FROM THE FOUNDATION

End-of-Life Choices

Trends in end-of-life care show that not only does the care given vary widely from region to region and hospital to hospital, but also patients often don't get the care they prefer. What can be done?

Care Management Puzzle

Chronic diseases and the cost of care are rising. Are disease management programs improving outcomes for patients with complex, chronic conditions?

No Middleman

Under the "direct primary care" model, patients pay a monthly fee for basic medical services. Learn about the history and current landscape of physician practices offering this arrangement.

Friday, February 18, 2011

Assembly Democrats Likely To Reject Some Cuts in Budget Plan

On Friday, California's Assembly Budget Committee likely will reject some of Gov. Jerry Brown's (D) most controversial proposed health and human services cuts, the Sacramento Bee reports.

Rejecting Cuts

Democrats on the budget committee are expected to take similar steps that the Senate Budget Committee took on Wednesday. Specifically, Assembly Democrats are expected to reject:

  • Eliminating the adult day health care program;
  • Placing caps on physician visits and prescription drugs for beneficiaries of Medi-Cal, California's Medicaid program;
  • Reducing In-Home Supportive Services care hours by 12%;
  • Eliminating welfare aid for children after a four-year time limit; and
  • Cutting welfare grants by 13%.

Implementing Other Changes

However, committee members do plan to:

  • Impose a four-year time cap on welfare for adults;
  • Cut welfare grants by 5%;
  • Require IHSS beneficiaries to obtain medical certification;
  • Introduce alternative IHSS changes; and
  • Drop the state reserve fund from $1 billion to $300 million to help replace savings lost from rejected cuts.

Next Up

Both legislative houses are expected to convene joint budget committee meetings starting next week.

Brown wants lawmakers to approve his budget plan by March so voters can decide in a June special election whether to approve tax extensions for five years (Yamamura, Sacramento Bee, 2/18).



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