Budget Watch

In an effort to keep our stakeholders informed about the state of California budget, and how the budget will impact funding, as well as programs and services, we post news on “Budget Watch”. This page features updates from the Governor and Legislature, links to important news articles and various budget and advocacy related web sites, as well as important information about how you can get involved to make a difference. Visit this page regularly to keep current on budget issues.

CDCAN Reports on Funding Restorations and Increases - Less Than Advocated For

BREAKING NEWS:

BUDGET CONFERENCE COMMITTEE APPROVES MANY FUNDING RESTORATIONS AND INCREASES THOUGH LESS THAN WHAT ADVOCATES PUSHED FOR; ACTIONS LIKELY TO MEAN CONFRONTATION WITH GOVERNOR

SACRAMENTO, CA [CDCAN LAST UPDATED 06/09/2015 4:57 PM] –  The Budget Conference Committee, chaired by Senator Mark Leno (Democrat – San Francisco), met just before 4:00 PM this afternoon, approving funding increases and restorations for a wide range of health and human services, though in most cases, less than what advocates pushed for. The Governor’s Department of Finance, citing on-going concerns of revenues and resources, generally opposed almost all the increases in funding that the Budget Conference Committee approved today. The actions by the Budget Conference Committee means that a confrontation between the Governor and the Democratic controlled Legislature, which means that none of the approved increases in the budget plan made by the Budget Conference Committee are final.

    What happens next is not certain. The Legislature could send a budget package containing the increases and restorations in such a way to allow the Governor to line item veto the increases and provisions authorizing it, or modify or remove those increases during final budget negotiations between the Governor and Democratic legislative leaders before the final vote of the budget.  A final vote on the budget plan could happen as early as Thursday or Friday – but could happen also over the weekend, or even on Monday, June 15th – the deadline in the State Constitution for the Legislature to pass and send a budget to the Governor. 

 

    Some major actions included:

    SSI/SSP: The Budget Conference Committee included increasing by $10 the SSI/SSP individual grants (but not for couples) beginning in January 2016 and restoring the cost of living adjustment for the state portion of the SSI/SSP grants for individuals and couples in 2020.

    DEVELOPMENTAL SERVICES: Approved a compromise that would implement a targeted 5% rate increase, effective July 1, 2015 for supported living services, in-home respite services, and supported employment services, and a 2.5% rate increase for transportation; and would provide funding for 1 dental coordinator and 1 forensic coordinator for each of the 21 regional centers.  Effective January 1, 2016 would implement a 2.5% across-the-board rate increase for all provider categories not covered by the July 1, 2015 increase, and a 2.5% increase in funding for regional center core staffing. 

    IHSS (IN-HOME SUPPORTIVE SERVICES): Approved the Governor’s proposal for the implementation of overtime for IHSS workers if the federal regulations go into effect (currently on hold due to federal lawsuit), but pushed implementation from July 1, 2015 to October 1, 2015 (assuming the federal regulations go into effect), and also trailer bill language to remove “any barriers” to this implementation.  In addition the Budget Conference Committee approved the Governor’s proposal to restore the 7% across-the-board reductions in service hours for all IHSS recipients, though moved the effective date to October 1, 2015, with State general funds to cover the cost from October 2015 through June 2016, and proceeds from the Managed Care Organization tax to offset the costs of this restoration in the 2016-2017 State Budget year and beyond.

    CAREGIVER RESOURCE CENTERS: Approved 6-0 proposal by Assembly to provide a $3.8 million increase in funding for these centers.

    STATE LONG TERM CARE OMBUDSMAN PROGRAM: Approved 6-0 Assembly’s proposal to increase funding to this program by $6.4 million in State general funds.

    MEDI-CAL BENEFITS: The Budget Conference Committee did not take action on the proposal to restore several Medi-Cal optional benefits eliminated in 2009, but instead approved to further restore the Medi-Cal adult dental benefits (the benefit was partially restored as part of the 2014-2015 State Budget, effective May 2015). 

    MEDI-CAL PROVIDERS: Approved increases in the Medi-Cal dental anesthesia rates, and approved $15 million in State general funding for Medi-Cal dental providers effective July 1, 2015, and $21.6 million in State general funds effective April 1, 2016 for other Medi-Cal providers. 

    MEDI-CAL EXPANSION FOR CHILDREN REGARDLESS OF IMMIGRATION STATUS: approved major expansion of Medi-Cal for children regardless of immigration status.

 

CDCAN will issue a more detailed report on the actions but here is a summary of actions taken on the “open” items in the health agenda and the human services agenda:

 

HUMAN SERVICES AGENDA ACTIONS TAKEN BY BUDGET CONFERENCE COMMITTEE JUNE 9 2015

 

PORTERVILLE SECURED TREATMENT PROGRAM EXPANSION (Page 1 of the Human Services Agenda)

BUDGET CONFERENCE COMMITTEE ACTION 06/09/2015: Approved 6-0 the conference committee compromise with the Assembly dollars and the modified trailer bill language includes increasing the cap on beds from 170 to 211 and maintains the cap on bed on the transition treatment program at 60. 

 

DELAYED EGRESS/SECURED PERIMETER FACILITIES (Page 3 of the Human Services Agenda)

BUDGET CONFERENCE COMMITTEE ACTION 06/09/2015:

 

SELF-DETERMINATION PROGRAM PROVISIONAL BUDGET BILL LANGUAGE AND PLACEHOLDER TRAILER BILL LANGUAGE (Page 4 of the Human Services Agenda)

BUDGET CONFERENCE COMMITTEE ACTION 06/09/2015: Approved 6-0 the conference committee compromise that would clarify persons moving from Developmental Centers are eligible for this program and to authorize the Department  of Finance to approve increase to this program above the 2,500 cap following notification to the Joint Budget Legislative Committee. [Department of Finance said it supported this compromise]

 

INSTITUTIONS FOR MENTAL DISEASE (IMD) CLARIFICATION (Page 5 of the Human Services Agenda):

BUDGET CONFERENCE COMMITTEE ACTION 06/09/2015: Approved 6-0 the conference committee compromise to clarify responsibility of the regional center when a consumer is placed in these facilities regardless of who makes the placement; require an IMD notify a regional center if it is known that a person is a regional center consumer; requires collection and reporting of information regarding regional center consumers placed in these faciltiies. [Department of Finance indicated it was supportive of this compromise]

 

FAIR LABOR STANDARDS ACT (FLSA) OVERTIME REGULATION PLACEHOLDER TRAILER BILL LANGUAGE (Page 6 of the Human Services Agenda)

BUDGET CONFERENCE COMMITTEE ACTION 06/09/2015: Approved 5-0 (Assembly Republican abstaining) the conference compromise modified trailer bill language requires the Department of Developmental Services to consult with stakeholders on impact to consumers and providers of this regulation when it is implemented.

 

ADDRESSING DISPARITIES IN SERVICE DELIVERY PLACEHOLDER TRAILER BILL LANGUAGE (Page 7 of the Human Services Agenda)

BUDGET CONFERENCE COMMITTEE ACTION 06/09/2015: Approved 6-0 the conference committee compromise that modified the budget trailer bill language requires that regional centers provide a written copy of an individual program plan to a consumer in a threshold language if it is requested, and do so within 45 days; and requires regional centers to report on the number of instances when the provision of a written IPP to a consumer in a non-threshold language has exceeded 60 days; requires regional center performance contracts to include themeasurement of regional center’s progress in reducing disparities; requires the department to consult with stakeholders to interpret data related to disparities to identify barriers to services and make recommendations; requires the department to report on these efforts in the 2016-2017 budget process.  [Department of Finance said that the changes were “reasonable”]

 

RATE INCREASE PROPOSAL (Page 8 of the Human Services Agenda)

BUDGET CONFERENCE COMMITTEE ACTION 06/09/2015: Approved 6-0 conference committee compromise as follows:

Effective July 1, 2015: 5% targeted rate increases for Supported Living Services, Supported Employment Services, In-Home Respite Services and 2.5% for transportation services.  Regional Center operations increases – 1 dental coordinator per regional center and 1 forensic coordinator per regional center and 5% for client rights advocacy.

Effective January 1, 2016: 2.5% across-the-board rate increase for all other provider categories not covered by the July 1, 2015 increase; and 2.5% increase to the regional center core staffing formula. 

Modified trailer bill language to (1) require the Department of Developmental Services to report annually on their evaluation of the rate setting methodology for community based services and regional center operations; and (2) express legislative intent that savings derived from closure of developmental centers be used to benefit persons with developmental disabilities in the community and require related information to be displayed in budget documents. 

 

SUPPORTED EMPLOYMENT PROGRAM (DEPARTMENT OF REHABILITATION) (Page 8 of the Human Services Agenda)

BUDGET CONFERENCE COMMITTEE ACTION 06/09/2015: this item is linked to the rate increase proposal and the budget conference committee approved 6-0 action to conform with the Rate Increase Proposal action.

 

STATE LONG-TERM CARE OMBUDSMAN PROGRAM (Page 10 of the Human Services Agenda)

BUDGET CONFERENCE COMMITTEE ACTION 06/09/2015: Approved 6-0 the Assembly proposal (version) that allocated $6.400 million in State general funds.

 

IN-HOME SUPPORTIVE SERVICES (IHSS) FAIR LABOR STANDARDS ACT (Page 11 of the Human Services Agenda)

BUDGET CONFERENCE COMMITTEE ACTION 06/09/2015: Approved 4-2 (Republicans opposing) conference committee compromise that delayed the implementation of overtime for IHSS workers, assuming federal regulations are in effect, from July 1, 2015 to October 1, 2015, for a savings of $64.901 million in State general funds with trailer bill language to remove any barriers toward implementation.  [Department of Finance says delay in implementation date is reasonable but does not support the trailer bill language]

 

IN-HOME SUPPORTIVE SERVICES (IHSS) RESTORATION OF 7% ACROSS-THE-BOARD REDUCTION IN SERVICE HOURS (Page 12 of the Human Services Agenda)

BUDGET CONFERENCE COMMITTEE ACTION 06/09/2015: Approved 4-2 (Republicans opposing) with conference committee compromise that makes effective date of this restoration October 1, 2015 with State general funds for the 2015-2016 State Budget year and use the Managed Care Organization tax proceeds in subsequent budget years.

 

IN-HOME SUPPORTIVE SERVICES MANAGED CARE HOUR REPORTING ON THE CASE MANAGEMENT INFORMATION AND PAYROLLING SYSTEM (CMIPS II) (Page 13 of the Human Services Agenda)

BUDGET CONFERENCE COMMITTEE ACTION 06/09/2015: Approved 5-1 (Senate Republican opposing) the Assembly proposal (version) that allocated $2 million in State general funds. [Department of Finance did not support this proposal]

 

CALWORKS COST OF LIVING ADJUSTMENT (Page 14 of the Human Services Agenda)

BUDGET CONFERENCE COMMITTEE ACTION 06/09/2015: Approved 4-2 (Republicans opposing) the conference committee compromise to restore the cost of living adjustment beginning July 2019.  This is in addition to the existing system of providing cost of living adjustments to the grants, according to Senator Leno. 

 

CALWORKS HOUSING SUPPORT PROGRAM (Page 15 of the Human Services Agenda)

BUDGET CONFERENCE COMMITTEE ACTION 06/09/2015: Approved 6-0 the Assembly proposal (version) allocating $30 million in State general funds. 

 

CALWORKS WELARE TO WORK 24 HOUR CLOCK (Page 16 of the Human Services Agenda)

BUDGET CONFERENCE COMMITTEE ACTION 06/09/2015: Approved 4-2 (Republicans opposing) Senate proposal (version). [Department of Finance expressed problems with this proposal]

 

MAXIMUM FAMILY GRANT (errata page to Human Services Agenda)

BUDGET CONFERENCE COMMITTEE ACTION 06/09/2015: Approved 4-2 (Republicans opposing) conference committee compromise that would repeal the policy effective January 1, 2016

 

CHILD WELFARE SERVICES – FOSTER CARE (Page 17 of the Human Services Agenda)

BUDGET CONFERENCE COMMITTEE ACTION 06/09/2015: Approved 6-0 conference committee compromise to adopt foster care package net cost of $35 million in State general funds in 2015-2016 and on-going. Of that amount, $25 million in State general funds are for the relative and foster parent retention and support with trailer bill language to provide details on how the funding will be spent and outcomes; $7 million for the “bringing families home pilot project” that provides housing supports and services for child welfare involved families; and $3 million for the federal “Strengthening Families Act”.

 

COMMUNITY CARE LICENSING (Page 18 of the Human Services Agenda)

BUDGET CONFERENCE COMMITTEE ACTION 06/09/2015: Approved 6-0 the Senate proposal (version) that allocated $2.987 million in State general funds.

 

SSI/SSP (SUPPLEMENTAL SECURITY INCOME/STATE SUPPLEMENTAL PAYMENT) GRANTS (Page 19 of the Human Services Agenda)

BUDGET CONFERENCE COMMITTEE ACTION 06/09/2015: Approved 6-0 the conference committee compromise that would increase individual grants by $10 across all caseload categories (excluding couples) effective January 1, 2016 for half year cost in the 2015-2016 State Budget year of $66 million in State general funds and full year cost of $132 million in State general funds in subsequent budget years. Approved 4-2 (Republicans opposing) the conference committee compromise to restore cost of living adjustments for the State portion of the SSI/SSP grants for individuals and couples effective in 2020.

 

STATE EMERGENCY FOOD ASSISTANCE PROGRAM (Page 20 of the Human Services Agenda)

BUDGET CONFERENCE COMMITTEE ACTION 06/09/2015: Approved 6-0 the Assembly proposal (version) allocating $3 million in State general funds for this program.

 

FEDERAL IMMIGRATION REFORM CASELOAD IMPACT (Page 21 of the Human Services Agenda)

BUDGET CONFERENCE COMMITTEE ACTION 06/09/2015: Approved 4-2 (Republicans opposing) of the Assembly proposal (version) with revised Legislative Analyst Office estimates, resulting in combined $26 million savings from the Governor’s proposed budget.

 

MAY REVISION LOCAL ASSISTANCE ESTIMATES (Page 22 of the Human Services Agenda)

BUDGET CONFERENCE COMMITTEE ACTION 06/09/2015:  Approved 6-0 the Assembly proposal (version) with revised estimates by the Legislative Analyst Office, for total of $29 million savings from the Governor’s budget estimates.

 

TEMPORARY ASSISTANCE FOR NEEDY FAMILIES (TANF) TRANSFER TO STUDENT AID COMMISSION (Page 23 of Human Services Agenda)

BUDGET CONFERENCE COMMITTEE ACTION 06/09/2015: Approved 4-2 (Republicans opposing) to conform actions to other previous actions.

 

CALFRESH [CALIFORNIA FOOD STAMP PROGRAM] CERTIFICATION PERIOD (Page 24 of the Human Services Agenda)

BUDGET CONFERENCE COMMITTEE ACTION 06/09/2015: Approved 6-0 the Assembly proposal (version) that adopts legislative intent language to specifies that all CalFresh households must be assigned certification periods that are the maximum number of months allowable by federal law

 

 

HEALTH AGENDA ACTIONS TAKEN BY BUDGET CONFERENCE COMMITTEE JUNE 9, 2015

MODIFIED ADUSTED GROSS INCOME ELIGIBILITY RULES (Page 1 of Health Agenda)

BUDGET CONFERENCE COMMITTEE ACTION 06/09/2015: Approved 4-2 (Republicans opposing) Assembly proposal (version) that included proposed budget trailer bill language.

 

INVESTMENT IN MENTAL HEALTH WELLNESS GRANTS (Page 2 of Health Agenda)

BUDGET CONFERENCE COMMITTEE ACTION 06/09/2015: Approved 5-1 (Assembly Republican opposing) Senate proposal (version) with budget trailer bill language.

 

FULL RESTORATION OF MEDI-CAL ADULT DENTAL BENEFIT (Page 3 of Health Agenda)

BUDGET CONFERENCE COMMITTEE ACTION 06/09/2015: Approved 6-0 Senate proposal (version) with an effective date of January 2016.

 

MEDI-CAL COVERAGE EXPANSION TO CHILDREN REGARDLESS OF IMMIGRATION STATUS (Page 4 of Health Agenda)

BUDGET CONFERENCE COMMITTEE ACTION 06/09/2015: Approved 4-2 (Republicans opposing) the Senate proposal.

 

MEDI-CAL AB 97 PROVIDER PAYMENT REDUCTIONS (Page 5 of the Health Agenda)

BUDGET CONFERENCE COMMITTEE ACTION 06/09/2015: Approved 6-0 conference committee compromise that provided effective July 1, 2015, $15 million in State general fund for Medi-Cal dental providers; effective April 1, 2016 for all other providers $21.6 million in State general funds, and forgiveness of the retroactive recoupment of AB 97 reduction for distinct part nursing facilities.

 

MEDI-CAL DENTAL ANESTHESIA RATE (Page 6 of the Health Agenda)

BUDGET CONFERENCE COMMITTEE ACTION 06/09/2015: Approved 6-0 the Senate proposal (version) that allocated $4.343 million in State general funds (matched by $7.908 million in federal funds).

 

LIFELONG COMMUNITY CLINIC EXTENDED URGENT CARE (Page 8 of the Health Agenda)

BUDGET CONFERENCE COMMITTEE ACTION 06/09/2015: Approved 4-2 (Republicans opposing) the Assembly proposal (version) that allocated $2 million in State general funds. 

 

MEDI-CAL DRUG BILLING FOR 304B CLINICS (Page 10 of the Health Agenda)

BUDGET CONFERENCE COMMITTEE ACTION 06/09/2015: Approved 6-0 the Senate proposal (version) that did not allocate any additional funding. 

 

CAREGIVER RESOURCE CENTERS (Page 11 of the Health Agenda)

BUDGET CONFERENCE COMMITTEE ACTION 06/09/2015: Approved 6-0 the Assembly proposal (version) that allocated $3.800 million in State general funds.

 

NALOXONE GRANT PROGRAM (Page 12 of the Health Agenda)

BUDGET CONFERENCE COMMITTEE ACTION 06/09/2015: Approved 6-0 the Assembly proposal (version) that allocated $2 million in State general funds.

 

HEPITITIS C (HC) LINKAGE TO CARE PROJECTS (Page 15 of the Health Agenda)

BUDGET CONFERENCE COMMITTEE ACTION 06/09/2015: Approved 4-2 (Republicans opposing) the Senate proposal (version) allocating $2.200 million in State general funds plus budget trailer bill language.

 

DENTAL DISEASE PREVENTION PROGRAM (Page 16 of the Health Agenda)

BUDGET CONFERENCE COMMITTEE ACTION 06/09/2015:  Approved 6-0 the Assembly proposal (version) allocating $3.200 million in State general funds.

 

LAB ASPIRE PROGRAM AND MICROBIOLOGIST (Page 17 of the Health Agenda)

BUDGET CONFERENCE COMMITTEE ACTION 06/09/2015: Approved 6-0 the Assembly proposal (version) allocating $1.100 million in State general funds.

 

HEPITITUS C (HCV) RAPID TESTING KITS (Page 18 of the Health Agenda)

BUDGET CONFERENCE COMMITTEE ACTION 06/09/2015: Approved 6-0 the Senate proposal (version) allocating $600,000 in State general funds.

 

PRE-EXPOSURE PROPHYLAXIS (PrEP) ACCESS AND OUTREACH PROGRAM (Page 19 of the Health Agenda)

BUDGET CONFERENCE COMMITTEE ACTION 06/09/2015: Approved 6-0 the Senate proposal (version) allocating $2.200 million in State general funds plus budget trailer bill language. 

 

LICENSING AND CERTIFICATION TIMELINES (Page 20 of the Health Agenda)

BUDGET CONFERENCE COMMITTEE ACTION 06/09/2015: Approved 6-0 the conference committee compromise [the committee did not explain what that conference committee compromise was]

 

BUDGET CONFERENCE COMMITTEE MEMBERS

    The members of the 2015 Budget Conference Committee are:

    SENATE DEMOCRATS (2): Senator Mark Leno (Democrat – San Francisco, 11th State Senate District) who is also chair of the Senate Budget and Fiscal Review Committee; and Senator Richard Lara (Democrat – Bell Gardens, 33rd State Senate District), who is also chair of the Senate Appropriations Committee. Both Leno and Lara served on the conference committee last year.

    SENATE REPUBLICAN (1): Senator Jim Nielsen (Republican – Gerber, 4th State Senate District), who is also vice chair of the Senate Budget and Fiscal Review Committee. Nielsen served on the conference committee last year.

    ASSEMBLY DEMOCRATS (2): Assemblymember Richard Bloom (Democrat – Santa Monica, 50th Assembly District, who is also chair of the Assembly Budget Subcommittee #3 on Resources and Transportation; and Assemblymember Shirley Weber (Democrat – San Diego, 79th Assembly District), who is also chair of the Assembly Budget Committee.  Both Bloom and Weber served on the conference committee last year.

    ASSEMBLY REPUBLICAN (1): Assemblymember Melissa Melendez (Republican – Lake Elsinore, 67th Assembly District), who is also vice chair of the Assembly Budget Committee. Melendez, elected in November 2012, is serving her first year on the Budget Conference Committee.

   

CDCAN - MARTY OMOTO YOUTUBE CHANNEL

    A CDCAN (Marty Omoto) youtube channel was set up and has several videos dealing with current – and previous state budget issues, disability and senior rights, and advocacy.

    To see the current videos, including March 2014 San Andreas Regional Center Aptos Legislative Breakfast, January 2014 panel discussion on services for adults with autism spectrum and related disorders in Palo Alto, and older videos including video of April 2003 march of over 3,000 people with developmental disabilities, families, providers, regional centers and others from the Sacramento Convention Center to the State Capitol (to attend and testify at budget hearing on proposed massive permanent cuts to regional center funded services, go to the CDCAN (Marty Omoto) Channel at: https://www.youtube.com/channel/UCEySEyhnr9LQRiCe-F7ELhg

    More videos – including new current videos (an interview with longtime advocate Maggie Dee Dowling is planned, among others) – plus archive videos of past events – will be posted soon

 

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JUNE 9, 2015 – TUESDAY LATE AFTERNOON

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