The 2021-22 Budget: CalAIM: The Overarching Issues

Feb 9, 2021 - While CalAIM would streamline and simplify Medi ‑Cal in some ways, it also would result in new complexities. For example, the ILOS benefits available to a beneficiary would vary depending on where they live in the state and what managed care plan they are enrolled in.
https://lao.ca.gov/Publications/Report/4357

The 2021-22 Budget: Analysis of CalAIM Financing Issues

Feb 16, 2021 - Unlike today, as long as the payment rates are above counties ’ costs, counties would be able to retain payment amounts above their costs. This methodology also is expected to result in more timely payment and reduce counties ’ administrative burden and multiyear fiscal uncertainty.
https://lao.ca.gov/Publications/Report/4374

The 2021-22 Budget: Department of Developmental Services (DDS) May Revision Budget Proposal

May 24, 2021 - DDS System Still Faces Challenges Today That Could Affect the Success of a Performance Incentives Program. While the pandemic demonstrated that the DDS system could be somewhat nimble in responding to consumers ’ needs, some of the same challenges facing the department in 2020 exist today.
https://lao.ca.gov/Publications/Report/4438

The 2021-22 Budget: CalAIM: Equity Considerations

Mar 12, 2021 - Any improved health outcomes that result from CalAIM could improve health equity insofar as the improved outcomes are concentrated among groups that disproportionately suffer poor health outcomes today.
https://lao.ca.gov/Publications/Report/4402

The 2021-22 Budget: CalAIM: New Directions for Services for Seniors and Persons With Disabilities

Mar 15, 2021 - The proposal to require all Medi ‑Cal managed care plans to offer a D ‑SNP for their Medi ‑Cal beneficiaries would expand opportunities for at least some level of integration and coordination between Medi ‑Cal and Medicare more widely than it is available today.
https://lao.ca.gov/Publications/Report/4404

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

Oct 24, 2025 - Though current law generally will require this new tax to be much smaller, there is a way the state could maintain a similar level of revenue as today (before the required reduction in the revenue limit under federal law).
https://lao.ca.gov/Publications/Report/5083

Climate Change Impacts Across California - Crosscutting Issues

Apr 5, 2022 - Moreover, many existing structures were built to different standards than are commonplace today, making them less resilient to the effects of climate change. For instance, many older homes were built with features —such as wood shake roofs, cedar siding, or single ‑paned windows —that make them more vulnerable to igniting during wildfires.
https://lao.ca.gov/Publications/Report/4575

The 2026-27 Budget: Department of Developmental Services

Mar 13, 2026 - Residential services, which include independent and supported living services either in a consumer ’s home or in licensed facilities that provide 24 ‑hour nonmedical residential care, typically have a relatively higher cost per person due to the comprehensiveness of the service provided (including personal services, supervision, and/or assistance essential for self ‑protection or completing the activities of daily living).
https://lao.ca.gov/Publications/Report/5157

The 2025-26 Budget: MCO Tax and Proposition 35

Feb 26, 2025 - For example, were the MCO tax to generate about as much net revenue in 2027 as it does today, we estimate only around one-third of the net revenue (rather than more than half under the Governor ’s budget) would be available for the General Fund offset.
https://lao.ca.gov/Publications/Report/4992

The 2023-24 Budget: Overview of the Governor's Budget

Jan 13, 2023 - (That is, in our view, these costs would not have occurred absent legislative action and as a result do not contribute to the budget problem the Legislature faces today.) Comparison to LAO November Outlook.
https://lao.ca.gov/Publications/Report/4662