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

May 22, 2024 - This year ’s early action shifted $3.1  billion out of the reserve to help address the budget problem. As a result of that action, DHCS projected that $841  million would remain in the reserve when the tax ends in 2026.
https://lao.ca.gov/Publications/Report/4905

The 2026-27 Budget: Medi-Cal Fiscal Outlook

Nov 19, 2025 - As a result, the cost from increased senior caseload more than offsets savings from other declining groups, resulting in net General Fund costs over the multiyear ($3.1  billion). General Fund Backfill Needed Due to Proposition   35 (2024).
https://lao.ca.gov/Publications/Report/5092

The 2023-24 Budget: Medi-Cal Fiscal Outlook

Nov 16, 2022 - We project that the end of the enhanced federal funding will increase General Fund spending by about $3.1  billion. However, we project that about $1.7  billion of this increase will be offset by a reduction in overall Medi ‑Cal costs due to unwinding certain PHE ‑related policies.
https://lao.ca.gov/Publications/Report/4649

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

Jan 13, 2025 - This is a relatively small number on a net basis, but is the result of many, much larger, offsetting differences. For example, the administration’s estimate of baseline costs in Medi‑Cal, the state’s Medicaid program, is higher than our November 2024 estimate by $3.1 billion in 2025‑26.
https://lao.ca.gov/Publications/Report/4951

CalFacts 2024 [Publication Details]

Dec 2, 2024 - CalFacts presents a wide range of facts and trends about the state's economy, finances, and programs.
https://lao.ca.gov/Publications/Detail/4942

The 2026-27 Budget: Medi-Cal Analysis

Mar 2, 2026 - For example, we estimated that a more proportionate tax netting around $7 billion in revenue could cost around $30 per member, per month—about a 5 percent increase on average to commercial health plan premiums.
https://lao.ca.gov/Publications/Report/5146

The 2022-23 California Spending Plan: Health

Oct 24, 2022 - The spending plan includes $2.5  billion General Fund ($8.9  billion total funds) in 2021-22 and $3.1  billion General Fund ($11.1  billion total funds) in 2022-23 associated with increased caseloads.
https://lao.ca.gov/Publications/Report/4642

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

Oct 24, 2025 - Safety Net Providers Likely Will Face Higher Uncompensated Care Costs. Some of the impacts from Medi ‑Cal caseload reductions and increases in the uninsured population likely will fall on safety net hospitals and clinics.
https://lao.ca.gov/Publications/Report/5083

The 2025-26 California Spending Plan: Health

Oct 16, 2025 - This net reduction in General Fund is primarily due to the end of temporary funding, partially offset by one-time supplemental funding for a number of state public health information technology (IT) systems.
https://lao.ca.gov/Publications/Report/5075

The 2025-26 Budget: Medi-Cal Pharmacy Spending

Apr 3, 2025 - Net Spending on Drugs Driven by Two Key Components. Medi ‑Cal pharmacy spending generally consists of two key components: Gross Payment for Drugs and Pharmacy Services. First, the state pays pharmacies for delivering drugs to patients.
https://lao.ca.gov/Publications/Report/5026