The 2026-27 Budget: Medi-Cal Analysis

Mar 2, 2026 - Federal Changes for Certain Immigrant Groups Create State Fiscal Pressure. Beginning October 1, 2026, H.R. 1 eliminates federal funding for full ‑scope Medicaid coverage among certain lawfully present immigrants, such as refugees, asylees, and battered noncitizens.
https://lao.ca.gov/Publications/Report/5146

The 2026-27 Budget: Department of Developmental Services

Mar 13, 2026 - According to the Centers for Medicare & Medicaid Services (CMS), the final rule is intended to increase transparency and accountability, standardize data and monitoring, and create opportunities for states to promote active beneficiary engagement.
https://lao.ca.gov/Publications/Report/5157

The 2025-26 California Spending Plan: Health

Oct 16, 2025 - Other Actions Creates New Abortion Fund Program. The August session health trailer bill (Chapter  105) creates the Abortion Access Fund. Administered by HCAI, the fund is to support abortion services through grants and contracts.
https://lao.ca.gov/Publications/Report/5075

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

Oct 24, 2025 - H.R.  1 creates the Rural Health Transformation Fund, which will allocate $50  billion in state grants over five years (beginning in Federal Fiscal Year 2026) generally to support rural health providers.
https://lao.ca.gov/Publications/Report/5083

An Update on the Public Health Laboratory System After the Pandemic

Jun 12, 2025 - The state and several local health jurisdictions (LHJs) —mostly counties and a few cities —have laboratories that provide public health laboratory testing services. (When referring to counties and LHJs, we are also referring to these city LHJs.)
https://lao.ca.gov/Publications/Report/5056

The 2026-27 Budget: Medi-Cal Fiscal Outlook

Nov 19, 2025 - For example, bu dget ‑related legislation in August 2025 (Chapter  105 of 2025 [A B  144 , Committee on Budget]) created a new Abortion Access Fund to support abortion providers, with funds coming from certain excess monies in Covered California plan accounts.
https://lao.ca.gov/Publications/Report/5092

The 2025-26 Budget: Health Care Access and Information

Feb 20, 2025 - In 2020, State Created CalRx to Expand Access to Generic Drugs. Over the years, the state has taken a number of steps to help reduce the cost of prescription drugs in state programs and to consumers.
https://lao.ca.gov/Publications/Report/4979

The 2025-26 Budget: MCO Tax and Proposition 35

Feb 26, 2025 - This variation also can create challenges for state directed payments. For example , some directed payments require plans to increase their provider rates by a uniform dollar amount, regardless of the size of their base payments to providers.
https://lao.ca.gov/Publications/Report/4992

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

Feb 5, 2025 - BHCIP Created in 2021 ‑22 Budget. The  2021 ‑22 budget plan included $2.2  billion (later reduced, as described below) to create BHCIP. (This amount was originally the sum of $1.7  billion General Fund and $530  million in federal funding, but the federal funding was shifted to the General  Fund in December 2024, making the General Fund the sole funding source for BHCIP.)
https://lao.ca.gov/Publications/Report/4954

The 2025-26 Budget: Overview of the Governor's Budget

Jan 13, 2025 - First, some proposals provide short ‑term budget savings that create more budget capacity. These total $2.2  billion. Second, the Governor ’s budget includes new discretionary proposals that use budget capacity by increasing spending or reducing revenues.
https://lao.ca.gov/Publications/Report/4951