The 2025-26 California Spending Plan: Health

Oct 16, 2025 - Under the spending plan, General Fund spending for the Department of State Hospitals (DSH) is $2.9  billion in 2025-26, a decrease of $166  million (about 6  percent) from the revised 2024-25 expenditure estimate.
https://lao.ca.gov/Publications/Report/5075

The 2026-27 Budget: Medi-Cal Fiscal Outlook

Nov 19, 2025 - The second is an increase in the frequency of required eligibility determinations from every 12 months to every 6 months. Both changes likely will notably reduce the number of childless adults enrolled in Medi ‑Cal.
https://lao.ca.gov/Publications/Report/5092

The 2026-27 Budget: Medi-Cal Analysis

Mar 2, 2026 - In June, the ongoing reductions associated with these solutions was estimated to be nearly $9  billion when fully implemented by 2028 ‑29. Governor’s Proposal Reflects Updated Savings Estimates Updated Estimates.
https://lao.ca.gov/Publications/Report/5146

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

Mar 6, 2025 - Figure  9 shows seniors enrolled in Medi ‑Cal as a percent of the total population over age 65. As shown in the figure, between 2015 and 2019, the share of seniors statewide who were enrolled in Medi ‑Cal ranged between about 18  percent and 18.5  percent.
https://lao.ca.gov/Publications/Report/5010

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

Feb 16, 2021 - The administration projects 9  p ercent of new enrollees will be SPDs. The preliminary actuals we have reviewed indicate that 5  p ercent of the enrollees added since the beginning of the pandemic are SPDs.
https://lao.ca.gov/Publications/Report/4373

The 2024-25 California Spending Plan: Health

Sep 17, 2024 - As Figure  6 shows, these reductions primarily affect one-time spending. Figure 6 General Fund Spending on HCAI Workforce Programs Appropriations (In Millions)
https://lao.ca.gov/Publications/Report/4930

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

Oct 24, 2025 - The current limit —set at 6  percent of a taxed provider group ’s overall net patient revenue —is intended to prevent states from adopting very large taxes and imposing high costs on the federal government.
https://lao.ca.gov/Publications/Report/5083

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

Mar 6, 2025 - As shown in Figure  9 , most MCPs have less than a 1  percent utilization rate for both ECM and Community Supports. Even plans that have a higher utilization rate for ECM may have a low utilization rate for Community Supports, and vice versa.
https://lao.ca.gov/Publications/Report/5003

The 2025-26 Budget: Overview of the Governor's Budget

Jan 13, 2025 - The  main differences between our estimates  include: Revenue Estimates Higher by $9   Billion. Over the budget window —2023 ‑24 through 2025 ‑ 26 —the administration ’s estimates of revenues (excluding policy proposals) are higher than our November 2024 estimate by $9  billion.
https://lao.ca.gov/Publications/Report/4951

The 2025-26 Budget: MCO Tax and Proposition 35

Feb 26, 2025 - Figure 6 Legislature Faces Two Key Sets of Oversight Issues Implementation of Augmentations When will the department begin implementing augmentations? How will the department structure the augmentations?
https://lao.ca.gov/Publications/Report/4992