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

Mar 6, 2025 - From July 2022 through September 2024, the caseload in the expansion to individuals age 50 and older —a group that is notably not limited to those age 65 and over —increased by about 120,000  individuals.
https://lao.ca.gov/Publications/Report/5010

A Long-Term Outlook: Disability Among California’s Seniors

Nov 28, 2016 - California Seniors Turning 65 Between 2015 and 2019 Projected to Spend 4.5 Years on Average With a Disability. On average, seniors turning 65 between 2015 and 2019 are projected to live for 23.6 years after age 65 and spend 4.5 of these years with a disability.
https://lao.ca.gov/Publications/Report/3509

Fiscal Outlook: Medi-Cal

Nov 15, 2017 - (Historically, prior to the ACA, the CHIP FMAP that applied in California was 65  percent.) The administration projects that the state will exhaust its CHIP funding by the end of 2017. Federal Proposal.
https://lao.ca.gov/Publications/Report/3715

Issues That Could Impact Californians' Health Care Coverage in 2023 and Beyond

Dec 16, 2022 - Enrollees Who Turned 65 After March   2020 and Did Not Enroll in Medicare. Under state law, in order to continue to receive Medi ‑Cal benefits, individuals who turn 65 must apply for Medicare. Typically, individuals have an opportunity to enroll in Medicare upon turning 65 during an annual open enrollment period.
https://lao.ca.gov/Publications/Report/4654

Recent Changes to State and County IHSS Wage and Benefit Costs

Dec 14, 2018 - Specifically, the state will pay for 65  percent of the nonfederal costs of county IHSS wages and benefits up to the state participation cap, while counties are responsible for the remaining 35  percent.
https://lao.ca.gov/Publications/Report/3913

Estimated Cost of Expanding Full-Scope Medi-Cal Coverage to All Otherwise-Eligible Californians Regardless of Immigration Status

May 5, 2021 - We assume undocumented immigrants 65 and older would have similar per-enrollee IHSS costs to current senior enrollees in full-scope Medi-Cal. Overall, IHSS costs account for about 20  percent of the estimated additional costs of the full-scope coverage expansion.
https://lao.ca.gov/Publications/Report/4423

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

Mar 9, 2017 - Accordingly, childless adults under age 65 were ineligible for Medi ‑Cal regardless of income. The ACA expanded eligibility for Medi ‑Cal to individuals under age 65 (children, parents, and childless adults) with household incomes at or below 138  percent of FPL.
https://lao.ca.gov/Publications/Report/3612

The 2015-16 Budget: Major Features of the Adopted Plan (Health and Human Services)

Jun 19, 2015 - The budget package increases funding for high –cost drugs in the Department of Health Care Services by $61  million General Fund (on top of a base budget of $65  million General Fund) and the Department of State Hospitals by $6  million General Fund.
https://lao.ca.gov/Publications/Report/3277

The 2020-21 May Revision: Recommend Reduction to Medi-Cal Caseload Costs

May 22, 2020 - Second, even if a higher proportion of new enrollees under age 65 were to have disabilities, many would nevertheless likely qualify through the childless adult caseload group, which would result in significantly lower costs to the state relative to the administration ’s assumption.
https://lao.ca.gov/Publications/Report/4245

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

May 17, 2017 - Children ’s Health Insurance Program (CHIP) The Governor ’s January budget proposal assumes federal CHIP funding will be reauthorized in federal fiscal year (FFY) 2016 ‑17 at the historical 65  percent federal medical assistance percentage (FMAP), instead of the enhanced 88  percent FMAP authorized under the ACA through FFY 2018 ‑19.
https://lao.ca.gov/Publications/Report/3674