Department of Social Services
In-Home Supportive Services

Total General Fund expenditures for the In-Home Supportive Services (IHSS) program are $1.7 billion in 2007-08 and $1.5 billion in 2008-09, including an increase of $36.5 million in 2007-08 and a decrease of $110.7 million in 2008-09 compared to the Governor's Budget. Caseload is projected to be 396,612 recipients in 2007-08 and 415,589 in 2008-09. Caseload estimates in 2007-08 and 2008-09 are slightly higher than projected in the Governor's Budget.

The May Revision includes alternative reduction proposals to replace the 18-percent reduction in domestic and related service hours proposed in the Governor's Budget:

  • Focus the state buyout program for IHSS recipients whose Medi-Cal share of cost is higher than their IHSS share of cost on persons with the most severe needs. Under this proposal, the state will no longer pay the difference in the share of cost for those IHSS recipients with average functional index scores below 4. This proposal will result in 2008-09 savings of $27.7 million General Fund.
  • Provide IHSS domestic and related services to individuals with the highest levels of need, as measured by a functional index score of 4 or higher. The provision of other IHSS services to all eligible consumers regardless of their functional index score will not be impacted. This proposal will save $52.0 million General Fund in 2008-09.
The May Revision also limits state participation in the wages of IHSS workers to the state minimum wage plus $0.60 per hour for benefits. This would result in savings of $186.6 million General Fund in 2008-09. The principal reason that the average cost of care for an IHSS recipient has nearly doubled over the past 10 years is wage growth.
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CHAPTER HIGHLIGHTS for Health and Human Services Back to Top

 Department of Health Care Services
 Department of Public Health
 Managed Risk Medical Insurance Board
 Department of Developmental Services
 Department of Mental Health
 Department of Social Services
  CalWORKs
  Supplemental Security Income/State Supplementary Payment Program
 image of black pointing arrowIn-Home Supportive Services
  Child Welfare Services
 Loans and Transfers from Special Funds
PRINTABLE BUDGET DOCUMENTS Back to Top
Revised Budget Summary - Health and Human Services (pdf * - 208K) -
Provides the entire Health and Human Services Chapter in pdf format.
ADDITIONAL INFORMATION Back to Top
Revised Budget Detail - Health and Human Services
Displays Revised Budget Detail information for Health and Human Services.

Proposed Budget Summary - Health and Human Services (January 2008)
Displays Proposed Budget Summary information for Health and Human Services.