You hear it too often in Washington, and we’re just plain sick of it.
“We have to cut programs like Social Security, Medicare and Medicaid to reduce the federal deficit.”
We are alerting you because these programs are of vital importance to most IHSS providers and their clients. If Medicaid is cut it will impact IHSS homecare as well as medical care for IHSS clients. And of course many of you are also affected by Social Security and Medicare. Read the rest of this entry »
As a result of massive spending cuts in the last two years and new temporary revenue provided by Proposition 30, California no longer faces a budget shortfall in the coming fiscal year. This is a dramatic improvement from just two years ago, when the budget deficit was estimated at $26.6 billion. On January 10, 2013, Governor Jerry Brown submitted a balanced budget for FY 2013-2014 that entails $97.7 billion in General Fund expenditures (an increase of 5% from the current year) and $98.5 billion in General Fund revenue (an increase of 3.3% from the current year). It creates a $1 billion reserve fund and pays down $4.2 billion in budget-related debt. State debt at the end of the current fiscal year (FY 12-13) is expected to be under $28 billion, down from $34.7 billion in FY 10-11.
Importantly, under current projections, the budget is expected to remain balanced in future years. The Governor’s proposed budget reflects an improving economic forecast in California, fueled in part by real estate conditions, job growth, and consumer attitudes. Existing home sales and median home prices have increased since 2011. The state gained an average of 21,200 jobs per month in the first eleven months of 2012, and the budget predicts non-farm employment to grow 2.1 percent in 2013, 2.4 percent in 2014, and 2.5 percent in 2015. At this predicted rate of job growth, jobs lost during the recession should be recovered by mid-2015. However, the Governor warns that this positive economic outlook could be threatened in the future by federal fiscal challenges and rising health care costs. Read the rest of this entry »
In “Boehnerville,” with cuts to vital services, it’s a NOT so wonderful life.
House Speaker John Boehner and House Republicans have announced a “Plan B,” to be voted on this week, to end the Bush tax cuts for everyone making $1 million or more. But his “Plan B” is really “Plan BS.” Click here to take immediate action
Americans want an economy that works for everyone. Some in Congress didn’t get the message and want to reduce the deficit by cutting Medicare, Medicaid and Social Security, rather than make the wealthiest 2 percent pay their fair share.
Next Wednesday, December 5th, AFSCME is joining in a national day of action where citizens across the country will send a message to their members of Congress:
Make the wealthy pay their fair share – end the Bush tax cuts for the wealthiest 2% but continue tax cuts for the middle class.
As a disabled person, who depends on In Home Support Services, I just want to say thank you for all that you have done to stop Governor Jerry Brown from cutting IHSS! For disabled persons in my situation, cutting IHSS for those in “shared” housing situations would be a disaster! Many disabled persons, like myself have no relatives in the area to take care of them. I cannot afford to pay someone to live with me and work for me or to have someone work for me in exchange for housing. With rents so high, I have to have roommates, who will share the rent with me. Do Governor Brown and his budget advisors actually expect that I can find someone to live with me and work for me free of charge? What planet are they living on? If I could afford to pay someone to live with me and work for me, I would not be on Medi-Cal!
Also I want to say thank you for representing the workers in this IHSS! My provider from IHSS is wonderful, and I am glad to know that she has a union to help defend her interests. Keep up the good work.
# # # #
Thank you. Diane. When we fight to protect IHSS, we are doing it for people like you.
Photo credit; Sacramento Bee. Rich Pedroncelli / AP
Left: Speaker John Perez sees differences in the governor’s budget proposal and lawmakers’ plan as “bridgeable.”
Legislative Democrats are poised to send Gov. Jerry Brown a budget that avoids deep new cuts in safety-net programs while reducing state worker pay and taking funds from courts and counties.
To help bridge a $15.7 billion deficit, the Democratic governor has asked his own party’s lawmakers to overhaul welfare-to-work, slash in-home care and require low-income students to earn higher grades for scholarship aid. Read more
SENATE BUDGET COMMITTEE REFERS MAIN BUDGET BILL AND 10 BUDGET TRAILER BILLS TO SENATE FLOOR FOR FINAL VOTE FRIDAY
Trailer Bills Referred to Senate Floor For Final Vote Include Health, Human Services and Developmental Services
Sen. Leno Says Legislature Will Take Up Remaining Trailer Bills Next Week As Language and Provisions Are Finalized Including Coordinated Care Initiative
Senate Floor Session Convenes 11 AM Friday Morning – Assembly Will Convene at 12:30 PM to Take Final Action On the 2012-2013 State Budget
SACRAMENTO, CA (CDCAN) [Last updated 06/14/2012 2:14 PM] – With one day left before the State Constitutional deadline to pass a budget and send it to the Governor, the Senate Budget and Fiscal Review Committee, chaired by Sen. Mark Leno (Democrat – San Francisco, 3rd State Senate District), received a brief overview of the main budget bill (AB 1464) and 10 budget trailer bills, and then referred those bills for final vote on the Senate floor Friday, June 15th. The Senate panel took action on the following bills (see CDCAN Report #114-2012 for complete list of all trailer bills released to date): Read the rest of this entry »
BY REBECCA KHEEL Californian staff writer
Last Updated Tuesday, Jun 12 2012 04:49 PM
Vera Gooden earns a monthly paycheck from the state for caring for two people: an 81-year-old Alzheimer’s patient and her heart disease-addled husband.
And if something were to happen to that income, she said, there are only two things she could do: stand in the welfare line and pray.
“I’m a Christian, so I would pray that the Lord fixes this,” said Gooden, a 44-year-old who lives in Bakersfield.
Gooden is one of about 3,000 care providers in Kern County who would be affected by the state’s proposed budget cuts to an in-home care program for the elderly and disabled. Her patients are two of about 3,800 in the county who could end up without services.
The program is called In Home Supportive Services. It is a social services program that provides in-home care, such as housecleaning, cooking and bathing, to the elderly, blind or otherwise disabled. It is funded by federal, state and local governments. Read more
If we are to succeed in solving our state’s budget problems, we must be courageous, we must be determined, we must be strategic. And above all, we must be smart.
Being smart means eliminating state programs that do not work, that are inefficient or wasteful, or are no longer needed. But it also means maintaining and strengthening programs that both provide needed services and are cost-effective.
A perfect example is the In Home Supportive Services (IHSS) program. This innovative program, which has become a national model for home care, was signed into law by Gov. Ronald Reagan as a cost-effective way to meet the needs of elderly and disabled Californians. Read the rest of this entry »
Democrats in the state Assembly are poised to formally reject some of Governor Jerry Brown’s social services cuts and instead create a smaller cash cushion, while directing more local property tax dollars to help fund public schools.
A 108-page budget outline (PDF) was released late Monday afternoon after a day of private negotiations between Brown and Democratic legislative leaders. But whether the blueprint represents a firm budget offer or a wish list remains unclear.
“Overall, the Legislature’s budget diverges from the governor’s plan by less than 1 percent of the total spending,” reads the preamble to the document. But the proposal never provides a comprehensive list of those changes from what the governor proposed, choosing instead to mention its rejection of Brown’s budget ideas in piecemeal fashion.
ASSEMBLY AND SENATE FULL BUDGET COMMITTEES TO MEET TUESDAY IN WHAT COULD BE FINAL ROUND OF HEARINGS BEFORE FINAL VOTE ON BUDGET LATER THIS WEEK – BUDGET FORUM TODAY AT 5:30 PM
Passage of A State Budget Certain On or By the June 15th State Constitutional Deadline
Flurry of Action on Finalizing Various Budget Trailer Bill Language Covering a Wide Range of Budget Issues
Public Forum on Impact of State Budget Cuts to Women and Children & What Can State Do To Bridge Budget Gap Today 5:30 to 7:30 PM, State Board Of Equalization Hearing Room 450 N Street, First Floor – Sponsored by Women’s Foundation of California
SACRAMENTO, CA (CDCAN) [Last updated 06/11/2012 01:50 PM] – With shadow of an enormous budget shortfall still looming and the State Constitutional deadline to pass a budget just four days away, the full budget committees of the Senate and Assembly will meet separately on June 12th, Tuesday, in what possibly could be the pivotal round of final hearings of those two committees before the final vote on the main budget bill on Friday, June 15th. Read the rest of this entry »
The wall is the first phase of a massive 10-day campaign by home care providers and consumers to stop cuts in IHSS and help transform the program. Thousands of consumers and providers from throughout the state are taking part.
Though the State’s economic outlook has improved since the January Budget, the slow pace of recovery continues to exact a punishing toll. A confluence of factors confounded January predictions and, as a result, a forecasted budget shortfall of $9.2 billion has since ballooned to $15.7 billion ($6.9 billion in the current fiscal year and $8.8 billion in FY 12-13). This increase is largely a result of the following factors:
Drastically lower than expected tax revenue – $4.3 billion
Increases in mandatory education spending (“Prop 98”) – $2.4 billion
Prior cuts that could not be implemented due to Federal and Court actions – $1.7 billion
The May Revision proposes to collect $93.2 billion in revenue (once the current year shortfall is paid off) while spending $91.4 billion. The difference is allocated toward state reserve funds.
State General Fund (GF) revenue is largely collected from three main sources: the Personal Income tax (63%), Sales and Use Taxes (21.5%), and Corporation Tax (8.9%).
State GF spending is largely focused on three main areas: K – 14 education (52.3%), Health and Human Services (28.4%), and Corrections and Rehabilitation (9.7%).
Proposed Budget Solutions
The Governor now proposes the following actions to account for the $15.7 billion shortfall (this includes setting aside funds for the state’s reserve accounts):
Governor’s Tax Initiative
$5.9 billion (35%)
Health and Human Services
$8.3 billion (50%)
Other Loan extensions, Fund transfers, etc. $2.5 billion (15%)
Governor states that his budget proposal, if approved, will resolve ongoing structural deficits, resulting in future balanced budgets beginning next year.
In Home Supportive Services (IHSS)
When Federal and County funds are taken into account, total spending on IHSS in FY 12-13 is $5.699 billion. This represents a substantial increase from the final appropriation for IHSS in last year’s budget:
FY 11-12 Final Allocation
FY 12-13 Proposed May Revision
This increase in cost is largely attributable to the elimination of the IHSS provider fee (described below) and overstated or unrealized savings estimates of prior budget actions.
State GF spending of $1.502 billion can be broken down into spending on:
Elimination of Domestic and Related Services for certain recipients in the IHSS program ($125.3 million)
This proposal would impact approximately 310,000 recipients in shared living arrangements and is scheduled to implement on October 1, 2012.
It would eliminate domestic and related service hours for consumers who live in any type of shared living arrangement in which D&R services can be “met in common” with other household members. Domestic and related services include: meal preparation and clean-up, housekeeping, laundry, food shopping, shopping and errands. Currently, when a consumer lives with a roommate, the assessment of need for domestic and related services is prorated and reduces the number of hours approved for these services.
This proposal would not apply to consumers who live only with other consumers. If a recipient needs domestic and/or related services due to fact that other members of the household, or their parents if applicable, have a medically verified condition, they may request to keep authorized hours for these services. This request would then be assessed by the County.
7% across-the-board reduction in service hours ($99.2 million)
This proposal would decrease authorized hours for all IHSS recipients by 7% effective August 1, 2012. Recipients would be able to direct the manner in which the reduction is applied to their authorized services. There is no proposed sunset date for this reduction.
20 % across-the-board reduction in service hours ($22.3 million)
This proposal assumes that the 20% across-the-board reduction in IHSS service hours that was “triggered” by the Department of Finance in December 2011 will be implemented on April 1, 2013. This cut is currently blocked by a preliminary injunction that was granted by a federal court in January 2012. The State has appealed this action to the Ninth Circuit Court of Appeal. It is important to note that the state has set aside the amount it projects to save through this cut should pending litigation not turn out in its favor. Thus, the 20% “trigger” cut is a cost-neutral proposal.
Shift to Medi-Cal Managed Care ($663.3 million)
In January, the Governor has proposed a Coordinated Care Initiative, which contains two major components: 1 – the Dual Eligible Demonstration, which would financially and administratively integrate the full range of medical and long term care services for individuals who are eligible for both Medicare and Medi-Cal, and 2 – the inclusion of all long term supports and services (LTSS) as mandatory managed care benefit for all Medi-Cal recipients. The CCI would significantly impact the IHSS program, as IHSS would then be administered as a managed care benefit.
The May Revision makes several changes to the CCI from the proposal first introduced in the January budget:
It would phase in implementation for both the Duals Demonstration and LTSS Integration according to the same geography and timeline
It would reduce the number of counties participating in Year One from ten to eight
It would delay implementation from January 1, 2013 to March 1, 2013
The May Revision also indicates the Governor’s intent to eventually transition collective bargaining in IHSS from the county to the state level. No details are provided regarding this matter.
Lower caseload spending ($237.3 million)
This proposal assumes a decrease in General Fund spending for social services programs (including IHSS) as a result of decreased caseload projections. Based on actual caseload data received since the November 2011 estimate, forecasts have been revised downward as follows:
November 2011 estimate
May 2012 estimate
Program Integrity Cost Avoidance ($151.6 million)
This proposal assumes that savings will be achieved as a result of various program integrity activities first initiated in the Budget Act of 2009. These include: County District Attorney (DA) activities, County Investigations, Related activities, and Provider exclusions. It is important to note that, beginning in FY 11-12, state funding of County DAs ($10 million) was eliminated as a result of AB 121 (Chapter 41, Statutes of 2011). A county must now fund DA activities on its own if it chooses to continue with these activities.
Elimination of IHSS Provider Fee
This proposal would eliminate the proposed IHSS Provider Fee, which is currently pending approval by the Federal Centers for Medicare and Medicaid Services (CMS). The Provider Fee is an application of the state sales tax to all service hours provided through the IHSS program. This fee would be used to draw down additional federal matching funds. The amount of the fee would be returned to IHSS providers as a supplementary payment.
This proposal would result in a loss of $152.7 million in state funds for both FY 11-12 and FY 12-13.
Expiration of current 3.6% across-the-board reduction
This proposal assumes that the current 3.6% across the board reduction in service hours will expire on June 30, 2012, as per existing state law.
Governor’s Tax Initiative
State GF Revenue for FY 12-13 is estimated at $95.7 billion. The largest sources of revenue include the Personal Income tax (63%), Sales and Use Taxes (21.5%), and Corporation Tax (8.9%).
The Governor continues to propose a November 2012 ballot initiative to temporarily increase select income tax rates and the Sales and Use tax rate. The content of the tax initiative changed substantially since January as a result of negotiations with stakeholder groups. It now entails the creation of three new tax brackets for taxable incomes beginning at $500,000 (joint household) with rates of 10.3%, 11.3%, and 12.3% for a period of seven years. It also includes a sales tax increase of 0.25% for a period of four years.
As proposed in the January budget, if the Governor’s Tax Initiative is not approved by the voters in the November election, it will trigger $6.1 billion in further spending cuts to education and public safety. The Governor has not proposed that there would be any additional impact to IHSS as a result of this trigger.
 Proposition 98 was passed by voters in 1988. It requires a minimum level of state spending on K – 14 education based upon a complex formula.
 Notably, approximately 41% of spending – $37.7 billion – is for K-14 education.
 Case Management Information & Payrolling System
 The 20% “trigger” cut was enacted in SB 73 (Chapter 34, Statutes of 2011).
 See case of Oster v. Lightbourne.
 Of that amount $495 million is reimbursed back to IHSS.
 This fee was enacted in AB 1612 (Chapter 725, Statutes of 2010).
 This cut was enacted in AB 1612 (Chapter 725, Statutes of 2010).
SEIU, UDW, CUHW
FOR IMMEDIATE RELEASE
May 15, 2012
Contact: Michael Cox (916) 799-6784
Workers Declare: Home Care Cuts are Off the Table! Join Care Recipients to Advance a Better Solution Home care providers and care recipients rally to
support reform bill SB 1503, a smarter alternative to cuts
SACRAMENTO, CA – The day after Governor Brown released his May budget revision, home care providers and care recipients rallied at the State Capitol to declare that home care cuts are off the table in the coming budget year. The effort was part of the “Let’s Get Healthy at Home” campaign to advance a smarter, more compassionate alternative to the $225 million in budget cuts proposed for In-Home Supportive Services (IHSS), SB 1503. Read the rest of this entry »
CDCAN DISABILITY RIGHTS REPORT CALIFORNIA DISABILITY COMMUNITY ACTION NETWORK #087-2012 – MAY 14, 2012 – MONDAY
Advocacy Without Borders: One Community – Accountability With Action
State Budget Crisis:
Cuts Total $8.3 Billion – Plan Assumes Passage of Governor’s Temporary Tax Initiative in November That Would Generate An Estimated $8.5 Billion Through the State Budget Year
Proposal for 1.25% Payment Cut to Regional Center Operations and Most Providers July 1, 2012 and Moratorium on Most Admissions Proposed for Developmental Centers for Cut of $30 Million State General Fund – Actual Spending Cuts to Developmental Services Less Than Feared – But DD Budget On Block for 2012-2013 “Trigger Cuts”
7% Across-the-Board Cut in IHSS Hours for Many IHSS Recipients Effective August 1st If Legislature Approves, With Same Exemptions As Existing 3.6% Cut Still Set to Expire July 1st
Resubmits Proposal to Eliminate IHSS Domestic & Related Services for Most IHSS Recipients Who Live in “Shared Living Arrangements”
Proposes to Rescind 2012-2013 Rate Increase To Nursing Homes Paid By Nursing Quality Assurance Fees & Cuts in Payments to Hospitals
Proposes New Co-Payments for Medi-Cal Recipients for Certain Services
5% Cut In State Employee Compensation Through Reduced Work Week or Cut in Work Hours and Other Cost Savings Impacting State Workers for Savings of Over $400 Million in 2012-2013
SAN FRANCISCO–The struggles of ethnic elders in the Bay Area with job loss, rampant foreclosures, health care and poverty was the focus of a media briefing held this week by New America Media.
For an estimated 330,000 low-income ethnic elders aged 65 or older in the Bay Area, their difficulties are compounded by a lack of access to available services because of language barriers.
Roxanne Murray of the San Francisco Family Services Agency told about her agencies work with the OneAway campaign, which helps promote economic security for elders, because so many are one illness, foreclosure or other problem away from poverty.
Murray said that over 13 million seniors across the U.S. depend on services like job training, food donations and help from senior centers, funded through the Older Americans Act. Murray also suggested that community members join the OneAway campaign by sending messages to Congress.
Because of state budget cuts, California services like In-Home Supportive Services and adult day health care programs under Medi-Cal are being eliminated or reduced, according to Anna Rich, staff attorney at the National Senior Citizens Law Center. Such cuts hit particularly hard for low-income Asian elders, who depend on agencies like SF Family Services Agency and Family Bridges, which operates programs for Asian elders in the East Bay. Read more
CALIFORNIA DISABILITY COMMUNITY ACTION NETWORK Advocacy Without Borders: One Community – Accountability With Action #055-2012 – MARCH 25, 2012 – SUNDAY
State Budget Crisis
BIG WEEK FOR HEALTH & HUMAN SERVICES ISSUES
MONDAY - US Supreme Court Begins Hearing on Federal Health Care Reform Law (7 AM PST) and State Senate Budget Subcommittee Hearing on Developmental Services (10 AM Room 4203)
TUESDAY - Senate Human Services Committee Info Hearing on IHSS Managed Care Issue and Assembly Health Committee and Aging & Long Term Care Committee Hearings on Bills & US Supreme Court Hearing Continues
WEDNESDAY – Assembly Budget Subcommittee Hearing on Developmental Services (1:30 PM Room 4202) & US Supreme Court Hearing Continues
THURSDAY – Federal District Court Hearing in SF on Adult Day Health Care Settlement (9:00 AM) and Olmstead Advisory Committee Public Meeting (10 AM to 4 PM)
More than 100 homecare workers and their supporters marched from the Red Lion Hotel to the Humboldt County Courthouse on Tuesday to bring attention to program cuts and their desire to raise wages for in-home care workers.
The In-Home Supportive Services program suffered a 3.6 percent cut to its 2011-2012 budget and may be facing other cuts as well as a reorganization that would place it under state control.
The group of care workers, recipients and community members chanted, sang and waved signs as they moved down Fourth Street, eliciting honks of support from passing traffic. The group demonstrated in front of the courthouse for several hours and about a dozen demonstrators spoke during the public comment portion of the Humboldt County Board of Supervisors meeting.
Steve Williams, a homecare worker of three years and a member of the In-Home Supportive Services workers bargaining team, said that he and other workers are paid minimum wage, with no chance of earning a raise, and receive no benefits. The low wages, combined with the lack of a career ladder, create high turnover, he said.”I think we deserve a raise,” Williams said. “We’re not asking for pie in the sky.” Read more..
What if you had to learn to think again?
What if you had to learn to speak again?
What if you had to master the act of typing only with your left forefinger?
What if you had to eat through a tube in your stomach?
Angela Ronson blogs, she tweets, she consults dozens of websites every day and carries on a lively email correspondence -- all with her left index finger
Photo credit: Merced Sun-Star – BEA AHBECK
Angela Ronson, a 42-year-old Atwater native, has had to do all that — and more.
And she’s done most of it all by herself.
In 2002 while at work in Sierra County she had a bleeding stroke, an arteriovenous malformation (AVM) burst. She wrote about it all in a 2009 article in a publication called “Stroke Connection.” Even after the AVM burst, she didn’t feel bad enough not to drive home for lunch. While driving, she passed out and had an accident, but was taken back to work. With a bad headache, she walked to a nearby clinic. Read More
Every once in a while a report comes out that’s a game-changer, it makes you look at an issue in a different way . . . or at least it offers the opportunity to do so.
Falling Behind: The Impact of the Great Recession and the Budget Crisis on California’s Women and their Families is such a report, released Wednesday by the California Budget Project (CBP), along with the study’s funder, the Women’s Foundation of California.
CBP compiled truckloads of data to reveal the disproportionate impacts that the recession and California’s budget wars have had on women and their families. Read the rest of this entry »
Rick Jones is partially paralyzed, unable to walk and relies on in-home care to avoid institutionalization. Jones is living in an apartment and hopes to stay. Ron Holman
At the age of 42, Rick Jones suffered a paralyzing brain hematoma. In the time since he was released from the hospital in 2003, the now 56-year-old Visalian has relied on state-funded in-home care services.
Brain damage limits his mobility and his hearing has degenerated as a result. Although he has been implanted with a nerve stimulation device, his chronic symptoms often manifest as seizures.
But the former swimming pool subcontractor manages to live on his own with assistance from a state-paid caregiver who provides basic housekeeping. Read More