The 2026-27 Budget: Medi-Cal Analysis

Mar 2, 2026 - For example, we estimated that a more proportionate tax netting around $7 billion in revenue could cost around $30 per member, per month—about a 5 percent increase on average to commercial health plan premiums.
https://lao.ca.gov/Publications/Report/5146

Overview of Major Impacts of H.R. 1 – One Big Beautiful Bill Act [Publication Details]

Aug 20, 2025 - Assembly Budget Subcommittee No. 7 on Accountability and Oversight
https://lao.ca.gov/Publications/Detail/5067

The 2026-27 Budget: Department of Developmental Services

Mar 13, 2026 - As Figure  2 shows, DDS caseload has increased notably over the last ten years, with an average annual growth rate of about 5  percent in total caseload from 2015 through 2025. This is faster than the population growth in the state over this period.
https://lao.ca.gov/Publications/Report/5157

The 2026-27 Budget: Medi-Cal Fiscal Outlook

Nov 19, 2025 - Second, as Figure  7 shows, the state will reinstate a limit on assets for seniors and persons with disabilities. We estimate this reinstatement will result in about 90,000 fewer seniors (4  percent) in Medi ‑Cal by 2029 ‑30 relative to the baseline.
https://lao.ca.gov/Publications/Report/5092

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

Mar 6, 2025 - Based on a one ‑time analysis of actuarial data, DHCS estimated that between 3  percent and 5  percent of all MCP members were eligible for the ECM benefit under at least one POF. Some MCPs indicated that potential eligibility ranged from 3  percent to as high as 7  percent of their  membership.
https://lao.ca.gov/Publications/Report/5003

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

Oct 24, 2025 - The increase in premiums (around 5  percent, on average) could have a variety of effects. For enrollees with employer ‑sponsored coverage, much of the cost of higher premiums would fall on employers.
https://lao.ca.gov/Publications/Report/5083

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

Mar 6, 2025 - Largely as a result of these policies, Medi ‑Cal caseload increased by over 3  million enrollees (25  percent) between March  2020 and June 2023, as shown in Figure  5 . Counties resumed eligibility processing in April 2023, which resulted in overall Medi ‑Cal caseload beginning to decline starting in July 2023.
https://lao.ca.gov/Publications/Report/5010

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

Feb 27, 2024 - Also, some previously enacted one-time funds —such as the loan repayment initiative for county psychiatrists ($7  million General Fund and $7  million Mental Health Services Fund) —have not yet been spent.
https://lao.ca.gov/Publications/Report/4860

The 2025-26 California Spending Plan: Health

Oct 16, 2025 - Moreover, the spending plan includes General Fund reductions for operational efficiencies of $5  million in 2025-26, $6  million in 2026-27, and $2  million in 2027-28 and ongoing and for modified reporting requirements of $1.5  million in 2025-26 and ongoing.
https://lao.ca.gov/Publications/Report/5075

Mental Health Services Act: LAO Update: The Governor's Revised Behavioral Health Modernization Proposal

Aug 21, 2023 - Specifically, under the revised proposal, following review and approval from the Department of Health Care Services (DHCS), counties would be able to move between 5  percentage points and 7  percentage points of MHSA county funding from each category to another (up to a maximum of 10 to14  percentage points total).
https://lao.ca.gov/Publications/Report/4792