The 2026-27 Budget: Medi-Cal Analysis

Mar 2, 2026 - In June, the ongoing reductions associated with these solutions was estimated to be nearly $9  billion when fully implemented by 2028 ‑29. Governor’s Proposal Reflects Updated Savings Estimates Updated Estimates.
https://lao.ca.gov/Publications/Report/5146

An Update on the Public Health Laboratory System After the Pandemic

Jun 12, 2025 - Since the passage of the 2022-23 budget, there have been 58 graduates of this program. In the Governor ’s proposed May Revision, approximately $3.4  million for these programs is proposed for reversion.
https://lao.ca.gov/Publications/Report/5056

The 2024-25 Budget: Department of Health Care Access and Information

Feb 27, 2024 - Figure 2 Overall Spending Varies Year to Year HCAI Funding (In Millions) -58% HCAI = Department of Health Care Access and Information. In Current Year, Deferred One-Time Funds Drive Down General Fund Spending.
https://lao.ca.gov/Publications/Report/4860

The 2021-22 Budget: CalAIM: Equity Considerations

Mar 12, 2021 - First, by requiring managed care plans to establish population health management programs and provide ECM on a statewide basis, CalAIM would expand certain service components of Whole Person Care and Health Homes to all 58 c ounties.
https://lao.ca.gov/Publications/Report/4402

The 2026-27 Budget: Medi-Cal Fiscal Outlook

Nov 19, 2025 - As   Figure  9 shows, we estimate these changes will bring the childless adult caseload to 2.7  million people by 2029 ‑30, a 1.6  million reduction (around 40  percent) from the baseline. This disenrollment represents a 4  percentage ‑point reduction in the share of California residents who participate in Medi ‑Cal (from 35  percent to 31  percent).
https://lao.ca.gov/Publications/Report/5092

Climate Change Impacts Across California - Crosscutting Issues

Apr 5, 2022 - A  2018   report  by the State Coastal Conservancy and The Nature Conservancy found that 55 percent of California’s existing coastal habitats are highly vulnerable to five feet of sea‑level rise, including 60 percent of the state’s iconic beaches and 58 percent of its marshes. 
https://lao.ca.gov/Publications/Report/4575

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 Two ‑Plan to a Single ‑Plan model. b Consists of the Regional, Geographic, San Benito, and Imperial models.
https://lao.ca.gov/Publications/Report/4767

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

Jan 13, 2025 - The  main differences between our estimates  include: Revenue Estimates Higher by $9   Billion. Over the budget window —2023 ‑24 through 2025 ‑ 26 —the administration ’s estimates of revenues (excluding policy proposals) are higher than our November 2024 estimate by $9  billion.
https://lao.ca.gov/Publications/Report/4951

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

Mar 6, 2025 - Figure  9 shows seniors enrolled in Medi ‑Cal as a percent of the total population over age 65. As shown in the figure, between 2015 and 2019, the share of seniors statewide who were enrolled in Medi ‑Cal ranged between about 18  percent and 18.5  percent.
https://lao.ca.gov/Publications/Report/5010

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

Mar 6, 2025 - As shown in Figure  9 , most MCPs have less than a 1  percent utilization rate for both ECM and Community Supports. Even plans that have a higher utilization rate for ECM may have a low utilization rate for Community Supports, and vice versa.
https://lao.ca.gov/Publications/Report/5003