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 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

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

Jan 13, 2025 - In this report, we provide a brief summary of the Governor ’s budget based on our initial review as of January 12. In the coming weeks, we will analyze the plan in more detail and release many additional issue ‑specific budget analyses.
https://lao.ca.gov/Publications/Report/4951

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

Jan 13, 2025 - Update (1/16/25): A set of tables detailing various solutions and proposals has been appended to the online version of this report. They are available using the HTML link above. On January 10, 2025, Governor Newsom’s administration presented its proposed state budget to the California Legislature.
https://lao.ca.gov/Publications/Report/4951/3