The 2026-27 Budget: Department of Developmental Services

Mar 13, 2026 - The APD process allows the state to request a 90  percent match in federal funding (rather than California ’s standard 50  percent match) to design, develop, and install IT systems that enable the state to more efficiently administer Medicaid benefits.
https://lao.ca.gov/Publications/Report/5157

The 2026-27 Budget: Medi-Cal Analysis

Mar 2, 2026 - California voters have made the state ’s two largest provider taxes permanent in state law. Proposition 52 (2016) made the private hospital fee permanent, while Proposition 35 (2024) made the health plan tax permanent.
https://lao.ca.gov/Publications/Report/5146

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

The 2026-27 Budget: Medi-Cal Fiscal Outlook

Nov 19, 2025 - Background Medi ‑Cal Is a Key Part of State Budget. Medi ‑Cal is a sizable federal ‑state program, covering health care for nearly 15  million low ‑income people . On a total fund basis, Medi ‑Cal is the largest program in the state budget, with its nearly $200  billion budget comprising 40  percent of spending across all sources (including federal funds).
https://lao.ca.gov/Publications/Report/5092

The 2022-23 Budget: Overview of the Governor's Budget

Jan 13, 2022 - The Legislature could use the funding it frees up from funding fewer proposals to address district cost pressures (such as rising pension costs), or it could set this funding aside in the Proposition  98 Reserve for future allocation.
https://lao.ca.gov/Publications/Report/4492

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

Oct 24, 2025 - The federal administration will allocate half of the $10  billion available per year equally among states. This means that each state will receive $100  million annually for five years (assuming that all states apply and receive approval).
https://lao.ca.gov/Publications/Report/5083

The 2025-26 California Spending Plan: Health

Oct 16, 2025 - (These savings are distinct from state operations budget solutions enacted as part of the 2024-25 Budget Act , which directed DOF to identify efficiencies to reduce state costs without diminishing service levels.)
https://lao.ca.gov/Publications/Report/5075

CalFacts 2024 [Publication Details]

Dec 2, 2024 - CalFacts presents a wide range of facts and trends about the state's economy, finances, and programs.
https://lao.ca.gov/Publications/Detail/4942

The 2021-22 Budget: Overview of the Governor's Budget

Jan 10, 2021 - We recommend the Legislature begin to consider how the state might address the budget ’s ongoing problem. For example, using some of the windfall to make supplemental pension payments would reduce the multiyear structural deficit.
https://lao.ca.gov/Publications/Report/4309

An Update on the Public Health Laboratory System After the Pandemic

Jun 12, 2025 - Although the state has some insight into federal and state sources of funding for public health laboratories, there are some gaps. Specifically, the state does not collect data on the share of 1991 realignment funds flowing to laboratories, nor does the state collect data on other funding sources —like fees or county funds —laboratories could receive.
https://lao.ca.gov/Publications/Report/5056