The 2023-24 Budget: Medi-Cal Fiscal Outlook

Nov 16, 2022 - This adjustment is driven by the extension of the national COVID ‑19 public health emergency (PHE) into January 2023, which (among other impacts) provides Medi ‑Cal more federal funding to offset General Fund costs than anticipated at budget act.
https://lao.ca.gov/Publications/Report/4649

The 2026-27 Budget: Medi-Cal Analysis

Mar 2, 2026 - Although H.R. 1 does not require states to apply the community engagement requirement and six ‑month renewals to adults with UIS (whose Medi ‑Cal full scope coverage is entirely state ‑funded), the administration proposes to do so.  
https://lao.ca.gov/Publications/Report/5146

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

Oct 24, 2025 - H.R.  1 also reduces the federal matching rate for emergency services provided to childless adults with UIS. As with childless adults who have satisfactory immigration status, the federal government currently pays 90  percent of emergency care costs.
https://lao.ca.gov/Publications/Report/5083

The 2026-27 Budget: Medi-Cal Fiscal Outlook

Nov 19, 2025 - For example, this change might require clinics to track their patients ’ immigration status —a practice that many clinics generally do not undertake. Any implementation challenges resulting from such hurdles could delay the timing of savings or reduce the long ‑term effect altogether.
https://lao.ca.gov/Publications/Report/5092

Update on COVID-19 Spending in California

Nov 5, 2020 - While the pandemic is ongoing, some workers, often called essential workers, cannot do their jobs remotely and work in sectors of the economy that are necessary for the needs of society. These workers have continued to do their jobs, so the state has undertaken some activities to mitigate their risk of contracting or spreading COVID-19 or to provide other support that allows them to continue working.
https://lao.ca.gov/Publications/Report/4292

The 2022-23 Budget: Public Health Foundational Support

Feb 16, 2022 - CDPH said it would require LHJs to prepare them if they do not already have them and would provide technical assistance. Whether these 19 LHJs would be able to successfully complete high ‑quality CHAs and CHIPs to form the basis of their local plans by July  1, 2023 and how much and what type of support and technical assistance they would need to do so are unclear.
https://lao.ca.gov/Publications/Report/4544

The 2021-22 Budget: Medi-Cal Fiscal Outlook

Nov 18, 2020 - However, were the emergency to expire six months sooner than we assume, the state would face over $ 1  b illion in higher General Fund costs in Medi ‑Cal in 2021 ‑22. Assumes Suspensions Do Not Take Effect Similar to action taken in 2019 ‑20, the budget act makes several ongoing Medi ‑Cal spending items subject to potential suspension in 2021 ‑22.
https://lao.ca.gov/Publications/Report/4299

The 2022-23 Budget: Analysis of the Medi-Cal Budget

Feb 9, 2022 - Unless prematurely terminated (which we do not think is likely), the PHE currently is set to remain in place until April 16, 2022. Additionally, the Biden administration has committed to providing 60 ‑day notice of a possible termination of the PHE.
https://lao.ca.gov/Publications/Report/4522

The 2026-27 Budget: Department of Developmental Services

Mar 13, 2026 - DDS indicated that it intends to collaborate with RCs to monitor any potentially emerging workload needs resulting from H.R. 1 ‑related requests for assistance from consumers. Assessment and Issues for Legislative Consideration Legislative Oversight Can Help Minimize Potential Adverse Impacts of H.R. 1.
https://lao.ca.gov/Publications/Report/5157

Climate Change Impacts Across California - Health

Apr 5, 2022 - (Currently, Medi ‑Cal plans are not required to provide these benefits, but have the option to do so.) Additionally, the Legislature could consider strengthening Medi ‑Cal managed care plans ’ role in helping their members prepare for and navigate services during and after emergencies.
https://lao.ca.gov/Publications/Report/4580