The 2025-26 California Spending Plan: Health

Oct 16, 2025 - The 2025-26 California Spending Plan: Health 100 100 a The spending plan assumes a portion of funds designated for this service ($88 million) cannot be allocated due to implementation issues and instead will be spent in 2027.
https://lao.ca.gov/Publications/Report/5075

The 2026-27 Budget: Medi-Cal Analysis

Mar 2, 2026 - In 2025, the state also submitted a one ‑year private hospital fee, generating around $11  billion in revenue, for federal approval. The federal government has not yet approved this higher fee. Voters Have Made Largest Provider Taxes Permanent in State Law.
https://lao.ca.gov/Publications/Report/5146

The 2026-27 Budget: Department of Developmental Services

Mar 13, 2026 - In response, the department released guidance on February 11, 2026 indicating that providers will have the opportunity to earn a partial year of quality payments if they come into compliance after the February 27 deadline.
https://lao.ca.gov/Publications/Report/5157

The 2026-27 Budget: Medi-Cal Fiscal Outlook

Nov 19, 2025 - As Figure  11 shows, however, the trend in spending has been quite volatile. Most of this trend is likely due to federally required changes to the state ’s reporting processes. These recent changes in reporting resulted in much higher estimates compared to past years.
https://lao.ca.gov/Publications/Report/5092

The 2025-26 Budget: CalAIM Enhanced Care Management and Community Supports Implementation Update

Mar 6, 2025 - The Governor ’s 2025 ‑26 budget proposes ECM spending at $956  million (total funds) and Community Supports spending at $231  million (total funds), a $67  million (7.5  percent) and $11  million (5  percent) increase over revised 2024 ‑25 levels, respectively.
https://lao.ca.gov/Publications/Report/5003

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

Oct 24, 2025 - The increase in premiums (around 5  percent, on average) could have a variety of effects. For enrollees with employer ‑sponsored coverage, much of the cost of higher premiums would fall on employers.
https://lao.ca.gov/Publications/Report/5083

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

Jan 13, 2025 - School and Community College Spending Higher by $5   Billion. Reflecting these higher revenue estimates, the administration ’s estimates of constitutionally required General Fund spending on K ‑14 education is $4.7  billion higher than our November estimates.
https://lao.ca.gov/Publications/Report/4951

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

Mar 6, 2025 - As shown in Figure 11, this growth in first‑time‑enrolling Medi‑Cal enrollees is unique to seniors. From the third quarter of 2022 through the fourth quarter of 2024, we estimate that about 115,000 first‑time‑enrolling seniors enrolled in Medi‑Cal over the historical average new enrollment.
https://lao.ca.gov/Publications/Report/5010

The 2024-25 Budget: Future of Public Health Budget Solution

May 21, 2024 - Historically, the General Fund —a flexible funding source —has been a very small source of support (3  percent to 5  percent of the department ’s total budget) that actually declined between a pre-Great Recession peak ($361  million) and the onset of the COVID-19 pandemic ($167  million in 2018 ‑19).
https://lao.ca.gov/Publications/Report/4904

The 2023-24 Budget: Department of Developmental Services

Feb 15, 2023 - Chapter  3 of 2016 (AB X2  1, Thurmond.) provided DDS $11  million General Fund annually to support grants for service providers to modify their programs and services to make them compliant with the final HCBS rule.
https://lao.ca.gov/Publications/Report/4683