FROM THE FOUNDATION

Redefining the Safety Net

Should California establish a Basic Health Program for certain low-income residents? CHCF's Marian Mulkey captures a recent policy conversation in a Health Affairs blog.

Accountable Care in Action

A new post on the Health Affairs blog details how CalPERS kept costs down in Sacramento through a "virtual" ACO with insurers and providers.

Career Opportunity: Senior Program Officer

This position will play a major role in furthering the goals and objectives of the foundation's Better Chronic Disease Care program.

Long-Term Care

Friday, January 20, 2012

Federal Judge Continues To Block In-Home Supportive Services Cuts

On Thursday, U.S. District Judge Claudia Wilken issued a preliminary injunction to continue to prevent the state from cutting In-Home Supportive Services care hours by 20%, the San Francisco Chronicle reports. IHSS provides services for the elderly and people who are blind or have disabilities.

Background

The decision comes in response to a lawsuit filed by Disability Rights California and other groups.

On Dec. 1, 2011, Wilken issued a temporary restraining order to block California from notifying IHSS beneficiaries about possible cutbacks that would have taken effect this month as part of automatic, midyear budget cuts (Egelko, San Francisco Chronicle, 1/20). As part of the triggered cuts, the state aims to save $101.5 million by reducing hours by 20% and eliminating local anti-fraud funding for IHSS (California Healthline, 12/14/11).

When Wilken issued the temporary restraining order, she questioned whether the cuts would violate law by forcing individuals to be institutionalized (San Francisco Chronicle, 1/20).

Details of Preliminary Injunction

On Thursday, Wilken converted the temporary restraining order to a preliminary injunction (Yamamura, Sacramento Bee, 1/20). The move is an indication that legal efforts to block the cuts are likely to succeed, according to the San Jose Mercury News.

Wilken said California cannot move forward with the cuts unless it assesses each beneficiary to determine whose hours can or cannot be adjusted (Richman, San Jose Mercury News, 1/19).

The preliminary injunction maintains current service levels while the case moves forward (San Francisco Chronicle, 1/20).

According to Melinda Bird -- senior counsel for Disability Rights California -- Wilken directed the parties involved in the case to reach a settlement (Megerian, Los Angeles Times, 1/20).

State Response

Michael Weston -- a spokesperson for the state Department of Social Services -- said the agency is reviewing the ruling to determine appropriate action (San Francisco Chronicle, 1/20).

H.D. Palmer -- a spokesperson for the state Department of Finance -- said the state plans to challenge the decision (Sacramento Bee, 1/20).

For additional coverage of Wilken's ruling, see today's Capitol Desk post.



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