AB 2278

Existing law establishes the In-Home Supportive Services (IHSS) program, administered by the State Department of Social Services and counties, under which qualified aged, blind, and disabled persons are provided with services in order to permit them to remain in their own homes. Existing federal law, the Community First Choice Option (CFCO) program, authorizes states to provide home- and community-based attendant services and supports to eligible Medicaid enrollees, as specified. Existing federal law provides federal financial participation for a state that provides services under the CFCO program. This bill would require the department to develop and make available a 5-year pilot project for the County of Contra Costa for the purpose of improving IHSS eligibility and processing times through the use of innovative technologies. Under the bill, the project would be designed with a focus on decreasing IHSS application processing times for recipients participating in the CFCO program. The bill would require the county to post annual reports on project progress and outcomes. By creating new duties for the county relating to the pilot project, the bill would impose a state-mandated local program. This bill would make legislative findings and declarations as to the necessity of a special statute for the County of Contra Costa. The California Constitution requires the state to reimburse local agencies and school districts for certain costs mandated by the state. Statutory provisions establish procedures for making that reimbursement. This bill would provide that, if the Commission on State Mandates determines that the bill contains costs mandated by the state, reimbursement for those costs shall be made pursuant to the statutory provisions noted above.