The 2025-26 Budget: Medi-Cal Fiscal Outlook

Nov 20, 2024 - This is because the measure requires the state to use more MCO tax money to increase Medi-Cal services, rather than to offset General Fund spending. The exact fiscal impact depends on how the state implements the measure ’s complex rules.
https://lao.ca.gov/Publications/Report/4941

The 2025-26 California Spending Plan: Health

Oct 16, 2025 - To support the fund, the legislation allocates a portion of money from excess balances in health plans ’ special abortion accounts. Health plans that participate in Covered California must use these accounts so that federal subsidies do not pay for abortion services.
https://lao.ca.gov/Publications/Report/5075

The 2021-22 Spending Plan: Health

Oct 22, 2021 - The spending plan includes $10  million General Fund in 2021 ‑22 and $750,000 in 2022 ‑23 and ongoing to establish a statewide electronic registry for POLST. The POLST is a written medical order signed by a patient who is seriously ill and their doctor specifying the treatments the patient would like to receive; the POLST must be honored by other licensed medical personnel.
https://lao.ca.gov/Publications/Report/4465

The 2022-23 Budget: Overview of the Governor's Budget

Jan 13, 2022 - For 2022 ‑23, the guarantee is up $8.2  billion (8.8  percent) relative to the 2021 ‑22  enacted budget level. These increases —combined with nearly $1.6  billion freed up from the expiration of various one ‑time Proposition  98 costs —make $17.7  billion available for new commitments.
https://lao.ca.gov/Publications/Report/4492

The 2025-26 Budget: Medi-Cal Pharmacy Spending

Apr 3, 2025 - In 2023 ‑24, we estimate these rebates comprised 3  percent of gross spending, up from as low as 1  percent in some years. This increase was expected following the switch to the Medi ‑Cal Rx system in 2022.
https://lao.ca.gov/Publications/Report/5026

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

Mar 6, 2025 - Largely as a result of these policies, Medi ‑Cal caseload increased by over 3  million enrollees (25  percent) between March  2020 and June 2023, as shown in Figure  5 . Counties resumed eligibility processing in April 2023, which resulted in overall Medi ‑Cal caseload beginning to decline starting in July 2023.
https://lao.ca.gov/Publications/Report/5010

The 2022-23 Budget: Update on Home- and Community- Based Services Spending Plan

Feb 10, 2022 - Expand the capacity of existing TBI sites and stand up new TBI sites. 5 HCBS Navigation Language Access and Cultural Competencies Orientations and Translations. Provide funds to translate Department of Developmental Services (DDS) documents, coordinate and streamline interpretation and translation services, and ensure culturally appropriate translations. $46 CalBridge Behavioral Health Pilot Program.
https://lao.ca.gov/Publications/Report/4524

The 2022-23 Budget: Department of Developmental Services

Mar 29, 2022 - Proposed 2022 ‑23 DDS Budget Overview Proposed Budget Reflects Significant Growth. The Governor ’s budget proposal includes $12.4  billion total funds in 2022 ‑23, up $1.5  billion (13.6  percent) over the revised 2021 ‑22 level ($10.9  billion).
https://lao.ca.gov/Publications/Report/4577

The 2023-24 Budget: Department of Developmental Services

Feb 15, 2023 - The Governor ’s budget proposal includes $13.6  billion total funds in 2023 ‑24, up $1.6  billion (13  percent) over the revised 2022 ‑23 level ($12.1  billion). Of the proposed 2023 ‑24 total, $8.2  billion is from the General Fund, up $1.4  billion (21  percent) over the revised 2022 ‑23 level ($6.7  billion General Fund).
https://lao.ca.gov/Publications/Report/4683

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

Mar 6, 2025 - As shown earlier in Figure  5, the percent of MCP members statewide utilizing the ECM benefit was 0.6  percent in 2022, rising to 0.9  percent in 2024. Of particular note, only about one ‑fifth of all MCP members that identified as homeless —a key POF —were receiving ECM services in 2023 (about 0.3  percent of all Medi ‑Cal managed care members).
https://lao.ca.gov/Publications/Report/5003