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

Feb 9, 2022 - In order to reach an average of 14.7  million enrollees for 2021 ‑22, the Medi ‑Cal caseload would need to grow by about 126,000 enrollees per month. However, over the last 12 months of available data, average caseload growth has only been about 78,000  enrollees per month.
https://lao.ca.gov/Publications/Report/4522

The 2026-27 Budget: Medi-Cal Analysis

Mar 2, 2026 - Gross revenue is over $12 billion annually. California Recently Pursued Increases to Two Largest Provider Taxes. Federal rules include an overall limit on how much revenue provider taxes can generate.
https://lao.ca.gov/Publications/Report/5146

The 2026-27 Budget: Department of Developmental Services

Mar 13, 2026 - Specifically, H.R.  1 requires these adults to (1)  verify that they have completed at least 80 hours per month of work, education, or community service, and (2)  verify eligibility every six months, rather than every 12  months.
https://lao.ca.gov/Publications/Report/5157

The 2026-27 Budget: Medi-Cal Fiscal Outlook

Nov 19, 2025 - The second is an increase in the frequency of required eligibility determinations from every 12 months to every 6 months. Both changes likely will notably reduce the number of childless adults enrolled in Medi ‑Cal.
https://lao.ca.gov/Publications/Report/5092

The 2021-22 Spending Plan: Health

Oct 22, 2021 - In 2019 ‑20, the Legislature extended the postpartum period of coverage to 12 months after childbirth for mothers with a mental health condition using state dollars. For the period of April 2022 through March  2027, the ARP Act gives states the option to extend pregnancy and postpartum Medicaid coverage from 2 months to 12 months after childbirth, with the federal government sharing in the cost at standard cost-sharing ratios.
https://lao.ca.gov/Publications/Report/4465

The 2025-26 California Spending Plan: Health

Oct 16, 2025 - The spending plan also reduces General Fund support for the Los Angeles County community-based restoration and diversion contract by $12  million in 2025-26 and ongoing to reflect current enrollment rates.
https://lao.ca.gov/Publications/Report/5075

The 2025-26 Budget: Understanding Recent Increases in the Medi-Cal Senior Caseload

Mar 6, 2025 - (This estimate equals the difference between 8,000 and 6,200 multiplied by 12 months.) While not first ‑time Medi ‑Cal members, we assume that these individuals would have lost coverage absent changes like the asset test elimination.
https://lao.ca.gov/Publications/Report/5010

Building California’s Behavioral Health Infrastructure: Progress Update and Opportunities for the Proposition 1 Bond

Feb 5, 2025 - The share of Californians aged 12 and over having an SUD in the past year rose nearly 10  percent between 2015 ‑2017 and 2018 ‑2019. The consequences of these behavioral health challenges have also grown more severe.
https://lao.ca.gov/Publications/Report/4954

An Update on the Public Health Laboratory System After the Pandemic

Jun 12, 2025 - Beginning in 1999 and through the pandemic, 12 local public health laboratories (out of a total of 40 laboratories at their peak) closed or become inactive for a variety of reasons including insufficient funding, staffing shortages, decreased demand for services, and challenges in recruiting public health laboratory directors.
https://lao.ca.gov/Publications/Report/5056

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

Oct 24, 2025 - Currently, states generally redetermine eligibility every 12 months. Beginning January 2027, H.R.  1 requires states to redetermine eligibility for childless adults every six  months. Requires Cost ‑Sharing for Certain Services.
https://lao.ca.gov/Publications/Report/5083