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

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 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

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

Oct 24, 2025 - As Figure  7 shows, California ’s unemployment rate tends to have larger rises and falls than the national rate. At the county level, trends are considerably more volatile, with some counties consistently higher than the national rate but others quite varied month to month.
https://lao.ca.gov/Publications/Report/5083

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

Mar 6, 2025 - As shown earlier in Figure  7, during the continuous coverage period, the average monthly increase in the senior caseload was about 6,200. This was during a time in which counties were not conducting any eligibility redeterminations.
https://lao.ca.gov/Publications/Report/5010

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

Mental Health Services Act: LAO Update: The Governor's Revised Behavioral Health Modernization Proposal

Aug 21, 2023 - For example, during the initial three-year planning period a county could shift 7  percentage points from the FSP category and 7  percentage points from the Housing Interventions category, which would result in an increase of 14  percentage points of funding in the BHSS category.
https://lao.ca.gov/Publications/Report/4792

The 2025-26 Budget: Overview of the Governor's Budget

Jan 13, 2025 - The  June 2024 budget package committed to a total of $28  billion in budget solutions for 2025 ‑26, which included, $12  billion in spending ‑related solutions and nearly $16  billion in all other solutions, including $5.5  billion in temporary revenue increases and a $7  billion withdrawal from the state ’s rainy day fund, the Budget Stabilization Account (BSA).
https://lao.ca.gov/Publications/Report/4951

Fiscal Outlook: In-Home Supportive Services (IHSS)

Nov 14, 2018 - Under Current Law, Expiration of the MCO Tax Triggers 7  Percent Reduction of IHSS Service Hours in 2019 ‑20. As previously mentioned, the reason the net increase in IHSS costs in 2019 ‑20 is more modest is mainly due to the estimated savings from the triggering of the 7  percent reduction in IHSS service hours.
https://lao.ca.gov/Publications/Report/3899