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 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

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 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

The 2025-26 Budget: Health Care Access and Information

Feb 20, 2025 - Established by legislation in 2020 ( Chapter 207 of 2020 [SB 852, Pan] ), the program aims to reduce the cost of drugs by expanding the availability of low‑cost generics in the market. The program accomplishes this objective by entering into partnerships with private entities to distribute or manufacture generic drugs.
https://lao.ca.gov/Publications/Report/4979

Impact of COVID-19 on Health Care Access

May 7, 2021 - Medi-Cal managed care enrollment has surged under the pandemic, growing by nearly 750,000 members (8  percent) between March  2020 and December 2020. This contrasts to a 3  percent decline in Medi-Cal managed care enrollment over the same period in 2019.
https://lao.ca.gov/Publications/Report/4426

The 2021-22 Budget: Initial Comments on the Governor’s May Revision

May 17, 2021 - For example, the Governor counts $27  billion in constitutionally required spending on schools and community colleges, nearly $8  billion in required reserve deposits, and $3  billion in required debt payments in his calculation of the surplus.
https://lao.ca.gov/Publications/Report/4432

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 2021-22 Spending Plan: Health

Oct 22, 2021 - This funding builds on $3.1  million ongoing General Fund provided in 2018 ‑19 for research grants and $8  million General Fund, of which $3  million is ongoing, provided in 2019 ‑20 for local infrastructure, program grants, state operation, and the Governor ’s Task Force on Alzheimer ’s Prevention and Preparedness.
https://lao.ca.gov/Publications/Report/4465

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