The 2026-27 Budget: Medi-Cal Analysis

Mar 2, 2026 - For example, we estimated that a more proportionate tax netting around $7 billion in revenue could cost around $30 per member, per month—about a 5 percent increase on average to commercial health plan premiums.
https://lao.ca.gov/Publications/Report/5146

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

Mar 6, 2025 - The Governor ’s 2025 ‑26 budget proposes ECM spending at $956  million (total funds) and Community Supports spending at $231  million (total funds), a $67  million (7.5  percent) and $11  million (5  percent) increase over revised 2024 ‑25 levels, respectively.
https://lao.ca.gov/Publications/Report/5003

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 - Our understanding is that California ’s hospital fee, which is pending federal approval for 2025, is at around 5  percent. This means that the state will need to gradually reduce the hospital fee in the future to comply with the new limit.
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 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 2024-25 California Spending Plan: Health

Sep 17, 2024 - Withdrawing the scheduled end of the deferral in 2024-25, thereby allowing it to continue, provides $5 33  million one-time General Fund savings in 2024-25. Reduces Equity and Practice Transformation Payments .
https://lao.ca.gov/Publications/Report/4930

The 2025-26 Budget: Medi-Cal Fiscal Outlook

Nov 20, 2024 - 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

Mental Health Services Act: Revenue Volatility and the Governor’s Proposal to Reduce Allowable County Reserves

Jul 13, 2023 - Up to 5  Percent of Revenue Available for State Purposes. The MHSA allows up to 5  percent of overall revenues to be used for state administration of MHSA. The 5  percent is often referred to as the “state cap. ” Under current legislative practice, funding within the state cap that is not needed for direct MHSA administration is available for the Legislature to appropriate to various mental health programs.
https://lao.ca.gov/Publications/Report/4780

Mental Health Services Act: Proposed Restructuring of the MHSA Funding Categories and Impacts on County Spending

Jul 13, 2023 - Figure 1 Allocation of Current MHSA Funding Categories Current MHSA Funding Category Examples of Types of Services/Activities MHSA Revenue Allocation 5 percent MHSA = Mental Health Services Act. Largest Funding Category by Far —Community Services and Supports (CSS) —Affords Counties Significant Discretion.
https://lao.ca.gov/Publications/Report/4782