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

Feb 27, 2024 - As Figure  2 shows, the substantial upward revision in 2023 ‑24 largely is due to the carryover of General Fund spending enacted from previous years, such as funds for the Children and Youth Behavioral Health Initiative and the CalRx initiative.
https://lao.ca.gov/Publications/Report/4860

The 2025-26 Budget: Health Care Access and Information

Feb 20, 2025 - Implementation Update Insulin Initiative Has Private Partner. In  February 2023, HCAI executed a contract with a nonprofit drug maker (Civica Rx) to produce a biosimilar insulin product. Adopting a public‑private partnership, HCAI is committed to pay the partner up to $50 million for meeting specified project milestones.
https://lao.ca.gov/Publications/Report/4979

The 2026-27 Budget: Medi-Cal Analysis

Mar 2, 2026 - The current health plan tax, enacted in 2023 and expanded in 2024, generates more than three times the revenue of previous versions. This higher revenue level is essentially at the maximum of the current federal revenue limit.
https://lao.ca.gov/Publications/Report/5146

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

May 22, 2024 - 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. The tax is much larger than previous versions, raising more than three times the amount of revenue.
https://lao.ca.gov/Publications/Report/4905

The 2023-24 California Spending Plan: Health

Oct 23, 2023 - Early action trailer bill legislation (Chapter  6 of 2023 [AB  112, Committee on Budget]) establishes the Distressed Hospital Loan Program to provide interest-free loans to public and private nonprofit hospitals experiencing financial distress.
https://lao.ca.gov/Publications/Report/4810

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

Oct 24, 2025 - H.R.  1 prohibits federal Medicaid payments to certain nonprofit entities that provide abortions and that received at least $800,000 in Medicaid payments in 2023. These entities cannot receive federal Medicaid funds for any health care services.
https://lao.ca.gov/Publications/Report/5083

The 2023-24 Budget: Health Workforce Budget Solutions

Feb 21, 2023 - (We describe the state ’s overall budget problem and the complete package of proposed solutions in our recent publication The 2023-24 Budget: Overview of the Governor’s Budget .) As Figure 2 shows, relative to last year’s package, the proposed solutions would reduce General Fund spending in 2022-23 and 2023-24 but increase General Fund spending in the following two years to implement delayed rounds of funding.
https://lao.ca.gov/Publications/Report/4691

The 2024-25 California Spending Plan: Health

Sep 17, 2024 - Beginning in 1991, MRMIP provided health insurance benefits to high-risk individuals who could not purchase private insurance. Program enrollment fluctuated over the years, but in more recent years declined to just a few hundred people.
https://lao.ca.gov/Publications/Report/4930

The 2023-24 Budget: Department of Developmental Services

Feb 15, 2023 - Services are delivered by a large network of private for ‑profit and nonprofit providers. In addition to state General Fund and some smaller funding sources, these services are purchased in part through federal funding obtained through the Medicaid HCBS waiver, described below.
https://lao.ca.gov/Publications/Report/4683

Mental Health Services Act: Proposed Bond to Fund Behavioral Health Facilities and Veterans Housing

Aug 17, 2023 - Behavioral health facilities are operated by various entity types, including public, private nonprofit, and private for-profit entities. Counties Can Use a Variety of Funding Sources for Community Behavioral Health Facilities.
https://lao.ca.gov/Publications/Report/4790