The 2026-27 Budget: Medi-Cal Analysis

Mar 2, 2026 - In April 2025, the Legislature took early action to provide cash flow support and supplemental appropriations to Medi ‑Cal in 2024 ‑25. The administration stated that increasing Medi ‑Cal costs were due to several factors, including increased utilization of high ‑cost anti ‑obesity drugs, increased enrollment of seniors and persons with disabilities following the elimination of
https://lao.ca.gov/Publications/Report/5146

The 2026-27 Budget: Medi-Cal Fiscal Outlook

Nov 19, 2025 - Most of this effect comes from a substantial one ‑time cash loan to Medi ‑Cal that helps offset costs in 2025 ‑26. With no further loan planned under current law in 2026 ‑27, the General Fund will need to cover costs moving forward (the current state spending plan envisions gradually paying off this loan over more than a decade).
https://lao.ca.gov/Publications/Report/5092

The 2019-20 Budget: Undoing California’s Outstanding Budgetary Deferrals

Mar 26, 2019 - (Budgetary deferrals are different than cash deferrals, in which the state makes payments late by weeks or months within the same fiscal year for cash flow purposes.) Budgetary deferrals result in an obligation that the state can eventually repay.
https://lao.ca.gov/Publications/Report/3988

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

Feb 13, 2019 - Cash budgeting means that the timing of payments, particularly those that take place around the end of a fiscal year, significantly affect the level of Medi ‑Cal spending in any given fiscal year. The timing of payments under cash budgeting can in some cases lead to DHCS having insufficient cash available at the end of a fiscal year.
https://lao.ca.gov/Publications/Report/3935

The 2023-24 Budget: Overview of the Governor's Budget

Jan 13, 2023 - As the figure shows, most of the discretionary increases are to finance some capital outlay projects with cash instead of lease revenue bonds. This increases the size of the budget  problem. $800   Million in Other Differences.
https://lao.ca.gov/Publications/Report/4662

Federal COVID-19 Response Actions Affecting Older Adults and Persons with Disabilities

Apr 16, 2020 - Provides One-Time Cash Assistance to Adults, Including Seniors and Persons With Disabilities. Under the CARES Act, adults earning less than $75,000 are generally eligible for a one-time cash payment of $1,200, and $500 for each child.
https://lao.ca.gov/Publications/Report/4221

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

May 17, 2021 - ADRC = Aging and Disability Resources Centers; Cal ‑OAR = CalWORKs Outcomes and Accountability Review; IT = information technology; FFPSA = Federal Family First Prevention Services Act; DCSD = Department of Community Services and Development; DDS = Department of Developmental Services; DOR = Department of Rehabilitation; DSS = Department of Social Services; HDAP=Housing and Disability Advocacy
https://lao.ca.gov/Publications/Report/4432/5

The 2023-24 Budget: Analysis of the Governor’s Major Behavioral Health Proposals

Feb 16, 2023 - This new process could create cash ‑flow issues as counties will be paying the full cost of services in addition to paying their nonfederal share of costs to the state prior to federal reimbursement.
https://lao.ca.gov/Publications/Report/4689

The 2024-25 California Spending Plan: Health

Sep 17, 2024 - Under the first condition, the increases would start October 2024 if state cash receipts for the first quarter of the 2024-25 exceed 3  percent of projections. Under the second condition, the increases would start no later than January 2025 if DHCS initiates the data retrieval needed to increase the Hospital Quality Assurance Fee.
https://lao.ca.gov/Publications/Report/4930

The 2023-24 California Spending Plan: Health

Oct 23, 2023 - Because Medi-Cal is budgeted based on when cash payments are made, the hold generated one-time savings in 2006-07 by shifting payments into the next fiscal year. The 2022-23 Budget Act included one-time General Fund support to eliminate the delay beginning in 2022-23.
https://lao.ca.gov/Publications/Report/4810