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

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

Oct 24, 2025 - …But Potentially With Added Complexity. Adding more flexibilities also could come with the potential downside of more complexity for beneficiaries and counties. For example, exempting high unemployment counties from work requirements could create more volatility.
https://lao.ca.gov/Publications/Report/5083

The 2026-27 Budget: Department of Developmental Services

Mar 13, 2026 - The department stated that its budget projections for 2026 ‑27 do not incorporate any potential added costs due to the changes in H.R 1. Will the department be able to determine whether its costs increase in the future due to H.R. 1?
https://lao.ca.gov/Publications/Report/5157

The 2025-26 California Spending Plan: Health

Oct 16, 2025 - These combined efforts are estimated to generate $175  million General Fund savings in 2025-26, rising to $350  million General Fund savings in subsequent years. Other Budget Solutions Medi-Cal-related budget solutions also include, but are not limited to, the following solutions.
https://lao.ca.gov/Publications/Report/5075

The 2022-23 California Spending Plan: Health

Oct 24, 2022 - Beginning January 1, 2023, Doula services will be added as a preventative service in Medi-Cal. The spending plan includes $377,000 General Fund ($974,000 total funds) for this benefit. Reduce Medi-Cal Premiums to Zero.
https://lao.ca.gov/Publications/Report/4642

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

Mar 6, 2025 - In the paragraphs that follow, we provide our analysis that results in ou r estimate of at least 165,000 seniors being added due to eligibility expansions since 2020. (As a consequence of this estimate, it follows naturally that we estimate up to 60,000  seniors being added due to the effects of continuous coverage, the unwinding, and unwinding flexibilities, for a total increase of 225,000 seniors due to policy changes.)
https://lao.ca.gov/Publications/Report/5010

Building California’s Behavioral Health Infrastructure: Progress Update and Opportunities for the Proposition 1 Bond

Feb 5, 2025 - Strategies to do so have included expanding the behavioral health workforce; adding benefits and increasing rates in Medi ‑Cal; and increasing capacity through managed care plans, schools, and in other  settings.
https://lao.ca.gov/Publications/Report/4954

The 2026-27 Budget: Medi-Cal Fiscal Outlook

Nov 19, 2025 - Federal law currently limits the overall revenue generated by provider taxes to 6  percent of providers ’ overall net patient revenue. This limit is intended to prevent states from adopting very high taxes and placing more cost on the federal government.
https://lao.ca.gov/Publications/Report/5092

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

Jan 13, 2025 - These proposals generate a total of $2.2  billion General Fund savings within the budget window. Second, the Governor ’s budget includes new discretionary proposals that use budget capacity by increasing spending or reducing revenues.
https://lao.ca.gov/Publications/Report/4951

The 2024-25 Budget: The MCO Tax Package at May Revision

May 22, 2024 - For example, one rule limits the total amount of revenue the MCO tax can generate to 6  percent of the total revenue earned by MCOs. The federal government generally has approved the MCO tax, but has not released its decision on the early action to further increase the tax.
https://lao.ca.gov/Publications/Report/4905