The 2026-27 Budget: Medi-Cal Fiscal Outlook

Nov 19, 2025 - Community Engagement Requirement Will Be New to Medi ‑Cal. Medi ‑Cal has not previously required adults to demonstrate employment to remain eligible, making the effect of the new community engagement requirement uncertain.
https://lao.ca.gov/Publications/Report/5092

The 2026-27 Budget: Medi-Cal Fiscal Outlook [Publication Details]

Nov 19, 2025 - This brief summarizes our annual outlook for General Fund spending on Medi-Cal.
https://lao.ca.gov/Publications/Detail/5092

The 2026-27 Budget: Medi-Cal Analysis

Mar 2, 2026 - Community Engagement Requirements Increase Risk of Coverage Loss Among Certain Adults . Beginning January 1, 2027, H.R.1 requires states to implement a community engagement requirement for certain able ‑bodied adults between ages 19 and 64 (mostly childless adults).
https://lao.ca.gov/Publications/Report/5146

The 2026-27 Budget: Medi-Cal Analysis [Publication Details]

Mar 2, 2026 - In this report, we analyze the Governor’s budget for Medi-Cal, with a focus on base spending trends, changes to provider taxes, implementation of new H.R. 1 rules, oversight over enacted budget solutions, and considerations for identifying additional savings in Medi-Cal.
https://lao.ca.gov/Publications/Detail/5146

The 2026-27 Budget: Department of Developmental Services

Mar 13, 2026 - The department stated that the provider surveys will form a baseline for the development of future quality measures. Specifically, the department is collecting data about providers ’ workforce capacity (staffing, vacancies, wages, and turnover), service delivery (where, how, and in what languages services are provided), and data specific to providers of employment services and providers of residential services.
https://lao.ca.gov/Publications/Report/5157

The 2026-27 Budget: Department of Developmental Services [Publication Details]

Mar 13, 2026 - Analyzes the Governor’s budget for the Department of Developmental Services (DDS), with a focus on a budget proposal to continue planning the proposed Life Outcomes Improvement System (LOIS) information technology project, implementation of new H.R.
https://lao.ca.gov/Publications/Detail/5157

The 2024-25 Budget: Medi-Cal Analysis

Feb 14, 2024 - Sets New Payment Requirements on Managed Care Plans. In addition to increasing and changing the structure of fee ‑for ‑service payments, the proposal also would enact new requirements on managed care plans.
https://lao.ca.gov/Publications/Report/4838

The 2025-26 Budget: MCO Tax and Proposition 35

Feb 26, 2025 - These steps include: (1)  forming the stakeholder advisory committee; (2)  consulting with the newly formed committee; (3)  structuring the new augmentations; and (4)  where necessary, obtaining federal approval (such as by submitting permanent state plan amendments or limited-term waivers).
https://lao.ca.gov/Publications/Report/4992

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

Oct 24, 2025 - This is because other forms of coverage are likely not available to this population. For example, most disenrolled adults probably lack access to employer ‑sponsored health coverage since their typical work patterns —part ‑time or seasonal —limit their access to such coverage.
https://lao.ca.gov/Publications/Report/5083

The 2024-25 Budget: Medi-Cal Fiscal Outlook

Dec 7, 2023 - As the nearby box discusses, federal actions beginning in late 2022 are requiring DHCS to redetermine eligibility for all Medi-Cal enrollees for the first time since the start of the COVID-19 pandemic.
https://lao.ca.gov/Publications/Report/4820