February 2, 2022 - This post describes the Governor’s budget assumptions and proposals related to the In-Home Supportive Services program and offers relevant issues for Legislative consideration.
Update (2/7/22): Time requirement for incentive payment to IHSS providers in the state’s HCBS spending plan has been updated.
February 26, 2021 - Analyzes the Governor’s 2021-22 budget proposals related to the In-Home Supportive Services program; assesses recent growth trends in caseload, hourly wages, and hours per case; and provides some recommendations and issues for consideration.
April 16, 2020 - This post summarizes key COVID-19 federal actions that affect aging- and disability-related state programs.
February 29, 2024 - In this post, we provide some background on the In-Home Supportive Services (IHSS) program, an overview of the Governor's 2024-25 budget proposals and assumptions for IHSS, and offer relevant issues for legislative consideration.
March 2, 2023 - This post describes the Governor’s 2023-24 budget assumptions and proposals related to the In-Home Supportive Services program and offers relevant issues for legislative consideration.
October 15, 2020 - From the General Fund, the 2020-21 spending plan provides $26.7 billion for health programs—an increase of 3 percent over estimated 2019-20 General Fund spending for these programs. The year-over-year net increase in General Fund spending is largely due to the projected COVID-19-related increase in the Medi-Cal caseload. The post describes major health-related actions (both policy actions and various budget adjustments) adopted by the Legislature as part of its 2020-21 spending plan. These actions include the offsetting of what would otherwise be General Fund costs with (1) revenues from the federally approved reauthorized tax on managed care organizations and (2) federal Medicaid funds that are being provided to the state at an enhanced level during the term of the public health emergency.
October 28, 2009 - Presented to: Assembly Budget Committee and Senate Budget Subcommittee No. 3 on Health and Human Services
November 15, 2017 - In this fiscal outlook post, we discuss our near- and long-term costs projections for the In-Home Supportive Services (IHSS) Program and significant cost drivers and savings.
This is part of a collection of material for The 2018-19 Budget: California’s Fiscal Outlook. See a complete list of this year's fiscal outlook material on our fiscal outlook budget page.
October 26, 2020 - This post summarizes the state’s 2020-21 spending package for early education. It is part of our Spending Plan series, which contains posts focused on each major sector of the state budget.
October 13, 2014 - The LAO’s annual California Spending Plan publication details the 2014-15 budget package, including legislative and gubernatorial actions through October 2014. (An initial version of this publication was released in early August 2014. This final version of the publication also reflects later legislative and gubernatorial actions concerning the budget.) The 2014-15 state spending plan includes large funding increases for schools and community colleges, makes targeted augmentations in other areas of the budget, and pays down several billion dollars in key liabilities. In particular, the budget package includes a plan to fully fund the teachers’ pension system within about 30 years.
March 26, 2010 -
In 2009-10, expenditures for health and social services programs in California are estimated to be about $25 billion or 29 percent of statewide General Fund spending. Spending on health and social services programs accounts for 36 percent of total spending when special funds, federal funds, and the General Fund are included. This primer provides an understanding of the overall health and social services expenditures, the workings of major health and social services programs, spending trends in major programs, and the major funding sources for health and social services programs.
This primer and the companion piece The 2010-11 Budget: Health and Social Services—A Restricted Environment provide a framework for policymakers as they make very difficult budget decisions in health and social services.
February 20, 2014 - In this report, we analyze the Governor's 2014-15 human services budget proposals. In it, we (1) recommend that the Legislature consider modifications to the Governor's proposed response to new federal regulations concerning overtime in the In-Home Supportive Services (IHSS) programs; (2) find that although the Governor's California Work Opportunity and Responsibility to Kids (CalWORKs) budget proposal raises valid concerns, the Legislature should reject the proposal; and (3) recommend several modifications to the Governor's comprehensive proposal to reform the Community Care Licensing (CCL) program in light of recent health and safety issues discovered at residential care and other CCL-licensed facilities.