The 2026-27 Budget: Department of Developmental Services

Mar 13, 2026 - The funding to implement the rate study ’s recommended rate models was phased in beginning in 2021 ‑22, ramping up to current levels by 2024 ‑25. The increased funding was intended to support a sufficient supply of quality service providers by raising funding levels for providers via increased rates.
https://lao.ca.gov/Publications/Report/5157

The 2026-27 Budget: Medi-Cal Fiscal Outlook

Nov 19, 2025 - …But Up in Multiyear. After the current year, General Fund spending increases steadily each subsequent year. The amount rises to $47.3  billion in 2026 ‑27, ultimately reaching $51.6  billion by 2029 ‑30.
https://lao.ca.gov/Publications/Report/5092

The 2026-27 Budget: Medi-Cal Analysis

Mar 2, 2026 - DHCS also states that complying with this federal request may qualify California for an up to three ‑year transition period to make the fee more proportionate. Federal Rules Continue to Emerge, Creating Some Uncertainty for Structuring Provider Taxes.
https://lao.ca.gov/Publications/Report/5146

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

Mar 6, 2025 - Net Effects of Continuous Coverage, Unwinding, and Unwinding Flexibilities Account for Up to Remaining 60,000 of Increase in Senior Caseload. Subtracting the at least 165,000  increase in the senior caseload due to eligibility changes from the 225,000 total seniors due to policy changes leaves up to 60,000  seniors.
https://lao.ca.gov/Publications/Report/5010

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

Oct 24, 2025 - The legislation allows the Secretary of Health and Human Services (HHS) to grant states up to three years to comply. Gradually Reduces Revenue Limit Over Time. H.R.  1 also scales back states ’ use of provider taxes by ratcheting down an existing revenue limit.
https://lao.ca.gov/Publications/Report/5083

Building California’s Behavioral Health Infrastructure: Progress Update and Opportunities for the Proposition 1 Bond

Feb 5, 2025 - The BHSA requires that up to 3  percent of annual revenue (up to about $100  million) is spent on statewide behavioral health workforce initiatives administered by HCAI. BHCIP Created in 2021 ‑22 Budget.
https://lao.ca.gov/Publications/Report/4954

An Update on the Public Health Laboratory System After the Pandemic

Jun 12, 2025 - CDPH receives $92  million to support six foundational spending areas, including 25 positions in CLS, and is responsible for providing coordination, planning, and technical assistance to LHJs as they build up their infrastructure.
https://lao.ca.gov/Publications/Report/5056

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

Mar 6, 2025 - While the ECM benefit is intentionally targeted at a small subset of the overall Medi ‑Cal population, the take up appears to be between about one ‑third and one ‑quarter of those eligible for services.
https://lao.ca.gov/Publications/Report/5003

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

Jan 13, 2025 - Any level above zero is up to the discretion of the Legislature. Recent budgets have set the SFEU between $3.5  billion and $4  billion. The Governor proposes a $4.5  billion SFEU balance for the end of 2025 ‑26.
https://lao.ca.gov/Publications/Report/4951

The 2025-26 Budget: Medi-Cal Fiscal Outlook

Nov 20, 2024 - For planning purposes, our outlook assumes an initial cost that falls in between these estimates (around $1  billion) and ramps it up over time. Given the significant uncertainty, however, the Legislature likely will want to carefully assess the administration ’s estimates —including its back-up information —when released with the Governor ’s budget in January.
https://lao.ca.gov/Publications/Report/4941