The 2023-24 Budget: Analysis of the Medi-Cal Budget

Feb 10, 2023 - However, the 2022 ‑23 Budget Act included $2.5  billion General Fund for federal payments and deferrals —largely due to a one ‑time repayment to the federal government for erroneous claims within managed care.
https://lao.ca.gov/Publications/Report/4675

The 2025-26 California Spending Plan: Health

Oct 16, 2025 - The spending plan also includes a $2.5  million reappropriation for the Governor ’s Advisory Council on Physical Fitness and Mental Well-Being. Modifies State Vaccine Guidance. The August session trailer bill (Chapter  105 of 2025 [AB  144, Committee on Budget]) modifies state law ’s requirements around federal vaccine guidance.
https://lao.ca.gov/Publications/Report/5075

The 2018-19 Budget: Meeting Workforce Demand for Certified Nursing Assistants in Skilled Nursing Facilities

Apr 27, 2018 - Proposes $2.5  Million in One-Time ETP Funds for CNA Training. The Governor also proposes that ETP award $2.5  million to reimburse SNFs and other training providers for the cost of providing CNA training.
https://lao.ca.gov/Publications/Report/3815

Fiscal Outlook: In-Home Supportive Services (IHSS)

Nov 14, 2018 - Taking into account historical trends, w e assume that overall IHSS caseload will increase by 5.8  percent annually and hours per case will increase by 2.5  percent annually through 2022 ‑23. Rising Statewide Minimum Wage Increases Hourly Cost of Care.
https://lao.ca.gov/Publications/Report/3899

The 2022-23 Budget: Medi-Cal Fiscal Outlook

Nov 17, 2021 - Expiration of Enhanced Federal Funding Will Result in Higher General Fund Costs in the Low Billions of Dollars … We estimate that having three ‑quarters of the enhanced federal funding in 2021 ‑22 will result in $2.5 billion in General Fund savings (compared to typical cost ‑sharing ratios).
https://lao.ca.gov/Publications/Report/4474

The 2024-25 Budget: Medi-Cal Fiscal Outlook

Dec 7, 2023 - Average annual growth is fastest in the senior population (2.5  percent), with much slower rates of growth for most other groups. We project the number of persons with disabilities in Medi-Cal to decline over the outlook period, consistent with historical trends.
https://lao.ca.gov/Publications/Report/4820

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

Mar 9, 2017 - These higher state costs are primarily a result of the state ’s share of costs for this population increasing in accordance with federal law from an effective 2.5  percent to an effective 5.5  percent between 2016 ‑17 and 2017 ‑18.
https://lao.ca.gov/Publications/Report/3612

The 2023-24 Budget: Medi-Cal Fiscal Outlook

Nov 16, 2022 - DHCS, however, estimates associated General Fund spending to be $2.5  billion in 2022 ‑23, with the large increase primarily due to a one ‑time issue with past erroneous claims. We assume these adjustments return to previous levels in 2023 ‑24, resulting in a net General Fund spending decline of $2.1  billion.
https://lao.ca.gov/Publications/Report/4649

The 2022-23 California Spending Plan: Health

Oct 24, 2022 - The spending plan includes $2.5  billion General Fund ($8.9  billion total funds) in 2021-22 and $3.1  billion General Fund ($11.1  billion total funds) in 2022-23 associated with increased caseloads.
https://lao.ca.gov/Publications/Report/4642

The 2019-20 Budget: California Spending Plan—Health and Human Services

Oct 17, 2019 - The spending plan provides $2.6  million General Fund in 2019 ‑20 (and $2.5  million in 2020 ‑21 and ongoing) for the following new leadership positions at the Secretary of CHHSA. Surgeon General. In January, Governor Newsom issued an executive order establishing the Office of the Surgeon General and subsequently appointed California ’s first Surgeon General.
https://lao.ca.gov/Publications/Report/4104