The 2021-22 Budget: Initial Comments on the Governor’s May Revision

May 17, 2021 - Reflecting very strong cash collections in recent months, the May Revision adjusts 2020 ‑21 revenues (and transfers) up by $26.8  billion to $182  billion. This represents a 27  percent increase over 2019 ‑20, the largest single year increase in over four decades.
https://lao.ca.gov/Publications/Report/4432

The 2026-27 Budget: Medi-Cal Fiscal Outlook

Nov 19, 2025 - Pursuant to state law, most of the decline in revenue will affect supplemental payments to private hospitals, with only a portion (around 25  percent) resulting in less money for existing Medi ‑Cal costs.
https://lao.ca.gov/Publications/Report/5092

Enhancing Federal Financial Participation for Consumers Served by the Department of Developmental Services

Nov 9, 2021 - Individuals who receive SSI/SSP cash assistance are automatically eligible for Medi ‑Cal. SSI/SSP is available to individuals who are age 65 o r older, blind, or disabled and whose income and resources fall below specified thresholds.
https://lao.ca.gov/Publications/Report/4471

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

Jan 13, 2023 - The Governor ’s budget proposes making nearly one ‑third of all spending ‑related solutions subject to trigger restoration language. Under this proposed language, program spending that otherwise would have occurred in 2023 ‑24 would not be allocated as part of the June budget act.
https://lao.ca.gov/Publications/Report/4662

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

Oct 24, 2025 - Most hospitals get more money back from this arrangement than they pay in fees. That said, some hospitals, particularly those that primarily provide care to non ‑Medi ‑Cal patients, incur net costs as a result of the fee program.
https://lao.ca.gov/Publications/Report/5083

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

Jan 13, 2025 - The reason for the reduction is the recent voter approval of Proposition  35 (2024), which requires the state to spend less MCO tax money on offsetting General Fund spending and more money on provider rate increases.
https://lao.ca.gov/Publications/Report/4951

The 2026-27 Budget: Medi-Cal Analysis

Mar 2, 2026 - DHCS also states that complying with this federal request may qualify California for an up to three ‑year transition period to make the fee more proportionate. Federal Rules Continue to Emerge, Creating Some Uncertainty for Structuring Provider Taxes.
https://lao.ca.gov/Publications/Report/5146

The 2023-24 Budget: Analysis of the Governor’s Major Behavioral Health Proposals

Feb 16, 2023 - In addition to providing all of the community ‑based services listed in Figure  2, counties will need to ensure IMD facilities meet all CMS requirements on facility accreditation and make efforts to decrease the length of stay in IMDs.
https://lao.ca.gov/Publications/Report/4689

The 2025-26 California Spending Plan: Health

Oct 16, 2025 - The initiative is expected to end at the end of 2026-27, absent delays in implementation or future augmentations to make the initiative ongoing. Provides One Additional Year of Funding for Health Care Payments Database.
https://lao.ca.gov/Publications/Report/5075

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

May 22, 2024 - Some money would remain in the reserve after this version of the MCO tax ends in 2026 to help sustain the augmentations in the future. This year ’s early action shifted $3.1  billion out of the reserve to help address the budget problem.
https://lao.ca.gov/Publications/Report/4905