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

Oct 24, 2025 - Impact to Counties Counties Will Face Costs From New Workload Demands … Counties are the primary administrators of eligibility determinations in Medi ‑Cal and will be responsible for implementing many of the eligibility changes in H.R.  1.
https://lao.ca.gov/Publications/Report/5083

The 2026-27 Budget: Medi-Cal Analysis

Mar 2, 2026 - Like community engagement requirements, more frequent renewals are also expected to increase administrative workload for county eligibility systems, at least in the short run. Federal Changes for Certain Immigrant Groups Create State Fiscal Pressure.
https://lao.ca.gov/Publications/Report/5146

The 2018-19 Budget: The Administration’s Proposition 55 Estimates

Mar 1, 2018 - These funds were dedicated to several uses, including to trial courts for construction and operations and to counties for new voting systems. All of this proposed spending is included in the administration’s workload budget for 2018‑19.
https://lao.ca.gov/Publications/Report/3765

The 2026-27 Budget: Medi-Cal Fiscal Outlook

Nov 19, 2025 - California asset limit policies historically disregarded someone ’s primary residence and vehicle from the calculation. Under H.R. 1, California will now need to include a home equity limit of $1  million for certain members accessing long ‑term care beginning January 2028.
https://lao.ca.gov/Publications/Report/5092

The 2025-26 Budget: MCO Tax and Proposition 35

Feb 26, 2025 - During last year ’s budget, the administration also initially proposed including equity-based components into provider rate calculations. Structuring Medi-Cal provider payments to achieve certain objectives is made all the more challenging because most services are now delivered in the managed care system.
https://lao.ca.gov/Publications/Report/4992

The 2024-25 California Spending Plan: Health

Sep 17, 2024 - Freezes Statutory Increases in County Administration Funding. State law provides for increases in Medi-Cal county administration funding based on projected growth in the California Consumer Price Index.
https://lao.ca.gov/Publications/Report/4930

The 2019-20 Budget: Proposition 56 Revenues: Reductions in Fixed Allocations

Feb 14, 2019 - The 2019-20 Budget: Proposition 56 Revenues: Reductions in Fixed Allocations Department of Public Health —Enforcement 6.0 California Department of Tax and Fee Administration —Enforcement 6.0 5.5 No Multiyear Proposal.
https://lao.ca.gov/Publications/Report/3939

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

Realignment and County Indigent Health Care Programs [Publication Details]

Mar 19, 2026 - Realignment and County Indigent Health Care Programs [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/5164

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