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Budget Information

2025-26 Budget Act

The enacted 2025-26 Budget for the Department of Health Care Services (DHCS)—totaling $202.7 billion ($45.6 billion General Fund) and 4,945.5 positions—illustrates the Administration’s commitment to supporting and evolving the Medi-Cal program within a prudent fiscal framework. The Budget maintains focus on transforming Medi-Cal into a more coordinated, person-centered, and equitable health care system, and continues efforts to modernize the state’s behavioral health delivery system. It also supports improvements in accountability, transparency, and access to community-based behavioral health care as work continues to build a healthier California for all.

Final Budget Act Documents FY 2025-26

May Revision Budget Documents FY 2025-26

Governor’s Budget Documents FY 2025-26

DHCS Proposed Budget Trailer Bill Language

Below is the list of Department of Health Care Services’ trailer bill proposals from Fiscal Year 2025-26 Governor’s Budget and May Revision that are/will be posted to the Department of Finance’s website (at: Department of Finance) along with their accompanying fact sheets.

Medi-Cal Anti-Fraud Special Deposit Fund (updated: 03/28/2025)
Fact Sheet – Medi-Cal Anti-Fraud Special Deposit Fund
Cognitive Health Assessment Training and Reporting (updated: 02/05/2025)
Fact Sheet – Cognitive Health Assessment Training and Reporting
Hospital Financing (updated: 03/20/2025)
Fact Sheet – Hospital Financing
Home and Community-Based Alternatives Waiver and Program of All-Inclusive Care for the Elderly Sanctions (updated: 03/20/2025)
Fact Sheet – Home and Community-Based Alternatives Waiver and Program of All-Inclusive Care for the Elderly Sanctions
Program of All-Inclusive Care for the Elderly (PACE) Fees (updated: 04/04/2025)
Fact Sheet – Program of All-Inclusive Care for the Elderly (PACE) Fees
Policy Changes Related to Individuals with Unsatisfactory Immigration Status (updated: 06/05/2025)
Fact Sheet – Policy Changes Related to Individuals with Unsatisfactory Immigration Status
Reinstatement of the Medi-Cal Asset Limit (updated: 06/04/2025)
Fact Sheet – Reinstatement of the Medi-Cal Asset Limit
Nondesignated Public Hospital Supplemental Fund and Intergovernmental Transfer Programs (updated: 06/04/2025)
Fact Sheet – Nondesignated Public Hospital Supplemental Fund and Intergovernmental Transfer Programs
Eliminate Prospective Payment System Reimbursement for State-Only Services (updated: 05/22/2025)
Fact Sheet – Eliminate Prospective Payment System Reimbursement for State-Only Services
Eliminate Medi-Cal Optional Benefit: Acupuncture Services (updated: 05/19/2025)
Fact Sheet – Eliminate Medi-Cal Optional Benefit: Acupuncture Services
HIV and Cancer Drug Rebates (updated: 05/15/2025)
Fact Sheet – HIV and Cancer Drug Rebates
Prior Authorization for Continuation of Drug Therapy (updated: 05/23/2025)
Fact Sheet – Prior Authorization for Continuation of Drug Therapy
Streamline Legislative Reporting Requirements (updated: 05/19/2025)
Fact Sheet – Streamline Legislative Reporting Requirements
Skilled Nursing Facility Workforce and Quality Incentive Program (updated: 05/23/2025)
Fact Sheet – Skilled Nursing Facility Workforce and Quality Incentive Program
Suspension of Skilled Nursing Facility Backup Power Requirement (updated: 05/23/2025)
Fact Sheet – Suspension of Skilled Nursing Facility Backup Power Requirement
Prior Authorization of Hospice (updated: 05/23/2025)
Fact Sheet – Prior Authorization of Hospice
Medi-Cal Managed Care Plans Medical Loss Ratio Increase (updated: 05/23/2025)
Fact Sheet – Medi-Cal Managed Care Plans Medical Loss Ratio Increase
Utilization Management for COVID-19 Services (updated: 05/23/2025)
Fact Sheet – Utilization Management for COVID-19 Services
Managed Care and Access Final Rules (updated: 06/17/2025)
Fact Sheet – Managed Care and Access Final Rules

If you would like to be added to the DHCS LGA distribution list for budget trailer bill updates, please send your contact information to Melinda Castro (Melinda.Castro@dhcs.ca.gov).