March 2, 2017 -
CCI/IHSS MOE Update - Today, the
Senate Subcommittee #3 on Health and Human Services held
the first hearing on the Governor's action to unwind the
CCI and shift the IHSS costs to counties. The LAO
testified at the hearing and provided an overview of
The LAO also reviewed their recommendations from their
here) and noted that the 1991 Realignment funds were
not sufficient to cover the cost shift.
A panel also testified including: Frank Mecca, CWDA;
Matt Cate, CSAC; Kirsten Barlow, CBHDA; Tia Orr, SEIU;
and Kristina Bas-Hamilton, UDW. In addition, there were
significant opposition in public comment including
testimony from UCC on the impacts to urban counties.
The Department of Finance stated they were working with
counties on agreeing on the methodology and specific
numbers for the cost shift and that they expected their
analysis to be completed within the next two weeks.
Chair Senator Pan noted concerns and that the
Subcommittee would continue to review this item and
noted that the 1991 Realignment may have to be looked at
to see if it still works for stakeholders.
The Assembly Subcommittee #1 on Health and Human
Services is scheduled to hear the same issue next week -
February 24, 2017 -
UCC's Summary of the Coordinated Care Initiative
and IHSS MOE Overview
February 9, 2017 -
Transportation Funding Package - The Governor
and Legislative Leadership have announced a deadline of
April 6, 2017, to get the Transportation Funding Package
passed. Attached is the
coalition letter to Senate Transportation Committee.
February 3, 2017 -
CCI Update -- Below please find joint letters
opposing dismantling the CCI, the county IHSS MOE, and
shifting IHSS collective bargaining to counties. This
results more than $623 million in increased county costs
above the amount that counties are dedicating to their
current MOE obligations in 2017-18.
IHSS MOE Letter de Leon
IHSS MOE Letter Rendon
January 24, 2017 -
Governor Brown gave a passionate State of the State
related to the uncertainties California is facing under
the new federal Administration. Governor Brown noted
that while he has laid out a specific agenda in the
past, he instead wanted to provide the basic principles
that will guide California’s efforts this year.
Immigration. Immigrants are part
of who we are and what we have become. California
has passed protective measures and California will
defend every one that has come here and contributed
to our state.
Health Care. California more than
any other state embraced the Affordable Care Act.
Any attempt to repeal the ACA will affect the
California state budget directly. California will
work with other Governors to protect health care of
Climate Change. They cannot
change the facts: temperatures rising. 194 countries
have signed the Paris agreement. We cannot fall
back. California will join with other states and
Infrastructure. President wants
to build and build big. California agrees with the
President and will work with him to create jobs.
January 13, 2017 -
CCI Unwind -- Unwinding of the CCI
program which includes returning IHSS collective
bargaining to the counties and removing the current IHSS
MOE which caps counties costs at 3.5%. However, parts of
the CCI will be maintained including the Cal
Medi-Connect and the mandatory enrollment of the dual
eligibles. The cost shift of the IHSS MOE which includes
county share of cost for the increase to minimum wage is
estimated to be $4.4 billion over the next 6 years.
(Noted concern regarding federal uncertainty on the
Affordable Care Act, but no specific proposal to address
the possibility of a repeal by the Trump
January 11, 2017 -
Governor's Budget -
UCC Summary of the Governors Budget 2017-18
January 9, 2017 - No
Place Like Home (NPLH)- Update and Workshops -
The Housing and Community Development (HCD) released
their draft paper on NPLH along with a list of public
workshops to get comments on this first draft. Attached
are the links to the
Draft NPLH framework paper and the list of
HCD Regional workshops in January 2017.
July 13, 2016 -
Attached please find UCC’s Summary
of the Final Budget, along with the
Budget Action Chart listing the
Budget Bills and their current status. The UCC Summary
also includes the No Place Like Home Proposal.
July 6, 2016 - AB
1618 - No Place Like Home Proposal – Signed by Governor
- AB 1618, the No Place Like Home Proposal was
signed by the Governor last week. This is the bill that
provides funding to build affordable housing using the
Mental Health Services Act. The Governor also signed AB
1622 which provides additional funding or the homeless
and administrative funding for DCHS to administer the
various reporting requirements.
June 16, 2016 - Both houses
of the Legislature passed the main Budget bill and a
couple of trailer bills on June 15, 2016. Most of the
rest of the Trailer Bills passed on June 16, 2016. To
view UCC's Summary of the Governor's Budget click
attached is the list of all the bills acted upon and
their current status.
A couple of Trailer Bills will be taken up next week,
including the No Place Like Home bill (AB 1618). Since
the No Place Like Home bill has not officially passed, a
summary is attached of the most recent version of
Some of the major proposals in the
final Budget include:
$270 million in lease revenue
bonds for county jail construction.
$16.7 million for Community
Infrastructure Grants provided to counties.
$25 million for the
Community-Based Transitional Housing Program
(formerly Permit Incentives).
Repeal of the Maximum Family
$150 million for the
implementation of AB 403 – Continuum of Care.
Some proposals that did not make the
6-6-2016 - Budget Conference
Committee - Update - The Budget Conference Committee met
last week and went through the entire book of issues.
Not much action was taken.
Attached is a chart of the issues we are tracking in
May Revise. All of our items remain open.
There was a lengthy discussion on
jail funding with both houses wanting the funding to
be spent on services and not jail construction
unless more detail was provided on how the funds
would be allocated and the specific projects.
The Homeless issue was also
discussed with support for No Place Like Home and
many questions and concerns about the by-right
proposal coming from Senator Leno and Senator
5-31-16 - The Budget
Conference Committee announced its members for
the Senate and Assembly today. The conference committee
is to begin tomorrow (June 1). Below are the members:
Assemblyman Phil Ting (D-San Francisco), Chair
Senator Mark Leno (D-San Francisco) (Co-chair)
Assemblyman Richard Bloom (D-Santa Monica)
Assemblywoman Lorena Gonzalez (D-San Diego)
Assemblyman Jay Obernolte (R-Big Bear Lake)
Assemblywoman Kristin Olsen (R-Modesto)
Senator Patricia Bates (R-Laguna Niguel)
Senator Loni Hancock (D-Berkeley)
Senator Ricardo Lara (D-Bell Gardens)
Senator Jim Nielsen (R-Gerber)
May 18, 2016 - The
Urban Counties of California held a Board
meeting in Sacramento today and took action on
the following items:
Los Angeles County proposal to
create a $100 million State Matching Fund program to
combat homelessness – Board Action: Support.
Los Angeles County Proposal to
allow counties to seek voter approval to impose a
special tax on personal income above $1 million to
combat homelessness – Board Action: Support.
SB 987 (McGuire) – Excise Tax –
Board Action: Support.
SB 1157 (Mitchell) – In-Person
Visitation – Board Action: Oppose.
May 3, 2016 - AB 120
(Committee on Budget) – Election Funding - SIGNED -
AB 120 would provide $16.2 million to reimburse
counties for costs related to the June 7, 2016 primary
as well as for completing statewide ballot initiative
signature verifications. UCC is in strong support of
this effort since it provides counties funding to ensure
that the June primary is a success. The allocation of
the funds is to be determined by a formula to be
submitted by the Secretary of State. Counties must
submit invoices for costs by August 1, 2016 and the
counties will be reimbursed by the State Controller.
UCC Position: Support.
Status: Signed by Governor, Chapter 11.
April 14, 2016 -
Election Funding Proposal by Secretary of State
- Last week, Secretary of State Alex Padilla
presented a proposal to the Assembly Budget Subcommittee
#4 requesting $32 million for the state and counties to
prepare for the upcoming competitive June primary and
the possibility of 20 initiatives on the November
ballot. At the hearing, representatives from the
Department of Finance testified that the Secretary’s
proposal seemed to have merit. UCC is in support of this
request and to see our letter click
here. The committee
analysis is also available
April 4, 2016 -
Maximum Family Grant (MFG) Rule Repeal
The Assembly Budget Subcommittee on Health and Human
Services took action last week to repeal the MFG policy
in the CalWORKs program. Under current law, a child born
into a family receiving assistance through the CalWORKs
program is not eligible for assistance unless the
pregnancy is the result of rape, incest or a failure of
contraception. Repealing the MFG policy would provide
benefits to an estimated 130,000 children across the
state. This repeal is proposed to take effect on January
The repeal of the MFG will be funded from the Child
Poverty and Family Supplement Support Account that was
created in 2013 to capture AB 85 redirection of county
Health realignment funding. The Subcommittee is
proposing to use the remainder of the funds in the sub
account combined with General Funds to make up the rest
of the costs.
March 28, 2016 -
Governor Brown Announces Minimum Wage Deal
Today, Governor Brown announced a
six-year plan to raise the statewide minimum wage to $15
an hour. This deal is expected to cancel two separate
initiatives to raise wages planned for the November
ballot. The plan would raise the statewide minimum wage
by 50 cents on January 1,2017 to $10.50 an hour and be
raised in subsequent years ending at $15 on January 1,
2022. The plan does exempt small businesses until 2023.
It is anticipated that the Legislature would vote on
this new proposal sometime this week.
March 3, 2016 - MCO
Fix Signed Into Law
On March 1, 2016, Governor Brown signed a new Managed
Care Organization (MCO) fix package into law.
UCC supports the Governor’s proposal to create a new
Managed Care Organization Fix, which is currently in
ABx2 20 (Bonta) and
SBx2 15 (Hernandez). This fix is critical for
counties to have a new funding source for the
Coordinated Care Initiative, Medi-Cal, and IHSS as well
as maintain the counties IHSS MOE.
February 4, 2016 -
Yesterday, AB 21 (Wood) was signed by
the Governor. This is an urgency measure which repeals
the March 1, 2016 date by which local governments would
have to pass a cultivation ordinance and makes changes
to Section (g) both in AB 243 from 2015. UCC is in
strong support of this measure.
January 21, 2016 -
Governor Brown Delivers 2016 State of the State Address
Today, Governor Brown delivered his
State of the State Address. Rather than discussing new
programs, his focus was on paying for the commitments
the State has already made, along with ways of securing
future spending and staying prepared for an uncertain
future. To read his full speech, please click
January 4, 2016 -
Attached please find our Summary of
the Governor’s January Budget. Also attached is the
Realignment Funding Projections for 2016-17.
Some highlights of this package
New proposal for the MCO Tax
which would provide a new three-year tiered MCO tax
plan based on the type of health plan. To help plans
with costs the state is offering relief in the Gross
Premiums Tax and Corporate Tax.
Extension of the CCI program for
calendar year 2016. Continuation beyond 2016 is
linked to the passage of the MCO tax.
Transportation Funding proposal
and investment in state infrastructure for $3.6
$250 million in new grants to
counties for local jail facility construction.
$3.1 billion Cap and Trade
$25 million in Siting Incentive
Grants for cities and counties to provide incentive
payments to cities and counties that approve new
long-term permits for hard-to-site facilities.
$169 million for county
administration of Medi-Cal.
New funding for the
implementation of Medical Marijuana Regulations at
the various state departments.
January 4, 2016 -
1115 Medi-Cal Waiver Renewal Approved
The Department of Health Care Services (DHCS) recently
announced the approval of California’s 1115 Waiver
Renewal, which includes $6.2 billion of federal funding
to support the state’s Medi-Cal program and health care
coverage. The approval extends the waiver from January
1, 2016 through December 31, 2020.
The waiver is called Medi-Cal 2020 and is a vital piece
of the state’s implementation of the Affordable Care Act
(ACA). On January 25, 2016 DHCS will have a stakeholder
webinar to go through the requirements of the waiver and
to answer any questions. For additional information
about the details of the waiver please click
November 2, 2015 - 1115 Medicaid Waiver Deal Reached
The DHCS and CMS have been in
negotiations regarding the renewal of California's 1115
Medicaid Waiver. On Saturday, October 31st (the day of
the deadline) DHCS and CMS announced a conceptual
agreement on the Waiver which will include a temporary
extension to December 31st of the existing Waiver while
the details of the renewal are worked out through the
official Special Terms and Conditions (STCs).
The total initial federal funding in this new proposed
Waiver is $6.218 billion, with the potential for
additional federal funding in the global payment program
to be determined after the first year. This is much
higher than the reported amounts during negotiations
last week, but is also significantly lower than the
original Waiver proposal from March of this year.
The conceptual agreement includes the
following core elements:
Global Payment Program (GPP) for
services to the uninsured in designated public
hospital systems (DPH). The GPP converts existing
DSH and Safety Net Care Pool (SNCP) uncompensated
care funding - which is hospital-focused and
cost-based-- to a system focused on value and
improved care delivery. The funding of the GPP will
include 5 years of the DSH funding that otherwise
would have been allocated to DPHs along with $236M
in initial federal funding for one year of the SNCP
component. SNCP component funding for years two
through five would be subject to an independent
assessment of uncompensated care.
Delivery system transformation
and alignment incentive program for DPHs and
district/municipal hospitals (DMPH), known as PRIME
(Public hospital Redesign and Incentives in Medi-Cal).
The federal funding of PRIME for the DPHs is a total
of $3.2655 billion over the five years of the
Waiver, which includes $700 million for each of the
first three years, $630 million in year four, and
$535.5 million in year five. The federal funding for
the DMPHs is a total of $466.5 million over the five
years of the Waiver, which includes $100 million for
each of the first three years, $90 million in year
four, and $76.5 million in year five.
Dental transformation incentive
program. The funding of this program is $750M in
total funding over 5 years.
•Whole Person Care Pilot (WPC) program which would
be a county-based, voluntary program to target
providing more integrated care for high-risk,
vulnerable populations. The funding of this program
would be up to $1.5B in federal funds over 5 years.
Independent assessment of access
to care and network adequacy for Medi-Cal managed
Independent studies of
uncompensated care and hospital financing.
August 31, 2015 -
REQUEST FOR LEGAL SERVICES
The Urban Counties of California
for Legal Services for a specific project. Please click
here to see the RFQ. For more
information contact Jolena Voorhis at (916)327-7531.
Deadline for submittal is September 25, 2015.
July 1, 2015 -
Governor Calls Two Special Sessions
As part of the Budget agreement, the
Governor called two special sessions to address issues
that were not included in the final budget agreement:
Also to consider and act upon
legislation necessary to:
Establish clear performance
objectives measured by the percentage of pavement,
bridges, and culverts in good condition.
Incorporate project development
efficiencies to expedite project delivery or reduce
Shoring Up Health Care
Financing. The Governor proposes that the
Legislature enact permanent and sustainable funding
to provide at least $1.1 billion annually to
stabilize the General Fund costs for Medi-Cal,
sufficient funding to continue the restoration of
the 7 percent of IHSS hours beyond 2015-16;
sufficient funding for additional rate increases for
providers of Medi-Cal and developmental disability
Also requests that the Legislature
enact legislation necessary to:
Establish mechanisms so that any
additional rate increases expand access to services.
Increase oversight and the
effective management of services provided to
consumers with developmental disabilities through
the regional center system.
Improve the efficiency and
efficacy of the health care system, reduce the cost
of providing health care services, and improve the
health of Californians.
Attached please find the press releases for both
June 23, 2015 -
Budget Package Passed by the Legislature
Both houses passed the revised budget bill and several
trailer bills on Friday, June 19, 2015. This version is
the package deal agreed to among the Democratic
Leadership and the Governor.
Major issues in this version are as
Creation of the Earned Income Tax
Restorations to Adult Dental and
the IHSS 7% reduction in hours.
Change to $15 million for
CalWORKs Housing Support program (previous version
was $30 million).
$20 million for City Law
Funding for Incompetent to Stand
Trial including funding for the Restoration of
Competency program ($4 million).
Attached please find the list of the
Trailer Bills and the
UCC Summary of the Final Budget.
There are some issues that are NOT in this package
including changes to the redevelopment dissolution
process, and the detailed cap and trade provisions.
May 14, 2015 - Today
Governor Jerry Brown released the May Revision for
Attached please find UCC's preliminary summary of
the Governor’s May Revision, which includes a full
repayment of the mandate reimbursements due to counties
– a total of $765 million.
January 9, 2015 - Today the
Governor released his proposed 2015-16 Budget.
The Budget proposes a total budget of $113 billion that
provides more funding for education and health care
coverage, holds college tuition flat and delivers on
Proposition 1 and 2 by investing in long overdue water
projects. At the same time the Governor’s Budget
proposes to continue to deal with states other long term
liabilities – debt, infrastructure, retiree health care
and climate change.
Key proposals include:
Paying local governments $533
million in mandate payments.
Investment in Medi-Cal of $150
million to help counties with the implementation of
the Affordable Care Act.
Restoration of the 7% across the
board cut to IHSS, dependent on a new MCO tax.
Caution regarding the CCI program
and the possibility of winding down in future years.
Continued funding of SB 678 for
$7 million for deferred
maintenance at California fairs.
Addressing poverty and income
equality through workforce investment.
For UCC's Summary of the budget
here. To review the Realignment
Funding Chart please click
January 5, 2015 - Today
Edmund G. Brown Jr. was sworn into office for a record
fourth time as the Governor of California. To read his
Inaugural Address please click
September 4, 2014 -
End of Legislative Session - It was a strange
end of session with very little last minute bills or gut
and amends moving through the Legislature. Many of the
gut and amends were held in the Senate Rules Committee.
Both houses adjourned early Saturday morning and will
not reconvene until December.
Here are some of the bills UCC was following:
AB 39 (Skinner) – Public Hospitals
This bill would convert Doctor’s Medical Center to a
Designated Public Hospital. The California Association
of Public Hospitals and Health Systems (CAPH) are
opposed to the bill due the concerns regarding the
precedent to expand the number of Designated Public
Hospitals without any rationale or analysis. In
addition, AB 39 does not require a Section 17000
obligation or any commitment to serving vulnerable
UCC Position: Concerns.
Status: Held in Senate Rules – see SB 883.
AB 1522 (Gonzalez) – Sick Leave
This bill would require employers to provide sick leave
to their employees. Recent amendments exempted IHSS
workers and any employee under collective bargaining
agreements. For counties, this would still apply to
temporary or contract employees.
UCC Position: Concerns.
AB 1582 (Mullin) – Redevelopment
This bill would modify the Redevelopment Dissolution
Law’s provisions to allow for the restoration of
“contracts or arrangements” between a former
redevelopment agency and its sponsoring city. Current
law only allows for the restoration of “loans.” In
addition, this bill would increase the interest rate on
UCC Position: Oppose.
Status: Held in Senate Rules.
AB 2493 (Bloom) – Redevelopment
This bill would allow specific successor agencies of
dissolved redevelopment agencies to spend funds that
were not under contract in 2011.
UCC Position: Oppose.
SB 556 (Padilla) – Providers of health and
safety labor or services: identification
This bill would require local agencies to provide
labeling on uniforms, vehicles and badges if we are
contracting for those services.
UCC Position: Oppose.
SB 883 (Cmte on Budget) - West Contra Costa
This bill would provide $3 million to the West Contra
Costa Healthcare District for Doctor’s Medical Center
from the Major Risk Medical Insurance Fund.
UCC Position: Neutral.
August 12, 2014 -
The UCC Board of Director’s voted to OPPOSE Proposition
46 on August 6, 2014. - Proposition 46, the
Troy and Alana Pack Patient Safety Act of 2014, would
make changes to the Medical Injury Compensation Reform
Act (MICRA) cap. Attached is the
staff memo and background information on Proposition
Under existing law, MICRA allows an injured patient to
recover unlimited economic damages for past and future
medical expenses; unlimited economic damages for lost
wages and lifetime earning potential; unlimited punitive
damages for willful misconduct; and up to $250,000 in
Proposition 46 would make the following changes:
Raise the noneconomic damages cap
for medical malpractice from $250,000 to
approximately $1.1 million (based on CPI) and would
also increase the award amount limits on a
prospective basis as measured by the CPI.
Require hospitals to randomly
test physicians for alcohol and drug use.
Require health professionals and
pharmacists to consult the Controlled Substance
Utilization Review and Evaluation System (CURES)
maintained by the state Department of Justice prior
to prescribing or dispensing controlled substances
to a patient for the first time.