The 2025-26 California Spending Plan: Health

Oct 16, 2025 - Moreover, the spending plan includes General Fund reductions for operational efficiencies of $5  million in 2025-26, $6  million in 2026-27, and $2  million in 2027-28 and ongoing and for modified reporting requirements of $1.5  million in 2025-26 and ongoing.
https://lao.ca.gov/Publications/Report/5075

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

Feb 16, 2021 - Under the Governor ’s proposed budget, General Fund spending in Medi ‑Cal would grow from $22. 5  b illion in 2020 ‑ 21 t o $28. 4  b illion in 2021 ‑ 22 —a $5. 9  b illion, or 26  p ercent, increase in year ‑over ‑year spending.
https://lao.ca.gov/Publications/Report/4373

The 2021-22 Budget: Behavioral Health: Community Care Demonstration Project

Feb 19, 2021 - A California Superior Court ruled that DSH is required to place felony ISTs into competency restoration treatment within 28 days, and gave DSH until October   2020 t o comply with the order. DSH appealed the ruling and the effect is on stay pending results of the appeal.
https://lao.ca.gov/Publications/Report/4382

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

Mar 6, 2025 - Figure  6 shows the cumulative percentage change for each category of Medi ‑Cal enrollees from April 2020 (when the continuous coverage period began) through December 2024 (a year and a half after the beginning of the unwinding of the continuous coverage requirement).
https://lao.ca.gov/Publications/Report/5010

The 2025-26 Budget: Health Care Access and Information

Feb 20, 2025 - As   Figure  6 shows, while brand drugs represented a small share of commercial health plan fee‑for‑service claims in 2021, they comprised a majority of spending. Costs also are higher for consumers, with average out‑of‑pocket costs more than four times the cost for brand drugs than generics.
https://lao.ca.gov/Publications/Report/4979

The 2023-24 California Spending Plan: Health

Oct 23, 2023 - Estimated spending under the waiver totals about $6  billion in DHCS —$185  million General Fund, $4  billion federal funds, and $2  billion in county and other funds —from 2023-24 through 2027-28. Under the waiver, there also is funding for the Department of Social Services (DSS) that we detail in our Human Services Spending Plan.
https://lao.ca.gov/Publications/Report/4810

The 2024-25 California Spending Plan: Health

Sep 17, 2024 - As Figure  6 shows, these reductions primarily affect one-time spending. Figure 6 General Fund Spending on HCAI Workforce Programs Appropriations (In Millions)
https://lao.ca.gov/Publications/Report/4930

Impact of COVID-19 on Health Care Access

May 7, 2021 - (Total employment at dentists ’ offices in California was just 6  percent lower in February 2021 compared to February 2020.) In contrast, total employment at hospitals has not recovered since the initial decline (of around 2  percent) in spring 2020.
https://lao.ca.gov/Publications/Report/4426

The 2024-25 Budget: Medi-Cal Fiscal Outlook

Dec 7, 2023 - Outyears (Through 2027-28) Anticipates Spending to Grow Each Year. We project Medi-Cal General Fund spending to increase in the remaining years of the outlook period, rising to more than $43  billion in 2027-28 (17  percent of total state General Fund spending).
https://lao.ca.gov/Publications/Report/4820

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

May 17, 2021 - This is somewhat higher than the enacted balance of the SFEU from June 2020. Notably, however, the administration ’s multiyear estimates include a negative SFEU balance of $6  billion in 2022 ‑23. Despite Sizeable Surplus, Governor Maintains Borrowing and Reserve Withdrawals.
https://lao.ca.gov/Publications/Report/4432