The 2026-27 Budget: Medi-Cal Analysis

Mar 2, 2026 - This is because the submitted 2025 fee is much larger than the 2024 version, and H.R. 1 prohibits states from increasing their existing provider taxes. (The 2025 fee was submitted for approval in March  2025, a few months prior to Congress enacting H.R. 1, but it has not yet been approved.)
https://lao.ca.gov/Publications/Report/5146

The 2026-27 Budget: Department of Developmental Services

Mar 13, 2026 - We provide more background on rate reform in our 2024 report, The 2024‑25 Budget: Department of Developmental Services . Rate Reform Also Focused on Quality of Services and Outcomes. State statute (Chapter  76 of 2021 [A B  136 , Committee on Budget]) establishes legislative intent that rate reform implementation should help the developmental services system focus on outcomes.
https://lao.ca.gov/Publications/Report/5157

The 2025-26 California Spending Plan: Health

Oct 16, 2025 - In 2025-26, the state is spending $164  million General Fund ($510  million total funds) on the Department of Health Care Access and Information (HCAI). Overall General Fund spending on HCAI is down in 2025-26 compared to the 2024-25 level.
https://lao.ca.gov/Publications/Report/5075

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

Jan 13, 2025 - Legislative Action in June 2024 Addressed Anticipated Budget Problem Proactively. In  June of 2024, the Legislature not only addressed the budget problem for 2024 ‑25, but also made proactive decisions to address the anticipated budget problem for 2025 ‑26.
https://lao.ca.gov/Publications/Report/4951

The 2026-27 Budget: Medi-Cal Fiscal Outlook

Nov 19, 2025 - Our outlook estimates Medi ‑Cal will enroll fewer people over time, with caseload falling from nearly 15  million people in 2024 ‑25 to nearly 12  million people by 2029 ‑30. Monthly per ‑enrollee General Fund spending, by contrast, rises from $298 in 2025 ‑26 to $355 in 2029 ‑30, a $57 (19  percent) increase.
https://lao.ca.gov/Publications/Report/5092

The 2025-26 Budget: MCO Tax and Proposition 35

Feb 26, 2025 - Under last year ’s spending plan, less MCO tax funding would be available in 2025-26 than in 2024-25 to offset General Fund spending, necessitating a General Fund backfill. This is because the augmentations were scheduled to ramp up in 2025 and 2026, requiring a larger share of MCO tax funds.
https://lao.ca.gov/Publications/Report/4992

The 2025-26 Budget: Medi-Cal Fiscal Outlook

Nov 20, 2024 - The 2025-26 Budget: Medi-Cal Fiscal Outlook The 2025 ‑26 Budget Medi-Cal Fiscal Outlook Summary. This post describes our fiscal outlook for General Fund spending in Medi-Cal. Under our outlook, General Fund support grows from the 2024 ‑25 enacted level of $35  billion to $48.8  billion in 2028 ‑29 —an average annual rate of growth of 8.6  percent.
https://lao.ca.gov/Publications/Report/4941

The 2024-25 California Spending Plan: Health

Sep 17, 2024 - First, the early action package delayed $140  million General Fund for BHCIP from 2024-25 to 2025-26. Then, the June budget reduces General Fund support for BHCIP by $70  million in 2024-25 and $381  million in 2025-26.
https://lao.ca.gov/Publications/Report/4930

The 2025-26 Budget: Understanding Recent Increases in the Medi-Cal Senior Caseload

Mar 6, 2025 - The 2025-26 Budget: Understanding Recent Increases in the Medi-Cal Senior Caseload ✔ ✔ Clothing was exempt. Wedding rings, engagement rings, and heirlooms exempt. Jewelry under a market value of $100 was exempt.
https://lao.ca.gov/Publications/Report/5010

The 2025-26 Budget: Health Care Access and Information

Feb 20, 2025 - The 2024 ‑25 budget later deferred the facility construction funds to 2025 ‑26. Naloxone. The 2023 ‑24 budget provided $30  million one ‑time Opioid Settlements Fund for a partnership to produce a generic, over the counter naloxone nasal spray product.
https://lao.ca.gov/Publications/Report/4979