(.pdf, 272.4 KB)
Author: William Fujioka
Publisher: L.A. County Chief Executive Office (CEO)
Memorandum to the Board of Supervisors providing a State Budget update on the status of the Coordinated Care Initiative (Dual Eligibles Pilot Project) trailer bill and key In-Home Supportive Services (IHHS) provisions. The State proposed to permanently replace the existing counties share of cost for the IHSS Program with a Maintenance of Effort (MOE) for all counties statewide. The major concern is that counties would not have as much control over costs. In addition, the CEO and DPSS have learned that unions (SEIU and AFSCME) are the negotiating with the Administration regarding proposed trailer bil language to shift IHSS collective bargaining from the local to the state level and create a new State public authority, as part of the IHSS trailer bill language.