State Spending
– Total state spending – $291.5 billion ($19.3 billion less than the 2023 Budget Act)
– $208.7 billion General Fund, $80.7 billion special funds, $2.0 billion bond funds
– Total budget – $438.9 billion, including $147.4 billion federal funds
General Fund Spending Compared to 2023 Budget Act Projections
– Current year spending increases by $5.0 billion, from $225.9 billion to $230.9 billion.
– Budget year spending decreases by $16.6 billion, from $225.3 billion to $208.7 billion.
Solving $39.7 billion Budget Deficit – Notable Solutions Identified in Program Sections Below
– $13.1 billion withdrawal from Rainy Day Fund
– $8.5 billion of reductions
– $5.7 billion of borrowing and revenue solutions
– $7.2 billion related to delaying and deferring funding for various programs to future years
– $3.4 billion of fund shifts
In addition, the Governor’s Budget proposes to withdraw $5.7 billion from the Public School System
– Stabilization Account to help offset the impact adjusting the Proposition 98 minimum guarantee to reflect significant revenue decreases in 2022-23.
After Dipping Into Reserves, Remaining Budget Reserves – Total $18.4 billion
– Rainy Day Fund – $11.1 billion
– Special Fund for Economic Uncertainties – $3.4 billion
– Public School System Stabilization Account – $3.9 billion
– Safety Net Reserve – $0
Health and Human Services
Medi-Cal
– $157.5 billion ($37.3 billion General Fund) in 2023-24 and $156.6 billion ($35.9 billion General Fund) in 2024-25 for Medi-Cal (projected to cover approximately 14.8 million Californians in 2024-25).
– Includes $1.4 billion in 2023-24, $3.4 billion in 2024-25, and approximately $3.7 billion ($3.2 billion General Fund) annually thereafter to expand full-scope Medi-Cal eligibility to incomeeligible adults aged 26 to 49 regardless of immigration status.
Rate Reform Implementation
– Delays for one year full implementation of the Developmental Services Provider Rate Reform until its original implementation date in 2025-26.
Managed Care Organization Provider Tax (MCO Tax)
– Proposes early action to amend the previously approved MCO Tax to increase the tax by $1.5 billion, bringing the total cost of the tax to $20.9 billion
to maintain the Medi-Cal program.
Healthcare Workforce:
– Provides no funding for the $25 per hour health care worker minimum wage increase (SB 525, Chapter 890, Statutes of 2023), and proposes early action to make it subject to available General Fund revenue.
– Delays funding for the nursing and social work initiative, and the social work initiative.
Reproductive Health Access
– Includes one-time $200 million ($100 million General Fund) in 2024-25 for the California Reproductive Health Access Demonstration Waiver to support access to reproductive health services beginning no sooner than July 1, 2024.
Education