The 2024-25 California Spending Plan: Health

Sep 17, 2024 - Chapter  890 of 2023 (SB  525, Durazo) increased the minimum wage for workers at most health care facilities to $25 per hour. The statute established five phase-in schedules for different kinds of facilities, generally beginning June 2024.
https://lao.ca.gov/Publications/Report/4930

The 2023-24 Budget: Overview of the Governor's Budget

Jan 13, 2023 - Due to a deteriorating revenue picture relative to expectations from June  2022, both our office and the administration have anticipated the state faces a budget problem in  2023 ‑24. What Is the Budget Problem?
https://lao.ca.gov/Publications/Report/4662

The 2025-26 Budget: Medi-Cal Fiscal Outlook

Nov 20, 2024 - In June 2023, counties resumed determining eligibility for Medi-Cal enrollees for the first time since the onset of the pandemic. These redeterminations have resulted in caseload declines, but the effect has been less substantial than originally assumed.
https://lao.ca.gov/Publications/Report/4941

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 2025-26 Budget: Overview of the Governor's Budget

Jan 13, 2025 - Significant Changes to Solutions From June 2024 Budget Package Managed Care Organization (MCO) Tax Package. Some of the largest budget solutions in the June budget package involved the MCO tax, a tax on health plans that supports the Medi ‑Cal program.
https://lao.ca.gov/Publications/Report/4951

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

Mar 6, 2025 - Largely as a result of these policies, Medi ‑Cal caseload increased by over 3  million enrollees (25  percent) between March  2020 and June 2023, as shown in Figure  5 . Counties resumed eligibility processing in April 2023, which resulted in overall Medi ‑Cal caseload beginning to decline starting in July 2023.
https://lao.ca.gov/Publications/Report/5010

The 2026-27 Budget: Department of Developmental Services

Mar 13, 2026 - In 2023, the Legislature codified several efforts to make processes across RCs more consistent in order to improve access to services statewide (Chapter  192 of 2023 [S B  138 , Committee on Budget and Fiscal Review]).
https://lao.ca.gov/Publications/Report/5157

The 2023-24 Budget: Analysis of the Medi-Cal Budget

Feb 10, 2023 - The administration also assumed that enhanced federal funding would remain at 6.2  percentage points before expiring entirely in June 2023, offsetting $4.4  billion in General Fund costs for Medi ‑Cal across 2022 ‑23 and 2023 ‑24 (not including enhanced federal Medicaid funding for In ‑Home Supportive Services and the Department of Developmental Services).
https://lao.ca.gov/Publications/Report/4675

The 2024-25 Budget: Medi-Cal Fiscal Outlook

Dec 7, 2023 - When the MCO tax package was approved in June 2023, it was assumed that the amount of funds used to offset General Fund spending in Medi-Cal will decrease from $3.5  billion in 2023-24 to $1.9  billion in 2024-25.
https://lao.ca.gov/Publications/Report/4820

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

Feb 9, 2022 - Governor ’s Budget Administration Projects Caseload Will Climb Through June 2022 Before Declining. The administration projects that average Medi ‑Cal caseload will continue to rise through June 2022 to a peak of about 15.1  million enrollees before beginning to decline through June 2023 due to the resumption of eligibility redeterminations.
https://lao.ca.gov/Publications/Report/4522