Coordinated Care Initiative and In-Home Supportive
Services MOE
On March 2, the Senate will begin an examination of the
Coordinated Care Initiative (CCI) and the In-Home Supportive
Services (IHSS) Maintenance of Effort (MOE) from a budget
perspective. The Senate Budget Subcommittee No. 3 on Health and
Human Services will be discussing the IHSS program and the recent
changes to the program announced in the Governor’s January
budget, including the massive $623 million cost shift to
counties. The Subcommittee will hear from a range of speakers,
including a county supervisor. Agenda materials will be shared
once they are available.
Assembly Discusses ACA Risks
The Assembly Budget Subcommittee #1 on Health and Human Services
discussed risks to federal health care funding yesterday
afternoon, principally the potential repeal of the Affordable
Care Act. The Subcommittee heard from a variety of experts on the
wide range of possible impacts that California may face in the
event of the repeal of the ACA, including Sarah Muller Hesketh of
the CSAC affiliate California Association of Public Hospitals and
Health Systems (CAPH), Department of Health Care Services
Director Jennifer Kent, and Brian Metzer, a Fiscal and Policy
Analyst at the Legislative Analyst’s Office. CSA testified about
the broad impacts of a potential ACA repeal, including the
economic losses in the health care workforce and the possibility
of losing gains made in integrating health care and behavioral
health services for justice-involved populations. CSAC members
are also traveling to Washington, D.C. this week to attend the
NACo Legislative Conference, where a key topic will include
California counties’ concerns regarding the ACA. CSAC is urging
Congress to replace the ACA concurrently with any repeal, and
remains concerned about proposals to twist Medicaid funding into
a per capita cap or block grant model.
