Health Care Archives – Western Center on Law & Poverty

Analysis Of Governor Newsom’s 2023-2024 May Revision Budget

May 12, 2023May 15, 2023, By WCLP Policy Team

The Newsom Administration released its 2023-24 May Revision budget, projecting a $31.5 billion deficit. After years of a budget surplus, California is forecasting a downturn in funding due to a combination of capital gains losses and delayed tax filings due to natural disasters, but California remains strong. The May Revision reflects a $37.2 billion in total budgetary reserves and additional funds from the Managed Care Organization tax.

Governor Newsom maintains many of the Administration’s and legislature’s previous commitments and proposes no new trigger cuts. He also proposes no new corporate or personal taxes, despite calls from the Senate and advocates to increase taxes on wealthy corporations and the state’s highest earners.

We appreciate that the May Revision maintains past budget agreements including expansion of Medi-Cal to all regardless of immigration status, reforming the Medi-Cal share-of-cost, and on-time implementation of food assistance for Californians 55 years of age or older, regardless of immigration status.

As the fourth largest economy in the world, California has made great strides in addressing poverty and systemic inequities, but there is more work to be done. We look forward to working with the legislature and Administration to protect low-income Californians as the State enters more uncertain fiscal circumstances.

Below are our initial reactions to the proposed budget by issue area, with a focus on changes from the January budget proposal.

HEALTH CARE

Health4All: The May Revision maintains full funding to expand full-scope Medi-Cal eligibility to all income eligible adults ages 26-49 regardless of immigration status on January 1, 2024. The May Revision includes increases for previous expansions for adults 50 and older and ages 26-49 due updated managed care rates, higher share of state-only costs, higher caseloads, and higher acuity members.

Managed Care Organization (MCO) Tax: The May Revision proposes a bigger MCO tax with an earlier start date (April 2023 through end of 2026). This results in $19.4 billion in total funding, including $3.4 billion for 2023-24. $8.3 billion is proposed to offset General Fund and $11.1 billion is proposed to support Medi-Cal investments that improve access, quality, and equity over an 8- to10-year period. These investments include rate increases to at least 87.5% of Medicare for primary care, birthing care, and non-specialty mental health providers and the remainder will be put into a special fund reserve for future consideration.

Covered California Affordability Sweep: The May Revision maintains proposal to sweep Covered California reserve fund to General Fund totaling $333.4 million.

Distressed Hospital Loan Program: The May Revision includes up to $150 million one-time General Fund to provide interest-free cashflow loans to not-for-profit and public hospitals in significant financial distress or to governmental entities representing a closed hospital, for purposes of preventing the closure of, or facilitating the reopening of, those hospitals.

Home and Community-Based Services Spending Plan Extension: The May Revision includes a six-month extension until September 30, 2024 for specified programs such as the IHSS Career Pathways Program and the Senior Nutrition Infrastructure Program to fully spend allocated funding based on critical programmatic needs.

Doula Services Implementation Evaluation: To align with later implementation date, TBL is proposed to extend the timeline of the Doula Stakeholder Workgroup (from April 1, 2022 until December 31, 2023) and to extend the evaluation of the doula benefit implementation in the Medi-Cal program (from April 1, 2023 until June 30, 2025).

Medical Interpreter Pilot Program: Through TBL, the May Revision proposes to extend the expenditure authority of the Medical Interpreter Pilot Project for 12 months, from June 30, 2024 to June 30, 2025.

988 Update: The May Revision includes a one-time augmentation of $15 million for a total of $19 million, from the 988 State Suicide and Behavioral Health Crisis Services Fund for California’s 988 centers. This increase will support workforce expansion to handle increased answered call volume, extensions of service hours, and the availability of chat and text options for callers utilizing the 988 services.

BH-CONNECT Demonstration (formerly referred to as CalBH-CBC Demonstration): The May Revision includes an update to the BH-CONNECT Demonstration to include a new Workforce Initiative and includes $480 million in funding for each year of the five-year demonstration period ($2.4 billion total funding and no General Fund).

CalRX and Reproductive Health: The May Revision includes TBL and $2 million one-time General Fund reappropriation from the Capital Infrastructure Security Program and allows the use of these funds for reproductive health care if necessary.

Community Assistance, Recovery, and Empowerment (CARE) Act: The May Revision includes additional funding to support the implementation of the CARE Act. Compared to the Governor’s Budget, the annual increase is between $43 million and $54.5 million to account for refined county behavioral health department cost assumptions, additional one-time $15 million General Fund for Los Angeles County start-up funding. The May Revision also includes an additional $16.8 million in 2023-24, $29.8 million in 2024-25, and $32.9 million ongoing to double the number of hours per participant for legal services from 20 hours to 40 hours.

HOMELESSNESS

The May Revision preserves the full $3.7 billion in funding for homelessness programs, as committed in previous budgets, including $1 billion for the Homeless Housing, Assistance and Prevention grant program.

May Revision Adjustments:

Behavioral Health Bridge Housing Program: $500 million one-time Mental Health Services Fund in 2023-24 in lieu of General Fund. This investment eliminates the January Budget proposed delay of $250 million General Fund to 2024-25 and restores the $1.5 billion commitment funded in the 2022 Budget Act for the program.

HOUSING

While the May Revision reflects a steady commitment to Homelessness investments, the May Revision also culminated in a weakening of housing investments totaling $17.5 million in General Fund reductions and $345 million in deferrals related to housing programs. Funding for housing programs remains at approximately 88% of the allocations made in 2022-23 and proposed for 2023-24 ($2.85 billion). This outlook could change if there are sufficient General Fund dollars in January 2024. If that occurs, the Governor has committed to restoring $350 million of these reductions. Overall, the proposal includes $500 million continued annual investment in the state Low-Income Housing Tax Credit program, $225 million for the Multifamily Housing Program, and $100 million for the Portfolio Reinvestment Program. These programs have a proven track-record of addressing housing affordability and homelessness across California.

May Revision Adjustments:

Foreclosure Intervention Housing Prevention Program: Provides funds to various non-profit organizations to acquire foreclosed property and operate as affordable housing. Deferral of $345 million of the $500 million one-time General Fund over four fiscal years—for a revised allocation of: $50 million in 2023-24, $100 million in 2024-25, $100 million in 2025-26, and $95 million in 2026-27

Downtown Rebound Program: Funds adaptive reuse of commercial and industrial structures to residential housing. Reverts $17.5 million in unexpended funding that remained in this program after the Notice of Funding Availability.

In contrast, the Senate’s Budget Plan, which was released two weeks ago, both prevents funding cuts and delays, and builds on our progress by including ongoing investment in homelessness and resources for key housing production programs. Notably, that Plan provides $1 billion in ongoing funds to support the Homeless Housing Assistance, and Prevention Program, $1 billion towards the state Low-Income Housing Tax Credit Program, and an additional $300 million flexible allocation towards affordable housing programs.

Western Center is a proud member of a coalition of California’s leading affordable housing, homelessness, and housing justice advocacy organizations championing a comprehensive coalition investment strategy for affordable housing production, preservation, and tenant stability. While the May Revision falls short of our requests to meet the housing and homelessness crisis at scale, we look forward to continuing our budget advocacy and encourage the Governor and Legislative leadership to finalize a budget that includes ongoing, significant resources like those included in the Senate budget plan and our coordinated housing budget letter.

PUBLIC BENEFITS AND ACCESS TO JUSTICE

CalWORKs Grant Increase: The May Revision reflects a 3.6-percent increase ($111.2 million in 2023-24) to CalWORKs Maximum Aid Payment levels, effective October 1, 2023. These increased grant costs are funded through the Child Poverty and Family Supplemental Support Subaccount.

Supplemental Security Income/State Supplementary Payment (SSI/SSP): The May Revision continues to include an 8.6% increase in funding for the SSI/SSP and Cash Assistance for Immigrants (CAPI) program providing a $3.6 billion from the general fund. This allocation provides recipients with an increase in grant levels to $1,134 per month and $1,928 per month for couples.

California Food Assistance Program (CFAP) Expansion Update: The May Revision moves up the issuance of food benefits for older undocumented immigrants to start October 2025, instead of the January Proposal that delayed it until 2027, which we appreciate but we still need Food4All regardless of age and immigration status.

Summer Electronic Benefit Transfer (EBT) Program: The May Revision includes $47 million ($23.5 million General Fund) for outreach and automation costs to phase in a new federal Summer EBT program for children who qualify for free or reduced-price school meals beginning summer 2024.

Safety Net Reserve: The May Revision withdraws $450 million (half of $900 million) from the Safety Net Reserve. The reserve is intended to maintain existing Medi-Cal and CalWORKs program benefits and services when program cost may increase due to economic conditions, which may occur if recession occurs, so we argue it is prudent to not draw from Safety Net Reserve until those conditions are met.

Services for Survivors and Victims of Hate Crimes Augmentation: The May Revision includes an additional $10 million General Fund to support services for victims and survivors of hate crimes and their families and facilitate hate crime prevention measures in consultation with the Commission on Asian and Pacific Islander American Affairs.

For questions, contact:

Health:  Linda Nguy, Senior Policy Advocate – lnguy[at]wclp.org; Sandra Poole, Policy Advocate – spoole[at]wclp.org
Housing and Homelessness: Cynthia Castillo, Policy Advocate – ccastillo[at]wclp.org; Tina Rosales, Policy Advocate – trosales[at]wclp.org

Public Benefits/ Access to Justice: Christopher Sanchez, Policy Advocate – csanchez[at]wclp.org

Medi-Cal Enrollees: Here’s How to Verify Your Eligibility

May 5, 2023May 8, 2023, By Bernard J. Wolfson, California Healthline

Medi-Cal, the state’s version of the Medicaid health insurance program for low-income residents, has embarked on a 14-month effort to reexamine the eligibility of its nearly 15.8 million members. It is part of the massive “unwinding” being undertaken by all state Medicaid programs after three pandemic years during which their rolls swelled. States had agreed, in exchange for extra funding from the feds, not to boot anyone except in cases such as fraud, death, or a move out of state.

On April 1, Medicaid restarted the annual eligibility checks that had been the norm before the pandemic. It will be the biggest shake-up in U.S. health coverage since the Affordable Care Act, though it cuts the opposite way: Between 8 million and 24 million people will likely be bounced from Medicaid nationally, including an estimated 2 million to 3 million in California.

To minimize the number of enrollees dropped unnecessarily, California’s Department of Health Care Services, which runs Medi-Cal, has launched a $25 million advertising and outreach campaign that will send messages in 19 languages. The department is enlisting the assistance of nearly everyone who has contact with Medi-Cal enrollees: county offices, health plans, medical providers, advocacy groups, and volunteers. And it got $146 million in supplemental funding to help counties cope with the unprecedented number of renewal decisions.

‘A perfect storm’: Patients trying to hang on to Medi-Cal face long waits for help

April 25, 2023April 26, 2023, By Los Angeles Times

Canned music droned from the telephone as Jessica Sanchez waited, fidgeting and shifting her pregnant belly in her chair at the Santa Monica community health center.

It had been an hour since Sanchez and a Venice Family Clinic worker had dialed up a Los Angeles County agency for help. At a prenatal appointment, Sanchez, 33, had abruptly discovered that her health coverage had been cut off months earlier. The news rattled Sanchez, who was already in her third trimester.

‘A disaster waiting to happen’: Do staff shortages threaten Medi-Cal plans for renewing recipients

April 19, 2023May 24, 2023, By Sacramento Bee,

In one report after another earlier this year, counties from Los Angeles to Sacramento warned Medi-Cal officials that they don’t have enough trained staff — or simply don’t know whether they do — to process the millions of Californians whose cases come up for renewal starting in June.

For three years now, ever since federal officials declared a public health emergency in March 2020, U.S. law has prohibited Medi-Cal from kicking millions of Californians off its rolls, even if their incomes pushed past eligibility limits.

The end of so-called continuous coverage will come over a rolling 12-month period, based on the last date when a Medi-Cal enrollee’s eligibility was determined. If enrollees don’t submit the proper documentation by time their eligibility month ends, they will lose their benefits.

State officials estimate that 2 million to 3 million Medi-Cal enrollees could lose coverage because counties can’t manage the volume of cases or they don’t have the right addresses for enrollees or they can’t get critical information in time.

Millions of Californians expected to lose Medi-Cal coverage as pandemic-era protections end

April 4, 2023April 6, 2023, By Maricela De La Cruz, KCRA 3,

Pandemic-era protections have ended and concern is growing around the health insurance benefits to low-income Californians as Medi-Cal recipients will have to go back to renewing coverage every year to determine their eligibility.

Across the country, about 95 million people, including children, are enrolled in low-cost coverage such as Medicaid or CHIP.

In California, there are about 15 million people covered by Medi-Cal, but that number is expected to decrease by 2 or 3 million. And there are a number of concerns surrounding the proper documentation to stay in the program.

“The renewal packet that somebody receives can be nearly 20 pages. They might receive it in a language that they do not understand or speak. They might not be able to get to a post office to turn it in. They might still turn it in and for whatever reason, a county is not able to process it,” said David Kane, a senior attorney at the Western Center on Law & Poverty.

Kane adds that if the information is not marked as received, it could be enough to keep someone off Medi-Cal. Under Medi-Cal, people have to completely recertify and show that they’re eligible every year.

Those most likely to be impacted are children, and Black and Latino communities. Currently, one-third of Californians are covered under Medi-Cal and half of the recipients are Hispanic or Latino.

“Some information that we’ve seen so far available in English and Spanish, but we also know that there are a lot of groups in California that speak other languages,” said Cary Sanders with the California Pan-Ethnic Health Network.

Anthony Wright with Health Access California added that reinstating the yearly renewal means that a three-year backlog is expected, which is why health officials in the state are planning to stagger Medi-Cal changes over the course of 12 to 15 months, and they’re partnering with community-based organizations for their outreach efforts.

LA, Riverside And Orange Counties Will Be Among The First In California To Implement Judge-Ordered Mental Health Care

March 29, 2023, By Eric Westervelt, NPR,

On a recent afternoon Diana and Lorrin Burdick share pictures and swap stories with three other parents over a lunch of chicken curry sandwiches and fruit salad. They’re hosting an informal but semi-regular support group at their home in suburban Rancho Cordova east of Sacramento.

“Yeah, she loves having family dinners. Sunday is family dinner day now,” says Elizabeth Kaino Hopper as she and husband, Marvin, show a recent picture of their 37-year-old daughter, Christine.

This ordinary lunch with friends is also a vital one: Every parent here has an adult child with a severe mental illness; a son or daughter who’s also struggled with homelessness, substance abuse and arrests. The gatherings give them the chance to share stories, strategies and challenges of having a child with a serious and untreated mental disorder.

“That’s pretty much what he looks like now,” says Diana Burdick as she shows the others a phone shot of her son, Michael, 49, who has lived on the streets for a nearly a decade.

“Aww, see, anybody looking at him would say, he’s not right, he doesn’t feel good,” Elizabeth Hopper says, shaking her head in between lunch bites.

Eight California counties are going first in a planned statewide, controversial experiment to try to fix a seemingly intractable problem every parent around the table is grappling with: How to get treatment and support for loved ones with serious mental health challenges, mostly schizophrenia and other psychotic disorders.

Some of these people end up cycling in and out of police holds, jails, emergency rooms and homeless shelters and encampments. The nationwide problem is particularly acute in California, which accounts for nearly one third of all people in the United States experiencing homelessness.

Some cities including Los Angeles estimate that 10% to 17% of individuals who are unsheltered have been diagnosed with a serious mental illness. But the fact that so many go without a formal diagnosis, experts say the true percentage is likely far higher.

Millions of Children on Medicaid at Risk of Losing Coverage

March 28, 2023March 28, 2023, By Ganny Belloni, Bloomberg Law,

More than 6.7 million children are at risk of losing insurance coverage once pandemic-era restrictions on Medicaid income eligibility checks are lifted on April 1, according to a report by the Georgetown Center for Children and Families.

Legislation enacted early in the pandemic in 2020 temporarily increased federal funding for state Medicaid programs under the condition that states continuously cover beneficiaries until the end of the public health emergency. The ranks of Medicaid beneficiaries grew by nearly 20 million people as the program acted as a health insurance safety net. However, the Consolidated Appropriations Act of 2023 slowly unwinds the federal continuous coverage requirement through May 2024, allowing states to start eligibility redeterminations next month for all 83.5 million Medicaid beneficiaries—including more than 34.2 million children.

To protect children in low-income families, the Consolidated Appropriations Act requires states to provide 12 months of continuous Medicaid and Children’s Health Insurance Program eligibility to children under 19 beginning Jan. 1, 2024, if they don’t already do so. Most states have some form of continuous eligibility for children to protect them from losing coverage during redeterminations of their parents’ eligibility, but 17 states and the District of Columbia do not have such a provision, the Georgetown center found.

Redeterminations require beneficiaries to reapply for health insurance, verifying their income and ensuring that they meet all the other eligibility criteria to continue to receive benefits. However, the process can be complicated and take up to 14 months, and families who fail to complete it on time may lose coverage.

The impact of redeterminations on children’s health-care access concerns many Medicaid stakeholders across the country. Eligibility checks have traditionally caused coverage losses due to bureaucratic roadblocks, said Jennifer Wagner, director of Medicaid eligibility and enrollment at the Center on Budget and Policy Priorities, a nonpartisan research and policy institute.

“Historically, we lose a lot of people during the renewal. Recipients are often sent a form by mail to the last known address, which may have changed. Some people might not get the notice they got a renewal in the mail. Others might not act timely because they have very complex situations and may not respond in time. Some might not even understand the notices that they are getting. They’re historically very confusing,” she said.

Public policy advocates also fear that chronic staffing shortages will cause state Medicaid agencies to face backlogs in processing redetermination applications, leading to more unintended policy cancellations.

A survey by the National Association of Medicaid Directors found that over a fifth of all state Medicaid agencies have job vacancy rates of over 20%, with some states seeing up to 40%.

The problem is nationwide, even in well-funded states like California, which invested $146 million into its unwinding strategy, stakeholders say. California has done little to rectify the chronic shortages in front-line Medicaid workers in its 58 counties, David Kane, senior attorney at the Western Center of Law & Poverty, said.

Western Center’s 2023 Legislative Agenda

March 10, 2023March 23, 2023

Western Center’s 2023 Legislative Agenda

March 6, 2023
Following is a list of bills to help secure housing, healthcare, and a strong safety net for low-income Californians that will be sponsored or co-sponsored by Western Center on Law & Poverty during the 2023 legislative session.

Healthcare

AB 1085 (Maienschein): Medi-Cal: housing support services.
The bill would require the Department to seek federal approval to make housing support services a Medi-Cal benefit for Californians experiencing homelessness. Housing support services help people access housing, remain stably housed, and are essential for individuals experiencing homelessness to access meaningful care.
(Co-sponsored with Corporation for Supportive Housing)
Fact Sheet

AB 1094 (Wicks): Consent and Reproductive Equity (CARE) for Families Act.
This bill will ensure that a pregnant or perinatal person provides informed consent prior to drug or alcohol tests or screens being conducted on them or their newborn.
(Co-Sponsored with Drug Policy Alliance, Black Women for Wellness, California Latinas for Reproductive Justice, A New Way of Life, Los Angeles Dependency Lawyers)

AB 1157 (Ortega and Wilson): Rehabilitative and habilitative services: durable medical equipment and services.
This bill would clarify that durable medical equipment is a covered essential health benefit in California-regulated health plans and policies when prescribed by a doctor for rehabilitative or habilitative purposes. The bill would also remove limitations such as annual caps on durable medical equipment coverage.
(Co-sponsored with National Health Law Program)
Fact Sheet

SB 595 (Roth): Minimizing gaps in health coverage.
This bill is follow-up legislation to ensure that last year’s SB 644, which required Employment Development Department (EDD) to share information about those who applied for income-replacing benefits with Covered California to allow Covered California to outreach and help enroll these individuals in Medi-Cal or Covered California, is implemented timely.
(Co-sponsored with California Pan Ethnic Health Network and Health Access)
Fact sheet

Housing

AB 653 (Reyes): Department of Housing and Community Development.
This bill would create a program to pair housing navigation, incentives, and deposit resources with housing choice voucher tenants to find and secure a unit. The bill would also require housing authorities that have low successful placement rates to work with the Department of Housing and Community Development to analyze and improve their policies.
(Co-sponsored with Housing CA, Corporation for Supportive Housing, United Ways of CA and the National Housing Law Project (NHLP))
Fact Sheet

AB 846 (Bonta): Low-income housing credit.
This bill would limit rent increases in properties funded by the low-income housing tax credit (LIHTC) program.
(Co-Sponsored with the California Rural Legal Assistance Foundation)

AB 920 (Bryan): Discrimination: housing status.
This bill would add housing status to the list of protected categories under California’s anti-discrimination statute in order to prevent the routine discrimination of unhoused people by public and private entities that receive state funding.
(Co-Sponsored with the American Civil Liberties Union (ACLU), Disability Rights California (DRC), Housing California, and Public Advocates)
Fact Sheet

AB 1082 (Kalra): Authority to remove vehicles.
This bill would prohibit towing or immobilizing a vehicle due to unpaid parking tickets, increase the number of unpaid tickets from one to eight before the DMV can place a registration hold, and improve the guidelines for parking ticket payment programs.
(Co-Sponsored with End Poverty in California (EPIC), FreeFrom, and Lawyers’ Committee for Civil Rights (LCCR))
Fact Sheet

AB 1085 (Maienschein): Medi-Cal: housing support services.
The bill would require the Department to seek federal approval to make housing support services a Medi-Cal benefit for Californians experiencing homelessness. Housing support services help people access housing, remain stably housed, and are essential for individuals experiencing homelessness to access meaningful care.
(Co-sponsored with Corporation for Supportive Housing)
Fact Sheet

AB 1418 (McKinnor): Limiting Racially Motivated Crime-Free Housing Programs and Nuisance Ordinances.
This bill would limit local crime-free/nuisance ordinances (CFNH) housing programs and nuisance ordinances, which typically include harmful provisions such as requiring landlords to evict tenants for alleged criminal activity. Often touted as crime-fighting tools, these policies represent a new phase in the evolution of segregationist housing laws designed to exclude people of color from communities.
(Co-Sponsored with California Rural Legal Assistance Foundation, Disability Rights California, National Housing Law Project, and Root & Rebound)
Fact Sheet
Register support here

ACA 10 (Haney): Housing is a Human Right.
ACA 10 will recognize that every Californian has the fundamental human right to adequate housing on an equitable and non-discriminatory basis. Should the measure pass in the legislature, California voters will have the opportunity to vote to add this right to the state’s constitution, creating an obligation on the part of state and local governments to take meaningful action to fully realize the right.
(Co-sponsored with Alliance of Californians for Community Empowerment (ACCE) Action, End Poverty in California (EPIC), Housing Now, ACLU California Action, Abundant Housing LA, National Homelessness Law Center, and PowerCA Action)
Fact Sheet
Register support here

SB 460 (Wahab): Fair Chance Housing.
The bill would establish the first statewide Fair Chance Housing Ordinance (FCH), which would provide a pathway for individuals with criminal records reentering society to access, obtain, and sustain housing. This bill would prevent rental housing providers from screening for criminal history of housing applicants during the advertisement, application, selection, or eviction process, unless required by federal law.
(Co-Sponsored with All of Us or None, Just Cities, Legal Services for Prisoners with Children, and Root & Rebound)
SB 460 Fact Sheet
Register Support here

SB 567 (Durazo): Homelessness Prevention Act.
This bill would close the gaps in existing law that leaves millions of California renters at risk of exorbitant rent increases and allows housing providers to abuse “no-fault” just cause eviction protections.
(Co-Sponsored with Alliance of Californians for Community Empowerment (ACCE), California Rural Legal Assistance Foundation, Leadership Counsel for Justice and Accountability, PICO California, and Public Advocates)
SB 567 Fact Sheet
Register Support here

Public Benefits and Access to Justice

AB 94 (Davies): Administration of public social services: blocked telephone calls.
This bill would prohibit county departments of social services to call recipients from a blocked phone number.
(Co-Sponsored with Coalition of California Welfare Rights Organizations)

AB 274 (Bryan): CalWORKs: CalFresh: eligibility: income exclusions.
This bill would exempt any grant, scholarship, loan, or fellowship as income for CalWORKs.
(Co-Sponsored with Coalition of California Welfare Rights Organizations)

AB 310 (Arambula): CalWORKs.
This spot bill would provide various reforms to the CalWORKs program.
(Co-sponsored with Coalition of California Welfare Rights Organizations, GRACE/End Child Poverty California, John Burton Advocates for Youth, and Parent Voices)

AB 325 (Reyes): Human services: noncitizen victims.
This bill would provide social services to immigrants who have applied for humanitarian relief including applicants who have applied for Asylum, Special Immigrant Juvenile Status (SIJS), and survivors of domestic abuse who have applied for relief through the Violence Against Women Act (VAWA).
(Co-Sponsored with Coalition for Humane Immigrant Rights (CHIRLA), Coalition of California Welfare Rights Organizations)

AB 380 (Arambula): California Labor Trafficking Prevention Act.
This bill would establish a Labor Trafficking unit within the Department of Industrial Relations the Division of Labor Standards.
(Co-Sponsored with Sunita Jain Anti-Trafficking Initiative, Loyola Law School)

AB 843 (J. Carrillo): Restoration of electronically stolen CalFresh benefits.
This bill would place into law that recipients of the CalFresh program who have been victims of electronic theft are able to have their benefits restored. Today electronic theft of public benefit programs has become rampant and lucrative for thefts as these programs lack adequate protections from these forms of theft.
(Co-Sponsor with Coalition of California Welfare Rights Organizations)

AB 964 (Ortega): Prevention of human trafficking through state contracts.
This bill would enhance prevention of human trafficking through state contracts by requiring awardees of state contracts to submit a human trafficking prevention plan.
(Co-Sponsor with the Sunita Jain Anti-Trafficking Initiative, Loyola Law School)

AB 991 (Alvarez): Modernizing public benefit communication.
This bill would allow recipients of public benefit programs to provide information that has been requested by county departments of social services via email.
(Co-Sponsored with Coalition of California Welfare Rights Organizations)

AB 1094 (Wicks): Consent and Reproductive Equity (CARE) for Families Act.
This bill would ensure that a pregnant or perinatal person provides informed consent prior to drug or alcohol tests or screens being conducted on them or their newborn.
(Co-Sponsored with Drug Policy Alliance, Black Women for Wellness, California Latinas for Reproductive Justice, A New Way of Life, Los Angeles Dependency Lawyers)

AB 1266 (Kalra): End Debtor’s Prison Act.
This bill will remove the possibility of bench warrants being issued for infractions. Today courts are able to issue bench warrants if someone fails to appear in court or doesn’t pay a fine.
(Co-Sponsoring with the Debt Free Justice Coalition, Lawyers Committee for Civil Rights of the San Francisco Bay Area)

SB 36 (Skinner): Safe Haven for Abortion & Gender-Affirming Care Act.
This bill would strengthen our safe haven protections by making it illegal for bail agents or bounty hunters to apprehend people in California who have left another state to avoid criminal prosecution or imprisonment related to that state’s criminalization of abortion or gender-affirming care. The bill would also ensure that benefits such as CalFresh and CalWORKs would not be denied to individuals who left another state and traveled to California for purposes described above but would otherwise be eligible for such benefits.
(Co-Sponsored with Black Women for Wellness, Equality California, NARAL Pro-Choice California, Coalition of California Welfare Rights Organizations)

SB 491 (Durazo): Access to Mail for Unhoused Californians.
This bill would create an option for unhoused Californians to pick up government related mail from a county department of social services such as Electronic Benefit Transfer (EBT) cards, election ballots, public housing waiting list notifications, student report cards, and much more.
(Co-Sponsored with Coalition of California Welfare Rights Organizations)

SB 727 (Limón): Forgiveness of coerce debt for survivors of human trafficking.
This bill would provide a pathway for survivors of human trafficking to have coerced debt forgiven that accrued during the time they were trafficked.
(Co-Sponsored with Coalition to Abolish Slavery and Trafficking (CAST), Los Angeles Center for Law and Justice)

Contact our Sacramento Advocates: For more information about Western Center on Law & Poverty and our advocacy priorities, go to www.wclp.org.

Health
Linda Nguy
[email protected]
916-282-5117

Sandra O. Poole
[email protected]
916-282-5141

Housing
Cynthia Castillo
[email protected]
916-282-5103

Tina Rosales
[email protected]
916-282-5118

Public Benefits and Access to Justice
Christopher Sanchez
[email protected]
916-282-5104

L.A. County-run hospitals could expand free and discounted care

February 17, 2023, By Emily Alpert Reyes, Los Angeles Times,

Hospitals run by Los Angeles County could make free care available to more of their financially strapped patients under a new proposal aimed at expanding relief from medical bills.

County health officials said the proposed changes, which also include deeper discounts for other eligible patients, could ultimately benefit thousands of people in the county, yet are unlikely to have a significant effect on hospital finances.

The move comes amid ongoing concern across California about residents putting off or forgoing medical care due to the expense, despite state efforts to expand access to charity care and make sure patients know about financial assistance.

Under the proposed rules, free care would be available to eligible L.A. County residents with incomes under 200% of the federal poverty level, or $60,000 for a family of four under current guidelines. The existing cutoff is 138% of the poverty level, which amounts to $41,400 for a family of four.

Why We Sued to End CARE Court

February 14, 2023February 14, 2023, By Helen Tran, Senior Attorney and Richard Rothschild, Director of Litigation

An unprecedented number of Californians live on the streets and face severe mental illness. It is gut wrenching to see. The CARE Act accurately describes this humanitarian crisis but prescribes a wrong, inhumane solution. Not only is creating this new court system to round up individuals unconstitutional, it is bad policy subject to pervasive societal biases and disproven methods of treating mental illness. That is why on January 26, Disability Rights California, Western Center on Law & Poverty, and the Public Interest Law Project sued Governor Newsom to put an end to CARE Court.

Contrary to some strong opinions that CARE Court is “California’s only real plan for helping our most vulnerable and seriously mentally ill,” Governor Newsom never planned to truly provide behavioral health treatment and housing through this bill. The CARE Act does not mandate counties to provide behavioral health treatment or housing; it creates no new rights or benefits for people with schizophrenia and other psychotic disorders who are summoned to court to join the CARE process. Rather, all CARE Court-ordered services are “subject to available funding and all applicable federal and state statute and regulations, contractual provisions, and policy guidance governing initial and ongoing program eligibility” (Welf. & Inst. Code § 5982(d)). In other words, services will only be provided as they are available.

Here’s a reality check for Sacramento: behavioral health and housing services are not available to all Californians. A person who needs treatment and housing usually cannot receive either in a timely manner because there are not enough mental health providers, facilities, and affordable housing units to access.

A UCSF study projected that if nothing significant changes by 2028, California will have 50% fewer psychiatrists to meet demand for behavioral health services, and 28% fewer psychologists, therapists, and social workers combined to meet the demand. We see this play out daily with stark disparities based on income and race. For example, in Compton, there are only five licensed psychologists compared to Santa Monica, which has 361.

Compounding CARE Court’s false promises is the affordable housing shortage. There is a shortage of 1 million affordable rental homes for extremely low income renters. And the CARE Act does not appropriate one single penny for housing.

The CARE Act pretends this backlog of services and housing does not exist, despite advocates’ cries to increase funding for our behavioral health systems and affordable housing instead of funding new courts. If we invested in behavioral health and housing to their full level of need, and give some time for the workforce to catch up, we would already have a better plan than CARE Court.

So, if not guaranteeing behavioral health or housing services, what does the CARE Act provide? The law paves the way to eventually institutionalize people who are unhoused and have schizophrenia and other psychotic disorders, out of sight from the very people who support CARE Court.

The biggest lie about CARE Court is that it is not involuntary treatment. CARE Court is an involuntary, coercive system. There are consequences for not following through with a CARE plan. When a person does not comply with the exact terms of a CARE plan, the court must refer the person for conservatorship with “a presumption . . . the [person] needs additional intervention beyond the supports and services provided by the CARE plan” (Welf. & Inst. Code § 5979(a)(3)). A person who, for any reason, does not follow through their court order, would more easily be conserved and lose their rights to control their own medical care, finances, and housing preferences. No matter how Governor Newsom and his proponents want to spin CARE Court, the law speaks for itself.

Existing laws already provide for involuntary treatment of persons found dangerous to themselves or others. But the CARE Act takes this a giant step further by permitting a judge to impose restrictions on persons deemed “likely” to become dangerous. Little guidance is offered for judges to make that speculative determination.

The CARE Act was enacted despite any evidence that it would be effective. As Disability Rights California wrote in May 2022 on behalf of our coalition opposing the CARE Act, voluntary treatment works and involuntary treatment does not:

[N]o studies exist to prove that a court order for outpatient treatment in and of itself has any independent effect on client outcomes. Studies show that any positive effects that result from outpatient commitment are due to the provision of intensive services, and whether court orders have any effect at all in the absence of intensive treatment is an unanswered question.

In determining how we provide medical care and housing for Californians, our civil rights and social policies can co-exist. The state should house people first, then let people decide their course of treatment. The Legislature has not explained why it cannot appropriate resources to fund all medically necessary care and permanent affordable housing for individuals and also protect their dignity and privacy interests at the same time. What is clear is that faced at a moral crossroads, Governor Newsom and the Legislature chose a more politically expedient route instead of a benevolent and effective one.

Category: Health Care

Category: Health Care

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Western Center’s 2023 Legislative Agenda

Western Center’s 2023 Legislative Agenda

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