The 2026-27 Budget: Medi-Cal Fiscal Outlook

Nov 19, 2025 - Keeping these factors in mind, our outlook r eflects a decline in the private hospital fee, with annual revenue falling from nearly $10  billion to several billion dollars. 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

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

Mar 6, 2025 - Yet, even after r emoving from the caseload the 115,000  first ‑time ‑enrolling Medi ‑Cal enrollees that are due to eligibility changes, we are left with average monthly growth of about 8,000 during 2024.
https://lao.ca.gov/Publications/Report/5010

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

Feb 16, 2021 - The administration projects a substantial decline of about $ 200  m illion in Proposition   56 r evenues between 2020 ‑21 and 2021 ‑22. Although Proposition   56 r evenues are expected to gradually decline on a year ‑over ‑year basis, the administration ’s projected revenue decrease primarily is attributed to the anticipated implementation of Chapter   34 o f 2020 (S B  793 , Hill et. al) which bars retailers from selling flavored tobacco products.
https://lao.ca.gov/Publications/Report/4373

The 2025-26 Budget: Medi-Cal Fiscal Outlook

Nov 20, 2024 - Just as these flexibilities appear to have been successful in minimizing the impacts of r edeterminations on Medi-Cal enrollees, the extent to which caseload will return to more normal historical levels if they are allowed to expire will be a key issue to watch.
https://lao.ca.gov/Publications/Report/4941

The 2021-22 Budget: Medi-Cal Enterprise System Modernization Effort

Feb 17, 2021 - (For a comprehensive description of the PAL process, please see our February 17, 2017 r eport — The 2017‑18 Budget: The New IT Project Approval and Funding Process .) Some of the IT projects within DHCS’s Medi‑Cal IT system modernization initiatives completed the PAL process and started development and implementation, including the Federal Draw and Reporting IT project within CA‑MMIS Modernization.
https://lao.ca.gov/Publications/Report/4375

The 2021-22 Budget: Behavioral Health: Continuum Infrastructure Funding Proposal

Feb 17, 2021 - Funds could be used on ( 1)  s hort ‑term treatment beds such as those found in CSUs, ( 2)  r esidential treatment facilities that typically last for a few months, or ( 3)  l onger ‑term facilities such as permanent supportive housing for individuals with behavioral health needs.
https://lao.ca.gov/Publications/Report/4379

The 2022-23 Budget: Public Health Foundational Support

Feb 16, 2022 - This not only would provide greater consistency (making statewide review and evaluation easier), but also it would ensure that the proposed activities and targets were practicable fo r a public health department.
https://lao.ca.gov/Publications/Report/4544

The 2021-22 Budget: Analysis of CalAIM Financing Issues

Feb 16, 2021 - CalAIM is a large package of reforms aimed at ( 1)  r educing health disparities by focusing attention and resources on Medi ‑Cal ’s high risk, high ‑need populations; ( 2)  r ethinking behavioral health service delivery and financing; ( 3)  t ransforming and streamlining managed care; and ( 4)  e xtending federal funding opportunities currently available under the state ’s soon ‑to ‑expire 1115  waiver.
https://lao.ca.gov/Publications/Report/4374

Mental Health Services Act: Impact of Governor's Proposal on Funding for Children and Youth

Aug 10, 2023 - However, requiring a certain portion of funding unde r BHSS overall could result in a further reduction of other current services as the proposed BHSS category is already overprescribed. Additionally, the eligible services under the proposed Housing Interventions category do not align with the current children and youth services that counties fund with MHSA.
https://lao.ca.gov/Publications/Report/4786

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

Feb 27, 2024 - Fo r example, the Song-Brown program provides grants to postgraduate training programs for primary care physicians and other related providers. Other initiatives have focused on areas such as nursing and behavioral health care, and supported activities such as scholarships and loan repayment programs.
https://lao.ca.gov/Publications/Report/4860