The 2025-26 Budget: CalAIM Enhanced Care Management and Community Supports Implementation Update

Mar 6, 2025 - Based on a one ‑time analysis of actuarial data, DHCS estimated that between 3  percent and 5  percent of all MCP members were eligible for the ECM benefit under at least one POF. Some MCPs indicated that potential eligibility ranged from 3  percent to as high as 7  percent of their  membership.
https://lao.ca.gov/Publications/Report/5003

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

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

Jan 13, 2025 - (On a technical basis, under the administration ’s estimates, we estimate the balance of the Special Fund for Economic Uncertainties [SFEU] would be about $3  billion before the Governor ’s proposals.)
https://lao.ca.gov/Publications/Report/4951

Building California’s Behavioral Health Infrastructure: Progress Update and Opportunities for the Proposition 1 Bond

Feb 5, 2025 - The BHSA requires that up to 3  percent of annual revenue (up to about $100  million) is spent on statewide behavioral health workforce initiatives administered by HCAI. BHCIP Created in 2021 ‑22 Budget.
https://lao.ca.gov/Publications/Report/4954

The 2025-26 Budget: MCO Tax and Proposition 35

Feb 26, 2025 - These steps include: (1)  forming the stakeholder advisory committee; (2)  consulting with the newly formed committee; (3)  structuring the new augmentations; and (4)  where necessary, obtaining federal approval (such as by submitting permanent state plan amendments or limited-term waivers).
https://lao.ca.gov/Publications/Report/4992

The 2025-26 Budget: Medi-Cal Fiscal Outlook

Nov 20, 2024 - The largest driver pertains to increases in “baseline costs ” —related to increases in the utilization of services and provider rates (which grow between 3  percent and 5  percent a year) that are partially offset by declines in overall caseload.
https://lao.ca.gov/Publications/Report/4941

The 2024-25 Budget: Future of Public Health Budget Solution

May 21, 2024 - Historically, the General Fund —a flexible funding source —has been a very small source of support (3  percent to 5  percent of the department ’s total budget) that actually declined between a pre-Great Recession peak ($361  million) and the onset of the COVID-19 pandemic ($167  million in 2018 ‑19).
https://lao.ca.gov/Publications/Report/4904

The 2024-25 California Spending Plan: Health

Sep 17, 2024 - Under the first condition, the increases would start October 2024 if state cash receipts for the first quarter of the 2024-25 exceed 3  percent of projections. Under the second condition, the increases would start no later than January 2025 if DHCS initiates the data retrieval needed to increase the Hospital Quality Assurance Fee.
https://lao.ca.gov/Publications/Report/4930

The 2024-25 Budget: The MCO Tax Package at May Revision

May 22, 2024 - To the extent the Legislature still wishes to pursue certain augmentations, we recommend it (1)  focus on augmentations that are relatively simple to implement and have relatively predictable positive effects on access to quality health care, (2)  focus on rates that are relatively low, and (3)  keep in mind the state ’s budget problem.
https://lao.ca.gov/Publications/Report/4905