The 2019-20 Budget: Undoing California’s Outstanding Budgetary Deferrals

Mar 26, 2019 - Depositing Money Into Reserves Generates Interest Payments. Money held in the state ’s cash reserves is not idle. The State Treasurer ’s Office (STO) invests state funds, including reserves, in the Pooled Money Investment Account (PMIA), generating an investment return.
https://lao.ca.gov/Publications/Report/3988

The 2019-20 Budget: Analysis of the Medi-Cal Budget

Feb 13, 2019 - Cash budgeting also makes oversight of the Medi ‑Cal budget challenging, since outside stakeholders, including the Legislature, have limited insight into the timing of payments. Medi ‑Cal Budget Is Interdependent With Several External Actors.
https://lao.ca.gov/Publications/Report/3935

The 2021-22 Budget: Initial Comments on the Governor’s May Revision

May 17, 2021 - Reflecting very strong cash collections in recent months, the May Revision adjusts 2020 ‑21 revenues (and transfers) up by $26.8  billion to $182  billion. This represents a 27  percent increase over 2019 ‑20, the largest single year increase in over four decades.
https://lao.ca.gov/Publications/Report/4432

The 2026-27 Budget: Medi-Cal Fiscal Outlook

Nov 19, 2025 - Pursuant to state law, most of the decline in revenue will affect supplemental payments to private hospitals, with only a portion (around 25  percent) resulting in less money for existing Medi ‑Cal costs.
https://lao.ca.gov/Publications/Report/5092

The 2023-24 Budget: Overview of the Governor's Budget

Jan 13, 2023 - The Governor ’s budget proposes making nearly one ‑third of all spending ‑related solutions subject to trigger restoration language. Under this proposed language, program spending that otherwise would have occurred in 2023 ‑24 would not be allocated as part of the June budget act.
https://lao.ca.gov/Publications/Report/4662

Enhancing Federal Financial Participation for Consumers Served by the Department of Developmental Services

Nov 9, 2021 - Individuals who receive SSI/SSP cash assistance are automatically eligible for Medi ‑Cal. SSI/SSP is available to individuals who are age 65 o r older, blind, or disabled and whose income and resources fall below specified thresholds.
https://lao.ca.gov/Publications/Report/4471

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

Oct 24, 2025 - Most hospitals get more money back from this arrangement than they pay in fees. That said, some hospitals, particularly those that primarily provide care to non ‑Medi ‑Cal patients, incur net costs as a result of the fee program.
https://lao.ca.gov/Publications/Report/5083

Update on COVID-19 Spending in California

Nov 5, 2020 - Within the physical distancing category, most money has been spent on schools and community colleges to help local educational agencies shift to remote learning. The state also has spent money on housing and homelessness to facilitate physical distancing.
https://lao.ca.gov/Publications/Report/4292

The 2025-26 Budget: Overview of the Governor's Budget

Jan 13, 2025 - The reason for the reduction is the recent voter approval of Proposition  35 (2024), which requires the state to spend less MCO tax money on offsetting General Fund spending and more money on provider rate increases.
https://lao.ca.gov/Publications/Report/4951

The 2018-19 Budget: Analysis of the Health and Human Services Budget

Feb 16, 2018 - There has been legislative interest in the fiscal and policy implications of ending the SSI cash ‑out policy. The decision of whether to end the SSI  cash ‑out involves trade ‑offs, which we discuss in our legislatively requested report The Potential Effects of Ending the SSI Cash‑Out (January 2018).
https://lao.ca.gov/Publications/Report/3757