[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"doc-seo-305832-105":3,"detail-sidebar-cat-1-en-105":80,"doc-detail-305832-en":126},{"code":4,"msg":5,"data":6},0,"ok",{"site_id":7,"language":8,"slug":9,"title":10,"keywords":11,"description":12,"schema_data":13,"social_meta":73,"head_meta":75,"extra_data":77,"updated_unix":79},105,"en","ihss-oversight-hearing-background-paper-october-28-2009-program-implementation-changes","IHSS Oversight Hearing Background Paper - October 28, 2009 - Program Implementation Changes","","Oversight hearing background paper for the Assembly Budget Committee and Senate Budget Subcommittee No. 3 on Health and Human Services, focused on implementation of recent changes to the In-Home Supportive Services (IHSS) program effective November 1, 2009. It summarizes 2009-10 budget-adopted provisions, the Department of Social Services (DSS) implementation process to date, and county feedback on local operations. It also covers issues raised during stakeholder input and the status of service reductions, eligibility restrictions, and program integrity and anti-fraud measures.",{"@graph":14,"@context":72},[15,34,55],{"@type":16,"itemListElement":17},"BreadcrumbList",[18,23,27,31],{"item":19,"name":20,"@type":21,"position":22},"https://docshare.wps.com","Home","ListItem",1,{"item":24,"name":25,"@type":21,"position":26},"https://docshare.wps.com/template/","Template",2,{"item":28,"name":29,"@type":21,"position":30},"https://docshare.wps.com/template/general/","General",3,{"item":32,"name":10,"@type":21,"position":33},"https://docshare.wps.com/template/ihss-oversight-hearing-background-paper-october-28-2009-program-implementation-changes/305832/",4,{"url":32,"name":10,"@type":35,"image":36,"author":41,"headline":10,"publisher":44,"fileFormat":47,"inLanguage":8,"description":12,"dateModified":48,"datePublished":49,"encodingFormat":47,"isAccessibleForFree":50,"interactionStatistic":51},"DigitalDocument",{"url":37,"@type":38,"width":39,"height":40},"https://docshare.wps.com/thumbnails/ihss-oversight-hearing-background-paper-october-28-2009-program-implementation-changes/305832.png","ImageObject",442,249,{"name":42,"@type":43},"Gloria","Person",{"url":19,"name":45,"@type":46},"DocShare","Organization","application/pdf","2026-09-21","2026-09-19",true,{"@type":52,"interactionType":53,"userInteractionCount":22},"InteractionCounter",{"@type":54},"ViewAction",{"@type":56,"mainEntity":57},"FAQPage",[58,64,68],{"name":59,"@type":60,"acceptedAnswer":61},"What is the purpose of this IHSS oversight hearing background paper?","Question",{"text":62,"@type":63},"It provides a forum to discuss recent changes to the IHSS program, especially changes scheduled to take effect November 1, 2009, and explains how those changes are being implemented.","Answer",{"name":65,"@type":60,"acceptedAnswer":66},"What types of program changes are addressed in the paper?",{"text":67,"@type":63},"The paper covers budget-adopted service reductions and eliminations, implementation steps administered by DSS, county feedback, DSS instructions to counties, and concerns related to state guidance and county capacity.",{"name":69,"@type":60,"acceptedAnswer":70},"Are the service reductions and eliminations scheduled for November 1, 2009 already implemented?",{"text":71,"@type":63},"No. DSS delayed implementation until November 1, 2009, but a federal court stopped their implementation through a preliminary injunction resulting from litigation by stakeholders.","https://schema.org",{"og:url":32,"og:type":74,"og:title":10,"og:site_name":45,"og:description":12},"article",{"robots":76,"canonical":32},"index,follow",{"doc_id":78,"site_id":7},305832,1789984022,{"code":4,"msg":81,"data":82},"success",[83,88,93,98,103,108,113,118,123],{"id":84,"doc_module":22,"doc_module_name":25,"category_name":85,"show_sort_weight":86,"slug":87},11,"Presentations",90,"presentations",{"id":89,"doc_module":22,"doc_module_name":25,"category_name":90,"show_sort_weight":91,"slug":92},12,"Resumes",80,"resumes",{"id":94,"doc_module":22,"doc_module_name":25,"category_name":95,"show_sort_weight":96,"slug":97},14,"Invoices",70,"invoices",{"id":99,"doc_module":22,"doc_module_name":25,"category_name":100,"show_sort_weight":101,"slug":102},15,"Posters",60,"posters",{"id":104,"doc_module":22,"doc_module_name":25,"category_name":105,"show_sort_weight":106,"slug":107},16,"Social Media",50,"social-media",{"id":109,"doc_module":22,"doc_module_name":25,"category_name":110,"show_sort_weight":111,"slug":112},17,"Forms",40,"forms",{"id":114,"doc_module":22,"doc_module_name":25,"category_name":115,"show_sort_weight":116,"slug":117},18,"Letters",30,"letters",{"id":119,"doc_module":22,"doc_module_name":25,"category_name":120,"show_sort_weight":121,"slug":122},21,"Paper Templates",5,"papers-templates",{"id":124,"doc_module":22,"doc_module_name":25,"category_name":29,"show_sort_weight":4,"slug":125},158,"general-158",{"code":4,"msg":81,"data":127},{"doc_id":78,"user_id":128,"nickname":42,"user_avatar":129,"doc_module":22,"category_id":124,"category_name":29,"doc_title":10,"doc_description":12,"doc_content":130,"file_id":131,"file_url":132,"file_type":133,"file_size":134,"view_count":22,"is_deleted":4,"is_public":22,"is_downloadable":22,"audit_status":22,"page_count":135,"language":136,"language_code":8,"site_id":7,"html_lang":8,"table_of_contents":137,"faqs":138,"seo_title":139,"seo_description":12,"update_tm":140,"read_time":33},2336474459895,"https://ap-avatar.wpscdn.com/avatar/22000baeef7a5ed0655?x-image-process=image/resize,m_fixed,w_180,h_180&k=1786071322749376916","ASSEMBLY BUDGET COMMITTEE  \nAND THE  \nSENATE BUDGET SUBCOMMITTEE NO. 3 ON HEALTH AND HUMAN SERVICES  \nOversight Hearing on Implementation of Recent Changes in the In-Home Supportive Services Program  \nWednesday, October 28, 2009 Room 4202  \nBackground Paper  \nThis oversight hearing is intended to provide a forum for discussing recent changes in the In-Home Supportive Services (IHSS) program, especially focusing on those program changes currently scheduled to take effect November 1, 2009. This background paper provides information on changes adopted as part of the 2009-10 Budget, the implementation process administered by the Department of Social Services (DSS) to date, and the feedback of counties ultimately responsible for local program operations. Under the segment of this paper dealing with issues and concerns raised, feedback from other stakeholders and advocates is included in part.  \nCONTENTS  \n¾  \n¾  \n¾  \n¾  \n¾  \n¾  \nBackground on IHSS  \nRecent Program Changes in IHSS, including summary of provisions in the recently enacted budget trailer bill  \nImplementation of Program Changes, including review of immediate changes and changes set to take effect November 1  \nInstructions from DSS to Counties, describing the notices that have gone out and what is still pending from DSS  \nImplementation Issues and Concerns, listing the concerns with state instructions and county capacity issues  \nConclusion  \nPage 2  \nPage 2  \nPage 5  \nPage 6  \nPage 7  \nPage 10  \nBACKGROUND ON IHSS  \nThe IHSS program provides in-home supportive services to more than 460,000 qualified individuals who are blind, aged, or who have disabilities. These services, which include personal care (such as bowel and bladder care, bathing, grooming and paramedical services), housecleaning, meal preparation, laundry, grocery shopping, accompaniment to medical appointments, and protective supervision, allow recipients to stay in their homes and avoid institutionalization. The total 2009-10 budget for the IHSS program includes approximately $5.5 billion ($1 .2 billion General Fund) .  \nRECENT PROGRAM CHANGES IN IHSS  \nLegislation enacted in July for the 2009-10 budget year contained significant changes in the IHSS program, including service reductions and eliminations, the expansion of quality assurance and anti-fraud activities, the elimination of share-of-cost buyouts that previously lowered some recipients’ out-of-pocket expenses, a reduction to the support of Public Authorities, and the receipt of federal stimulus funding. The Governor’s lineitem vetoes included a further reduction to the budgets for the Public Authorities, which is a subject of a pending lawsuit filed by the President Pro Tempore of the Senate, Senator Steinberg.  \nService Reductions and Eliminations. The Governor proposed to eliminate IHSS services for nearly 90% of the caseload of recipients, or for all recipients with a functional index score of less than 4.0, for total General Fund (GF) savings of roughly $700 million. The functional index score is intended to be a standardized measure for overall need for assistance on a daily basis. Instead, the Legislature adopted, effective September, 2009: (1) restrictions in eligibility for domestic and related services, eliminating these services for 90,000 consumers and (2) the elimination of all services for a group of nearly 37,000 IHSS recipients with functional index (FI) scores under 2.0.  \nThese changes were initially estimated to save about $73 million in 2009-10. For both of these reductions, the Legislature also adopted exemptions to protect recipients who receive paramedical services, protective supervision, or a total of more than 120 hours of services per month. The Legislature additionally authorized the DSS Director to waive these exemptions if they placed the program’s federal funding at risk. The exemption for recipients receiving more than 120 hours of services was subsequently waived by the Department.  \nThese service reductions and el","cbCail2Qh2xOVpp8","https://ap.wps.com/l/cbCail2Qh2xOVpp8","pdf",62192,10,"English","# Background on IHSS\n# Recent Program Changes in IHSS\n## Service Reductions and Eliminations\n## Program Integrity Measures\n# Implementation of Program Changes\n# Instructions from DSS to Counties\n# Implementation Issues and Concerns\n# Conclusion","[{\"question\":\"What is the purpose of this IHSS oversight hearing background paper?\",\"answer\":\"It provides a forum to discuss recent changes to the IHSS program, especially changes scheduled to take effect November 1, 2009, and explains how those changes are being implemented.\"},{\"question\":\"What types of program changes are addressed in the paper?\",\"answer\":\"The paper covers budget-adopted service reductions and eliminations, implementation steps administered by DSS, county feedback, DSS instructions to counties, and concerns related to state guidance and county capacity.\"},{\"question\":\"Are the service reductions and eliminations scheduled for November 1, 2009 already implemented?\",\"answer\":\"No. DSS delayed implementation until November 1, 2009, but a federal court stopped their implementation through a preliminary injunction resulting from litigation by stakeholders.\"}]","IHSS Oversight Hearing Background Paper - October 28, 2009 - Program Implementation Changes | PDF",1789828759]