Climate Change Impacts Across California - Crosscutting Issues

Apr 5, 2022 - Coastal Flooding and Erosion From Rising Sea Levels Sea levels along the California coast are projected to rise by about six inches by 2030 and as much as seven to ten feet by 2100 compared to 2000 levels, depending upon the degree of warming the planet experiences.
https://lao.ca.gov/Publications/Report/4575

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

Oct 24, 2025 - For example, much of the lost federal funding would come from caseload reductions associated with the new community engagement requirements. Caseload reductions result in lower costs to the state. Backfilling this lost federal funding, such as by creating a new state ‑only program for people disenrolled from Medi ‑Cal, would be a discretionary choice and a substantial change in existing state policy.
https://lao.ca.gov/Publications/Report/5083

The 2025-26 Budget: MCO Tax and Proposition 35

Feb 26, 2025 - These steps include: (1)  forming the stakeholder advisory committee; (2)  consulting with the newly formed committee; (3)  structuring the new augmentations; and (4)  where necessary, obtaining federal approval (such as by submitting permanent state plan amendments or limited-term waivers).
https://lao.ca.gov/Publications/Report/4992

The 2026-27 Budget: Medi-Cal Fiscal Outlook

Nov 19, 2025 - As a result, as Figure  2 shows, Medi ‑Cal comprises 19  percent of overall General Fund spending by the end of our outlook period —slightly lower than the 20  percent share in the 2025 ‑26 enacted  budget.
https://lao.ca.gov/Publications/Report/5092

The 2024-25 Budget: Medi-Cal Fiscal Outlook

Dec 7, 2023 - Recently, the Department of Finance publicly stated that the cost could reach around $2  billion General Fund in 2024-25, largely from increased Medi-Cal managed care rates. At the time of this analysis, the administration had not released more detailed information on its estimates.
https://lao.ca.gov/Publications/Report/4820

The 2025-26 Budget: Medi-Cal Pharmacy Spending

Apr 3, 2025 - Over time, the initial brand drugs have lost their patent exclusivity and generic competitors have entered the market. As Figure  6 shows, generic versions have become a growing share of antipsychotic prescriptions.
https://lao.ca.gov/Publications/Report/5026

The 2025-26 Budget: Medi-Cal Fiscal Outlook

Nov 20, 2024 - Were the federal government to delay or deny approval of these increases, however, there could be additional Genera l Fund costs to backfill the lost funding. Proposition  35 Raises Two Key Issues. In November 2024, California voters approved Proposition  35.
https://lao.ca.gov/Publications/Report/4941

COVID-19: American Rescue Plan’s Major Health-Related Funding Provisions

May 6, 2021 - The funding also may be used to offset lost revenues resulting from the COVID-19 outbreak, such as those associated with hospitals cancelling elective procedures to free up capacity to address the COVID-19 outbreak.
https://lao.ca.gov/Publications/Report/4425

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

Mar 6, 2025 - As discussed above, the elimination of a Medi ‑Cal share of cost for certain seniors provides about 30,000 of the 165,000 estimated senior growth due to eligibility expansions, leaving 135,000 of the growth to allocate between two eligibility expansions: (1)  the older adult expansion and (2)  the asset test elimination.
https://lao.ca.gov/Publications/Report/5010

The 2022-23 California Spending Plan: Health

Oct 24, 2022 - The 2022-23 budget package also includes funding for various priorities of the Legislature, including (1) $40  million General Fund for the California Health Facilities Financing Authority to provide cash flow loans to non-designated state hospitals, (2) $20  million General Fund for a Los Angeles County reproductive health pilot program, (3) $15  million General Fund (increasing
https://lao.ca.gov/Publications/Report/4642