The 2026-27 Budget: Department of Developmental Services

Mar 13, 2026 - In 2023, the Legislature codified several efforts to make processes across RCs more consistent in order to improve access to services statewide (Chapter  192 of 2023 [S B  138 , Committee on Budget and Fiscal Review]).
https://lao.ca.gov/Publications/Report/5157

The 2026-27 Budget: Medi-Cal Analysis

Mar 2, 2026 - The current health plan tax, enacted in 2023 and expanded in 2024, generates more than three times the revenue of previous versions. This higher revenue level is essentially at the maximum of the current federal revenue limit.
https://lao.ca.gov/Publications/Report/5146

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

Mar 6, 2025 - Largely as a result of these policies, Medi ‑Cal caseload increased by over 3  million enrollees (25  percent) between March  2020 and June 2023, as shown in Figure  5 . Counties resumed eligibility processing in April 2023, which resulted in overall Medi ‑Cal caseload beginning to decline starting in July 2023.
https://lao.ca.gov/Publications/Report/5010

The 2024-25 California Spending Plan: Health

Sep 17, 2024 - The spending plan reduces funding for CYBHI by a total of $197  million across 2023-24 and 2024-25. Specifically, CYBHI is reduced as follows: School-Linked Health Partnerships and Grants ($150  Million).
https://lao.ca.gov/Publications/Report/4930

The 2025-26 Budget: MCO Tax and Proposition 35

Feb 26, 2025 - Trailer bill legislation enacted in the 2023-24 budget also requires health plans to pay at least this level for these services in the Medi-Cal managed care system. The Legislature did not apply Proposition 35 trigger language to the 2024 rate increases.
https://lao.ca.gov/Publications/Report/4992

The 2025-26 Budget: Health Care Access and Information

Feb 20, 2025 - For example, in a 2023 report to the Legislature , HCAI projected commercial health plans could save 43 percent on per‑enrollee spending on insulin glargine as a result of the new product, even after factoring rebates.
https://lao.ca.gov/Publications/Report/4979

The 2024-25 Budget: Medi-Cal Fiscal Outlook

Dec 7, 2023 - On the other hand, the continuous coverage requirement expired at the end of March  2023. This change restarted monthly county eligibility redeterminations beginning April 1, 2023, with the first enrollment terminations beginning July 1, 2023.
https://lao.ca.gov/Publications/Report/4820

The 2025-26 Budget: Medi-Cal Fiscal Outlook

Nov 20, 2024 - Specifically, as of the end of the first full year of redeterminations, total Medi-Cal caseload stood at nearly 15  million —more than two million enrollees greater than was projected by the administration in May 2023 and our office in November 2023.
https://lao.ca.gov/Publications/Report/4941

The 2025-26 Budget: Medi-Cal Pharmacy Spending

Apr 3, 2025 - In 2023 ‑24, we estimate these rebates comprised 3  percent of gross spending, up from as low as 1  percent in some years. This increase was expected following the switch to the Medi ‑Cal Rx system in 2022.
https://lao.ca.gov/Publications/Report/5026

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

Oct 24, 2025 - H.R.  1 prohibits federal Medicaid payments to certain nonprofit entities that provide abortions and that received at least $800,000 in Medicaid payments in 2023. These entities cannot receive federal Medicaid funds for any health care services.
https://lao.ca.gov/Publications/Report/5083