The 2025-26 California Spending Plan: Health

Oct 16, 2025 - The spending plan includes $5.5  million one-time General Fund for three external entities: (1)  the Northeast Valley Health Corporation ($3  million), (2)  the Youth Mental Health Academy ($2  million), and (3)  the American Reproductive Centers fertility clinic ($500,000).
https://lao.ca.gov/Publications/Report/5075

The 2026-27 Budget: Medi-Cal Analysis

Mar 2, 2026 - This section focuses on (1)  new community engagement requirements, (2)  the new six ‑month renewal requirement, and (3)  changes that eliminate federally funded full ‑scope (comprehensive) Medi ‑Cal coverage for certain immigrant groups.
https://lao.ca.gov/Publications/Report/5146

The 2026-27 Budget: Department of Developmental Services

Mar 13, 2026 - At the time of this report, DDS was working to complete Stage 2 of the PAL process, or the Alternatives Analysis. Stage 2 requires the department to conduct market research on which IT solution could meet the project ’s desired outcomes, as well as develop a financial analysis for the recommended solution.
https://lao.ca.gov/Publications/Report/5157

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

Mar 6, 2025 - As shown in the figure, between 2015 and 2019, the share of seniors statewide who were enrolled in Medi ‑Cal ranged between about 18  percent and 18.5  percent. We estimate that there were 6.5  million individuals age 65 and over as of January 1, 2025 in California.
https://lao.ca.gov/Publications/Report/5010

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

Jan 13, 2023 - We Estimate the Governor Solved an $18   Billion Budget Problem. We estimate the Governor ’s budget addressed an $18  billion budget problem. This is somewhat lower than the $22  billion budget problem the administration has referenced.
https://lao.ca.gov/Publications/Report/4662

The 2026-27 Budget: Medi-Cal Fiscal Outlook

Nov 19, 2025 - As a result, as Figure  2 shows, Medi ‑Cal comprises 19  percent of overall General Fund spending by the end of our outlook period —slightly lower than the 20  percent share in the 2025 ‑26 enacted  budget.
https://lao.ca.gov/Publications/Report/5092

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

Mar 9, 2017 - The budget assumes total annual Medi ‑Cal caseload of 14.3  million for 2017 ‑18, an increase of 2  percent over the 2016 ‑17 caseload. (This 2  percent annual growth is in line with historical Medi ‑Cal caseload growth predating the ACA.)
https://lao.ca.gov/Publications/Report/3612

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

Oct 24, 2025 - In revisiting the Medi ‑Cal program, the Legislature faces three key questions: (1)  who should Medi ‑Cal serve, (2)  what per ‑enrollee service level should Medi ‑Cal provide, and (3)  what non ‑General Fund financing options are available?
https://lao.ca.gov/Publications/Report/5083

Fiscal Outlook: Medi-Cal

Nov 15, 2017 - Figure  2 summarizes Proposition  56 Medi-Cal spending throughout the outlook period, based on our assumptions about the allocation of Proposition  56 revenues between provider rate increases and funding underlying program growth as discussed below. $1.5  Billion in Proposition  56 Funding for Medi-Cal in 2017 ‑18, With Over $900  Million to Offset General Fund Costs.
https://lao.ca.gov/Publications/Report/3715

The 2024-25 Budget: Department of Health Care Access and Information

Feb 27, 2024 - Prior to 2017 ‑18, the department (then known as OSHPD) did not receive General Fund support. Instead, special funds supported its various activities. Since 2017 ‑18, the state has provided General Fund support for certain limited-term initiatives.
https://lao.ca.gov/Publications/Report/4860