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

Feb 10, 2023 - Net Impact of LAO Alternative Estimates Lower General Fund Spending in 2023 ‑24. Relative to the Governor ’s budget, we estimate that lower caseload costs effectively will offset the General Fund impact from the ramp down of the enhanced federal funding in 2022 ‑23.
https://lao.ca.gov/Publications/Report/4675

The 2024-25 Budget: Medi-Cal Fiscal Outlook

Dec 7, 2023 - From our estimated level in 2023-24, we project General Fund spending to decline in 2024-25 by $400  million (1.1  percent) to $36.6  billion. As Figure  1 shows, this decline is the net effect of several downward and upward adjustments.
https://lao.ca.gov/Publications/Report/4820

The 2022-23 Budget: Medi-Cal Fiscal Outlook

Nov 17, 2021 - However, legislative reauthorization of a similar MCO tax for a three ‑year period beginning in January 2023 could result in around $2 billion in annual General Fund savings relative to our projections in 2023 ‑24 and 2024 ‑25 and $1 billion in General Fund savings in 2025 ‑26.
https://lao.ca.gov/Publications/Report/4474

The 2023-24 California Spending Plan: Health

Oct 23, 2023 - This net increase generally reflects reappropriations to address the Incompetent to Stand Trial (IST) waitlist, continued COVID-19 response funding, and the continued planning of the electronic health records project.
https://lao.ca.gov/Publications/Report/4810

The 2023-24 Budget: Overview of the Governor's Budget

Jan 13, 2023 - Across the rest of the budget, our estimates of baseline spending —for example, for caseload growth, federal reimbursements, and statutory cost increases —and constitutional requirements —for example, for infrastructure and deposits into reserves —differ , on net, by $800  million.
https://lao.ca.gov/Publications/Report/4662

The 2024-25 California Spending Plan: Health

Sep 17, 2024 - (The administration also states that it intends to increase the size of supplemental payments supported by transfers, resulting in more net funding for public hospitals.) Eliminates Health Insurance Program for High-Risk Patients.
https://lao.ca.gov/Publications/Report/4930

The 2025-26 Budget: Medi-Cal Pharmacy Spending

Apr 3, 2025 - Over the years, Medi ‑Cal pharmacy spending has continued to grow, both on a gross basis and after  netting  out  rebates. As   Figure  2 shows, we estimate (based on historical federal data) that Medi ‑Cal pharmacy spending in 2023 ‑24 was nearly double the level in 2018 ‑19.
https://lao.ca.gov/Publications/Report/5026

The 2025-26 Budget: Medi-Cal Fiscal Outlook

Nov 20, 2024 - Specifically, as of the end of the first full year of redeterminations, total Medi-Cal caseload stood at nearly 15  million —more than two million enrollees greater than was projected by the administration in May 2023 and our office in November 2023.
https://lao.ca.gov/Publications/Report/4941

The 2024-25 Budget: Department of Health Care Access and Information

Feb 27, 2024 - Under the Governor ’s budget, General Fund spending at HCAI is $373  million in 2024 ‑25, $619  million lower than the revised level in 2023 ‑24. As Figure  3 shows, the overall decline is the net result of ongoing and one-time augmentations being more than offset by the expiration of one-time spending from the previous year.
https://lao.ca.gov/Publications/Report/4860