Legislature a lso could evaluate most, if not all, of the Governor ’s one-time proposals (beyond the facility proposals) in light of the new federal relief package, which has funding for the same purposes.
https://lao.ca.gov/Publications/Report/4309

The 2024-25 Budget: The MCO Tax Package at May Revision

May 22, 2024 - Also, revisiting the MCO tax-funded augmentations in light of the substantial budget problem facing the state is reasonable. To the extent the Legislature still wishes to pursue certain augmentations, we recommend it (1)  focus on augmentations that are relatively simple to implement and have relatively predictable positive effects on access to quality health care, (2)  focus on rates that are relatively low, and (3)  keep in mind the state ’s budget problem.
https://lao.ca.gov/Publications/Report/4905

The 2024-25 Budget: Department of Developmental Services

Feb 13, 2024 - Once the pilot concludes, a program evaluation would be warranted to assess whether the pilot sheds light on the service disparities for Hispanic/Latino consumers and potential opportunities to reduce them.
https://lao.ca.gov/Publications/Report/4837

The 2021-22 Budget: CalAIM: The Overarching Issues

Feb 9, 2021 - Does a major ongoing augmentation make sense in light of the state ’s projected multiyear budget deficit? What are the fiscal risks posed by CalAIM? Is the implementation time line realistic? Which deadlines would be easiest to move?
https://lao.ca.gov/Publications/Report/4357

The 2024-25 Budget: Department of Health Care Access and Information

Feb 27, 2024 - Also, considering additional solutions beyond those proposed by the Governor —such as reducing or delaying remaining one-time workforce funding in 2024 ‑25 —would be prudent in light of the state ’s deteriorating budget situation.
https://lao.ca.gov/Publications/Report/4860