Human Services

Overview

The 2022-23 spending plan provides over $25 billion from the General Fund for human services programs. This is an increase of over $4 billion, or 19 percent, compared to the revised, prior-year spending level, as shown in Figure 1. This significant increase is primarily the result of higher spending in several different departments and programs. Some key examples of the drivers of the year-over-year increases are (1) additional child care slots, (2) increased caseload (alongside increased service provider rates and other augmentations) for the Department of Developmental Services, (3) the phase out of enhanced federal funding in In-Home Supportive Services, and (4) the initial phase-in of a grant increase in Supplemental Security Income/State Supplementary Payments. Figure 2 shows the major human services policy changes adopted by the Legislature as part of the 2022-23 spending plan. These changes are discussed in more detail in the issue specific links provided on this page.

Figure 1

Major Human Services Programs and Departments—Spending Trends

General Fund (Dollars in Millions)

	2021‑22	2022‑23	Change From 2021‑22 to 2022‑23
	2021‑22	2022‑23	Amount	Percent
Department of Developmental Services	$6,281.1	$7,674.0	$1,392.9	22.2%
In‑Home Supportive Services	5,004.2	6,134.9	1,130.6	22.6
SSI/SSP	2,873.5	3,289.0	415.5	14.5
DSS Child Care	1,649.2	2,691.0	1,041.8	63.2
County Administration/Automation	990.3	1,182.5	192.1	19.4
Child Welfare Servicesa	1,497.9	1,317.4	‑180.5	‑12.0
CalWORKs	792.4	857.3	64.9	8.2
Department of Child Support Services	344.8	364.7	19.9	5.8
Department of Rehabilitation	73.4	88.2	14.8	20.2
Department of Aging	104.0	283.1	179.1	172.2
All other social services (including state support)	1,976.2	1,713.0	‑263.1	‑13.3
Totals	$21,586.9	$25,595.0	$4,008.1	18.6%
aIncludes the Approved Relative Caregiver program, Kinship Guardianship Assistance Payment program, and Adoption Assistance Program, in addition to foster care payments, programs for non‑minor dependents, and other special programs.
DSS = Department of Social Services.

Figure 2

Major Actions—Human Services Programsa

2022‑23 General Fund Effect (In Millions)

Program	Amount
CalWORKs
Increases CalWORKs grants by 10 percent from October 2022 through October 2024	$301.2
Temporarily augments county‑level CalWORKs administrative funding	55.0
In‑Home Supportive Services (IHSS)
Phases in the Medi‑Cal Asset Limit Repeal	$69.4
Establishes IHSS permanent back‑up provider system	15.4
Expands full‑scope Medi‑Cal, including IHSS eligibility, to adults aged 26 to 49 beginning no sooner than January 2024	—
Allows for automated CalSavers retirement account payroll deductions	1.7
Provides permanent electronic visit verification and IHSS social worker training resources	1.5
Child Welfare Services (CWS)
Funds for Los Angeles County Child Welfare Services	$200.0
Family Finding and Engagement Grants to counties	150.0
CWS‑CARES Project augmentation	57.6
Flexible funds for counties/tribes to increase and support home‑based foster care	50.0
Services for minors who have been victims of sex trafficking	25.0
Resource family approval augmentation for counties	50.0
Emergency Child Care Bridge—program expansion and access to administrative funds	42.4
Support for recruitment and approval of tribally approved homes	7.8
Placement prior to approval—incremental cost increase to maintain state funding for emergency placements beyond 90 days	6.5
Legal counsel for tribes in child welfare cases	1.1
Food Assistance
Temporarily augments state support for select food banks	$112.0
Temporarily augments county‑level CalFresh administrative funding	35.0
Develops grant program for food assistance in tribal communities	5.0
Other Department of Social Services
Augments support to immigrants in emergent situations	$175.0
Operating Subsidies for Board and Care Facilities	52.3
Holocaust Survivor Assistance Program	36.0
Promise Neighborhoods	12.0
Expands legal services for immigrants	10.0
Extreme Heat Protections for Vulnerable Populations	2.8
Increases SSP, CAPI, and CVCB grants on January 1, 2023	150.0
Continues APS training on an ongoing basis	4.6
Reappropriates APS expansion funding provided in 2021‑22 budget	60.6
Department of Child Support Services
Provides additional ongoing funding for local child support agencies	$20.1
Allows full pass through of past‑due child support payments to former CalWORKs families	—a
Department of Rehabilitiation
Establishes Community Living Fund.	$10.0
Increases supported employment provider rates to conform with DDS	1.5
Department of Aging
Creates COVID‑19 Mitigation and Resilience Grants for CBAS Centers	$61.4
Temporarily restores Older Californian Act Programs	59.3b
Creates Healthier Homes Nursing Pilot Programs	12.5
Provides funding for additional LTSS and HCBS research	9.0
Provides local grants for age‑friendly community projects	4.5
Creates LTC ombudsman outreach campaign	3.5
Develops training materials for HCBS providers and programs	0.7
Creates LTC Facilities and Public Health Emergencies Working Group	0.5
Develops state emergency and natural disaster response plans	0.4
Developmental Services
Funds workforce stability programs at Regional Centers and service providers	$186.2
Accelerates ongoing reform of service provider rates	159.1
Works towards improving transition from Early Start to special education services	45.1
Temporarily augments funding for grants to improve equitable service access	11.6
Funds communication needs assessments for consumers who are deaf or hard of hearing	9.0
Expands Early Start eligibility	6.5
Creates pilot project to increase consumer employment opportunities	5.1
Continues suspension of family fees through 2022‑23	4.7
Pays financial service management costs for consumers in the Self Determination Program	4.4
Provides funding to reform the dispute resolution process	3.7
Provides funding for disposition of Fairview Developmental Center	3.5
Provides funding for Phase II of Electronic Visit Verification implementation	2.3
Funds research and data enhancements	2.0
Eliminates half‑day billing policy	1.9
Supports facility clinical software replacement	1.6
Augments funding for Regional Center deaf specialists	1.5
Funds ICF‑DD rate increase to conform with DHCS	1.4
Supports compliance with federal Medicaid rules	1.0
Distributes go‑bags and batteries for emergency preparedness	0.9
Provides administrative support for STAR homes, CAST, and Protective Services	0.8
Increases staffing support for information security	0.8
Funds Clinical Monitoring Teams for specialized community homes	0.6
Supports enrolling vendors as Medicaid providers	0.6
aExpected to take effect on July 1, 2023 or when the necessary automation is completed, whichever is later. bFunding increases to $86.9 million General Fund in 2023‑24 and decreases to 39.8 million General Fund in 2024‑25.
CWS‑CARES = CWS’s California Response and Engagement System; SSP = State Supplementary Payment; CAPI = Cash Assistance Program for Immigrants; CVCB = California Veterans Cash Benefit; APS = Adult Protective Services DDS = Department of Developmental Services; CBAS = Community‑Based Adult Services; LTSS = Long‑Term Services and Supports; HCBS = home‑ and community‑based services; LTC = long‑term care; ICF‑DD = Intermediate Care Facilities for the Developmentally Disabled; DHCS = Department of Health Care Services STAR = Stabilization Training Assistance Reintegration; and CAST=Crisis Assessment Stabilization Team.

Table of Contents

The 2022-23 California Spending Plan

Human Services

Overview