Local Assistance Estimates
Local Assistance Estimates are prepared by the California Department of Health Care Services, Fiscal Forecasting Division.
About Local Assistance Estimates
Expenditure forecasts are prepared by the Fiscal Forecasting Division. The major responsibility of the Division is the preparation and presentation of two Local Assistance Estimates, Medi-Cal and Family Health each year (sent to the legislature on or about January 10th and May 15th). These Estimates provide information on costs for the current and upcoming Fiscal Years (FY). Preparation includes the compilation and fiscal analysis of data for all policy changes, analysis and projection of cost, eligible, and user trends, and the final compilation of an extensive estimate package providing numerous tables and comparisons to highlight the basic components of costs in the programs and point out any significant changes. Development of the Estimates involve extensive consultation with Departmental program staff, coordination with other departments, constant coordination with the Department of Finance, liaison with the Legislative Analyst’s Office, and several briefings of Department management and the Health and Welfare Agency.
For questions related to the Medi-Cal or Family Health Local Assistance estimates, please contact the Department of Health Care Services, Fiscal Forecasting Division,
DHCS Local Assistance Estimates at: FFDEstimates@dhcs.ca.gov.
Governor’s 2026-27 May Revision
- May 2026 Medi-Cal Local Assistance Estimate (May Revision)
May 2026 Medi-Cal Local Assistance Estimate for Fiscal Years 2025-26 & 2026-27 – revised as of May 19, 2026, does not include changes for the FY 2026-27 Budget Act - May 2026 Family Health Local Assistance Estimate (May Revision)
May 2026 Family Health Local Assistance Estimate for Fiscal Years 2025-26 & 2026-27 – revised as of May 18, 2026, does not include changes for the FY 2026-27 Budget Actudget Act
Governor’s 2026-27 Proposed Budget
- November 2025 Medi-Cal Local Assistance Estimate
November 2025 Medi-Cal Local Assistance Estimate for Fiscal Years 2025-26 and 2026-27 as of January 9, 2026. - November 2025 Family Health Local Assistance Estimate
November 2025 Family Health Local Assistance Estimate for Fiscal Years 2025-26 and 2026-27 as of January 9, 2026.
Governor’s 2025-26 May Revision
- May 2025 Medi-Cal Local Assistance Appropriation Estimate
May 2025 Medi-Cal Local Assistance Appropriation Estimate for Fiscal Years 2024-25 & 2025-26 – includes changes for the FY 2025-26 Budget Act as of July 25, 2025. - May 2025 Medi-Cal Local Assistance Estimate (May Revision)
May 2025 Medi-Cal Local Assistance Estimate for Fiscal Years 2024-25 & 2025-26 – as of May 14, 2025, does not include changes for the FY 2025-26 Budget Act - May 2025 Family Health Local Assistance Estimate (May Revision)
May 2025 Family Health Local Assistance Estimate for Fiscal Years 2024-25 & 2025-26 – as of May 14, 2025, does not include changes for the FY 2025-26 Budget Act
Governor’s 2025-26 Proposed Budget
- November 2024 Medi-Cal Local Assistance Estimate
November 2024 Medi-Cal Local Assistance Estimate for Fiscal Years 2024-25 and 2025-26 as of January 10, 2025. - November 2024 Family Health Local Assistance Estimate
November 2024 Family Health Local Assistance Estimate for Fiscal Years 2024-25 and 2025-26 as of January 10, 2025.
Governor’s 2024-25 May Revision
- May 2024 Medi-Cal Local Assistance Appropriation Estimate
May 2024 Medi-Cal Local Assistance Appropriation Estimate for Fiscal Years 2023-24 & 2024-25 – includes changes for the FY 2024-25 Budget Act as of July 24, 2024. - May 2024 Medi-Cal Local Assistance Estimate (May Revision)
May 2024 Medi-Cal Local Assistance Estimate for Fiscal Years 2023-24 & 2024-25 – as of May 14, 2024, does not include changes for the FY 2024-25 Budget Act - May 2024 Family Health Local Assistance Estimate (May Revision)
May 2024 Family Health Local Assistance Estimate for Fiscal Years 2023-24 & 2024-25 – as of May 14, 2024, does not include changes for the FY 2024-25 Budget Act
Governor’s 2024-25 Proposed Budget
- November 2023 Medi-Cal Local Assistance Estimate
November 2023 Medi-Cal Local Assistance Estimate for Fiscal Years 2023-24 and 2024-25 as of January 10, 2024. - November 2023 Family Health Local Assistance Estimate
November 2023 Family Health Local Assistance Estimate for Fiscal Years 2023-24 and 2024-25 as of January 10, 2024.
Governor’s 2023-24 May Revision
- May 2023 Medi-Cal Local Assistance Appropriation Estimate
May 2023 Medi-Cal Local Assistance Appropriation Estimate for Fiscal Years 2022-23 & 2023-24 – includes changes for the FY 2023-24 Budget Act as of July 26, 2023. - May 2023 Medi-Cal Local Assistance Estimate (May Revision)
May 2023 Medi-Cal Local Assistance Estimate for Fiscal Years 2022-23 & FY 2023-24 – as of May 12, 2023, does not include changes for the FY 2023-24 Budget Act - May 2023 Family Health Local Assistance Estimate (May Revision)
May 2023 Medi-Cal Local Assistance Estimate for Fiscal Years 2022-23 & FY 2023-24 – as of May 12, 2023, does not include changes for the FY 2023-24 Budget Act
Governor’s 2023-24 Proposed Budget
- November 2022 Medi-Cal Local Assistance Estimate
November 2022 Medi-Cal Local Assistance Estimate for Fiscal Years 2022-23 & 2023-24. Updated January 20, 2023. - November 2022 Family Health Local Assistance Estimate
November 2022 Family Health Local Assistance Estimate for Fiscal Years 2022-23 & 2023-24 as of January 10, 2023
Governor’s 2022-23 May Revision
- May 2022 Medi-Cal Local Assistance Appropriation Estimate
May 2022 Medi-Cal Local Assistance Appropriation Estimate for Fiscal Years 2021-22 & 2022-23 – includes changes for the FY 2022-23 Budget Act as of July 28, 2022. - May 2022 Medi-Cal Local Assistance Estimate (May Revision)
May 2022 Medi-Cal Local Assistance Estimate for Fiscal Years 2021-22 & FY 2022-23 – does not include changes for the FY 2022-23 Budget Act - May 2022 Family Health Local Assistance Estimate (May Revision)
May 2022 Family Health Local Assistance Estimate for Fiscal Years 2021-22 & 2022-23 – does not include changes for the FY 2022-23 Budget Act
Governor’s 2022-23 Proposed Budget
- November 2021 Medi-Cal Local Assistance Estimate (ERRATA)
November 2021 Medi-Cal Local Assistance Estimate for Fiscal Years 2021-22 & 2022-23 Updated on 1/28/2022 - November 2021 Family Health Local Assistance Estimate
November 2021 Family Health Local Assistance Estimate for Fiscal Years 2021-22 & 2022-23
Governor’s 2021-22 May Revision
- May 2021 Medi-Cal Local Assistance Appropriation Estimate
May 2021 Medi-Cal Local Assistance Appropriation Estimate for Fiscal Years 2020-21 & 2021-22 – includes changes for the FY 2021-22 Budget Act - May 2021 Medi-Cal Local Assistance Estimate (May Revision)
May 2021 Medi-Cal Local Assistance Estimate for Fiscal Years 2020-21 & FY 2021-22 – does not include changes for the FY 2021-22 Budget Act - May 2021 Family Health Local Assistance Estimate
May 2021 Family Health Local Assistance Estimate for Fiscal Years 2020-21 & 2021-22 – no change between May Revision and Appropriation
Governor’s 2021-22 Proposed Budget
- November 2020 Medi-Cal Local Assistance Estimate
November 2020 Medi-Cal Local Assistance Estimate for Fiscal Years 2020-21 & 2021-22. Note: This file was updated on 1/20/2021 to revise the description of the methodology used to estimate spending related to the Managed Care Private Hospital Directed Payments policy change. - November 2020 Family Health Local Assistance Estimate
November 2020 Family Health Local Assistance Estimate for Fiscal Years 2020-21 & 2021-22
Governor’s 2020-21 May Revision
- May 2020 Medi-Cal Local Assistance Appropriation Estimate
May 2020 Medi-Cal Local Assistance Appropriation Estimate for Fiscal Years (FY) 2019-20 & 2020-21 – includes changes for FY 2020-21 Budget Act - May 2020 Medi-Cal Local Assistance Estimate (May Revision)
May 2020 Medi-Cal Local Assistance Estimate for Fiscal Years (FY) 2019-20 & 2020-21 – does not include changes for FY 2020-21 Budget Act - May 2020 Family Health Local Assistance Appropriation Estimate
May 2020 Family Health Local Assistance Estimate for Fiscal Years 2019-20 & 2020-21 – no change between May Revision and Appropriation
Governor’s 2020-21 Proposed Budget
- November 2019 Medi-Cal Local Assistance Estimate
November 2019 Medi-Cal Local Assistance Estimate for Fiscal Years 2019-20 & 2020-21 - November 2019 Family Health Local Assistance Estimate
November 2019 Family Health Local Assistance Estimate for Fiscal Years 2019-20 & 2020-21
Governor’s 2019-20 May Revision
- May 2019 Medi-Cal Local Assistance Estimate (Appropriation & May Revision)
May 2019 Medi-Cal Local Assistance Appropriation Estimate for Fiscal Years 2018-19 and 2019-20 – includes changes for FY 2019-20 Budget Act - May 2019 Family Health Local Assistance Estimate
May 2019 Family Health Local Assistance Appropriation Estimate for Fiscal Years 2018-19 & 2019-20 – no change between May Revision and Appropriation
Governor’s 2019-20 Proposed Budget
- November 2018 Medi-Cal Local Assistance Estimate
November 2018 Medi-Cal Local Assistance Estimate for Fiscal Years 2018-19 & 2019-20 - November 2018 Family Health Local Assistance Estimate
November 2018 Family Health Local Assistance Estimate for Fiscal Years 2018-19 & 2019-20
Governor’s 2018-19 May Revision
- May 2018 Medi-Cal Local Assistance Appropriation Estimate
May 2018 Medi-Cal Local Assistance Appropriation Estimate for Fiscal Year 2018-19 - May 2018 Medi-Cal Local Assistance Estimate (May Revision)
May 2018 Medi-Cal Local Assistance Estimate for Fiscal Years 2017-18 & 2018-19 - May 2018 Family Health Local Assistance Appropriation Estimate
May 2018 Family Health Local Assistance Appropriation Estimate for Fiscal Year 2018-19 - May 2018 Family Health Local Assistance Estimate (May Revision)
May 2018 Family Health Local Assistance Appropriation Estimate for Fiscal Years 2017-18 & 2018-19
Governor’s 2018-19 Proposed Budget
- November 2017 Medi-Cal Local Assistance Estimate
November 2017 Medi-Cal Local Assistance Estimate for Fiscal Years 2017-18 & 2018-19 - November 2017 Family Health Local Assistance Estimate
November 2017 Family Health Local Assistance Estimate for Fiscal Years 2017-18 & 2018-19
Governor’s 2017-18 May Revision
- May 2017 Medi-Cal Local Assistance Appropriation Estimate
May 2017 Family Health Local Assistance Appropriation Estimate for Fiscal Year 2017-18 - May 2017 Medi-Cal Local Assistance Estimate (May Revision)
May 2017 Medi-Cal Local Assistance Estimate for Fiscal Years 2016-17 & 2017-18 - May 2017 Family Health Local Assistance Estimate
May 2017 Family Health Local Assistance Estimate for Fiscal Years 2016-17 & 2017-18 – no change between May Revision and Appropriation