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

Oct 24, 2025 - H.R.  1 also scales back states ’ use of provider taxes by ratcheting down an existing revenue limit. 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 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

Overview of Proposition 1 and Assessment of Behavioral Health Continuum Infrastructure Program [Publication Details]

Apr 7, 2025 - Overview of Proposition 1 and Assessment of Behavioral Health Continuum Infrastructure Program [Publication Details] Translate Our Website This Google ™ translation feature provided on the Legislative Analyst's Office (LAO) website is for informational purposes only.
https://lao.ca.gov/Publications/Detail/5027

Considering Medi-Cal in the Midst of a Changing Fiscal and Policy Landscape [Publication Details]

Oct 24, 2025 - We describe the changing fiscal and policy landscape for Medi-Cal resulting from Congressional enactment of H.R. 1 and the key issues facing the Legislature.  See our companion infographic
https://lao.ca.gov/Publications/Detail/5083

Overview of Major Impacts of H.R. 1—One Big Beautiful Bill Act on CalFresh [Publication Details]

Nov 13, 2025 - Overview of Major Impacts of H.R. 1—One Big Beautiful Bill Act on CalFresh [Publication Details] Translate Our Website This Google ™ translation feature provided on the Legislative Analyst's Office (LAO) website is for informational purposes only.
https://lao.ca.gov/Publications/Detail/5090

The 2026-27 Budget: Medi-Cal Fiscal Outlook [Publication Details]

Nov 19, 2025 - This brief summarizes our annual outlook for General Fund spending on Medi-Cal.
https://lao.ca.gov/Publications/Detail/5092

The 2026-27 Budget: Medi-Cal Analysis [Publication Details]

Mar 2, 2026 - In this report, we analyze the Governor’s budget for Medi-Cal, with a focus on base spending trends, changes to provider taxes, implementation of new H.R. 1 rules, oversight over enacted budget solutions, and considerations for identifying additional savings in Medi-Cal.
https://lao.ca.gov/Publications/Detail/5146

The 2026-27 Budget: Medi-Cal Analysis

Mar 2, 2026 - The reduction to the state ’s health plan tax revenue is not necessarily required by H.R. 1 in the short term. Rather, the lower revenues are due to the interaction of H.R.  1 ’s new proportionality rules with Proposition  35 ’s limit on taxing commercial enrollment.
https://lao.ca.gov/Publications/Report/5146

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

Feb 5, 2025 - Oversight of BHCIP Needed to Maximize Success of Proposition  1 Bond. Proposition  1 adds another $4.4  billion to the BHCIP program, or about three times the amount of funding provided to BHCIP so far.
https://lao.ca.gov/Publications/Report/4954

The 2025-26 Budget: Medi-Cal Pharmacy Spending

Apr 3, 2025 - As Figure  6 shows, generic versions have become a growing share of antipsychotic prescriptions. Because these generic drugs are notably less expensive than their brand counterparts, their increasing use has helped limit spending on antipsychotics, driving down their share of overall gross pharmacy spending in  Medi ‑Cal.
https://lao.ca.gov/Publications/Report/5026