Medi-Cal Enrollment and Spending by District and County 2024
Press Coverage
** These maps were updated on February 3, 2025 with new Medi-Cal enrollment data from the California Department of Health Care Services and UC Berkeley Labor Center estimates of Medi-Cal spending by district **
This page provides the number and percentage of population enrolled in Medi-Cal, along with estimates of total Medi-Cal spending, by county, congressional district, assembly district, and senate district, as of July 2024. These estimates reflect the district boundaries after the 2024 election.
Nearly 15 million Californians were enrolled in Medi-Cal as of July 2024 and approximately $184 billion in Medi-Cal spending is budgeted for the 2024-2025 budget year, including $107 billion in federal funds.
This analysis uses actual enrollment data from the California Department of Health Care Services, which is more accurate than survey-based enrollment estimates which tend to “undercount” Medicaid enrollment and result in low estimates.
Click on the title bars to expand each section to see interactive maps by county, congressional district, and assembly district. To zoom in, use the +/- buttons in the bottom left of the graphic. Enrollment and spending by senate district is shown in a table due to recent changes in district boundaries.
To download a spreadsheet with all estimates for each geographic region, click “Get the data” below each map/ table.
Maps showing Medi-Cal enrollment for Californian children and teens only are also available. For more on Medi-Cal enrollment demographics statewide and by county, see the “Snapshot” tab of the Medi-Cal Enrollment Tracking Tool.

