The 2026-27 Budget: Medi-Cal Analysis

Mar 2, 2026 - One possible reason for our higher estimate is that our model reflects not only disenrollment among current enrollees, but also reduced enrollment flows over time and a persistent risk of disenrollment among eligible individuals due to added administrative burden.
https://lao.ca.gov/Publications/Report/5146

The 2026-27 Budget: Department of Developmental Services

Mar 13, 2026 - The department stated that its budget projections for 2026 ‑27 do not incorporate any potential added costs due to the changes in H.R 1. Will the department be able to determine whether its costs increase in the future due to H.R. 1?
https://lao.ca.gov/Publications/Report/5157

Building California’s Behavioral Health Infrastructure: Progress Update and Opportunities for the Proposition 1 Bond

Feb 5, 2025 - School Behavioral Health Infrastructure Grants ($400   Million). These grants to educational, governmental, and health care entities fund infrastructure and capacity aimed at better coordination of school behavioral health services.
https://lao.ca.gov/Publications/Report/4954

Governor’s May Revision Update: Health Insurance Affordability Proposals

May 15, 2019 - We note that the proposed state subsidies would be particularly beneficial to those with incomes just above 400  percent of the FPL, the point where eligibility for the federal APTC ends (sometimes referred to as the “subsidy cliff ”).
https://lao.ca.gov/Publications/Report/4047

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

Oct 24, 2025 - …But Potentially With Added Complexity. Adding more flexibilities also could come with the potential downside of more complexity for beneficiaries and counties. For example, exempting high unemployment counties from work requirements could create more volatility.
https://lao.ca.gov/Publications/Report/5083

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

Mar 6, 2025 - In the paragraphs that follow, we provide our analysis that results in ou r estimate of at least 165,000 seniors being added due to eligibility expansions since 2020. (As a consequence of this estimate, it follows naturally that we estimate up to 60,000  seniors being added due to the effects of continuous coverage, the unwinding, and unwinding flexibilities, for a total increase of 225,000 seniors due to policy changes.)
https://lao.ca.gov/Publications/Report/5010

COVID-19: American Rescue Plan’s Major Health-Related Funding Provisions

May 6, 2021 - The ARP Act also makes available $15  million in planning grant funding available nationwide for states to develop strategies (such as Medicaid state plan amendments or amendments to federal Medicaid waivers) for adding mobile crisis services to their state Medicaid programs.
https://lao.ca.gov/Publications/Report/4425

The 2022-23 Budget: Health Care Access and Affordability

Feb 23, 2022 - Option 2 Households with incomes above 150 percent up to 400 percent of the FPL would be upgraded to more generous plans. $463 million to $604 million All deductibles would be eliminated. Option 3 Households with incomes above 150 percent up to 400 percent of the FPL would be upgraded from existing plans to plans somewhat less generous than in Option 2. $386 million to $489 million All deductibles would be eliminated.
https://lao.ca.gov/Publications/Report/4560

The 2024-25 Budget: Medi-Cal Fiscal Outlook

Dec 7, 2023 - From our estimated level in 2023-24, we project General Fund spending to decline in 2024-25 by $400  million (1.1  percent) to $36.6  billion. Downward adjustments related to limited-term initiatives and caseload drive the reduction in spending.
https://lao.ca.gov/Publications/Report/4820

The 2019-20 Budget: The Governor's Individual Health Insurance Market Affordability Proposals

Feb 7, 2019 - Available options include those presented in Covered California ’s report, such as variations on additional state ‑funded premium subsidies or CSRs for households below 400  p ercent of FPL, new premium subsidies for households above 400  p ercent of FPL, and a state reinsurance program.
https://lao.ca.gov/Publications/Report/3927