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

Jan 13, 2020 - Governor Has a $6   Billion Surplus to Allocate. We estimate the Governor had a $6  b illion surplus to allocate in the 2020 ‑ 21 b udget process. (The box below gives more information on how we use the term “surplus ” in the Overview of the Governor ’s Budget .)
https://lao.ca.gov/Publications/Report/4135

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

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

Feb 16, 2021 - Under the Governor ’s proposed budget, General Fund spending in Medi ‑Cal would grow from $22. 5  b illion in 2020 ‑ 21 t o $28. 4  b illion in 2021 ‑ 22 —a $5. 9  b illion, or 26  p ercent, increase in year ‑over ‑year spending.
https://lao.ca.gov/Publications/Report/4373

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

Feb 19, 2021 - A California Superior Court ruled that DSH is required to place felony ISTs into competency restoration treatment within 28 days, and gave DSH until October   2020 t o comply with the order. DSH appealed the ruling and the effect is on stay pending results of the appeal.
https://lao.ca.gov/Publications/Report/4382

COVID-19: Federal Health-Related Response

Mar 23, 2020 - Updated May 6, 2020 to reflect revised estimates of the fiscal impact of enhanced federal Medicaid funding available through the Families First Coronavirus Response Act. Updated April 7, 2020 to reflect the state ’s intention to cover COVID-19 testing for the uninsured through Medi-Cal.
https://lao.ca.gov/Publications/Report/4209

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

Mar 6, 2025 - Figure  6 shows the cumulative percentage change for each category of Medi ‑Cal enrollees from April 2020 (when the continuous coverage period began) through December 2024 (a year and a half after the beginning of the unwinding of the continuous coverage requirement).
https://lao.ca.gov/Publications/Report/5010

The 2021-22 Budget: Medi-Cal Fiscal Outlook

Nov 18, 2020 - (These estimated savings arise despite our projections of significant year ‑over ‑year caseload growth in 2020 ‑21 under the pandemic. From 2019 ‑ 20 t o 2020 ‑21, we project that average monthly caseload will grow by 9  p ercent from over 12. 6  m illion enrollees to nearly 13. 8  m illion enrollees.
https://lao.ca.gov/Publications/Report/4299

Fiscal Outlook: Medi-Cal

Nov 14, 2018 - The second scenario reflects the estimated effects of a moderate recession during 2020-21. Figure  2 summarizes our Medi-Cal spending projections for our growth and recession scenarios over the outlook window, under which Medi-Cal General Fund spending is projected to reach $27.5  billion (5.1  percent average annual growth) and $28  billion (5.6  percent average annual growth), respectively, by 2022-23.
https://lao.ca.gov/Publications/Report/3898

The 2025-26 Budget: Health Care Access and Information

Feb 20, 2025 - As   Figure  6 shows, while brand drugs represented a small share of commercial health plan fee‑for‑service claims in 2021, they comprised a majority of spending. Costs also are higher for consumers, with average out‑of‑pocket costs more than four times the cost for brand drugs than generics.
https://lao.ca.gov/Publications/Report/4979

Update on COVID-19 Spending in California

Nov 5, 2020 - Figure  6 shows each individual expenditure that we have included in our estimates. The figure is organized by the six different types of COVID-19 spending identified in the previous section. The Appendix also provides more detail on the major individual COVID-19-related expenditures.
https://lao.ca.gov/Publications/Report/4292