The 2026-27 Budget: Medi-Cal Analysis

Mar 2, 2026 - More frequent renewals will likely increase the risk of disenrollment even among otherwise eligible individuals, due to the increased frequency of needing to submit required documentation. Like community engagement requirements, more frequent renewals are also expected to increase administrative workload for county eligibility systems, at least in the short run.
https://lao.ca.gov/Publications/Report/5146

The 2026-27 Budget: Department of Developmental Services

Mar 13, 2026 - Additionally, DDS stated that it is working with DHCS to submit a renewed Planning Advanced Planning Document to continue enhanced federal funding beyond September 2026. Like the currently approved Planning Advanced Planning Document, this funding would similarly be limited term.
https://lao.ca.gov/Publications/Report/5157

The 2025-26 California Spending Plan: Health

Oct 16, 2025 - As the state works to develop an overarching public health IT strategy, the department is renewing short-term maintenance and operations contracts to maintain current system capabilities. Support for Public Health Equity Programs.
https://lao.ca.gov/Publications/Report/5075

The 2026-27 Budget: Medi-Cal Fiscal Outlook

Nov 19, 2025 - We assume that the state has until January 2027 (when it must renew federal approval of the health plan tax) to make the required adjustments. However, H.R. 1 allows for other potential starting times, ranging from as early as July 2025 to as late as 2028.
https://lao.ca.gov/Publications/Report/5092

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

Feb 9, 2022 - Allow MCO Tax to Lapse and Renew at a Later Date. Given the challenges in renewing the MCO tax on a multiyear basis and the existing, robust fiscal condition of the state, the Legislature could consider allowing the MCO tax to expire.
https://lao.ca.gov/Publications/Report/4522

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

May 22, 2024 - Background MCO Tax State Has Renewed and Increased the MCO Tax. The 2023-24 budget renewed the MCO tax through the end of 2026. Like the recent past versions, the tax is based on MCOs ’ enrollment in Medi-Cal and private insurance.
https://lao.ca.gov/Publications/Report/4905

The 2024-25 Budget: Medi-Cal Fiscal Outlook

Dec 7, 2023 - A few of these solutions are in Medi-Cal, including a renewed tax on health insurance plans (described below). Budget Also Renewed the MCO Tax. The 2023-24 budget package renews a state tax on enrollment in health insurance plans known as the MCO tax, with the tax extending through the end of December 2026.
https://lao.ca.gov/Publications/Report/4820

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

Feb 27, 2024 - Most are known as “general acute care ” hospitals and are licensed to provide 24-hour inpatient care for a comprehensive set of services, including medicine, nursing, and surgery. According to data from the California Department of Public Health, which licenses hospitals, there are over 400 general acute care hospitals in California.
https://lao.ca.gov/Publications/Report/4860

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

Mar 6, 2025 - Some of these flexibilities helped seniors stay enrolled in Medi ‑ Cal —for example, one policy allowed counties to more easily renew eligibility for individuals who derive income from stable sources, such as social security and pensions.
https://lao.ca.gov/Publications/Report/5010

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

Nov 9, 2021 - They also must need a level of care equivalent to that provided at an intermediate care facility (ICF) for the developmentally disabled, a licensed health facility that is considered a more institutional setting.
https://lao.ca.gov/Publications/Report/4471