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

Jan 13, 2025 - The  main differences between our estimates  include: Revenue Estimates Higher by $9   Billion. Over the budget window —2023 ‑24 through 2025 ‑ 26 —the administration ’s estimates of revenues (excluding policy proposals) are higher than our November 2024 estimate by $9  billion.
https://lao.ca.gov/Publications/Report/4951

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

Mar 6, 2025 - Figure  9 shows seniors enrolled in Medi ‑Cal as a percent of the total population over age 65. As shown in the figure, between 2015 and 2019, the share of seniors statewide who were enrolled in Medi ‑Cal ranged between about 18  percent and 18.5  percent.
https://lao.ca.gov/Publications/Report/5010

The 2025-26 Budget: CalAIM Enhanced Care Management and Community Supports Implementation Update

Mar 6, 2025 - As shown in Figure  9 , most MCPs have less than a 1  percent utilization rate for both ECM and Community Supports. Even plans that have a higher utilization rate for ECM may have a low utilization rate for Community Supports, and vice versa.
https://lao.ca.gov/Publications/Report/5003

The 2024-25 California Spending Plan: Health

Sep 17, 2024 - The spending plan includes $9  million ($4  million General Fund), growing to $114  million ($50  million General Fund) over several years, to implement a wellness coach benefit in Medi-Cal. The benefit will be aimed at children and youth with existing and emerging behavioral health needs.
https://lao.ca.gov/Publications/Report/4930

The 2021-22 Budget: Analysis of the Medi-Cal Budget

Feb 16, 2021 - The administration projects 9  p ercent of new enrollees will be SPDs. The preliminary actuals we have reviewed indicate that 5  p ercent of the enrollees added since the beginning of the pandemic are SPDs.
https://lao.ca.gov/Publications/Report/4373

The 2021-22 Budget: Medi-Cal Fiscal Outlook

Nov 18, 2020 - We project that average monthly Medi ‑Cal caseload will be 13. 8  m illion enrollees in 2020 ‑21, which is 9  p ercent higher than the revised estimate for 2019 ‑ 20 c aseload. Between 2020 ‑21 and 2021 ‑22, we project the caseload to grow from 13. 8  m illion enrollees to 14. 9  m illion —an increase of 8  p ercent, or 1. 1  m illion beneficiaries.
https://lao.ca.gov/Publications/Report/4299

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

Feb 27, 2024 - According to HCAI data, hospital margins (that is, the share of revenues available as profits, after netting out expenses) were 1  percent in 2022, considerably below the level in 2021 (9  percent). The fall in profits was due to expenses growing faster than revenues.
https://lao.ca.gov/Publications/Report/4860

The 2021-22 Budget: Behavioral Health: Community Care Demonstration Project

Feb 19, 2021 - Prior to the ongoing coronavirus disease 2019 (COVID ‑1 9) p andemic, the number of felony ISTs on the waitlist for competency restoration was typically around 800 i ndividuals (with an average wait time exceeding 100 days).
https://lao.ca.gov/Publications/Report/4382

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

Jan 13, 2023 - Specifically, the administration forecasts operating deficits ranging from $4  billion to $9  billion over the multiyear period. We recommend the Legislature avoid enacting a budget that plans for future deficits.
https://lao.ca.gov/Publications/Report/4662

Mental Health Services Act: Revenue Volatility and the Governor’s Proposal to Reduce Allowable County Reserves

Jul 13, 2023 - Moreover, as shown in Figure  9, MHSA revenue volatility could be reduced by around two-thirds with only a marginal increase in overall General Fund tax revenue volatility. This approach would come with other benefits as well.
https://lao.ca.gov/Publications/Report/4780