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

The 2026-27 Budget: Department of Developmental Services

Mar 13, 2026 - For the period spanning from January 1, 2025 through June  30,  2026, providers could earn the quality incentive portion of rate models by enrolling in DDS ’s Provider Directory. As a budget solution, the 2025 ‑26 Budget Act added three criteria that providers must satisfy to be eligible to earn a quality payment equal to 10   percent of the rate model beginning
https://lao.ca.gov/Publications/Report/5157

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

May 17, 2021 - (We also include links to Appendix tables at the end of this post and the top left of this page. These appendix tables itemize select proposals by policy area based on our understanding at this time.)
https://lao.ca.gov/Publications/Report/4432

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

Oct 24, 2025 - The new requirement will only apply to childless adults earning more than 100  percent of the federal poverty limit. Certain services, such as primary care and behavioral health care, are excluded from the  requirement.
https://lao.ca.gov/Publications/Report/5083

The 2025-26 Budget: Medi-Cal Pharmacy Spending

Apr 3, 2025 - As Figure  4 shows, the top 30 drugs in terms of spending (out of about 950 drug categories) represented less than 20  percent of all prescriptions (left column) but more than 50  percent of gross spending (right column).
https://lao.ca.gov/Publications/Report/5026

Building California’s Behavioral Health Infrastructure: Progress Update and Opportunities for the Proposition 1 Bond

Feb 5, 2025 - The $4.4  billion comes on top of $1.8  billion in state and federal funds that have already been dedicated to this purpose in a multiyear spending initiative begun in 2021 ‑ 22 —the Behavioral Health Continuum Infrastructure Program (BHCIP).
https://lao.ca.gov/Publications/Report/4954

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 - Individuals must generally work, study, or volunteer at least 80  hours per month, or meet an earnings threshold (about $580 per month, equivalent to 80 hours at the federal minimum wage) unless they qualify for certain exemptions (such as having young children or being medically frail).
https://lao.ca.gov/Publications/Report/5146

The 2024-25 Budget: Department of Developmental Services

Feb 13, 2024 - (Prior to the full implementation of the quality incentive payment as 10   percent of the total rate, the state began providing some smaller quality incentive payments on top of providers ’ baseline rates in 2022 ‑23.)
https://lao.ca.gov/Publications/Report/4837

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