Overview of Major Impacts of H.R. 1 – One Big Beautiful Bill Act [Publication Details]

Aug 20, 2025 - Assembly Budget Subcommittee No. 7 on Accountability and Oversight
https://lao.ca.gov/Publications/Detail/5067

The 2026-27 Budget: Medi-Cal Analysis

Mar 2, 2026 - For example, we estimated that a more proportionate tax netting around $7 billion in revenue could cost around $30 per member, per month—about a 5 percent increase on average to commercial health plan premiums.
https://lao.ca.gov/Publications/Report/5146

The 2024-25 Budget: Department of Health Care Access and Information

Feb 27, 2024 - Also, some previously enacted one-time funds —such as the loan repayment initiative for county psychiatrists ($7  million General Fund and $7  million Mental Health Services Fund) —have not yet been spent.
https://lao.ca.gov/Publications/Report/4860

Mental Health Services Act: LAO Update: The Governor's Revised Behavioral Health Modernization Proposal

Aug 21, 2023 - For example, during the initial three-year planning period a county could shift 7  percentage points from the FSP category and 7  percentage points from the Housing Interventions category, which would result in an increase of 14  percentage points of funding in the BHSS category.
https://lao.ca.gov/Publications/Report/4792

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

Mar 6, 2025 - As shown earlier in Figure  7, during the continuous coverage period, the average monthly increase in the senior caseload was about 6,200. This was during a time in which counties were not conducting any eligibility redeterminations.
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 administration is working to allocate the bond funding quickly, with plans to aw ard up to $3.3  billion in May 2025 and a stated commitment to award all funding by 2026. This leaves a brief window in which the Legislature can conduct oversight of the program and influence the administration ’s program administration decisions.
https://lao.ca.gov/Publications/Report/4954

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

Mar 6, 2025 - Figure  7 shows Community Supports utilization has grown in recent years, though the majority of growth is concentrated in a handful of services. Medically Tailored Meals is the most utilized Community Support by a fairly large margin.
https://lao.ca.gov/Publications/Report/5003

The 2026-27 Budget: Medi-Cal Fiscal Outlook

Nov 19, 2025 - Second, as Figure  7 shows, the state will reinstate a limit on assets for seniors and persons with disabilities. We estimate this reinstatement will result in about 90,000 fewer seniors (4  percent) in Medi ‑Cal by 2029 ‑30 relative to the baseline.
https://lao.ca.gov/Publications/Report/5092

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

Oct 24, 2025 - As Figure  7 shows, California ’s unemployment rate tends to have larger rises and falls than the national rate. At the county level, trends are considerably more volatile, with some counties consistently higher than the national rate but others quite varied month to month.
https://lao.ca.gov/Publications/Report/5083

Estimated Cost of Expanding Full-Scope Medi-Cal Coverage to All Otherwise-Eligible Californians Regardless of Immigration Status

May 5, 2021 - Using data from the full-scope expansion for undocumented young adults ages 19 through 25, we estimate that the availability of full-scope coverage increased enrollment among undocumented young adults by about 7  percent above what it would have been if only restricted-scope coverage had been available.
https://lao.ca.gov/Publications/Report/4423