FROM THE FOUNDATION

Physician Supply and Demand in California

While physician supply has increased in recent years, California as a whole barely meets the national recommended minimum range. And future demand is expected to outpace supply due to a confluence of factors. Read details in a new CHCF Almanac report.

Where Big Money Goes in Medi-Cal Spending

Seven percent of Medi-Cal beneficiaries accounted for more than three-quarters of fee-for-service program expenditures in fiscal year 2008. This snapshot profiles this small but expensive population and uses the findings to suggest ways to slow spending growth.

Gauging the Physician Shortage in Medi-Cal

This report uses survey data to measure physician participation in the Medi-Cal program and examine differences across specialties and regions. It finds that low participation rates are a persistent problem and discusses the implications for low-income patients.

Friday, October 02, 2009

Advocates Sue State Over Cuts to In-Home Supportive Services

On Thursday, eldercare and disability-rights advocates filed a lawsuit attempting to prevent California's In-Home Supportive Services program from dropping participants or cutting services, the Sacramento Bee reports.

Background

Earlier this summer, lawmakers passed a budget revision package that reduced IHSS spending by $82.1 million.

In response to the cuts, IHSS decided to drop some participants from the program and reduce services for others. Officials said they will use "functional index" rankings to determine which participants will lose services (Ferriss, Sacramento Bee, 10/1).

Advocates claim the IHSS cuts will end services for 40,000 participants and significantly reduce services for 90,000 more.

The state plans to send out notices about the service reductions on Oct. 19. The cuts are scheduled to take effect Nov. 1.

Lawsuit Details

The lawsuit challenges the methods used to determine which IHSS participants would lose services.

It also contends that the cuts would hinder the state's compliance with the Americans with Disabilities Act.

The plaintiffs are hoping to persuade a federal judge to block the cuts before officials issue notices to affected participants (Richman, Oakland Tribune, 10/1).

H.D. Palmer, spokesperson for the Department of Finance, said Gov. Arnold Schwarzenegger's (R) administration plans to fight the lawsuit.

Other Legal Battles

The IHSS lawsuit is the latest in a slew of legal action challenging the state's cuts to health and human services programs.

In June, a federal judge blocked state efforts to reduce wages for IHSS workers.

Last month, another federal judge issued an injunction blocking state cuts to the adult day health care program (Hennessy-Fiske, Los Angeles Times, 10/2).



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