The 2026-27 Budget: Department of Developmental Services

Mar 13, 2026 - As Figure  2 shows, DDS caseload has increased notably over the last ten years, with an average annual growth rate of about 5  percent in total caseload from 2015 through 2025. This is faster than the population growth in the state over this period.
https://lao.ca.gov/Publications/Report/5157

The 2026-27 Budget: Medi-Cal Analysis

Mar 2, 2026 - Proposition 52 (2016) made the private hospital fee permanent, while Proposition 35 (2024) made the health plan tax permanent. The two provider taxes are not permanent in federal law, however—periodic federal approval is still required to draw down federal funds.
https://lao.ca.gov/Publications/Report/5146

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

The 2026-27 Budget: Medi-Cal Fiscal Outlook

Nov 19, 2025 - Our understanding is that California ’s hospital fee, which is pending federal approval for 2025, is at around 5  percent. This means that the state will need to gradually reduce the hospital fee in the future to comply with the new limit.
https://lao.ca.gov/Publications/Report/5092

Considering Medi-Cal in the Midst of a Changing Fiscal and Policy Landscape

Oct 24, 2025 - The increase in premiums (around 5  percent, on average) could have a variety of effects. For enrollees with employer ‑sponsored coverage, much of the cost of higher premiums would fall on employers.
https://lao.ca.gov/Publications/Report/5083

The 2018-19 Budget: The Administration's Proposition 55 Estimates in the May Revision

May 22, 2018 - Proposition  55 (2016). Proposition  55 (2016) extended tax rate increases on high ‑income earners from 2018 until 2030 (which voters originally passed on a temporary basis in 2012 as part of Proposition  30).
https://lao.ca.gov/Publications/Report/3844

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

Mar 9, 2017 - The Governor ’s budget estimates Medi ‑Cal caseload of 14  million for 2016 ‑17, a 5  percent increase over the caseload estimate of 13.4  million for 2015 ‑16. The budget projects a Medi ‑Cal caseload of 14.3  million for 2017 ‑18, an increase of 2  percent over the 2016 ‑17 caseload.
https://lao.ca.gov/Publications/Report/3612

The 2025-26 Budget: MCO Tax and Proposition 35

Feb 26, 2025 - Enacted by voters in 2016, Proposition 56 increased taxes on tobacco-related products. The measure requires most of the resulting revenue to go to Medi-Cal. The state generally used this allocation to increase rates for several kinds of providers and services.
https://lao.ca.gov/Publications/Report/4992

The 2024-25 Budget: The MCO Tax Package at May Revision

May 22, 2024 - These augmentations were expected to cost $2.7  billion MCO tax funds at full implementation (when the tax was estimated at the time to raise between $5  billion and $5.4  billion annually in net revenue).
https://lao.ca.gov/Publications/Report/4905

The 2022-23 Budget: Department of Developmental Services

Mar 29, 2022 - Chapter  3 provided DDS $11  million General Fund annually beginning in 2016 ‑17 to support grants for service providers to modify their programs and services to make them compliant with the final HCBS rule.
https://lao.ca.gov/Publications/Report/4577