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

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: Department of Developmental Services

Mar 13, 2026 - In response, the department released guidance on February 11, 2026 indicating that providers will have the opportunity to earn a partial year of quality payments if they come into compliance after the February 27 deadline.
https://lao.ca.gov/Publications/Report/5157

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

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

Mar 6, 2025 - As shown in Figure 11, this growth in first‑time‑enrolling Medi‑Cal enrollees is unique to seniors. From the third quarter of 2022 through the fourth quarter of 2024, we estimate that about 115,000 first‑time‑enrolling seniors enrolled in Medi‑Cal over the historical average new enrollment.
https://lao.ca.gov/Publications/Report/5010

Fiscal Outlook: In-Home Supportive Services (IHSS)

Nov 15, 2017 - Since the current average wage for IHSS providers is a little over $11 per hour (above the current statewide minimum wage of $10.50 per hour), we project that the major costs of the scheduled minimum wage increases will begin when wages increase to $12 per hour and above, beginning in 2019.
https://lao.ca.gov/Publications/Report/3712

Fiscal Outlook: In-Home Supportive Services (IHSS)

Nov 14, 2018 - Overall, between 2018 ‑19 and 2022 ‑23, the projected average annual growth of IHSS General Fund expenditures is about 11  percent —making IHSS one of the fastest growing programs in the state. To a large degree, this growth is due to projected caseload and hours-per-consumer growth and the implementation of statutorily scheduled statewide minimum wage increases that significantly increase the average cost per consumer.
https://lao.ca.gov/Publications/Report/3899

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

Mar 6, 2025 - The Governor ’s 2025 ‑26 budget proposes ECM spending at $956  million (total funds) and Community Supports spending at $231  million (total funds), a $67  million (7.5  percent) and $11  million (5  percent) increase over revised 2024 ‑25 levels, respectively.
https://lao.ca.gov/Publications/Report/5003

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: 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