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Federal Supports for County Health Systems

In the fall of 2018, the Newsom Administration unveiled a comprehensive, multi-year approach to improving Medi-Cal: CalAIM. CalAIM was intended to be the framework for California’s approach to the renewal of the Section 1115 and 1915B federal waivers, both of which expire in 2020. However, on April 10, the Newsom Administration announced that implementation of CalAIM has been delayed due to the COVID-19 public health emergency.  In the meantime, UCC will continue with related advocacy effort to sustain county health systems:

Advocate for Local Investment and Flexibility

In 2020, UCC will:

  • Support the Newsom Administration’s efforts to extend the federal Section 1115 and 1915B waivers for one year.
  • Support additional federal funding for county hospitals, clinics and health systems to address revenue losses due to COVID-19.
  • Support federal efforts to delay implementation of the Medicaid Federal Accountability Rule.

County Advocacy Letter on IHSS

In-Home Supportive Services (IHSS) is a Medi-Cal based program that is funded by county, state and federal dollars. This program's goal is to allow low income aged, blind, and disabled persons, including children, who are at risk for out-of-home placement, to remain safely at home by providing payment for care provider services.

Attached is an advocacy letter opposing the IHSS United Domestic Workers/American Federation of School County and Municipal Employees (UDW/AFSCME) budget proposal. The UDW/AFSCME is proposing to increase the penalties on counties without collective bargaining agreements from 1% to 7% of the county IHSS MOE.

Advocacy Letter

County Advocacy Letter on Medicare and Medicaid Services

Attached is an advocacy letter to the Centers for Medicare & Medicaid Services (CMS) Department, expressing our deep concerns on the Medicaid Fiscal Accountability Regulation (MFAR) proposal that was released. This proposal would jeopardize access to coverage for millions of low income Californians by unsettling the program's financial underpinning. 

Advocacy Letter