The 2026-27 Budget: Medi-Cal Fiscal Outlook

Nov 19, 2025 - As Figure  11 shows, however, the trend in spending has been quite volatile. Most of this trend is likely due to federally required changes to the state ’s reporting processes. These recent changes in reporting resulted in much higher estimates compared to past years.
https://lao.ca.gov/Publications/Report/5092

The 2024-25 Budget: The MCO Tax Package at May Revision

May 22, 2024 - To the extent the Legislature still wishes to pursue certain augmentations, we recommend it (1)  focus on augmentations that are relatively simple to implement and have relatively predictable positive effects on access to quality health care, (2)  focus on rates that are relatively low, and (3)  keep in mind the state ’s budget problem.
https://lao.ca.gov/Publications/Report/4905

The 2026-27 Budget: Medi-Cal Analysis

Mar 2, 2026 - In 2025, the state also submitted a one ‑year private hospital fee, generating around $11  billion in revenue, for federal approval. The federal government has not yet approved this higher fee. Voters Have Made Largest Provider Taxes Permanent in State Law.
https://lao.ca.gov/Publications/Report/5146

The 2026-27 Budget: Department of Developmental Services

Mar 13, 2026 - In response, the department released guidance on February 11, 2026 indicating that providers will have the opportunity to earn a partial year of quality payments if they come into compliance after the February 27 deadline.
https://lao.ca.gov/Publications/Report/5157

Climate Change Impacts Across California - Crosscutting Issues

Apr 5, 2022 - A recent scientific  study  by United States Geological Survey researchers predicted that under scenarios of three feet to six feet of sea‑level rise, up to two‑thirds of Southern California beaches may become completely eroded by 2100.
https://lao.ca.gov/Publications/Report/4575

The 2022-23 Budget: Analysis of the Medi-Cal Budget

Feb 9, 2022 - Federal funds currently support 69  percent of total Medi ‑Cal expenditures, followed by General Fund (20 percent) and other state and local funds  (11  percent). Overview of the Governor’s Budget Current Year Estimated General Fund Spending Revised Downward by $1.3   Billion to Slightly Above $26.8   Billion.
https://lao.ca.gov/Publications/Report/4522

Mental Health Services Act: Revenue Volatility and the Governor’s Proposal to Reduce Allowable County Reserves

Jul 13, 2023 - While 2022-23 was the largest single year-over-year decrease in MHSA revenue, the combined decrease over 2010-11 and 2011-12 combined was 39  percent; thus, we would describe the 2022-23 decrease as a large but not unprecedented decrease.
https://lao.ca.gov/Publications/Report/4780

The 2023-24 Budget: Medi-Cal Fiscal Outlook

Nov 16, 2022 - Factors that tend to predict future inflation suggest there is a considerable risk inflation will remain elevated for an extended period of time. Should inflation continue to be higher than historical levels, General Fund spending in Medi ‑Cal could be higher than we project.
https://lao.ca.gov/Publications/Report/4649

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

Mar 6, 2025 - As shown in Figure 11, this growth in first‑time‑enrolling Medi‑Cal enrollees is unique to seniors. From the third quarter of 2022 through the fourth quarter of 2024, we estimate that about 115,000 first‑time‑enrolling seniors enrolled in Medi‑Cal over the historical average new enrollment.
https://lao.ca.gov/Publications/Report/5010

The 2024-25 Budget: Future of Public Health Budget Solution

May 21, 2024 - The proposal also reverts $52.4  million in 2023 ‑24 from unspent funds, with $41.4  million being reverted from state operations and $11  million being reverted from local assistance. Assessment Elimination of Future of Public Health Funding Would Result in Loss of Core Services, Affecting Efforts to Mitigate Negative Trends in Health Outcomes.
https://lao.ca.gov/Publications/Report/4904