The 2026-27 Budget: Medi-Cal Analysis

Mar 2, 2026 - Ground Emergency Medical Transport (GEMT) Quality Assurance Fee Private GEMT providers $55 million Increased Medi ‑Cal payments to private ground emergency transport providers and General Fund savings. a Reflects revenue that is directly available to the state for higher provider rates and General Fund savings.
https://lao.ca.gov/Publications/Report/5146

The 2026-27 Budget: Medi-Cal Fiscal Outlook

Nov 19, 2025 - Spending on Emergency Care for Immigrants Has Fluctuated Notably. As part of a broader reporting requirement, the state annually reports to the federal government on the cost of covering emergency care for undocumented immigrants.
https://lao.ca.gov/Publications/Report/5092

The 2024-25 Budget: Medi-Cal Fiscal Outlook

Dec 7, 2023 - The Impact of the Unwinding of Federal COVID-19-Related Policies Federal Public Health Emergency (PHE) Notably Impacted General Fund Spending. The national PHE for COVID-19 was in effect from early 2020 through May 11, 2023.
https://lao.ca.gov/Publications/Report/4820

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

Feb 9, 2022 - Assumed Expiration of the Public Health Emergency (PHE) Is Reasonable, While Leaving Room for Fiscal Upside. In 2020, Congress approved an increase in the federal share of cost for Medicaid for the duration of the PHE related to COVID ‑19.
https://lao.ca.gov/Publications/Report/4522

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

Oct 24, 2025 - H.R.  1 also reduces the federal matching rate for emergency services provided to childless adults with UIS. As with childless adults who have satisfactory immigration status, the federal government currently pays 90  percent of emergency care costs.
https://lao.ca.gov/Publications/Report/5083

The 2023-24 Budget: Medi-Cal Fiscal Outlook

Nov 16, 2022 - This adjustment is driven by the extension of the national COVID ‑19 public health emergency (PHE) into January 2023, which (among other impacts) provides Medi ‑Cal more federal funding to offset General Fund costs than anticipated at budget act.
https://lao.ca.gov/Publications/Report/4649

Climate Change Impacts Across California - Health

Apr 5, 2022 - Changing conditions and more frequent emergency events will challenge health care delivery systems in multiple ways , including: Additional Strain on Emergency Operations. Climate change can strain health care professionals and facilities needed to treat patients during more frequent and severe emergencies.
https://lao.ca.gov/Publications/Report/4580

The 2024-25 Budget: Medi-Cal Analysis

Feb 14, 2024 - As another example, plans would be required to increase their hospital patient and emergency room payments by 10  percent to 40  percent, similar to the proposed interim fee ‑for ‑service rate increases.
https://lao.ca.gov/Publications/Report/4838

The 2021-22 Spending Plan: Health

Oct 22, 2021 - Emergency Medical Services Authority (EMSA) The EMSA develops and implements emergency medical services in California, including regulation of emergency medical services personnel (such as emergency medical technicians), and aids in preparing for, coordinating, and supporting emergency medical response to disaster events.
https://lao.ca.gov/Publications/Report/4465

The 2021-22 Budget: Analysis of the Medi-Cal Budget

Feb 16, 2021 - Should the emergency be ended sooner than assumed, General Fund costs could be hundreds of millions of dollars higher than budgeted. We find the Governor ’s budget assumption on the expiration of the national public health emergency reasonable, particularly in light of recent pronouncements by the new federal administration that the national public health emergency is likely to remain in effect through December 2021.
https://lao.ca.gov/Publications/Report/4373