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

Mar 6, 2025 - Figure  8 shows caseload in the three senior aid categories from April 2021 through December 2024. Senior caseload grew by about 320,000 individuals over the period, with growth occurring almost exclusively in the Medically Needy category.
https://lao.ca.gov/Publications/Report/5010

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

Mar 6, 2025 - As shown in Figure  8 , the utilization rates of both ECM and Community Supports are low in most counties, with the majority of counties having an ECM utilization rate below 0.6  percent of MCP members and a Community Supports utilization rate below 0.4  percent.
https://lao.ca.gov/Publications/Report/5003

The 2024-25 California Spending Plan: Health

Sep 17, 2024 - Under the spending plan, General Fund spending for the Department of State Hospitals (DSH) is $3.3  billion in 2024-25, a decrease of $276  million, or about 8  percent, from the revised 2023-24 expenditure estimate.
https://lao.ca.gov/Publications/Report/4930

The 2021-22 Budget: Medi-Cal Fiscal Outlook

Nov 18, 2020 - We project that average monthly Medi ‑Cal caseload will be 13. 8  m illion enrollees in 2020 ‑21, which is 9  p ercent higher than the revised estimate for 2019 ‑ 20 c aseload. Between 2020 ‑21 and 2021 ‑22, we project the caseload to grow from 13. 8  m illion enrollees to 14. 9  m illion —an increase of 8  p ercent, or 1. 1  m illion beneficiaries.
https://lao.ca.gov/Publications/Report/4299

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

Jul 13, 2023 - In the first few years of experience, counties received a surge in revenue during 2020-21 (60  percent), followed by healthy growth in 2021-22 (8  percent), and a large decline in revenue in 2022-23 (35  percent).
https://lao.ca.gov/Publications/Report/4780

Issues That Could Impact Californians' Health Care Coverage in 2023 and Beyond

Dec 16, 2022 - Since 2013, the percent of Californians who lack comprehensive health care coverage has declined from over 19  percent to about 8  percent. As a result, about 92  percent of Californians have health coverage.
https://lao.ca.gov/Publications/Report/4654

The 2021-22 Budget: Medi-Cal Enterprise System Modernization Effort

Feb 17, 2021 - The remaining $8. 2  m illion ($1. 1  m illion General Fund) in 2021 ‑22 would provide resources to plan and support the new MES Modernization effort more broadly. Figure   1 describes each of these modernization proposals and provides the requested limited ‑term funding amount in 2021 ‑22.
https://lao.ca.gov/Publications/Report/4375

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

May 17, 2021 - For example, the Governor counts $27  billion in constitutionally required spending on schools and community colleges, nearly $8  billion in required reserve deposits, and $3  billion in required debt payments in his calculation of the surplus.
https://lao.ca.gov/Publications/Report/4432

The 2022-23 Budget: Analysis of the Medi-Cal Budget

Feb 9, 2022 - Budget Year Proposed General Fund Spending Growth of $8   Billion —to $34.9   Billion —Between 2021 ‑22 and 2022 ‑23. The Governor proposes $34.9  billion in General Fund spending ($133  billion  total funds) in 2022 ‑23, a roughly $8  billion (30  percent) increase in General Fund spending over the revised 2021 ‑22 estimate.
https://lao.ca.gov/Publications/Report/4522

The 2022-23 California Spending Plan: Health

Oct 24, 2022 - The spending plan provides $4.6  million General Fund ($8  million total funds) to expand the FPACT program to include HPV vaccines for individuals between the ages of 19 through 45. Conforming to Federal Law on Coverage of Clinical Trials.
https://lao.ca.gov/Publications/Report/4642