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

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

Oct 24, 2025 - Private Hospital Fee Also Could Decline Over Time … Federal policy changes also likely will result in a smaller private hospital fee, though for different reasons. Relative to the health plan tax, the private hospital fee is less disproportionately levied on Medi ‑Cal services and has fewer constraints on the tax rates.
https://lao.ca.gov/Publications/Report/5083

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 2025-26 California Spending Plan: Health

Oct 16, 2025 - Half of the funds supported a contract with a private partner, and the other half was to help construct a new manufacturing facility in California. Since this time, the private partner has started initial manufacturing in a facility in Virginia.
https://lao.ca.gov/Publications/Report/5075

The 2025-26 Budget: Health Care Access and Information

Feb 20, 2025 - Implementation Update Insulin Initiative Has Private Partner. In  February 2023, HCAI executed a contract with a nonprofit drug maker (Civica Rx) to produce a biosimilar insulin product. Adopting a public‑private partnership, HCAI is committed to pay the partner up to $50 million for meeting specified project milestones.
https://lao.ca.gov/Publications/Report/4979

The 2024-25 Budget: The MCO Tax Package at May Revision

May 22, 2024 - It intends to change these rules so that the tax is more equal between Medi-Cal and private insurance in the future. This is of concern to the federal government because nearly all of the cost of the tax currently falls on the Medi-Cal program—which is partly supported by federal funds—rather than more proportionately between Medi-Cal and private insurance.
https://lao.ca.gov/Publications/Report/4905

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

Feb 27, 2024 - According to HCAI, the cost of the staffing increase (around $2  million in 2024 ‑25) would be supported by its existing resources rather than new augmentations. For example, the department plans for some of the staff to replace existing spending on a limited-term contract with a private entity, which the department used for initial program start up.
https://lao.ca.gov/Publications/Report/4860

The 2022-23 Budget: Analysis of the Care Economy Workforce Development Package

Mar 10, 2022 - (For example, the proposal to provide fun ding to increase the number of behavioral health providers does not specify what share of funding would be allocated by provider type within the broad category of behavioral health providers.)
https://lao.ca.gov/Publications/Report/4572

Climate Change Impacts Across California - Crosscutting Issues

Apr 5, 2022 - These hazards will threaten public health, safety, and well ‑ being —including from life ‑threatening events, damage to public and private property and infrastructure, and impaired natural resources.
https://lao.ca.gov/Publications/Report/4575

COVID-19: Federal Health-Related Response

Mar 23, 2020 - Of this amount, about $2  million was allocated to tribal organizations in California. Insurance Coverage Requirements for COVID-19 Testing and Treatment Changes to Private Health Insurance Coverage Requirements for COVID-19 Testing and Treatment.
https://lao.ca.gov/Publications/Report/4209