The 2026-27 Budget: Department of Developmental Services

Mar 13, 2026 - Importantly, the increased cost for services also reflects a combination of the increases in caseload and utilization over time. Individual Services Vary in Growth Rates and the Relative Share of Expenditures Over Time.
https://lao.ca.gov/Publications/Report/5157

The 2026-27 Budget: Medi-Cal Analysis [Publication Details]

Mar 2, 2026 - In this report, we analyze the Governor’s budget for Medi-Cal, with a focus on base spending trends, changes to provider taxes, implementation of new H.R. 1 rules, oversight over enacted budget solutions, and considerations for identifying additional savings in Medi-Cal.
https://lao.ca.gov/Publications/Detail/5146

The 2026-27 Budget: Medi-Cal Analysis

Mar 2, 2026 - Gross revenue is over $12 billion annually. California Recently Pursued Increases to Two Largest Provider Taxes. Federal rules include an overall limit on how much revenue provider taxes can generate.
https://lao.ca.gov/Publications/Report/5146

The 2026-27 Budget: Department of Developmental Services [Publication Details]

Mar 13, 2026 - Analyzes the Governor’s budget for the Department of Developmental Services (DDS), with a focus on a budget proposal to continue planning the proposed Life Outcomes Improvement System (LOIS) information technology project, implementation of new H.R.
https://lao.ca.gov/Publications/Detail/5157

The 2026-27 Budget: Medi-Cal Fiscal Outlook

Nov 19, 2025 - Over Time, Medi ‑Cal Will Enroll Fewer People at Higher Cost. Our outlook estimates Medi ‑Cal will enroll fewer people over time, with caseload falling from nearly 15  million people in 2024 ‑25 to nearly 12  million people by 2029 ‑30.
https://lao.ca.gov/Publications/Report/5092

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

Oct 24, 2025 - 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. More Detail on Changes Are Emerging.
https://lao.ca.gov/Publications/Report/5083

The 2025-26 California Spending Plan: Health

Oct 16, 2025 - This year ’s health trailer bill creates a new regulatory system over pharmacy benefit managers, third-party entities that health care payors (such as health plans) contract with to oversee pharmacy benefits and billing.
https://lao.ca.gov/Publications/Report/5075

The 2025-26 Budget: Medi-Cal Pharmacy Spending

Apr 3, 2025 - Federal Rebates Appear to Have Ebbed and Flowed Over Time. Based on limited data, the level of federal rebates also appears to have grown over time. As a percent of gross spending, however, the trend appears to be somewhat variable, fluctuating between 40 percent to 50 percent over the period.
https://lao.ca.gov/Publications/Report/5026

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

Mar 6, 2025 - From July 2022 through September 2024, the caseload in the expansion to individuals age 50 and older —a group that is notably not limited to those age 65 and over —increased by about 120,000  individuals.
https://lao.ca.gov/Publications/Report/5010

The 2025-26 Budget: Health Care Access and Information

Feb 20, 2025 - Under the contract, which extends through the end of 2026, the contractor is to sell the new over‑the‑counter naloxone nasal spray product at $24 for each twin pack. The product entered the market in May 2024.
https://lao.ca.gov/Publications/Report/4979