The 2026-27 Budget: Medi-Cal Analysis

Mar 2, 2026 - One possible reason for our higher estimate is that our model reflects not only disenrollment among current enrollees, but also reduced enrollment flows over time and a persistent risk of disenrollment among eligible individuals due to added administrative burden.
https://lao.ca.gov/Publications/Report/5146

The 2025-26 Budget: Medi-Cal Pharmacy Spending

Apr 3, 2025 - Our imprecise estimates also suggest that state supplemental rebates have ebbed and flowed somewhat over time, but generally in the upward direction. In 2023 ‑24, we estimate these rebates comprised 3  percent of gross spending, up from as low as 1  percent in some years.
https://lao.ca.gov/Publications/Report/5026

The 2023-24 Budget: Analysis of the Governor’s Major Behavioral Health Proposals

Feb 16, 2023 - This new process could create cash ‑flow issues as counties will be paying the full cost of services in addition to paying their nonfederal share of costs to the state prior to federal reimbursement.
https://lao.ca.gov/Publications/Report/4689

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

May 21, 2024 - General Fund support typically ebbed and flowed year-over-year based on one-time appropriations for specific activities. Majority of CDPH Budget Supports LHJs. The majority of CDPH ’s budget goes to LHJs —mostly county health departments that carry out many of the state ’s public health programs.
https://lao.ca.gov/Publications/Report/4904

The 2026-27 Budget: Medi-Cal Fiscal Outlook

Nov 19, 2025 - As a result, as Figure 1 shows, Medi‑Cal faces a steady flow of major state and federal policy changes over the coming years. LAO Fiscal Outlook In the coming years, Medi ‑Cal ’s budget will be driven by baseline changes (underlying trends before the impacts of policy changes), the effects of the state ’s budget solutions, and the effects of the federal H.R. 1 legislation.
https://lao.ca.gov/Publications/Report/5092

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

Oct 24, 2025 - It accomplishes this purpose by receiving matching federal funds, with both federal funds and hospital fee revenue generally flowing back to private hospitals as payments. Most hospitals get more money back from this arrangement than they pay in fees.
https://lao.ca.gov/Publications/Report/5083

An Update on the Public Health Laboratory System After the Pandemic

Jun 12, 2025 - Specifically, the state does not collect data on the share of 1991 realignment funds flowing to laboratories, nor does the state collect data on other funding sources —like fees or county funds —laboratories could receive.
https://lao.ca.gov/Publications/Report/5056

The 2021-22 Budget: Analysis of CalAIM Financing Issues

Feb 16, 2021 - Whether and how the performance benchmarks would reflect ( 1)  t he intent for the funding to flow to providers and ( 2)  t he goal of sustaining Health Homes and Whole Person Care services and infrastructure is unclear.
https://lao.ca.gov/Publications/Report/4374

The 2022-23 California Spending Plan: Health

Oct 24, 2022 - The 2022-23 budget package also includes funding for various priorities of the Legislature, including (1) $40  million General Fund for the California Health Facilities Financing Authority to provide cash flow loans to non-designated state hospitals, (2) $20  million General Fund for a Los Angeles County reproductive health pilot program, (3) $15  million General Fund (increasing
https://lao.ca.gov/Publications/Report/4642

The 2021-22 Budget: LAO Preliminary Comments on the May Revision Medi-Cal Budget

May 21, 2021 - This funding would go directly from the state to service providers, rather than flowing through Medi ‑Cal managed care plans. LAO Comments Medi ‑Cal Population Health Management Service Could Improve Medi ‑Cal Performance Monitoring and Care Delivery … In our March 2021 analysis of CalAIM equity considerations , we raised the question of how enhancements to Medi‑Cal managed care
https://lao.ca.gov/Publications/Report/4436