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

Mar 6, 2025 - Other Policy Changes Elimination of a Medi ‑Cal Share of Cost for Seniors Up to 138   Percent of FPL. Prior to December 2020, seniors and persons with disabilities whose incomes were between roughly 122  percent and 138  percent of the FPL had to pay a share of cost in order to receive Medi ‑Cal coverage.
https://lao.ca.gov/Publications/Report/5010

The 2025-26 California Spending Plan: Health

Oct 16, 2025 - With regard to income, seniors and persons with disabilities still must have countable income below 138  percent of the federal poverty level. This budget solution provides General Fund savings of $45  million in 2025-26, $ 343  million in 2026-27, and $ 510  million in 2027-28 and ongoing.
https://lao.ca.gov/Publications/Report/5075

The 2026-27 Budget: Department of Developmental Services

Mar 13, 2026 - In 2023, the Legislature codified several efforts to make processes across RCs more consistent in order to improve access to services statewide (Chapter  192 of 2023 [S B  138 , Committee on Budget and Fiscal Review]).
https://lao.ca.gov/Publications/Report/5157

Issues That Could Impact Californians' Health Care Coverage in 2023 and Beyond

Dec 16, 2022 - By opting in to an optional provision of the ACA, California was able to expand Medi ‑Cal eligibility to most adults with incomes under 138  percent of the federal poverty level (FPL) regardless of whether they have children.
https://lao.ca.gov/Publications/Report/4654

COVID-19: American Rescue Plan’s Major Health-Related Funding Provisions

May 6, 2021 - As authorized by federal law, Medi-Cal currently provides time-limited coverage to pregnant women who do not meet all standard Medi-Cal eligibility rules, such as those with incomes above 138  percent of the federal poverty level.
https://lao.ca.gov/Publications/Report/4425

The 2021-22 Spending Plan: Health

Oct 22, 2021 - The spending plan includes $768,000 General Fund in 2021 ‑22 and $789,000 General Fund in 2022 ‑23 and 2023 ‑24 to implement Chapter  138 of 2020 (AB  1544, Gipson), the Community Paramedicine or Triage to Alternate Destination Act.
https://lao.ca.gov/Publications/Report/4465