The 2026-27 Budget: Medi-Cal Fiscal Outlook

Nov 19, 2025 - We estimate that the remaining ongoing budget solution savings ($2.7  billion) over the multiyear will mainly come from two key areas. First, the state enacted several policy changes to reduce pharmacy spending.
https://lao.ca.gov/Publications/Report/5092

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

May 22, 2024 - These augmentations were expected to cost $2.7  billion MCO tax funds at full implementation (when the tax was estimated at the time to raise between $5  billion and $5.4  billion annually in net revenue).
https://lao.ca.gov/Publications/Report/4905

The 2025-26 Budget: Medi-Cal Fiscal Outlook

Nov 20, 2024 - Our outlook estimates $37.8  billion General Fund support for Medi-Cal in 2024 ‑25 —a net increase of $2.7  billion relative to the enacted level. This increase is driven primarily by a rapidly growing senior caseload (even while overall caseload is declining) and the passage of Proposition  35, both of which we describe further below.
https://lao.ca.gov/Publications/Report/4941

The 2022-23 Budget: Overview of the Governor's Budget

Jan 13, 2022 - Compared with the estimates in the June 2021 budget plan, the administration revises its estimates of the guarantee up $2.5  billion (2.7  percent) in 2020 ‑21 and $5.3  billion (5.7  percent) in 2021 ‑22.
https://lao.ca.gov/Publications/Report/4492

The 2023-24 Budget: Analysis of the Medi-Cal Budget

Feb 10, 2023 - Relative to 2022 ‑23, these assumptions result in a net increase of roughly $2.7  billion in General Fund costs due to increased state spending to backfill the expiration of the enhanced federal funding, which is partially offset by lower caseload costs once eligibility redeterminations  resume.
https://lao.ca.gov/Publications/Report/4675

The 2021-22 Budget: CalAIM: New Directions for Services for Seniors and Persons With Disabilities

Mar 15, 2021 - In our 2016 r eport, A Long‑Term Outlook: Disability Among California’s Seniors , we projected that the number of seniors in California with disabilities (as defined by limitations in routine activities of daily living, such as dressing or bathing) will increase by 135 percent, from 1.2 million in 2019 to 2.7 million in 2060, which is greater than the projected growth of the overall senior population (83 percent) over the same period.
https://lao.ca.gov/Publications/Report/4404

The 2022-23 Budget: Analysis of the Medi-Cal Budget

Feb 9, 2022 - On  an ongoing basis, the administration projects the expansion would cost $2.2  billion General Fund ($2.7  billion total funds) annually. Of this ongoing annual spending, about $400  million General Fund is expected to fall outside of the Medi ‑Cal budget and instead be captured in the In ‑Home Supportive Services (Department of Social Services) budget.
https://lao.ca.gov/Publications/Report/4522