The 2026-27 Budget: Medi-Cal Analysis

Mar 2, 2026 - For example, we estimated that a more proportionate tax netting around $7 billion in revenue could cost around $30 per member, per month—about a 5 percent increase on average to commercial health plan premiums.
https://lao.ca.gov/Publications/Report/5146

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

Mar 6, 2025 - In the paragraphs that follow, we provide our analysis that results in ou r estimate of at least 165,000 seniors being added due to eligibility expansions since 2020. (As a consequence of this estimate, it follows naturally that we estimate up to 60,000  seniors being added due to the effects of continuous coverage, the unwinding, and unwinding flexibilities, for a total increase of 225,000 seniors due to policy changes.)
https://lao.ca.gov/Publications/Report/5010

The 2026-27 Budget: Department of Developmental Services

Mar 13, 2026 - The department stated that its budget projections for 2026 ‑27 do not incorporate any potential added costs due to the changes in H.R 1. Will the department be able to determine whether its costs increase in the future due to H.R. 1?
https://lao.ca.gov/Publications/Report/5157

Overview of Major Impacts of H.R. 1 – One Big Beautiful Bill Act [Publication Details]

Aug 20, 2025 - Assembly Budget Subcommittee No. 7 on Accountability and Oversight
https://lao.ca.gov/Publications/Detail/5067

Enhancing Federal Financial Participation for Consumers Served by the Department of Developmental Services

Nov 9, 2021 - About 67,000 DDS consumers (or 21  p ercent) were not enrolled in Medi ‑Cal, but importantly, more than half of these consumers (about 37,00 0) d id not receive an RC ‑coordinated service and would not be eligible for waiver enrollment or would not receive 1915(i) SPA reimbursement.
https://lao.ca.gov/Publications/Report/4471

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

Oct 24, 2025 - …But Potentially With Added Complexity. Adding more flexibilities also could come with the potential downside of more complexity for beneficiaries and counties. For example, exempting high unemployment counties from work requirements could create more volatility.
https://lao.ca.gov/Publications/Report/5083

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

Mar 6, 2025 - Figure  7 shows Community Supports utilization has grown in recent years, though the majority of growth is concentrated in a handful of services. Medically Tailored Meals is the most utilized Community Support by a fairly large margin.
https://lao.ca.gov/Publications/Report/5003

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

Feb 27, 2024 - Also, some previously enacted one-time funds —such as the loan repayment initiative for county psychiatrists ($7  million General Fund and $7  million Mental Health Services Fund) —have not yet been spent.
https://lao.ca.gov/Publications/Report/4860

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

Feb 5, 2025 - Strategies to do so have included expanding the behavioral health workforce; adding benefits and increasing rates in Medi ‑Cal; and increasing capacity through managed care plans, schools, and in other  settings.
https://lao.ca.gov/Publications/Report/4954

The 2026-27 Budget: Medi-Cal Fiscal Outlook

Nov 19, 2025 - Second, as Figure  7 shows, the state will reinstate a limit on assets for seniors and persons with disabilities. We estimate this reinstatement will result in about 90,000 fewer seniors (4  percent) in Medi ‑Cal by 2029 ‑30 relative to the baseline.
https://lao.ca.gov/Publications/Report/5092