The 2026-27 Budget: Medi-Cal Analysis

Mar 2, 2026 - To mitigate disenrollment impacts of the H.R. 1 requirements, the administration generally plans to require enrollees to d emonstrate a single month of qualifying activities at application and renewal.
https://lao.ca.gov/Publications/Report/5146

An Update on the Public Health Laboratory System After the Pandemic

Jun 12, 2025 - Since the passage of the 2022-23 budget, there have been 58 graduates of this program. In the Governor ’s proposed May Revision, approximately $3.4  million for these programs is proposed for reversion.
https://lao.ca.gov/Publications/Report/5056

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

Feb 27, 2024 - Figure 2 Overall Spending Varies Year to Year HCAI Funding (In Millions) -58% HCAI = Department of Health Care Access and Information. In Current Year, Deferred One-Time Funds Drive Down General Fund Spending.
https://lao.ca.gov/Publications/Report/4860

The 2021-22 Budget: CalAIM: Equity Considerations

Mar 12, 2021 - First, by requiring managed care plans to establish population health management programs and provide ECM on a statewide basis, CalAIM would expand certain service components of Whole Person Care and Health Homes to all 58 c ounties.
https://lao.ca.gov/Publications/Report/4402

The 2023-24 Budget: Whole Child Model Expansion

May 5, 2023 - Figure 1 More Counties Will Have Medi ‑Cal Managed Care Model With Only One Public Health Plan Number of California Counties in Each Model Counties With … Models With One Public Health Plan COHS model Models with private plans only b 22 58 — a In January 2024, two counties will switch from other models to a Two ‑Plan model, offset by two counties switching from a Two ‑Plan to a Single ‑Plan model. b Consists of the Regional, Geographic, San Benito, and Imperial models.
https://lao.ca.gov/Publications/Report/4767

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

Oct 24, 2025 - With the tax expected to shrink, providers likely will not receive the larger augmentations planne d for 2027. Private Hospital Fee Also Could Decline Over Time … Federal policy changes also likely will result in a smaller private hospital fee, though for different reasons.
https://lao.ca.gov/Publications/Report/5083

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

Mar 6, 2025 - (The ECM program changes made in 2025 will not be reflected in our assessment and coul d increase utilization of the ECM benefit.) Community Supports Services MCPs Have Expanded the Number of Community Supports Available Over Time.
https://lao.ca.gov/Publications/Report/5003

The 2025-26 Budget: Health Care Access and Information

Feb 20, 2025 - Moreover, the partner an d HCAI are engaging with wholesalers and patients to determine distribution. As of our analysis, however, HCAI indicated that it could not provide an estimated time line to receive federal approval to sell  the product.
https://lao.ca.gov/Publications/Report/4979

The 2025-26 Budget: Medi-Cal Pharmacy Spending

Apr 3, 2025 - These drugs do not come with rebates, because federally require d price reductions already occurred at the front end when the pharmacy purchased the drugs. Federal guidance also directs states to exclude claims that do not come with a federal share of cost.
https://lao.ca.gov/Publications/Report/5026

The 2021-22 Budget: CalAIM: New Directions for Services for Seniors and Persons With Disabilities

Mar 15, 2021 - In the meantime, under CalAIM, the state would permit plans in CCI counties to transition beneficiaries enrolled in D ‑SNP look ‑alikes to existing D ‑SNPs.) Additionally, D ‑SNPs that are not affiliated with Medi ‑Cal managed care plans ( “non ‑aligned ” D ‑SNPs) would no longer be able to accept new enrollees, although current enrollees could remain in those D ‑SNPs if they chose to do so.
https://lao.ca.gov/Publications/Report/4404