As discussed in the CSAC Power Minute Video on In-Home
Supportive Services (IHSS), the revised County IHSS Maintenance
of Effort (MOE) will create a more sustainable fiscal structure
for counties to manage IHSS costs and continue to deliver vital
services on behalf of the state. CSAC partnered with counties
over the past two years to work towards achieving this outcome
and is grateful to the Governor and the Legislature for the
proposal and legislation that will accomplish this goal.
The language to enact these changes was contained in
SB 80 (Chapter 27, Statutes of 2019), the human services
omnibus budget trailer bill. The trailer bill enacted several
major changes to the IHSS MOE structure. All of these MOE changes
are made possible through an increased State General Fund
commitment for IHSS above current law of $296.7 million in
2019-20 and $1.86 billion over the first four years of this new
structure. These changes are:
Lowering the County IHSS MOE base in 2019-20 to $1.56
billion,
Reducing the MOE annual inflation factor from seven percent
to four percent,
Stopping the redirection of vehicle license fee (VLF) growth
funds from Health, Mental Health, and County Medical Services
Program to Social Services,
Ending the State General Fund IHSS mitigation,
Returning to the original method for calculating IHSS
caseload and no longer utilizing accelerated caseload growth, and
Funding IHSS administrative costs through a General Fund
allocation.
Full details about the impacts on counties, MOE adjustment
provisions, and collective bargaining provisions are available in
CSAC’s
Budget Action Bulletin. CSAC is actively working on
implementation of the new IHSS MOE and will provide resources and
training opportunities for counties over the coming weeks and
months.
