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 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 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 2026-27 Budget: Department of Developmental Services

Mar 13, 2026 - The Lanterman Act requires DDS to serve all individuals determined eligible by an RC. The program has never required means testing, so income is not considered when an individual applies for services.
https://lao.ca.gov/Publications/Report/5157

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

The 2023-24 Budget: Analysis of the Medi-Cal Budget

Feb 10, 2023 - Continuous Coverage Requirement Ending Will Impact Some Populations More Than Others. We expect the decline in caseload associated with the earlier end date of the continuous coverage requirement will be concentrated primarily among the ACA optional expansion and family caseloads.
https://lao.ca.gov/Publications/Report/4675

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

Oct 24, 2025 - Previous Medicaid law allowed, but did not require, states to impose cost ‑sharing requirements on select populations. The new requirement will only apply to childless adults earning more than 100  percent of the federal poverty limit.
https://lao.ca.gov/Publications/Report/5083