The 2025-26 Budget: Medi-Cal Pharmacy Spending

Apr 3, 2025 - The notabl e reduction has been attributed to recent federal policy changes around Medicaid drug rebates. …While Newer Blood Sugar ‑Regulating Drugs Have Increased Spending. Though the share of spending on insulin appears to have declined, spending on certain other diabetes ‑related drugs increased considerably.
https://lao.ca.gov/Publications/Report/5026

The 2025-26 Budget: Medi-Cal Fiscal Outlook

Nov 20, 2024 - While we project overall caseload to continue to decline, the senior caseload has been increasing for reasons w e discuss below. Recent Surge in Senior Caseload Driving Increase in Costs. From January 2024 through July 2024, we have observed a sharp increase in Medi-Cal enrollment among the senior population.
https://lao.ca.gov/Publications/Report/4941

The 2024-25 California Spending Plan: Health

Sep 17, 2024 - Following the end of the COVID-19 public health emergency in 2023, the department has continued a number of thes e protocols in accordance with federal and state guidance and this funding supports these continued measures.
https://lao.ca.gov/Publications/Report/4930

Mental Health Services Act: Impact of Governor's Proposal on Funding for Children and Youth

Aug 10, 2023 - For exampl e, dyadic services are provided to Medi-Cal beneficiaries, whereas MHSA funds can be used for a broader population. CYBHI efforts also are relatively standardized statewide, whereas MHSA services are tailored to meet local needs.
https://lao.ca.gov/Publications/Report/4786

The 2024-25 Budget: Department of Developmental Services

Feb 13, 2024 - In particular, spending for Hispanic/Latino consumers is about half that for white consumers on averag e. (We raised concerns about spending disparities in a previous analysis , which provides additional context on this topic.)
https://lao.ca.gov/Publications/Report/4837

The 2024-25 Budget: Medi-Cal Analysis

Feb 14, 2024 - When plans find it is warranted to increase provider payments to ensure access and quality, the associated costs eventually are incorporated into the rates paid by the state to th e plans, so long as the state deems these costs to be reasonable.
https://lao.ca.gov/Publications/Report/4838

The 2023-24 Budget: Whole Child Model Expansion

May 5, 2023 - The evaluation did not ascertain the exact reasons for the declin e, but suggested that drops in referrals for neonatal intensive care unit and high-risk infant follow-up services were contributing factors.
https://lao.ca.gov/Publications/Report/4767

Mental Health Services Act: Proposed Bond to Fund Behavioral Health Facilities and Veterans Housing

Aug 17, 2023 - The statutory proposal also continuously appropriates the bond proceeds, meaning the administration would not have to seek further authority from the Legislatur e to award behavioral health facility and veterans housing grants.
https://lao.ca.gov/Publications/Report/4790

The 2023-24 Budget: Assessment of Covered California Budget Solution

Feb 13, 2023 - This freed up General Fund resources that otherwise would have gone toward th e state premium program. As part of the 2021 ‑22 budget package, Chapter  143 of 2021 (AB  133, Committee on Budget) moved $333.4  million of this freed-up General Fund to the Health Care Affordability Reserve Fund (HCARF) to support future affordability efforts in Covered California.
https://lao.ca.gov/Publications/Report/4681

The 2021-22 Budget: Analysis of the Medi-Cal Budget

Feb 16, 2021 - For August   2020 t hrough December  2020, the administration assumes monthly caseload growth of 155, 000 e nrollees. Based on updated actuals through December 2020, the average monthly growth has been roughly 6, 000 e nrollees ( 4  p ercent) lower than assumed by the administration.
https://lao.ca.gov/Publications/Report/4373