The 2025-26 Budget: Medi-Cal Pharmacy Spending

Apr 3, 2025 - In 2023 ‑24, we estimate these rebates comprised 3  percent of gross spending, up from as low as 1  percent in some years. This increase was expected following the switch to the Medi ‑Cal Rx system in 2022.
https://lao.ca.gov/Publications/Report/5026

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

Mar 6, 2025 - Largely as a result of these policies, Medi ‑Cal caseload increased by over 3  million enrollees (25  percent) between March  2020 and June 2023, as shown in Figure  5 . Counties resumed eligibility processing in April 2023, which resulted in overall Medi ‑Cal caseload beginning to decline starting in July 2023.
https://lao.ca.gov/Publications/Report/5010

The 2025-26 Budget: MCO Tax and Proposition 35

Feb 26, 2025 - Trailer bill legislation enacted in the 2023-24 budget also requires health plans to pay at least this level for these services in the Medi-Cal managed care system. The Legislature did not apply Proposition 35 trigger language to the 2024 rate increases.
https://lao.ca.gov/Publications/Report/4992

The 2025-26 Budget: Health Care Access and Information

Feb 20, 2025 - For example, in a 2023 report to the Legislature , HCAI projected commercial health plans could save 43 percent on per‑enrollee spending on insulin glargine as a result of the new product, even after factoring rebates.
https://lao.ca.gov/Publications/Report/4979

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

Mar 6, 2025 - Utilization rates across the state were relatively flat until 2023, when ECM utilization began to gradually increase and Community Supports utilization increased much more quickly. Majority of ECM Participants Qualify Under Three POFs.
https://lao.ca.gov/Publications/Report/5003

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

Feb 5, 2025 - Beginning in 2023 ‑24, the state was facing General Fund budget shortfalls. As  a part of addressing those budget problems, a portion of funding for BHCIP was delayed in 2023 ‑24. Later, in the 2024 ‑25 budget, program funding was reduced by $451  million General Fund, leaving $1.8  billion in funding remaining.
https://lao.ca.gov/Publications/Report/4954

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 California Spending Plan: Health

Sep 17, 2024 - The spending plan reduces funding for CYBHI by a total of $197  million across 2023-24 and 2024-25. Specifically, CYBHI is reduced as follows: School-Linked Health Partnerships and Grants ($150  Million).
https://lao.ca.gov/Publications/Report/4930

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

Jan 13, 2025 - Since 2023 ‑24, the Legislature has addressed a cumulative total of $82  billion in budget problems, but even including the withdrawal for 2025 ‑26, has only used about half of the Budget Stabilization Account (BSA).
https://lao.ca.gov/Publications/Report/4951

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

Feb 5, 2025 - This report assesses $1.8 billion in behavioral health infrastructure grants awarded in 2022 and 2023 to help the Legislature conduct oversight over $4.4 billion in additional grants funded by the Proposition 1 bond expected to be awarded beginning May 2025.
https://lao.ca.gov/Publications/Detail/4954