The 2025-26 California Spending Plan: Health

Oct 16, 2025 - The spending plan eliminates supplemental payments for specific dental services, which were originally established in the 2017-18 Budget Act as part of the Proposition  56 (2016) spending plan. Since 2017, the Legislature has continued funding these supplemental payments in subsequent budget acts.
https://lao.ca.gov/Publications/Report/5075

Fiscal Outlook: Medi-Cal

Nov 15, 2017 - Lower General Fund Spending in Medi-Cal in 2017 ‑18 Relative to 2017 ‑18 Budget Act . In 2017 ‑18, we estimate General Fund Medi-Cal spending to be $18.9  billion. This estimate is around $625  million lower than what was assumed in the 2017 ‑18 Budget Act .
https://lao.ca.gov/Publications/Report/3715

The 2017-18 Budget: Overview of the Governor's May Revision Medi-Cal Budget Proposal

May 17, 2017 - Changes to 2017 ‑18 Medi-Cal Spending Estimate Lower Proposed Medi-Cal General Fund Spending in 2017 ‑18. The Governor ’s May Revision proposes $18.6  billion in General Fund funding for Medi-Cal in 2017 ‑18, a $540  million reduction compared to the Governor ’s January budget proposal.
https://lao.ca.gov/Publications/Report/3674

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

Mar 9, 2017 - Total Medi ‑Cal spending is proposed to increase by $2.6  billion between 2016 ‑17 and 2017 ‑ 18 —from $100  billion to $102.6  billion. Figure  1 shows the increase in Medi ‑Cal spending from 2007 ‑08 through 2017 ‑18 by funding source.
https://lao.ca.gov/Publications/Report/3612

Recent Changes to State and County IHSS Wage and Benefit Costs

Dec 14, 2018 - In 2017 ‑18, that IHSS MOE was eliminated and replaced with a new MOE financing structure —referred to as the 2017 IHSS MOE. Under the 2017 IHSS MOE, county costs for 2017 ‑18 were rebased to roughly reflect the historical county share-of-cost of IHSS as estimated in 2017 ‑18 (35  percent of the nonfederal share of IHSS service costs and 30  percent of the nonfederal share of IHSS administrative costs).
https://lao.ca.gov/Publications/Report/3913

The 2018-19 Budget: Governor's May Revision Medi-Cal Budget

May 14, 2018 - The 2018-19 Budget: Governor's May Revision Medi-Cal Budget Additional Estimated Spending at May Revision $287 $1,350 2017 ‑18 Deficiency. For 2017 ‑18, the $287  million in increased costs identified in the May Revision is added to the $544  million in increased costs identified in the Governor ’s January budget proposal relative to the 2017 ‑18 Budget Act .
https://lao.ca.gov/Publications/Report/3839

Fiscal Outlook: In-Home Supportive Services (IHSS)

Nov 14, 2018 - In 2017 ‑18, a new IHSS county maintenance ‑of ‑effort (MOE) —referred to as the 2017 IHSS MOE —was established. The 2017 IHSS MOE increased counties ’ share of cost in the IHSS program from $1.1  billion in 2016 ‑17 to about $1.8  billion in 2017 ‑18.
https://lao.ca.gov/Publications/Report/3899

The 2018-19 Budget: Analysis of the Health and Human Services Budget

Feb 16, 2018 - The Governor ’s budget reflects a $ 25  m illion ($ 21  m illion General Fund) downward adjustment in POS expenditures in 2017 ‑18, in large part due to lower actual expenditures than previously estimated related to state minimum wage increases implemented in 2017.
https://lao.ca.gov/Publications/Report/3757

The 2017-18 Budget: An Overview of the Governor's Proposition 56 Proposals

Feb 22, 2017 - Backfill, Administration, and Audits $37.2   Million for Backfill Payments in 2017 ‑18. The administration estimates that the new special fund will make backfill payments totaling $37.2  million in 2017 ‑18.
https://lao.ca.gov/Publications/Report/3573

Building California’s Behavioral Health Infrastructure: Progress Update and Opportunities for the Proposition 1 Bond

Feb 5, 2025 - The share of Californians aged 12 and over having an SUD in the past year rose nearly 10  percent between 2015 ‑2017 and 2018 ‑2019. The consequences of these behavioral health challenges have also grown more severe.
https://lao.ca.gov/Publications/Report/4954