Realignment and County Indigent Health Care Programs [Publication Details]

Mar 19, 2026 - Presented to: Senate Budget Subcommittee No. 3 on Health and Human Services
https://lao.ca.gov/Publications/Detail/5164

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

Feb 16, 2021 - From a low of around 12. 5  m illion beneficiaries in March  2020, the budget act projected Medi ‑Cal caseload would increase to roughly 14. 5  m illion enrollees by July  2020, increasing General Fund costs above what they otherwise would be by about $ 3  b illion across 2019 ‑20 and 2020 ‑21.
https://lao.ca.gov/Publications/Report/4373

Impact of COVID-19 on Health Care Access

May 7, 2021 - In the third quarter (July 2020 through September 2020), total health care utilization was around 9  percent lower than the same period of 2019. By the fourth quarter (October 2020 through December 2020), total service utilization was only about 3  percent lower than in the fourth quarter of 2019.
https://lao.ca.gov/Publications/Report/4426

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

May 17, 2021 - Other Major Adjustments Reduce Costs by $3  Billion. In addition to revenues and constitutional requirements, other budgetary costs are, on net, lower by $3  billion compared to January. This relatively small number obscures many billions of dollars in budgetary changes.
https://lao.ca.gov/Publications/Report/4432

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

Mar 6, 2025 - Largely as a result of these policies, Medi ‑Cal caseload increased by over 3  million enrollees (25  percent) between March  2020 and June 2023, as shown in Figure  5 . Counties resumed eligibility processing in April 2023, which resulted in overall Medi ‑Cal caseload beginning to decline starting in July 2023.
https://lao.ca.gov/Publications/Report/5010

The 2021-22 Spending Plan: Health

Oct 22, 2021 - For 2021 ‑22, the spending plan undoes the 2020 reimbursement changes for clinical laboratories, thereby reverting to the methodology in place in 2019, and forgives the recoupments associated with the 2020 changes.
https://lao.ca.gov/Publications/Report/4465

The 2021-22 Budget: Overview of the Governor's Budget

Jan 10, 2021 - (The budget also assumes total additional state spending in 2020 ‑21 of over $3  billion —including a net General Fund increase of $1.3  billion after accounting for federal reimbursements —for response and recovery activities related to the 2020 wildfires.)
https://lao.ca.gov/Publications/Report/4309

The 2022-23 Budget: Department of Developmental Services

Mar 29, 2022 - The  Governor ’s budget in 2020 also proposed caseload ratios of 1:45 for ages 3, 4, and 5, but the proposal was withdrawn once the pandemic hit. While the administration ’s justification for selecting a 1:40 ratio is fairly reasonable, DDS also may achieve the desired results with a 1:45 ratio —as recommended by the workgroup —at a lower cost (we estimate about
https://lao.ca.gov/Publications/Report/4577

The 2021-22 Budget: LAO Preliminary Comments on the May Revision Medi-Cal Budget

May 21, 2021 - With these updated assumptions, the May Revision lowers projected General Fund costs due to COVID ‑19 ‑related caseload increases to around $3. 6  b illion across 2020 ‑21 and 2021 ‑22, a roughly $2. 5  b illion reduction compared to the Governor ’s budget.
https://lao.ca.gov/Publications/Report/4436

The 2022-23 Budget: Update on Home- and Community- Based Services Spending Plan

Feb 10, 2022 - Provide one ‑time $500 payments to non ‑IHSS HCBS care providers that worked at least two months between March 2020 to March 2021. 13 Traumatic Brain Injury (TBI) Program. Expand the capacity of existing TBI sites and stand up new TBI sites. 5 HCBS Navigation Language Access and Cultural Competencies Orientations and Translations.
https://lao.ca.gov/Publications/Report/4524