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

Mar 6, 2025 - These expansions occurred incrementally, with an expansion to those age 50 and over effective July 1, 2022. Continuous Coverage Period and Unwinding. In 2020, as a COVID ‑19 ‑related action, Congress approved a temporary increase in federal funding for most Medicaid costs.
https://lao.ca.gov/Publications/Report/5010

The 2025-26 Budget: Health Care Access and Information

Feb 20, 2025 - Since creating CalRx in 2020, the Legislature has adopted two key initiatives, described further  below. Insulin. The 2022 ‑23 budget provided $100  million one ‑time General Fund for a partnership to manufacture a biosimilar insulin product.
https://lao.ca.gov/Publications/Report/4979

The 2023-24 Budget: Assessment of Covered California Budget Solution

Feb 13, 2023 - To support the state subsidy program, the Legislature approved $304  million General Fund annually between 2020 through 2022. Enhanced Federal Premium Subsidies Approved for 2021 and 2022, Supplanting State Subsidies.
https://lao.ca.gov/Publications/Report/4681

Issues That Could Impact Californians' Health Care Coverage in 2023 and Beyond

Dec 16, 2022 - This requirement is known as the “continuous coverage requirement. ” Largely as a result of this policy, the Medi ‑Cal caseload has increased by 2  million enrollees between March  2020 and July  2022 (the most recent data available).
https://lao.ca.gov/Publications/Report/4654

The 2021-22 Spending Plan: Health

Oct 22, 2021 - Paramedicine —Triage to Alternate Destination Act 2020. The spending plan includes $768,000 General Fund in 2021 ‑22 and $789,000 General Fund in 2022 ‑23 and 2023 ‑24 to implement Chapter  138 of 2020 (AB  1544, Gipson), the Community Paramedicine or Triage to Alternate Destination Act.
https://lao.ca.gov/Publications/Report/4465

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

Feb 9, 2022 - In 2020, Congress approved an increase in the federal share of cost for Medicaid for the duration of the PHE related to COVID ‑19. The Governor ’s budget assumes the PHE remains in place through June 2022, which we find reasonable.
https://lao.ca.gov/Publications/Report/4522

The 2025-26 California Spending Plan: Health

Oct 16, 2025 - The department also reverts $233  million General Fund from 2022-23 that was available until 2026-27 (the department is reappropriating $3.4  million for the Judicial Council to carry out training related to IST evaluations).
https://lao.ca.gov/Publications/Report/5075

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

Feb 16, 2021 - With this assumption, Medi ‑Cal caseload would peak at 15. 7  m illion enrollees in January 2022 —approximately 300,000 ( 3  p ercent) lower than what the administration projects. (The somewhat modest difference in our peak caseload estimates is due to ( 1)  t he preliminary November and December  2020 actuals coming in higher than estimated by the administration
https://lao.ca.gov/Publications/Report/4373

The 2022-23 Budget: Medi-Cal Fiscal Outlook

Nov 17, 2021 - Fiscal Outlook Assumes Expiration of the National Public Health Emergency (PHE) Declaration Related to Coronavirus Disease 2019 (COVID ‑19) in Early 2022. In early 2020, the federal government declared a national PHE in response to the COVID ‑19 pandemic.
https://lao.ca.gov/Publications/Report/4474

The 2021-22 Budget: Department of Developmental Services (DDS) May Revision Budget Proposal

May 24, 2021 - Proposal Would Begin to Address Service Coordinator Caseload Ratios, but Not Until 2022 ‑23. The proposal notes that in 2022 ‑23, some of the funding would support reduced caseload ratios, while the remaining funds would be for incentive payments.
https://lao.ca.gov/Publications/Report/4438