The 2025-26 California Spending Plan: Health

Oct 16, 2025 - When the Governor first announced this proposal, HCAI estimated the funds would cover around 25  percent of newborn babies in 2025-26 and around 50  percent of newborn babies in 2026-27. The initiative is expected to end at the end of 2026-27, absent delays in implementation or future augmentations to make the initiative ongoing.
https://lao.ca.gov/Publications/Report/5075

The 2026-27 Budget: Department of Developmental Services

Mar 13, 2026 - For example, the spending share of residential services has decreased from 46  percent to 38  percent, while the spending share of support and training services has increased from 8  percent to 15  percent.
https://lao.ca.gov/Publications/Report/5157

The 2026-27 Budget: Medi-Cal Fiscal Outlook

Nov 19, 2025 - For existing payments, H.R. 1 allows states to gradually ramp down to the new limit beginning in January 202 8. Much of the hospital fee program supports additional managed care payments to private hospitals, and some of these payments were anticipated to exceed the Medicare limit in the 2025 fee program.
https://lao.ca.gov/Publications/Report/5092

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

Oct 24, 2025 - Figure 8 Some Medi ‑Cal Populations Are Optional Under Federal Law Examples of Key Medi ‑Cal Populations Mandatory
https://lao.ca.gov/Publications/Report/5083

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 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

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