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 Analysis

Mar 2, 2026 - This section focuses on (1)  new community engagement requirements, (2)  the new six ‑month renewal requirement, and (3)  changes that eliminate federally funded full ‑scope (comprehensive) Medi ‑Cal coverage for certain immigrant groups.
https://lao.ca.gov/Publications/Report/5146

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 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

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

Oct 24, 2025 - The increase in premiums (around 5  percent, on average) could have a variety of effects. For enrollees with employer ‑sponsored coverage, much of the cost of higher premiums would fall on employers.
https://lao.ca.gov/Publications/Report/5083

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

Mar 6, 2025 - As shown in Figure  2 , MCPs have been required to provide the ECM benefit to members based on a list of eligible POF categories that have grown over time. These POFs are intended to direct the benefit to members who would especially benefit from personalized care coordination, such as individuals at risk for avoidable hospitalization or emergency department utilization.
https://lao.ca.gov/Publications/Report/5003

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

Jan 13, 2025 - Some of the largest spending augmentations proposed include: (1) $60  million to provide additional grants under the Cal Competes program; (2)  the intent to partially restore an ongoing reduction to the trial courts, which, if enacted, would cost $42  million ongoing; and (3)  the Governor ’s proposed expansion to College Corps, which would cost $5  million in 2025 ‑26, but grow to $84  million  ongoing.
https://lao.ca.gov/Publications/Report/4951

The 2025-26 Budget: Medi-Cal Fiscal Outlook

Nov 20, 2024 - 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. The largest driver pertains to increases in “baseline costs ” —related to increases in the utilization of services and provider rates (which grow between 3  percent and 5  percent a year) that are partially offset by declines in overall caseload.
https://lao.ca.gov/Publications/Report/4941

The 2025-26 Budget: Medi-Cal Pharmacy Spending

Apr 3, 2025 - As   Figure  5 shows, at the start of 2018, antipsychotics (drugs that treat certain mental health conditions) and insulin (drugs that help regulate blood sugar for diabetics) represented around one ‑quarter of gross spending.
https://lao.ca.gov/Publications/Report/5026

The 2024-25 California Spending Plan: Health

Sep 17, 2024 - The spending plan includes $800,000 of one-time funding in 2024-25 and $2  million ongoing General Fund to support CCR and maintain data system integrity. Health Care Access and Information Ratchets Down HCAI Spending.
https://lao.ca.gov/Publications/Report/4930