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

Mar 6, 2025 - ABD FPL program enrollees have countable income under 138  percent of the FPL, are not enrolled in SSI, and do not have a share of  cost. What is Causing the Growth in the Senior Caseload? In this section, we estimate the extent to which four possible explanations —each related to a policy change —are causing increases in the senior caseload, while enrollment in the other
https://lao.ca.gov/Publications/Report/5010

The 2026-27 Budget: Department of Developmental Services

Mar 13, 2026 - In 2023, the Legislature codified several efforts to make processes across RCs more consistent in order to improve access to services statewide (Chapter  192 of 2023 [S B  138 , Committee on Budget and Fiscal Review]).
https://lao.ca.gov/Publications/Report/5157

The 2025-26 California Spending Plan: Health

Oct 16, 2025 - With regard to income, seniors and persons with disabilities still must have countable income below 138  percent of the federal poverty level. This budget solution provides General Fund savings of $45  million in 2025-26, $ 343  million in 2026-27, and $ 510  million in 2027-28 and ongoing.
https://lao.ca.gov/Publications/Report/5075

Realignment and County Indigent Health Care Programs [Publication Details]

Mar 19, 2026 - Presented to: Senate Budget Subcommittee No. 3 on Health and Human Services
https://lao.ca.gov/Publications/Detail/5164

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 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 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 2023-24 Budget: Whole Child Model Expansion

May 5, 2023 - Background This section provides background on (1)  the CCS program; (2)  Medi-Cal managed care; and (3)  the Whole Child Model, which increases the role of Medi-Cal managed care plans in administering CCS services to beneficiaries.
https://lao.ca.gov/Publications/Report/4767

The 2026-27 Budget: Medi-Cal Fiscal Outlook

Nov 19, 2025 - As   Figure  3 shows, baseline changes —underlying factors before the effects of state budget solutions and federal policy changes —are the primary drivers of growth ($12.8  billion). New costs under H.R.1 also contribute to the growth ($3.2  billion).
https://lao.ca.gov/Publications/Report/5092

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

Oct 24, 2025 - In revisiting the Medi ‑Cal program, the Legislature faces three key questions: (1)  who should Medi ‑Cal serve, (2)  what per ‑enrollee service level should Medi ‑Cal provide, and (3)  what non ‑General Fund financing options are available?
https://lao.ca.gov/Publications/Report/5083