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Update on Governor Schwarzenegger's 2010-2011 Budget Proposal |
As reported in the last edition of PASC E-News, on January 8th, Governor Schwarzenegger released a new budget proposal that would close a $19 billion projected deficit by shifting funds, imposing cuts to various programs, and obtaining additional funding from the federal government.
Over the last month, both the State Senate and Assembly have held several hearings and taken action on some of the governor's proposals, including a proposal to continue reductions in funding for Regional Centers. However, at the time of this report, neither had taken action on the governor's proposals related to IHSS, or made public any proposals of their own.
Below is a brief summary of some the governor's proposed cuts and changes. It is important to remember that, at this time, these are only proposals. For a more detailed description of the proposed cuts, view the January Edition of PASC E-News.
In-Home Supportive Services (IHSS)
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The elimination of all IHSS services for consumers who have a functional index score of less than 4.
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The reduction of state participation in IHSS worker wages to the minimum wage of $8.00/hour.
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A reduction in funding for county administration of the IHSS Program.
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The elimination of the IHSS Program based on the governor's contingency proposal.
SSI/SSP
Medi-Cal
- The elimination of Adult Day Health Care Programs.
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The elimination of full scope Medi-Cal for certain immigrants.
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The implementation of "cost containment" measures that will eliminate certain Medi-Cal services while imposing new or increased co-pays for others.
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An increase in anti-fraud measures within the program.
Contingency Proposals - The following proposals would only be implemented if the state does not receive, by July 15th, nearly $6.9 billion in additional federal funding for services such as Medi-Cal, Medicare, and special education, and funding from the extension of the American Recovery and Reinvestment Act.
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IHSS - The IHSS Program would be eliminated.
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Medi-Cal - Several Medi-Cal services would be reduced or eliminated, including any remaining Medi-Cal optional benefits.
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CalWORKs - The CalWORKs Program would be eliminated.
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Healthy Families Program - The Healthy Families Program would be eliminated.
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Health Services - Various health services provided under Proposition 99 would be eliminated.
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Options for Adult Day Care |
Adult day care programs provide a variety of services that can be beneficial for seniors and persons with disabilities, their caregivers, and thier families. Individuals who participate benefit from socializing with others while getting the care that they need. Families and caregivers benefit from adult day care by getting much needed respite.
Below is a brief summary of three different types of centers that provide adult day care. If you need assistance finding a center with the right services to fit your needs, call PASC at 877-565-4477 and ask to speak to someone in the Information and Referral department.
Adult Day Health Care Centers
Adult Day Health Care Centers (ADHCs) generally provide social, medical, and rehabilitative services for individuals with physical and mental disabilities. ADHCs are staffed by trained, experienced, and professionally licensed individuals. They are designed to work with the IHSS program and usually provide services such as hot meals, nutritional counseling, administering medicines, recreational/social activities and transportation to and from the facility. ADHCs often accept Medi-Cal as a form of payment for the services they provide.
Adult Day Care Centers
Adult Day Care Centers (ADCs) provide similar services, but may or may not be licensed and generally do not accept Medi-Cal as a form of payment. Many ADCs also provide respite services for caregivers who need to take a break and offer counseling and support groups for caregivers and family members.
Adult Day Treatment Centers
Adult Day Treatment Centers provide services for people with psychological or psychiatric disabilities. Payment for services at an Adult Day Treatment Center may be covered by Medi-Cal, but only on a limited basis.
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Build Your Own Emergency Kit |
 Do you know what to do when a disaster strikes? Are you prepared for earthquakes, fires, floods, or other natural disasters? Many experts agree that preparedness is the key to surviving any disaster and limiting the stress that comes along with it. One of the easiest ways to prepare yourself is to build your own emergency kit. When building your kit, you should include the following:
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Water (enough for each person for 3 days )
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Food (non-perishable items that require little or no cooking)
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Cash & Important Family Documents
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Clothes
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Flashlight
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First Aid Kit
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Medicine
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Radio and Batteries
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Toiletries
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Basic Tools (i.e., screwdriver, pliers, etc.)
For more information on preparing for a disaster, visit the L.A. County Department of Public Health's website at www.lapublichealth.org.
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Do you have questions about PASC and the IHSS Program? Do you have suggestions for topics to be covered in the PASC E-News? Send your questions and suggestions to e-news@pascla.org. PASC E-News is designed for you to get the information you need!
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Upcoming Trainings and Events
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For information on additional events, please visit the Calendar section of our website at www.pascla.org.
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Legislation Watch
Click on bill for more information |
AB 378 (Cook) - IHSS Provider Training: This bill would require public authorities to develop and implement training standards for IHSS providers throughout the state.
AB 682 (Lowenthal) - IHSS Background Checks: This bill would give IHSS nonprofit consortiums or public authorities the option of paying for the criminal background checks for IHSS providers. It would also require the state to seek federal financial participation to cover costs associated with conducting the criminal background check.
SB 142 (Maldonado) - IHSS Authorized Tasks: This bill would require the Department of Social Services to devise a method to ensure that an IHSS provider receives a list of approved tasks before working for an IHSS consumer.
SB 998 (Liu) - Long-Term Care: Assessment and Planning: This bill would, among other things, require the State Department of Health Care Services to develop a uniform assessment tool to assist consumers in finding the long-term care services of their choice. It would also require long-term health care facilities to conduct assessments with the tool on any Medi-Cal/Medicare eligible individual that applies for admission before that person is admitted or Medi-Cal reimbursement is requested, and would require acute care hospitals to use the assessment tool when referring individuals to a long-term health facility.
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