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 2026-27 Budget: Medi-Cal Fiscal Outlook

Nov 19, 2025 - Pursuant to state law, most of the decline in revenue will affect supplemental payments to private hospitals, with only a portion (around 25  percent) resulting in less money for existing Medi ‑Cal costs.
https://lao.ca.gov/Publications/Report/5092

The 2026-27 Budget: Department of Developmental Services

Mar 13, 2026 - Chapter  4 of 2016 (S B  3 , Leno) has gradually increased California ’s statewide minimum wage from $8 per hour to $16 per hour. Under S B  3 , the statewide minimum wage will continue to increase by up to 3.5  percent each year, depending on inflation.
https://lao.ca.gov/Publications/Report/5157

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

May 17, 2021 - As shown in Figure  5, the Governor proposes allocating nearly $10  billion of this total to pay down deferred payments from previous years, $5  billion (including $2.1  billion ongoing) for high-poverty schools and districts, nearly $1.4  billion for community colleges, and the remainder (roughly $6  billion) for other K-12 spending.
https://lao.ca.gov/Publications/Report/4432

The 2024-25 California Spending Plan: Health

Sep 17, 2024 - Under the spending plan, General Fund spending for the Department of State Hospitals (DSH) is $3.3  billion in 2024-25, a decrease of $276  million, or about 8  percent, from the revised 2023-24 expenditure estimate.
https://lao.ca.gov/Publications/Report/4930

Mental Health Services Act: Revenue Volatility and the Governor’s Proposal to Reduce Allowable County Reserves

Jul 13, 2023 - Up to 5  Percent of Revenue Available for State Purposes. The MHSA allows up to 5  percent of overall revenues to be used for state administration of MHSA. The 5  percent is often referred to as the “state cap. ” Under current legislative practice, funding within the state cap that is not needed for direct MHSA administration is available for the Legislature to appropriate to various mental health programs.
https://lao.ca.gov/Publications/Report/4780

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

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

Mar 6, 2025 - Participation Makes Up Small Share of Overall Medi ‑Cal MCP Caseload, With Significant Variation Across Counties and MCPs. As shown in Figure  8 , the utilization rates of both ECM and Community Supports are low in most counties, with the majority of counties having an ECM utilization rate below 0.6  percent of MCP members and a Community Supports utilization rate below 0.4  percent.
https://lao.ca.gov/Publications/Report/5003

Issues That Could Impact Californians' Health Care Coverage in 2023 and Beyond

Dec 16, 2022 - As a result, individuals who missed previous enrollment windows will have another opportunity to sign up for Medicare, allowing them to maintain their Medi ‑Cal  eligibility. Undocumented Residents Who Turned 26 After March   2020.
https://lao.ca.gov/Publications/Report/4654

The 2021-22 Spending Plan: Health

Oct 22, 2021 - The POLST is a written medical order signed by a patient who is seriously ill and their doctor specifying the treatments the patient would like to receive; the POLST must be honored by other licensed medical personnel.
https://lao.ca.gov/Publications/Report/4465