The 2026-27 Budget: Medi-Cal Analysis

Mar 2, 2026 - This section focuses on (1)  new community engagement requirements, (2)  the new six ‑month renewal requirement, and (3)  changes that eliminate federally funded full ‑scope (comprehensive) Medi ‑Cal coverage for certain immigrant groups.
https://lao.ca.gov/Publications/Report/5146

The 2026-27 Budget: Department of Developmental Services

Mar 13, 2026 - At the time of this report, DDS was working to complete Stage 2 of the PAL process, or the Alternatives Analysis. Stage 2 requires the department to conduct market research on which IT solution could meet the project ’s desired outcomes, as well as develop a financial analysis for the recommended solution.
https://lao.ca.gov/Publications/Report/5157

Governor’s May Revision Update: Health Insurance Affordability Proposals

May 15, 2019 - Figure 2 Individual Mandate Penalty Revenues and Insurance Subsidy Costs Administration Projection (In Millions)
https://lao.ca.gov/Publications/Report/4047

The 2022-23 Budget: Health Care Access and Affordability

Feb 23, 2022 - Option 2 Households with incomes above 150 percent up to 400 percent of the FPL would be upgraded to more generous plans. $463 million to $604 million All deductibles would be eliminated. Option 3 Households with incomes above 150 percent up to 400 percent of the FPL would be upgraded from existing plans to plans somewhat less generous than in Option 2. $386 million to $489 million All deductibles would be eliminated.
https://lao.ca.gov/Publications/Report/4560

The 2025-26 California Spending Plan: Health

Oct 16, 2025 - The spending plan includes $5.5  million one-time General Fund for three external entities: (1)  the Northeast Valley Health Corporation ($3  million), (2)  the Youth Mental Health Academy ($2  million), and (3)  the American Reproductive Centers fertility clinic ($500,000).
https://lao.ca.gov/Publications/Report/5075

Fiscal Outlook: Medi-Cal

Nov 14, 2018 - As a result, we project that General Fund spending on the ACA optional expansion population will increase by nearly $400  million between 2018-19 and 2019-20. Increased State Share of Cost for CHIP California ’s CHIP Program.
https://lao.ca.gov/Publications/Report/3898

The 2024-25 Budget: Medi-Cal Fiscal Outlook

Dec 7, 2023 - Recently, the Department of Finance publicly stated that the cost could reach around $2  billion General Fund in 2024-25, largely from increased Medi-Cal managed care rates. At the time of this analysis, the administration had not released more detailed information on its estimates.
https://lao.ca.gov/Publications/Report/4820

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

Feb 5, 2025 - School Behavioral Health Infrastructure Grants ($400   Million). These grants to educational, governmental, and health care entities fund infrastructure and capacity aimed at better coordination of school behavioral health services.
https://lao.ca.gov/Publications/Report/4954

The 2026-27 Budget: Medi-Cal Fiscal Outlook

Nov 19, 2025 - As a result, as Figure  2 shows, Medi ‑Cal comprises 19  percent of overall General Fund spending by the end of our outlook period —slightly lower than the 20  percent share in the 2025 ‑26 enacted  budget.
https://lao.ca.gov/Publications/Report/5092

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

Oct 24, 2025 - In revisiting the Medi ‑Cal program, the Legislature faces three key questions: (1)  who should Medi ‑Cal serve, (2)  what per ‑enrollee service level should Medi ‑Cal provide, and (3)  what non ‑General Fund financing options are available?
https://lao.ca.gov/Publications/Report/5083