The 2026-27 Budget: Department of Developmental Services

Mar 13, 2026 - For example, the spending share of residential services has decreased from 46  percent to 38  percent, while the spending share of support and training services has increased from 8  percent to 15  percent.
https://lao.ca.gov/Publications/Report/5157

The 2026-27 Budget: Medi-Cal Fiscal Outlook

Nov 19, 2025 - As Figure  10 shows, we estimate that baseline Medi ‑Cal spending —without the budget solutions in place —would outpace overall General Fund spending, with Medi ‑Cal ’s share of state spending rising to 23  percent in 2029 ‑30, 4  percentage points higher than with the solutions in effect.
https://lao.ca.gov/Publications/Report/5092

The 2021-22 Budget: Medi-Cal Fiscal Outlook

Nov 18, 2020 - We project that average monthly Medi ‑Cal caseload will be 13. 8  m illion enrollees in 2020 ‑21, which is 9  p ercent higher than the revised estimate for 2019 ‑ 20 c aseload. Between 2020 ‑21 and 2021 ‑22, we project the caseload to grow from 13. 8  m illion enrollees to 14. 9  m illion —an increase of 8  p ercent, or 1. 1  m illion beneficiaries.
https://lao.ca.gov/Publications/Report/4299

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 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

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

Mar 6, 2025 - Figure 10 Top Reasons Providers Did Not Participate in ECM or Community Supports Reasons Given By Providers
https://lao.ca.gov/Publications/Report/5003

The 2019-20 Budget: Analysis of the Medi-Cal Budget

Feb 13, 2019 - These unanticipated adjustments are large in terms of the Medi ‑Cal budget —the $1. 8  b illion upward adjustment in the 2017 ‑18 Governor ’s Budget represented a 10  p ercent increase in estimated Medi ‑Cal General Fund spending for the year.
https://lao.ca.gov/Publications/Report/3935

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

May 17, 2021 - For example, the Governor counts $27  billion in constitutionally required spending on schools and community colleges, nearly $8  billion in required reserve deposits, and $3  billion in required debt payments in his calculation of the surplus.
https://lao.ca.gov/Publications/Report/4432

The 2022-23 California Spending Plan: Health

Oct 24, 2022 - The spending plan provides $4.6  million General Fund ($8  million total funds) to expand the FPACT program to include HPV vaccines for individuals between the ages of 19 through 45. Conforming to Federal Law on Coverage of Clinical Trials.
https://lao.ca.gov/Publications/Report/4642

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

Jul 13, 2023 - As Figure  5 shows, historical revenue performance suggests that counties could likely cover a 20  percent revenue decline, but would have a less than 10  percent chance of covering a 30  percent revenue decline.
https://lao.ca.gov/Publications/Report/4780