The 2026-27 Budget: Medi-Cal Analysis

Mar 2, 2026 - 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). Individuals must generally work, study, or volunteer at least 80  hours per month, or meet an earnings threshold (about $580 per month, equivalent to 80 hours at the federal minimum wage) unless they qualify for certain exemptions (such as having young children or being medically frail).
https://lao.ca.gov/Publications/Report/5146

The 2026-27 Budget: Medi-Cal Fiscal Outlook

Nov 19, 2025 - As   Figure  6 shows, we estimate that these policies reduce UIS adult participation in comprehensive coverage, with 1.5  million (64  percent) fewer people by 2029 ‑30 relative to the baseline. We assume those who leave comprehensive coverage remain enrolled in Medi ‑Cal with limited coverage.
https://lao.ca.gov/Publications/Report/5092

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

Mar 6, 2025 - The 2019 ‑20 budget package eliminated this share of cost for seniors and persons with disabilities up to 138  percent of FPL, consistent with the eligibility rules for children and adults through age 64.
https://lao.ca.gov/Publications/Report/5010

Estimated Cost of Expanding Full-Scope Medi-Cal Coverage to All Otherwise-Eligible Californians Regardless of Immigration Status

May 5, 2021 - By way of comparison, we estimate that 4  percent of restricted-scope Medi-Cal enrollees (most of whom are undocumented immigrants) are over age 64 or disabled, whereas around 18  percent of current full-scope enrollees are over age 64 or disabled.
https://lao.ca.gov/Publications/Report/4423

The 2020-21 Budget: Overview of the Governor's Budget

Jan 13, 2020 - For K ‑ 12 e ducation, the budget includes $1. 2  b illion for the Local Control Funding Formula, which reflects funding for the COLA offset by a 0. 3  p ercent attendance decline. For community colleges, the Governor ’s largest ongoing proposal is $ 199  m illion to cover the COLA and 0. 5  p ercent enrollment growth.
https://lao.ca.gov/Publications/Report/4135

Federal COVID-19 Response Actions Affecting Older Adults and Persons with Disabilities

Apr 16, 2020 - The program targets seniors who meet certain eligibility criteria, including older adults who (1)  are aged 65 and older or are between the ages of 60 to 64 and at high risk for COVID-19 exposure (such as seniors with compromised immune systems), (2)  have income below 600  percent of the federal poverty level, (3)  currently are ineligible for or not receiving other federally
https://lao.ca.gov/Publications/Report/4221

The 2020-21 Budget: Analysis of the Department of State Hospitals Budget

Feb 11, 2020 - Treatment Team and Primary Care Staffing Proposal This proposal requests $ 32  m illion General Fund and 80. 9 p ositions in 2020 ‑21, ramping up to $64. 2  m illion General Fund and 250. 2 p ositions in 2024 ‑25, and ongoing at that amount thereafter, for two separate components within DSH —treatment teams and primary care.
https://lao.ca.gov/Publications/Report/4154

The 2021-22 Spending Plan: Health

Oct 22, 2021 - The spending plan provides $8  million General Fund ($17  million total funds) to instead extend accelerated enrollment to such adults ages 19 through 64. Under this change —which is intended to aid in a settlement to a lawsuit against DHCS alleging that application processing is too slow —applicants would immediately qualify for Medi-Cal benefits while their income verifications are pending.
https://lao.ca.gov/Publications/Report/4465

The 2024-25 Budget: Medi-Cal Analysis

Feb 14, 2024 - Enact interim rate adjustments ranging on average from 10 percent to 4 0 percent prior to roll out of prospective payment system. UC and county hospital inpatient services 150 375 Transition to prospective payment system, similar to the way Medi ‑Cal pays for inpatient services at private and district hospitals.
https://lao.ca.gov/Publications/Report/4838

The 2022-23 Budget: Health Care Access and Affordability

Feb 23, 2022 - Reduce All Medi ‑Cal Premiums to $0. The Governor proposes to reduce all Medi ‑Cal premiums to $0 beginning July 2022. The  administration estimates that this would cost $18.9  million General Fund ($53.2  million total funds) in 2022 ‑23, increasing to $31  million General Fund ($89  million total funds) ongoing.
https://lao.ca.gov/Publications/Report/4560