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Fiscal Outlook: Medi-Cal

Nov 14, 2018 - Since 2016-17, the state has imposed a per-member tax on Medi-Cal and non-Medi-Cal MCOs. Revenues from the MCO tax, which leverages federal funding for Medi-Cal, provide a substantial General Fund offset in Medi-Cal.
https://lao.ca.gov/Publications/Report/3898

Fiscal Outlook: Medi-Cal

Nov 15, 2017 - Fiscal Outlook: Medi-Cal California's Fiscal Outlook Fiscal Outlook: Medi-Cal Medi-Cal, the state ’s Medicaid program, provides health care coverage to over 13  million of the state ’s low-income residents.
https://lao.ca.gov/Publications/Report/3715

California’s Strong Revenue Trends Mask Looming Budget Risk

Jan 23, 2026 - After the dot-com bust and the Great Recession, it took four and five years, respectively, for revenues to recover. Incorporating revenue risk into the budget now, therefore, reflects prudence, not pessimism.
https://lao.ca.gov/Publications/Report/5104

The 2022-23 Budget: Medi-Cal Fiscal Outlook

Nov 17, 2021 - The 2022-23 Budget: Medi-Cal Fiscal Outlook The 2022‑23 Budget Medi ‑Cal Fiscal Outlook This post describes our fiscal outlook for Medi ‑Cal, the major factors that we expect to drive changes in General Fund spending in Medi ‑Cal, and a number of our key underlying assumptions.
https://lao.ca.gov/Publications/Report/4474

The 2019-20 Budget: Undoing California’s Outstanding Budgetary Deferrals

Mar 26, 2019 - Medi-Cal Deferrals. Medi-Cal is the state ’s largest health care program and provides health coverage to over 13  million low-income Californians. The state has had budgetary deferrals in Medi-Cal since 2003 ‑04 as described below: Accrual to Cash Budget.
https://lao.ca.gov/Publications/Report/3988

The 2025-26 Budget: Multiyear Budget Outlook

May 24, 2025 - Ongoing solutions in Medi-Cal reflect about two-thirds of the total. The largest service-related solutions in Medi-Cal include freezing enrollment for adults with unsatisfactory immigration status, charging monthly premiums for the same population, and reinstating the asset test for seniors and individuals with disabilities.
https://lao.ca.gov/Publications/Report/5052

The 2026-27 Budget: Overview of the Governor's Budget

Jan 12, 2026 - Implementing Immigrant Population ‑Related H.R. 1 Policies in Medi ‑Cal. As part of the state ’s required implementation of H.R. 1, the Governor proposes taking two discretionary actions related to immigrants that reduce state costs.
https://lao.ca.gov/Publications/Report/5101

The 2025-26 Budget: Overview of the Spending Plan

Oct 16, 2025 - Major categories of borrowing in the budget  include: Medi ‑Cal Maneuver ($4.4   Billion). Under state law, the administration can transfer funds to the Medical Provider Interim Payment (MPIP) Fund to help cover an appropriation deficiency in Medi ‑Cal.
https://lao.ca.gov/Publications/Report/5079

Cal Facts 2018 [Publication Details]

Dec 6, 2018 - Cal Facts 2018 [Publication Details] Translate Our Website This Google ™ translation feature provided on the Legislative Analyst's Office (LAO) website is for informational purposes only. The LAO is unable to guarantee the accuracy of this translation and is therefore not liable for any inaccurate information resulting from the translation application tool.
https://lao.ca.gov/Publications/Detail/3905

The 2025-26 Budget: Initial Comments on the Governor's May Revision

May 17, 2025 - This budget problem is driven by two key factors: higher baseline spending, most notably in Medi‑Cal, and lower revenues, reflecting diminished expectations for both the personal income tax and the corporation tax.
https://lao.ca.gov/Publications/Report/5044