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

Mar 6, 2025 - Estimate About Two ‑Thirds of Senior Growth Due to Eligibility Expansions Is From Asset Test Elimination. As discussed above, the elimination of a Medi ‑Cal share of cost for certain seniors provides about 30,000 of the 165,000 estimated senior growth due to eligibility expansions, leaving 135,000 of the growth to allocate between two eligibility expansions: (1)  the older adult expansion and (2)  the asset test elimination.
https://lao.ca.gov/Publications/Report/5010

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

Oct 24, 2025 - This is because states could adopt approaches that still met federal mathematical tests that measured disproportionality. Under H.R.  1, states are now prohibited from using some of these approaches, effective July 2025.
https://lao.ca.gov/Publications/Report/5083

Overview of Proposition 1 and Assessment of Behavioral Health Continuum Infrastructure Program [Publication Details]

Apr 7, 2025 - Overview of Proposition 1 and Assessment of Behavioral Health Continuum Infrastructure Program [Publication Details] Translate Our Website This Google ™ translation feature provided on the Legislative Analyst's Office (LAO) website is for informational purposes only.
https://lao.ca.gov/Publications/Detail/5027

The 2026-27 Budget: Medi-Cal Analysis

Mar 2, 2026 - Other solutions included partially restoring the asset test for seniors and persons with disabilities, ending coverage of anti ‑obesity drugs, and ending supplemental payments for dental services in Medi ‑Cal.
https://lao.ca.gov/Publications/Report/5146

The 2026-27 Budget: Medi-Cal Fiscal Outlook

Nov 19, 2025 - Moreover, it is difficult to disentangle the effects of the asset test elimination from other factors occurring at the same time, such as the unwinding of continuous coverage and approved federal flexibilities.
https://lao.ca.gov/Publications/Report/5092

Considering Medi-Cal in the Midst of a Changing Fiscal and Policy Landscape [Publication Details]

Oct 24, 2025 - We describe the changing fiscal and policy landscape for Medi-Cal resulting from Congressional enactment of H.R. 1 and the key issues facing the Legislature.  See our companion infographic
https://lao.ca.gov/Publications/Detail/5083

Overview of Major Impacts of H.R. 1—One Big Beautiful Bill Act on CalFresh [Publication Details]

Nov 13, 2025 - Overview of Major Impacts of H.R. 1—One Big Beautiful Bill Act on CalFresh [Publication Details] Translate Our Website This Google ™ translation feature provided on the Legislative Analyst's Office (LAO) website is for informational purposes only.
https://lao.ca.gov/Publications/Detail/5090

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

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

Feb 5, 2025 - Oversight of BHCIP Needed to Maximize Success of Proposition  1 Bond. Proposition  1 adds another $4.4  billion to the BHCIP program, or about three times the amount of funding provided to BHCIP so far.
https://lao.ca.gov/Publications/Report/4954

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