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

Jan 13, 2025 - The reason for the reduction is the recent voter approval of Proposition  35 (2024), which requires the state to spend less MCO tax money on offsetting General Fund spending and more money on provider rate increases.
https://lao.ca.gov/Publications/Report/4951

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

Oct 24, 2025 - In July 2025, Congress passed and the President signed H.R. 1 —titled the One Big Beautiful Bill Act. This legislation includes about $1  trillion in federal Medicaid reductions over ten years, representing the most significant changes to federal Medicaid policy since the ACA.
https://lao.ca.gov/Publications/Report/5083

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 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

The 2021-22 Budget: Initial Comments on the Governor’s May Revision

May 17, 2021 - As shown in Figure  5, the Governor proposes allocating nearly $10  billion of this total to pay down deferred payments from previous years, $5  billion (including $2.1  billion ongoing) for high-poverty schools and districts, nearly $1.4  billion for community colleges, and the remainder (roughly $6  billion) for other K-12 spending.
https://lao.ca.gov/Publications/Report/4432

Enhancing Federal Financial Participation for Consumers Served by the Department of Developmental Services

Nov 9, 2021 - Moreover, some individuals and families uncomfortable with signing up for Medi ‑Cal may not be able to afford what would have been the federal portion of the cost of the RC ‑coordinated services. Consequently, this approach could be more punitive in nature than the three alternative approaches discussed below, given that a family would have to pay for or forgo services if they did not want to enroll the consumer in Medi ‑Cal.
https://lao.ca.gov/Publications/Report/4471

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: CalAIM Enhanced Care Management and Community Supports Implementation Update

Mar 6, 2025 - Based on a one ‑time analysis of actuarial data, DHCS estimated that between 3  percent and 5  percent of all MCP members were eligible for the ECM benefit under at least one POF. Some MCPs indicated that potential eligibility ranged from 3  percent to as high as 7  percent of their  membership.
https://lao.ca.gov/Publications/Report/5003

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 - Specifically, under the revised proposal, following review and approval from the Department of Health Care Services (DHCS), counties would be able to move between 5  percentage points and 7  percentage points of MHSA county funding from each category to another (up to a maximum of 10 to14  percentage points total).
https://lao.ca.gov/Publications/Report/4792