CSAC Bulletin Article

Health and Human Services News Briefs

February 23, 2017

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.

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