The 2026-27 Budget: Medi-Cal Analysis

Mar 2, 2026 - Federal rules include an overall limit on how much revenue provider taxes can generate. California historically has set its provider taxes and fees well below this revenue limit. In recent years, however, California pursued notably larger taxes, getting much closer to the federal limit.
https://lao.ca.gov/Publications/Report/5146

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

Oct 24, 2025 - Much of the impact will depend on how the state implements the new rules. Given this uncertainty, we considered independent analyses that model the Medicaid disenrolling effects of the provisions in H.R.  1.
https://lao.ca.gov/Publications/Report/5083

An Update on the Public Health Laboratory System After the Pandemic

Jun 12, 2025 - The state has not required counties to report on most public health spending or how much is provided to public laboratories, which limits the ability of the Legislature to assess how much total funding is used to support laboratory services.
https://lao.ca.gov/Publications/Report/5056

The 2026-27 Budget: Department of Developmental Services

Mar 13, 2026 - DDS is eligible to receive this support because much of the project involves Medicaid ‑funded services. This current round of enhanced federal funding is available to the department from June 2025 through September 2026.
https://lao.ca.gov/Publications/Report/5157

The 2026-27 Budget: Medi-Cal Fiscal Outlook

Nov 19, 2025 - How much of these savings accru e to California, however, is uncertain. California could choose to continue streamlining eligibility policies, even absent federal enforcement of the new rules. Recoupments for Excess Payments.
https://lao.ca.gov/Publications/Report/5092

The 2025-26 Budget: Medi-Cal Pharmacy Spending

Apr 3, 2025 - These classifications generally categorize drugs based on how they work, how they are used, and other factors. There are over 1,000 such classifications in the federal directory. Analysis Likely Omits Some Key Kinds of Drug Claims.
https://lao.ca.gov/Publications/Report/5026

The 2025-26 Budget: MCO Tax and Proposition 35

Feb 26, 2025 - How Has Proposition  56 Impacted General Fund Spending? Enacted by voters in 2016, Proposition 56 increased taxes on tobacco-related products. The measure requires most of the resulting revenue to go to Medi-Cal.
https://lao.ca.gov/Publications/Report/4992

The 2025-26 Budget: Medi-Cal Fiscal Outlook

Nov 20, 2024 - As a result, annual Medi-Cal General Fund spending could be as much as several billion dollars higher or lower than what is reflected in our outlook. Below, we su mmarize our outlook results and describe these key areas of uncertainty.
https://lao.ca.gov/Publications/Report/4941

The 2024-25 Budget: Medi-Cal Analysis

Feb 14, 2024 - Though last year ’s enacted trailer bill legislation set forth specific areas for increases, the Legislature could consider how much funding to allocate and how to structure these allocations. For  example, the Legislature could consider how much funding to allocate for base payment increases and how much funding to allocate for equity adjustments.
https://lao.ca.gov/Publications/Report/4838

The 2025-26 Budget: CalAIM Enhanced Care Management and Community Supports Implementation Update

Mar 6, 2025 - Utilization rates across the state were relatively flat until 2023, when ECM utilization began to gradually increase and Community Supports utilization increased much more quickly. Majority of ECM Participants Qualify Under Three POFs.
https://lao.ca.gov/Publications/Report/5003