The 2026-27 Budget: Medi-Cal Analysis

Mar 2, 2026 - The total savings across all budget solutions is lower, with a $400  million reduction in savings in 2025 ‑26 and a $200  million net reduction in 2026 ‑27. The savings reductions are concentrated in a few solutions, with lower estimated savings from newly collected drug rebates (a $400  million total reduction in savings across 2025 ‑26 and 2026 ‑27) and the end of coverage for
https://lao.ca.gov/Publications/Report/5146

An Update on the Public Health Laboratory System After the Pandemic

Jun 12, 2025 - Since the passage of the 2022-23 budget, there have been 58 graduates of this program. In the Governor ’s proposed May Revision, approximately $3.4  million for these programs is proposed for reversion.
https://lao.ca.gov/Publications/Report/5056

The 2024-25 Budget: Department of Health Care Access and Information

Feb 27, 2024 - Figure 2 Overall Spending Varies Year to Year HCAI Funding (In Millions) -58% HCAI = Department of Health Care Access and Information. In Current Year, Deferred One-Time Funds Drive Down General Fund Spending.
https://lao.ca.gov/Publications/Report/4860

The 2026-27 Budget: Medi-Cal Fiscal Outlook

Nov 19, 2025 - On a total fund basis, Medi ‑Cal is the largest program in the state budget, with its nearly $200  billion budget comprising 40  percent of spending across all sources (including federal funds). More than half of this amount comes from federal funds.
https://lao.ca.gov/Publications/Report/5092

The 2022-23 Budget: Overview of the Governor's Budget

Jan 13, 2022 - The remaining $200  million would be allocated to the state ’s 61 local health jurisdictions (LHJs) (58 counties and 3 cities), with funding allocated based in part on each LHJ ’s population share, level of poverty, and racial/ethnic make ‑up.
https://lao.ca.gov/Publications/Report/4492

The 2023-24 Budget: Whole Child Model Expansion

May 5, 2023 - Figure 1 More Counties Will Have Medi ‑Cal Managed Care Model With Only One Public Health Plan Number of California Counties in Each Model Counties With … Models With One Public Health Plan COHS model Models with private plans only b 22 58 — a In January 2024, two counties will switch from other models to a Two ‑Plan model, offset by two counties switching from a Two ‑Plan to a Single ‑Plan model. b Consists of the Regional, Geographic, San Benito, and Imperial models.
https://lao.ca.gov/Publications/Report/4767

The 2021-22 Budget: CalAIM: Equity Considerations

Mar 12, 2021 - First, by requiring managed care plans to establish population health management programs and provide ECM on a statewide basis, CalAIM would expand certain service components of Whole Person Care and Health Homes to all 58 c ounties.
https://lao.ca.gov/Publications/Report/4402

The 2024-25 Budget: Future of Public Health Budget Solution

May 21, 2024 - Beginning in 2022 ‑23, the Legislature approved $300  million in ongoing General Fund support for the department, which included $100  million for CDPH state operations and $200  million for LHJs. The purpose of the funding was to address shortfalls identified by the workgroup in the state ’s existing public health infrastructure.
https://lao.ca.gov/Publications/Report/4904

The 2024-25 California Spending Plan: Health

Sep 17, 2024 - In the 2022-23 spending plan, CDPH received $100  million General Fund for state operations and local health jurisdictions received $200  million General Fund —on an ongoing basis —to implement the recommendations of the Future of Public Health workgroup.
https://lao.ca.gov/Publications/Report/4930

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

Feb 16, 2021 - As a result, we expect the administration ’s Proposition   56 revenue estimates to be revised upward by around $50 million in 2020‑21 and around $200 million in 2021‑22 at May Revision. This would reduce the need for General Fund to support Proposition 56 provider payment increases by $200 million in 2021‑22.
https://lao.ca.gov/Publications/Report/4373