The 2025-26 California Spending Plan: Human Services

Nov 21, 2025 - Cost of Community First Choice Option (CFCO) Late Penalties Shifted to Counties. CFCO is a federal program within IHSS that is aimed at serving those with the highest needs for assistance in the home.
https://lao.ca.gov/Publications/Report/5086/4

The 2026-27 Budget: In-Home Supportive Services

Mar 18, 2026 - The state receives an enhanced federal reimbursement rate for many IHSS recipients who receive services as a result of the Patient Protection and Affordable Care Act expansion (90  percent federal reimbursement rate) and the Community First Choice Option waiver (56  percent federal reimbursement rate).
https://lao.ca.gov/Publications/Report/5166

The 2021-22 Budget: Initial Comments on the Governor’s May Revision

May 17, 2021 - More importantly, the Legislature ’s time to deliberate over choices made in this budget is extremely limited. We recommend the Legislature delay some of those decisions and offer options for doing so.
https://lao.ca.gov/Publications/Report/4432

The 2025-26 Budget: Overview of the Governor's Budget

Jan 13, 2025 - Before accounting for discretionary choices, the budget position under the administration ’s estimates is similar to what it was under our November estimates. That is, both of our offices have assessed that the budget is roughly balanced.
https://lao.ca.gov/Publications/Report/4951

The 2025-26 Budget: In-Home Supportive Services

Mar 6, 2025 - The state receives an enhanced federal reimbursement rate for many IHSS recipients who receive services as a result of the Patient Protection and Affordable Care Act expansion (90  percent federal reimbursement rate) and the Community First Choice Option waiver (56  percent federal reimbursement rate).
https://lao.ca.gov/Publications/Report/5009

Estimating the CalWORKs Take-Up Rate

Feb 2, 2021 - Understanding CalWORKs Take-Up Rate May Inform Future Policy Choices. As noted above, most CalWORKs recipients are children, but many children living below the FPL are not currently enrolled in the program.
https://lao.ca.gov/Publications/Report/4340

The 2022-23 California Spending Plan: Human Services

Oct 21, 2022 - The HCBS Final Rule includes a variety of requirements to ensure integration of consumers in the wider community and to promote greater consumer independence and choice. DDS is in the process of assessing service providers ’ compliance with this rule.
https://lao.ca.gov/Publications/Report/4640/1

The 2022-23 California Spending Plan: Human Services

Oct 21, 2022 - Legislation further specifies that 30  percent of 2021-22 assistance dollars would be used for local publicly owned electric utilities (POUs) and cooperatives, while 70  percent would be used for investor-owned electric utilities (IOUs), including community choice aggregators (CCAs).
https://lao.ca.gov/Publications/Report/4640/7

The 2023-24 Budget: Department of Developmental Services

Feb 15, 2023 - The federal Centers for Medicare and Medicaid Services approved a new rule in 2014 that requires states to ensure that any Medicaid ‑funded HCBS services promote person ‑centered planning, individual choice, and increased independence and are provided in the most integrated setting possible.
https://lao.ca.gov/Publications/Report/4683

The 2024-25 Budget: In-Home Supportive Services

Feb 29, 2024 - The state receives an enhanced federal reimbursement rate for many IHSS recipients who receive services as a result of the Patient Protection and Affordable Care Act expansion (90  percent federal reimbursement rate) and the Community First Choice Option waiver (56  percent federal reimbursement rate).
https://lao.ca.gov/Publications/Report/4868