The 2025-26 California Spending Plan: Health

Oct 16, 2025 - Under the spending plan, General Fund spending for the Department of State Hospitals (DSH) is $2.9  billion in 2025-26, a decrease of $166  million (about 6  percent) from the revised 2024-25 expenditure estimate.
https://lao.ca.gov/Publications/Report/5075

The 2026-27 Budget: Medi-Cal Fiscal Outlook

Nov 19, 2025 - The second is an increase in the frequency of required eligibility determinations from every 12 months to every 6 months. Both changes likely will notably reduce the number of childless adults enrolled in Medi ‑Cal.
https://lao.ca.gov/Publications/Report/5092

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

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

Feb 16, 2021 - The administration projects 9  p ercent of new enrollees will be SPDs. The preliminary actuals we have reviewed indicate that 5  p ercent of the enrollees added since the beginning of the pandemic are SPDs.
https://lao.ca.gov/Publications/Report/4373

The 2021-22 Budget: Medi-Cal Fiscal Outlook

Nov 18, 2020 - From 2019 ‑ 20 t o 2020 ‑21, we project that average monthly caseload will grow by 9  p ercent from over 12. 6  m illion enrollees to nearly 13. 8  m illion enrollees. This significant projected caseload growth raises estimated General Fund costs in 2020 ‑ 21 b y $1. 4  b illion above what they would be absent the COVID ‑ 19 p andemic.)
https://lao.ca.gov/Publications/Report/4299

The 2024-25 California Spending Plan: Health

Sep 17, 2024 - As Figure  6 shows, these reductions primarily affect one-time spending. Figure 6 General Fund Spending on HCAI Workforce Programs Appropriations (In Millions)
https://lao.ca.gov/Publications/Report/4930

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

Oct 24, 2025 - The current limit —set at 6  percent of a taxed provider group ’s overall net patient revenue —is intended to prevent states from adopting very large taxes and imposing high costs on the federal government.
https://lao.ca.gov/Publications/Report/5083

The 2020-21 Budget: Overview of the Governor's Budget

Jan 13, 2020 - The Governor ’s spending proposals also include $1. 6  b illion in ongoing spending, representing roughly a quarter of resources available. Because some of these ongoing proposals are phased in over a multiyear period, we estimate the cost at full implementation of these proposals is $1. 9  b illion annually. $300  Million in Other.
https://lao.ca.gov/Publications/Report/4135

The 2018-19 Budget: The Administration's Proposition 55 Estimates in the May Revision

May 22, 2018 - These are: (1) statutory cost ‑of ‑living adjustments, (2) chaptered legislation, (3) one ‑time expenditures, (4) the full ‑year costs of partial ‑year programs, (5) costs incurred pursuant to constitutional requirements, (6) federal mandates, (7) court ‑ordered mandates, (8) state employee merit salary adjustments, and (9) state agency operating expense and equipment cost adjustments to reflect price increases.
https://lao.ca.gov/Publications/Report/3844