The 2025-26 Budget: Medi-Cal Pharmacy Spending

Apr 3, 2025 - The federal share of cost in each state generally is determined by a formula, with the share in California at 50 percent. Each state’s specific federal share (in California’s case, 50 percent) also applies to gross pharmacy costs and drug rebate savings, with some exceptions.
https://lao.ca.gov/Publications/Report/5026

The 2025-26 Budget: Health Care Access and Information

Feb 20, 2025 - As Figure  5 shows, however, as measured by the consumer price index, prescription drug cost inflation has slowed over the past 50 years. While drug inflation has tended to exceed overall inflation, this trend reversed in the last few years.
https://lao.ca.gov/Publications/Report/4979

The 2025-26 California Spending Plan: Health

Oct 16, 2025 - The spending plan implements prior authorization requirements for hospice services starting July 1, 2026, providing $50  million in General Fund savings in 2026-27 and ongoing. State Hospitals Reduces General Fund Spending.
https://lao.ca.gov/Publications/Report/5075

The 2026-27 Budget: Department of Developmental Services

Mar 13, 2026 - The APD process allows the state to request a 90  percent match in federal funding (rather than California ’s standard 50  percent match) to design, develop, and install IT systems that enable the state to more efficiently administer Medicaid benefits.
https://lao.ca.gov/Publications/Report/5157

The 2026-27 Budget: Medi-Cal Fiscal Outlook

Nov 19, 2025 - Under H.R. 1, the federal match for these services will decrease from 90  percent to 50  percent for certain undocumented adults, requiring a backfill from the General Fund to maintain existing services.
https://lao.ca.gov/Publications/Report/5092

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

Mar 6, 2025 - From July 2022 through September 2024, the caseload in the expansion to individuals age 50 and older —a group that is notably not limited to those age 65 and over —increased by about 120,000  individuals.
https://lao.ca.gov/Publications/Report/5010

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

Oct 24, 2025 - H.R.  1 creates the Rural Health Transformation Fund, which will allocate $50  billion in state grants over five years (beginning in Federal Fiscal Year 2026) generally to support rural health providers.
https://lao.ca.gov/Publications/Report/5083

The 2019-20 Budget: Analysis of the Governor’s Mental Health Workforce Proposal

May 9, 2019 - Moreover, over this same time period, the number of mental health professionals has increased by about 50  p ercent. Figure  4 displays these trends for mental health professionals compared to all occupations.
https://lao.ca.gov/Publications/Report/4031

Mental Health Services Act: Proposed Restructuring of the MHSA Funding Categories and Impacts on County Spending

Jul 13, 2023 - While not required by MHSA, state regulations currently require counties to use 50  percent of CSS funding for FSPs. FSPs provide mental health and wraparound services —such as housing and employment support —for individuals with the greatest mental health needs.
https://lao.ca.gov/Publications/Report/4782

The 2019-20 May Revision: Analysis of the Governor’s January and May Mental Health Workforce Proposals

May 16, 2019 - As with the $50  million in General Fund proposed in January, the $100  million in funding would be available for expenditure through 2025 ‑26. Mixed Evidence of Statewide Mental Health Workforce Shortages . . .
https://lao.ca.gov/Publications/Report/4049