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 Fiscal Outlook

Nov 19, 2025 - Handful of Other Adjustments Results in Net Reduction. Our baseline outlook includes other smaller adjustments that, on net, slightly offset some of the spending increases over the multiyear ($1.9  billion).
https://lao.ca.gov/Publications/Report/5092

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

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

The 2023-24 Budget: Medi-Cal Fiscal Outlook

Nov 16, 2022 - We assume these adjustments return to previous levels in 2023 ‑24, resulting in a net General Fund spending decline of $2.1  billion. Unwinding of PHE Increases Net General Fund Spending in Budget Year.
https://lao.ca.gov/Publications/Report/4649

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

Jan 13, 2025 - On a net basis, these items slightly improve the budget’s bottom line. Neither our November estimates nor the administration ’s estimates included any costs associated with the devastating wildfires in Southern California, as both were developed before those wildfires began.
https://lao.ca.gov/Publications/Report/4951

The 2022-23 Budget: Medi-Cal Fiscal Outlook

Nov 17, 2021 - Significant Underlying Net Cost Growth Underlying Net Cost Growth Averaging Around $900 Million Annually Throughout the Forecast Window. Underlying net cost growth reflects the fiscal impact of changes in the Medi ‑Cal caseload and per ‑enrollee costs.
https://lao.ca.gov/Publications/Report/4474

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

May 22, 2024 - As a result of these actions, the tax is raising $5.7  billion annually in net revenue. Tax Was Estimated to Be at Federal Limit. The federal government must approve the MCO tax before it can go into effect.
https://lao.ca.gov/Publications/Report/4905