The 2023-24 Budget: Medi-Cal Fiscal Outlook

Nov 16, 2022 - This adjustment is driven by the extension of the national COVID ‑19 public health emergency (PHE) into January 2023, which (among other impacts) provides Medi ‑Cal more federal funding to offset General Fund costs than anticipated at budget act.
https://lao.ca.gov/Publications/Report/4649

The 2026-27 Budget: Medi-Cal Analysis

Mar 2, 2026 - Although H.R. 1 does not require states to apply the community engagement requirement and six ‑month renewals to adults with UIS (whose Medi ‑Cal full scope coverage is entirely state ‑funded), the administration proposes to do so.  
https://lao.ca.gov/Publications/Report/5146

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

Oct 24, 2025 - H.R.  1 also reduces the federal matching rate for emergency services provided to childless adults with UIS. As with childless adults who have satisfactory immigration status, the federal government currently pays 90  percent of emergency care costs.
https://lao.ca.gov/Publications/Report/5083

The 2026-27 Budget: Medi-Cal Fiscal Outlook

Nov 19, 2025 - For example, this change might require clinics to track their patients ’ immigration status —a practice that many clinics generally do not undertake. Any implementation challenges resulting from such hurdles could delay the timing of savings or reduce the long ‑term effect altogether.
https://lao.ca.gov/Publications/Report/5092

The 2022-23 Budget: Public Health Foundational Support

Feb 16, 2022 - CDPH said it would require LHJs to prepare them if they do not already have them and would provide technical assistance. Whether these 19 LHJs would be able to successfully complete high ‑quality CHAs and CHIPs to form the basis of their local plans by July  1, 2023 and how much and what type of support and technical assistance they would need to do so are unclear.
https://lao.ca.gov/Publications/Report/4544

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

Feb 9, 2022 - Unless prematurely terminated (which we do not think is likely), the PHE currently is set to remain in place until April 16, 2022. Additionally, the Biden administration has committed to providing 60 ‑day notice of a possible termination of the PHE.
https://lao.ca.gov/Publications/Report/4522

The 2026-27 Budget: Department of Developmental Services

Mar 13, 2026 - DDS indicated that it intends to collaborate with RCs to monitor any potentially emerging workload needs resulting from H.R. 1 ‑related requests for assistance from consumers. Assessment and Issues for Legislative Consideration Legislative Oversight Can Help Minimize Potential Adverse Impacts of H.R. 1.
https://lao.ca.gov/Publications/Report/5157

Climate Change Impacts Across California - Health

Apr 5, 2022 - (Currently, Medi ‑Cal plans are not required to provide these benefits, but have the option to do so.) Additionally, the Legislature could consider strengthening Medi ‑Cal managed care plans ’ role in helping their members prepare for and navigate services during and after emergencies.
https://lao.ca.gov/Publications/Report/4580

The 2024-25 Budget: Medi-Cal Analysis

Feb 14, 2024 - For example, the administration also proposes to tie ground emergency transportation rates to a percent of Medicare. For abortion services, which generally do not have comparable Medicare rates, the administration proposes to increase rates to at least $1,150.
https://lao.ca.gov/Publications/Report/4838

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

Dec 16, 2022 - Many of these policy changes are tied to the COVID ‑19 national public health emergency (PHE). The PHE was first declared in early 2020 and has subsequently been extended for numerous 90 ‑day periods.
https://lao.ca.gov/Publications/Report/4654