The 2025-26 Budget: Medi-Cal Pharmacy Spending

Apr 3, 2025 - This increase was expected following the switch to the Medi ‑Cal Rx system in 2022. This is because the state did not receive state supplemental rebates on drug claims in the managed care system. Spending by Drug Type Several Kinds of Drugs Represented Bulk of Spending.
https://lao.ca.gov/Publications/Report/5026

The 2023-24 Budget: Whole Child Model Expansion

May 5, 2023 - Figure 1 More Counties Will Have Medi ‑Cal Managed Care Model With Only One Public Health Plan Number of California Counties in Each Model Counties With … Models With One Public Health Plan COHS model Models with private plans only b 22 58 — a In January 2024, two counties will switch from other models to a Two ‑Plan model, offset by two counties switching from a
https://lao.ca.gov/Publications/Report/4767

The 2019-20 Budget: Analysis of the Medi-Cal Budget

Feb 13, 2019 - While we believe this is an alternative that should be explored, we note that switching Medi ‑Cal back to an accrual basis of budgeting would, on its own, be a complex endeavor, and improved budget transparency and oversight would not be guaranteed.
https://lao.ca.gov/Publications/Report/3935

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

Mar 26, 2019 - That said, switching Medi-Cal back to an accrual basis of budgeting would be a complex endeavor. The Medi-Cal program has grown significantly in size and complexity since the switch to cash budgeting in 2003 ‑04.
https://lao.ca.gov/Publications/Report/3988

Issues That Could Impact Californians' Health Care Coverage in 2023 and Beyond

Dec 16, 2022 - Notably, about 100,000 Californians who currently have employer ‑sponsored insurance with a share of cost above 9.5  percent of household income are expected to switch to plans purchased through Covered California due to lower monthly costs after the premium subsidies compared to what they would pay if they kept their employer ‑sponsored  insurance.
https://lao.ca.gov/Publications/Report/4654

The Uncertain Affordable Care Act Landscape: What It Means for California

Feb 17, 2017 - As a consequence, in the future the alternative health care tax credits could cover a relatively smaller portion of individuals ’ health insurance premiums while also inducing others to switch to lower premium plans.
https://lao.ca.gov/Publications/Report/3569