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

Oct 24, 2025 - Figure 8 Some Medi ‑Cal Populations Are Optional Under Federal Law Examples of Key Medi ‑Cal Populations Mandatory
https://lao.ca.gov/Publications/Report/5083

The 2026-27 Budget: Medi-Cal Fiscal Outlook

Nov 19, 2025 - Pursuant to state law, most of the decline in revenue will affect supplemental payments to private hospitals, with only a portion (around 25  percent) resulting in less money for existing Medi ‑Cal costs.
https://lao.ca.gov/Publications/Report/5092

The 2021-22 Budget: Medi-Cal Fiscal Outlook

Nov 18, 2020 - Overall, we project caseload will decline by 5  p ercent annually from a high of 14. 8  m illion in 2021 ‑ 22 t o 12. 6  m illion in 2024 ‑25. These projected caseload declines are estimated to generate more than $ 600  m illion in annual General Fund savings each fiscal year from 2021 ‑ 22 t o 2024 ‑25.
https://lao.ca.gov/Publications/Report/4299

The 2026-27 Budget: Department of Developmental Services

Mar 13, 2026 - Chapter  4 of 2016 (S B  3 , Leno) has gradually increased California ’s statewide minimum wage from $8 per hour to $16 per hour. Under S B  3 , the statewide minimum wage will continue to increase by up to 3.5  percent each year, depending on inflation.
https://lao.ca.gov/Publications/Report/5157

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

Oct 17, 2019 - Instead, the program can be used for up to 16 cumulative days in a year. Funds Transitional Housing Programs for Foster Youth. The 2019 ‑20 budget includes $13  million General Fund ($8  million General Fund annually thereafter) to the Department of Housing and Community Development to be available to counties to increase their transitional housing programs for foster youth.
https://lao.ca.gov/Publications/Report/4104

The 2021-22 Budget: Initial Comments on the Governor’s May Revision

May 17, 2021 - As shown in Figure  5, the Governor proposes allocating nearly $10  billion of this total to pay down deferred payments from previous years, $5  billion (including $2.1  billion ongoing) for high-poverty schools and districts, nearly $1.4  billion for community colleges, and the remainder (roughly $6  billion) for other K-12 spending.
https://lao.ca.gov/Publications/Report/4432

The 2018-19 Budget: The Administration's Proposition 55 Estimates in the May Revision

May 22, 2018 - These are: (1) statutory cost ‑of ‑living adjustments, (2) chaptered legislation, (3) one ‑time expenditures, (4) the full ‑year costs of partial ‑year programs, (5) costs incurred pursuant to constitutional requirements, (6) federal mandates, (7) court ‑ordered mandates, (8) state employee merit salary adjustments, and (9) state agency operating expense and equipment cost adjustments to reflect price increases.
https://lao.ca.gov/Publications/Report/3844

The 2024-25 California Spending Plan: Health

Sep 17, 2024 - Under the spending plan, General Fund spending for the Department of State Hospitals (DSH) is $3.3  billion in 2024-25, a decrease of $276  million, or about 8  percent, from the revised 2023-24 expenditure estimate.
https://lao.ca.gov/Publications/Report/4930

Mental Health Services Act: Revenue Volatility and the Governor’s Proposal to Reduce Allowable County Reserves

Jul 13, 2023 - Up to 5  Percent of Revenue Available for State Purposes. The MHSA allows up to 5  percent of overall revenues to be used for state administration of MHSA. The 5  percent is often referred to as the “state cap. ” Under current legislative practice, funding within the state cap that is not needed for direct MHSA administration is available for the Legislature to appropriate to various mental health programs.
https://lao.ca.gov/Publications/Report/4780

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

Mar 6, 2025 - Figure  8 shows caseload in the three senior aid categories from April 2021 through December 2024. Senior caseload grew by about 320,000 individuals over the period, with growth occurring almost exclusively in the Medically Needy category.
https://lao.ca.gov/Publications/Report/5010