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

Jan 13, 2025 - The forthcoming Appendix 2 and 3 will also provide a complete list of the savings, spending, and tax expenditure proposals. Savings Proposals Generates $1.6 Billion School and Community College Settle‑Up Obligation in 2024‑25.
https://lao.ca.gov/Publications/Report/4951

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

Oct 24, 2025 - In July 2025, Congress passed and the President signed H.R. 1 —titled the One Big Beautiful Bill Act. This legislation includes about $1  trillion in federal Medicaid reductions over ten years, representing the most significant changes to federal Medicaid policy since the ACA.
https://lao.ca.gov/Publications/Report/5083

The 2025-26 Budget: Medi-Cal Fiscal Outlook

Nov 20, 2024 - As Figure  1 shows, this growth reflects both higher estimated spending in the short term and a substantial ramp up over the longer term. Two Key Drivers Increase Medi-Cal Spending in Outlook. In Figure  2 we break down the drivers of Medi-Cal spending over the outlook period, but the majority of the increase in Medi-Cal spending comes from two key drivers.
https://lao.ca.gov/Publications/Report/4941

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 - As a result, as Figure  2 shows, Medi ‑Cal comprises 19  percent of overall General Fund spending by the end of our outlook period —slightly lower than the 20  percent share in the 2025 ‑26 enacted  budget.
https://lao.ca.gov/Publications/Report/5092

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 2025-26 Budget: Medi-Cal Pharmacy Spending

Apr 3, 2025 - In 2023 ‑24, we estimate these rebates comprised 3  percent of gross spending, up from as low as 1  percent in some years. This increase was expected following the switch to the Medi ‑Cal Rx system in 2022.
https://lao.ca.gov/Publications/Report/5026

The 2021-22 Budget: Initial Comments on the Governor’s May Revision

May 17, 2021 - Major Spending Choices Figure  2 displays the major budgetary decisions that the Governor made in allocating state and federal money, totaling $85  billion. It includes (1)  the General Fund surplus, (2)  school and community college spending, (3)  the American Rescue Plan (ARP) fiscal relief funds, and (4)  ARP capital projects funds.
https://lao.ca.gov/Publications/Report/4432

The 2024-25 Budget: The MCO Tax Package at May Revision

May 22, 2024 - These augmentations were expected to cost $2.7  billion MCO tax funds at full implementation (when the tax was estimated at the time to raise between $5  billion and $5.4  billion annually in net revenue).
https://lao.ca.gov/Publications/Report/4905

Enhancing Federal Financial Participation for Consumers Served by the Department of Developmental Services

Nov 9, 2021 - Based on the current cost of an RC specialist ‑type employee, adding one or two specialists in each of the state ’s 21 RCs would cost approximately $ 2 m illion to $ 5 m illion. Medicaid reimbursements would cover some of the costs of these additional county and RC staff.
https://lao.ca.gov/Publications/Report/4471