The 2025-26 California Spending Plan: Health

Oct 16, 2025 - The spending plan eliminates supplemental payments for specific dental services, which were originally established in the 2017-18 Budget Act as part of the Proposition  56 (2016) spending plan. Since 2017, the Legislature has continued funding these supplemental payments in subsequent budget acts.
https://lao.ca.gov/Publications/Report/5075

The 2026-27 Budget: Medi-Cal Analysis

Mar 2, 2026 - Our estimate of total coverage losses by June 2027 is higher than the administration ’s by about 280,000, largely because we assume most disenrollment among existing enrollees would occur within roughly 12 months of implementation rather than 18 months.
https://lao.ca.gov/Publications/Report/5146

Fiscal Outlook: Medi-Cal

Nov 15, 2017 - Lower General Fund Spending in Medi-Cal in 2017 ‑18 Relative to 2017 ‑18 Budget Act . In 2017 ‑18, we estimate General Fund Medi-Cal spending to be $18.9  billion. This estimate is around $625  million lower than what was assumed in the 2017 ‑18 Budget Act .
https://lao.ca.gov/Publications/Report/3715

The 2017-18 Budget: Overview of the Governor's May Revision Medi-Cal Budget Proposal

May 17, 2017 - Changes to 2017 ‑18 Medi-Cal Spending Estimate Lower Proposed Medi-Cal General Fund Spending in 2017 ‑18. The Governor ’s May Revision proposes $18.6  billion in General Fund funding for Medi-Cal in 2017 ‑18, a $540  million reduction compared to the Governor ’s January budget proposal.
https://lao.ca.gov/Publications/Report/3674

The 2018-19 Budget: Governor's May Revision Medi-Cal Budget

May 14, 2018 - The 2018-19 Budget: Governor's May Revision Medi-Cal Budget Additional Estimated Spending at May Revision $287 $1,350 2017 ‑18 Deficiency. For 2017 ‑18, the $287  million in increased costs identified in the May Revision is added to the $544  million in increased costs identified in the Governor ’s January budget proposal relative to the 2017 ‑18 Budget Act .
https://lao.ca.gov/Publications/Report/3839

The 2017-18 Budget: Analysis of the Medi-Cal Budget

Mar 9, 2017 - Total Medi ‑Cal spending is proposed to increase by $2.6  billion between 2016 ‑17 and 2017 ‑ 18 —from $100  billion to $102.6  billion. Figure  1 shows the increase in Medi ‑Cal spending from 2007 ‑08 through 2017 ‑18 by funding source.
https://lao.ca.gov/Publications/Report/3612

The 2017-18 Budget: An Overview of the Governor's Proposition 56 Proposals

Feb 22, 2017 - Backfill, Administration, and Audits $37.2   Million for Backfill Payments in 2017 ‑18. The administration estimates that the new special fund will make backfill payments totaling $37.2  million in 2017 ‑18.
https://lao.ca.gov/Publications/Report/3573

The 2018-19 Budget: Analysis of the Health and Human Services Budget

Feb 16, 2018 - Overview of the Governor’s Budget Proposal The Governor ’s budget proposes $7. 3  b illion (all funds) for DDS in 2018 ‑19, a 5. 1  p ercent increase over estimated 2017 ‑ 18 e xpenditures. General Fund expenditures comprise $4. 4  b illion of this amount, a 5. 6  p ercent increase over estimated 2017 ‑18 General Fund spending.
https://lao.ca.gov/Publications/Report/3757

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

Mar 6, 2025 - 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. We estimate that there were 6.5  million individuals age 65 and over as of January 1, 2025 in California.
https://lao.ca.gov/Publications/Report/5010

The 2017-18 Budget: The Governor's May Revision In-Home Supportive Services Cost-Sharing Proposal

May 16, 2017 - The new MOE would include both services and administration using 2017-18 costs. The new MOE would significantly increase costs to counties in 2017-18 relative to 2016-17. Figure 1 walks through how the new MOE would be calculated.
https://lao.ca.gov/Publications/Report/3671