The 2026-27 Budget: Medi-Cal Fiscal Outlook

Nov 19, 2025 - The 2025 ‑26 Budget Act provided Medi ‑Cal $44.9  billion General Fund support, an all ‑time high for the program. Under our outlook, this level grows to $51.6  billion by the end of the outlook period in 2029 ‑30 (an increase of $6.7  billion).
https://lao.ca.gov/Publications/Report/5092

The 2026-27 Budget: Medi-Cal Analysis

Mar 2, 2026 - Gross revenue is over $12 billion annually. California Recently Pursued Increases to Two Largest Provider Taxes. Federal rules include an overall limit on how much revenue provider taxes can generate.
https://lao.ca.gov/Publications/Report/5146

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

Jan 13, 2025 - In total, the Governor ’s budget assumes that state operations costs are reduced by $2.1  billion ($1  billion General Fund) in 2024 ‑25 and $2.6  billion ($1.4  billion General Fund) in 2025 ‑26 and ongoing.
https://lao.ca.gov/Publications/Report/4951

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

Feb 5, 2025 - In addition to making broad changes to the Mental Health Services Act, Proposition  1 authorized a $6.4  billion general obligation bond, $4.4  billion of which is dedicated to building behavioral health infrastructure.
https://lao.ca.gov/Publications/Report/4954

The 2025-26 Budget: Medi-Cal Fiscal Outlook

Nov 20, 2024 - Our outlook projects $48.8  billion General Fund support for Medi-Cal in 2028 ‑29, a $13.8  billion (39  percent) increase over the enacted 2024 ‑25 level. This amount represents an average annual rate of growth of 8.6  percent.
https://lao.ca.gov/Publications/Report/4941

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

The 2024-25 Budget: Medi-Cal Fiscal Outlook

Dec 7, 2023 - Under the 2023-24 Budget Act, Medi-Cal is receiving $152  billion, of which $37.5  billion (25  percent) comes from the state General Fund. Compared to the revised 2022-23 level, General Fund spending in Medi-Cal is $6.6  billion (21  percent) higher in 2023-24.
https://lao.ca.gov/Publications/Report/4820

The 2024-25 Budget: The MCO Tax Package at May Revision

May 22, 2024 - These augmentations were expected to cost $2.7  billion MCO tax funds at full implementation (when the tax was estimated at the time to raise between $5  billion and $5.4  billion annually in net revenue).
https://lao.ca.gov/Publications/Report/4905

The 2025-26 California Spending Plan: Health

Oct 16, 2025 - Under the spending plan, General Fund spending for the Department of State Hospitals (DSH) is $2.9  billion in 2025-26, a decrease of $166  million (about 6  percent) from the revised 2024-25 expenditure estimate.
https://lao.ca.gov/Publications/Report/5075

The 2023-24 Budget: Overview of the Governor's Budget

Jan 13, 2023 - We Estimate the Governor Solved an $18   Billion Budget Problem. We estimate the Governor ’s budget addressed an $18  billion budget problem. This is somewhat lower than the $22  billion budget problem the administration has referenced.
https://lao.ca.gov/Publications/Report/4662