Governor's Budget: Health and Social Services Cuts
How Lawsuits Can Stymie Some Trigger Cuts
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(Getty Images: Justin Sullivan)\" width=\"300\" height=\"208\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Some paid caregivers are barely making ends meet. (Getty Images: Justin Sullivan)\u003c/figcaption>\u003c/figure>\n\u003cp>Some people who care for vulnerable older adults are in dire economic straits, according to a new \u003ca href=\"http://www.healthpolicy.ucla.edu/pubs/files/caregiversfsapr2012.pdf\">study\u003c/a> [PDF] from the \u003ca title=\"http://www.healthpolicy.ucla.edu/\" href=\"http://www.healthpolicy.ucla.edu/\" target=\"_blank\">UCLA Center for Health Policy Research\u003c/a>.\u003c/p>\n\u003cp>Hundreds of thousands of people provide care – from cooking and cleaning to bathing and dressing – for adults with disabilities or long-term illnesses who receive benefits from \u003ca href=\"http://www.dhcs.ca.gov/services/medi-cal/Pages/Medi-CalFAQs.aspx#whatismedi-cal\">Medi-Cal\u003c/a>. As it turns out, those who get paid for this work may not be pulling in enough money to make ends meet.\u003c/p>\n\u003cp>\u003ca href=\"http://www.healthpolicy.ucla.edu/AskExpertDetails.aspx?expertId=30\">Geoffrey Hoffman\u003c/a>, a researcher at the Center and lead author of the report said, “These paid Medi-Cal caregivers have incomes that are quite low compared to other Californians, about half as much monthly household income.”\u003c/p>\n\u003caside class=\"pullquote alignleft\">“This aging population [of caregivers] is going to lead to great burdens on the health care system.\"\u003c/aside>\n\u003cp>He continued, “A third of them do not have health insurance. A number of them live in poverty or near-poverty, and, among those, a third of them have what is called ‘food insecurity’ – not enough food to put on the table every month.”\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>At issue is the amount that Medi-Cal is paying these caregivers. Even if you add income from other jobs, they earn a little over $11 per hour on average -- close to minimum wage, and about two-thirds of the median income in California -- making it difficult for them to live on their earnings. Many believe that the value of the care they provide is much greater than what they earn, but monetary constraints have led California lawmakers to decrease financial support for these services.\u003c/p>\n\u003cp>\u003c!--more-->In 2011, the state budget cut the Medi-Cal caregiver reimbursement program – \u003ca title=\"http://www.dss.cahwnet.gov/cdssweb/PG139.htm\" href=\"http://www.dss.cahwnet.gov/cdssweb/PG139.htm\" target=\"_blank\">In-Home Supportive Services\u003c/a> – by 3.6 percent. State officials had also planned a 20 percent decrease in the number of hours a caregiver could work, but that cut has been blocked by a judge for now.\u003c/p>\n\u003cp>Hoffman worries these trends could affect the quality of care available to those who need assistance. “If the caregivers are having trouble putting food on their own table, then they’re not going to provide the type of care we want for our grandparents and our spouses in this state.\u003c/p>\n\u003cp>As these caregivers themselves begin to age, Hoffman said he is also concerned that those who are economically disadvantaged will end up costing the system more money later on, making it even more difficult for Medi-Cal and Medicare to stay solvent in years to come.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>“This aging population [of caregivers] is going to lead to great burdens on the health care system. So the sooner we address the problem today, the better off we are for our older adults’ health ... in the future.\"\u003c/p>\n\n","blocks":[],"excerpt":"Some people who care for vulnerable older adults are in dire economic straits, according to a new study [PDF] from the UCLA Center for Health Policy Research.\r\n\r\nHundreds of thousands of people provide care – from cooking and cleaning to bathing and dressing – for adults with disabilities or long-term illnesses who receive benefits from Medi-Cal. As it turns out, those who get paid for this work may not be pulling in enough money to make ends meet.","status":"publish","parent":0,"modified":1334330987,"stats":{"hasAudio":false,"hasVideo":false,"hasChartOrMap":false,"iframeSrcs":[],"hasGoogleForm":false,"hasGallery":false,"hasHearkenModule":false,"hasPolis":false,"paragraphCount":12,"wordCount":476},"headData":{"title":"Who Will Care for the Caregivers? | KQED","description":"Some people who care for vulnerable older adults are in dire economic straits, according to a new study from the UCLA Center for Health Policy Research.\r\n\r\nHundreds of thousands of people provide care – from cooking and cleaning to bathing and dressing – for adults with disabilities or long-term illnesses who receive benefits from Medi-Cal. As it turns out, those who get paid for this work may not be pulling in enough money to make ends meet.","ogTitle":"","ogDescription":"","ogImgId":"","twTitle":"","twDescription":"","twImgId":"","schema":{"@context":"http://schema.org","@type":"Article","headline":"Who Will Care for the Caregivers?","datePublished":"2012-04-12T18:30:06.000Z","dateModified":"2012-04-13T15:29:47.000Z","image":"https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png"}},"disqusIdentifier":"5028 http://blogs.kqed.org/stateofhealth/?p=5028","disqusUrl":"https://ww2.kqed.org/stateofhealth/2012/04/12/who-will-care-for-the-caregivers/","disqusTitle":"Who Will Care for the Caregivers?","path":"/stateofhealth/5028/who-will-care-for-the-caregivers","audioTrackLength":null,"parsedContent":[{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003cp>\u003cstrong>By Kamal Menghrajani\u003c/strong>\u003c/p>\n\u003cfigure id=\"attachment_5032\" class=\"wp-caption alignleft\" style=\"max-width: 300px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/04/AdultDayCareMarin20120328.jpg\">\u003cimg class=\"size-medium wp-image-5032\" title=\"Proposed California Budget Cuts Threaten Adult Day Health Care\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/04/AdultDayCareMarin20120328-300x208.jpg\" alt=\"Some paid caregivers are barely making ends meet. (Getty Images: Justin Sullivan)\" width=\"300\" height=\"208\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Some paid caregivers are barely making ends meet. (Getty Images: Justin Sullivan)\u003c/figcaption>\u003c/figure>\n\u003cp>Some people who care for vulnerable older adults are in dire economic straits, according to a new \u003ca href=\"http://www.healthpolicy.ucla.edu/pubs/files/caregiversfsapr2012.pdf\">study\u003c/a> [PDF] from the \u003ca title=\"http://www.healthpolicy.ucla.edu/\" href=\"http://www.healthpolicy.ucla.edu/\" target=\"_blank\">UCLA Center for Health Policy Research\u003c/a>.\u003c/p>\n\u003cp>Hundreds of thousands of people provide care – from cooking and cleaning to bathing and dressing – for adults with disabilities or long-term illnesses who receive benefits from \u003ca href=\"http://www.dhcs.ca.gov/services/medi-cal/Pages/Medi-CalFAQs.aspx#whatismedi-cal\">Medi-Cal\u003c/a>. As it turns out, those who get paid for this work may not be pulling in enough money to make ends meet.\u003c/p>\n\u003cp>\u003ca href=\"http://www.healthpolicy.ucla.edu/AskExpertDetails.aspx?expertId=30\">Geoffrey Hoffman\u003c/a>, a researcher at the Center and lead author of the report said, “These paid Medi-Cal caregivers have incomes that are quite low compared to other Californians, about half as much monthly household income.”\u003c/p>\n\u003caside class=\"pullquote alignleft\">“This aging population [of caregivers] is going to lead to great burdens on the health care system.\"\u003c/aside>\n\u003cp>He continued, “A third of them do not have health insurance. A number of them live in poverty or near-poverty, and, among those, a third of them have what is called ‘food insecurity’ – not enough food to put on the table every month.”\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"fullwidth"},"numeric":["fullwidth"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>At issue is the amount that Medi-Cal is paying these caregivers. Even if you add income from other jobs, they earn a little over $11 per hour on average -- close to minimum wage, and about two-thirds of the median income in California -- making it difficult for them to live on their earnings. Many believe that the value of the care they provide is much greater than what they earn, but monetary constraints have led California lawmakers to decrease financial support for these services.\u003c/p>\n\u003cp>\u003c!--more-->In 2011, the state budget cut the Medi-Cal caregiver reimbursement program – \u003ca title=\"http://www.dss.cahwnet.gov/cdssweb/PG139.htm\" href=\"http://www.dss.cahwnet.gov/cdssweb/PG139.htm\" target=\"_blank\">In-Home Supportive Services\u003c/a> – by 3.6 percent. State officials had also planned a 20 percent decrease in the number of hours a caregiver could work, but that cut has been blocked by a judge for now.\u003c/p>\n\u003cp>Hoffman worries these trends could affect the quality of care available to those who need assistance. “If the caregivers are having trouble putting food on their own table, then they’re not going to provide the type of care we want for our grandparents and our spouses in this state.\u003c/p>\n\u003cp>As these caregivers themselves begin to age, Hoffman said he is also concerned that those who are economically disadvantaged will end up costing the system more money later on, making it even more difficult for Medi-Cal and Medicare to stay solvent in years to come.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>“This aging population [of caregivers] is going to lead to great burdens on the health care system. So the sooner we address the problem today, the better off we are for our older adults’ health ... in the future.\"\u003c/p>\n\n\u003c/div>\u003c/p>","attributes":{"named":{},"numeric":[]}}],"link":"/stateofhealth/5028/who-will-care-for-the-caregivers","authors":["8344"],"categories":["stateofhealth_14","stateofhealth_13"],"tags":["stateofhealth_186","stateofhealth_87","stateofhealth_121","stateofhealth_99"],"featImg":"stateofhealth_5032","label":"stateofhealth"},"stateofhealth_1740":{"type":"posts","id":"stateofhealth_1740","meta":{"index":"posts_1591205157","site":"stateofhealth","id":"1740","score":null,"sort":[1325814466000]},"guestAuthors":[],"slug":"governors-budget-and-its-health-and-social-services-cuts","title":"Governor's Budget: Health and Social Services Cuts","publishDate":1325814466,"format":"aside","headTitle":"State of Health | KQED News","labelTerm":{"site":"stateofhealth"},"content":"\u003cfigure id=\"attachment_1744\" class=\"wp-caption alignleft\" style=\"max-width: 200px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/01/DrugsMoneyGeneric_Getty.jpg\">\u003cimg class=\"size-medium wp-image-1744 \" title=\"(Jupiterimages: Getty Images)\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/01/DrugsMoneyGeneric_Getty-300x449.jpg\" alt=\"(Jupiterimages: Getty Images)\" width=\"200\" height=\"300\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">(Jupiterimages: Getty Images)\u003c/figcaption>\u003c/figure>\n\u003cp>California's Governor Jerry Brown\u003ca title=\"http://ww2.kqed.org/news/2012/01/05/calif-budget-released-early/\" href=\"http://ww2.kqed.org/news/2012/01/05/calif-budget-released-early/\" target=\"_blank\"> released his budget for the 2012-13 fiscal year\u003c/a> today and it includes \"painful\" cuts in healthcare and social services.\u003c/p>\n\u003cp>Reaction has been swift from groups that work on behalf of the poor and disabled.\u003c/p>\n\u003cp>From the \u003ca title=\"http://www.hhsnetworkca.org/about-2/\" href=\"http://www.hhsnetworkca.org/about-2/\" target=\"_blank\">HHS Network of CA\u003c/a>, a coalition of organizations including the Western Poverty Law Center and Health Access:\u003c/p>\n\u003cblockquote>\u003cp>We are appalled that Governor Brown’s solution to California’s budget crisis is $2.5 billion cuts to essential health and human services. Since 2008, California’s health and human services have suffered an astounding $15 billion in cuts, and this budget only continues the gutting of the social safety net that so many Californian families depend on. From our quick analysis, the Governor is making a $946 million cut to CalWORKS, an $842 million cut to MediCal, a $163 million cut to In-Home Supportive Services, a $447 million cut to child care, and $87 million in cuts to various other HHS services.\u003c/p>\u003c/blockquote>\n\u003cp>From Darcel Lee, Executive Director of the \u003ca title=\"http://cablackhealthnetwork.org/\" href=\"http://cablackhealthnetwork.org/\" target=\"_blank\">California Black Health Network\u003c/a>:\u003c/p>\n\u003cblockquote>\u003cp>Once again, the proposed budget balances the deficit on the backs of our most vulnerable communities,” said B. Darcel Lee, (CBHN). “The number of uninsured in California grew to 7 million last year. At a time when so many families are struggling to make ends meet, we can’t afford to take away basic support programs for working families.\u003c/p>\u003c/blockquote>\n\u003cp>From the \u003ca title=\"http://www.cmanet.org/news/press-detail/?article=california-medical-association-responds-to\" href=\"http://www.cmanet.org/news/press-detail/?article=california-medical-association-responds-to\" target=\"_blank\">California Medical Association\u003c/a>, reacting to the planned transition of children and teenagers in the \u003ca title=\"http://www.healthyfamilies.ca.gov/Home/default.aspx\" href=\"http://www.healthyfamilies.ca.gov/Home/default.aspx\" target=\"_blank\">Healthy Families Program\u003c/a> to Medi-Cal:\u003c/p>\n\u003cblockquote>\u003cp>“On one hand, Governor Brown is advocating for a 10 percent cut in Medi-Cal. On the other hand, he wants to add just under a million more young people to the program, which data shows is already struggling to meet the needs of the existing patients,” said Dustin Corcoran, CMA CEO. “The Medi-Cal provider network will simply not be able to accommodate this large influx of kids and teens. It’s unclear how anybody wins in that scenario.”\u003c/p>\u003c/blockquote>\n\u003cp>The governor is also calling for new taxes to close the budget deficit. From Jean Ross, Executive Director of the \u003ca title=\"http://www.cbp.org/\" href=\"http://www.cbp.org/\" target=\"_blank\">California Budget Project\u003c/a>:\u003c/p>\n\u003cblockquote>\u003cp>The Proposed Budget includes major reductions in a number of critical areas, especially support for low- and middle-income Californians who need health coverage, child care, help in moving from welfare to work, or help financing a college education. Still, the governor should be commended for a balanced approach that calls for new revenue, instead of taking a cuts-only approach to addressing the state's fiscal challenges.\u003c/p>\u003c/blockquote>\n\u003cp>\u003cspan class=\"Apple-style-span\" style=\"border-collapse: collapse\">\u003cbr>\n\u003c/span>\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\u003cp>\u003c/p>\n","blocks":[],"excerpt":"California's Governor Jerry Brown released his budget for the 2012-13 fiscal year today and it includes \"painful\" cuts in healthcare and social services.\r\n\r\nReaction has been swift from groups that work on behalf of the poor and disabled.","status":"publish","parent":0,"modified":1325872596,"stats":{"hasAudio":false,"hasVideo":false,"hasChartOrMap":false,"iframeSrcs":[],"hasGoogleForm":false,"hasGallery":false,"hasHearkenModule":false,"hasPolis":false,"paragraphCount":13,"wordCount":445},"headData":{"title":"Governor's Budget: Health and Social Services Cuts | KQED","description":"California's Governor Jerry Brown released his budget for the 2012-13 fiscal year today and it includes "painful" cuts in healthcare and social services.\r\n\r\nReaction has been swift from groups that work on behalf of the poor and disabled.","ogTitle":"","ogDescription":"","ogImgId":"","twTitle":"","twDescription":"","twImgId":"","schema":{"@context":"http://schema.org","@type":"Article","headline":"Governor's Budget: Health and Social Services Cuts","datePublished":"2012-01-06T01:47:46.000Z","dateModified":"2012-01-06T17:56:36.000Z","image":"https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png"}},"disqusIdentifier":"1740 http://blogs.kqed.org/stateofhealth/?p=1740","disqusUrl":"https://ww2.kqed.org/stateofhealth/2012/01/05/governors-budget-and-its-health-and-social-services-cuts/","disqusTitle":"Governor's Budget: Health and Social Services Cuts","path":"/stateofhealth/1740/governors-budget-and-its-health-and-social-services-cuts","audioTrackLength":null,"parsedContent":[{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003cfigure id=\"attachment_1744\" class=\"wp-caption alignleft\" style=\"max-width: 200px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/01/DrugsMoneyGeneric_Getty.jpg\">\u003cimg class=\"size-medium wp-image-1744 \" title=\"(Jupiterimages: Getty Images)\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/01/DrugsMoneyGeneric_Getty-300x449.jpg\" alt=\"(Jupiterimages: Getty Images)\" width=\"200\" height=\"300\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">(Jupiterimages: Getty Images)\u003c/figcaption>\u003c/figure>\n\u003cp>California's Governor Jerry Brown\u003ca title=\"http://ww2.kqed.org/news/2012/01/05/calif-budget-released-early/\" href=\"http://ww2.kqed.org/news/2012/01/05/calif-budget-released-early/\" target=\"_blank\"> released his budget for the 2012-13 fiscal year\u003c/a> today and it includes \"painful\" cuts in healthcare and social services.\u003c/p>\n\u003cp>Reaction has been swift from groups that work on behalf of the poor and disabled.\u003c/p>\n\u003cp>From the \u003ca title=\"http://www.hhsnetworkca.org/about-2/\" href=\"http://www.hhsnetworkca.org/about-2/\" target=\"_blank\">HHS Network of CA\u003c/a>, a coalition of organizations including the Western Poverty Law Center and Health Access:\u003c/p>\n\u003cblockquote>\u003cp>We are appalled that Governor Brown’s solution to California’s budget crisis is $2.5 billion cuts to essential health and human services. Since 2008, California’s health and human services have suffered an astounding $15 billion in cuts, and this budget only continues the gutting of the social safety net that so many Californian families depend on. From our quick analysis, the Governor is making a $946 million cut to CalWORKS, an $842 million cut to MediCal, a $163 million cut to In-Home Supportive Services, a $447 million cut to child care, and $87 million in cuts to various other HHS services.\u003c/p>\u003c/blockquote>\n\u003cp>From Darcel Lee, Executive Director of the \u003ca title=\"http://cablackhealthnetwork.org/\" href=\"http://cablackhealthnetwork.org/\" target=\"_blank\">California Black Health Network\u003c/a>:\u003c/p>\n\u003cblockquote>\u003cp>Once again, the proposed budget balances the deficit on the backs of our most vulnerable communities,” said B. Darcel Lee, (CBHN). “The number of uninsured in California grew to 7 million last year. At a time when so many families are struggling to make ends meet, we can’t afford to take away basic support programs for working families.\u003c/p>\u003c/blockquote>\n\u003cp>From the \u003ca title=\"http://www.cmanet.org/news/press-detail/?article=california-medical-association-responds-to\" href=\"http://www.cmanet.org/news/press-detail/?article=california-medical-association-responds-to\" target=\"_blank\">California Medical Association\u003c/a>, reacting to the planned transition of children and teenagers in the \u003ca title=\"http://www.healthyfamilies.ca.gov/Home/default.aspx\" href=\"http://www.healthyfamilies.ca.gov/Home/default.aspx\" target=\"_blank\">Healthy Families Program\u003c/a> to Medi-Cal:\u003c/p>\n\u003cblockquote>\u003cp>“On one hand, Governor Brown is advocating for a 10 percent cut in Medi-Cal. On the other hand, he wants to add just under a million more young people to the program, which data shows is already struggling to meet the needs of the existing patients,” said Dustin Corcoran, CMA CEO. “The Medi-Cal provider network will simply not be able to accommodate this large influx of kids and teens. It’s unclear how anybody wins in that scenario.”\u003c/p>\u003c/blockquote>\n\u003cp>The governor is also calling for new taxes to close the budget deficit. From Jean Ross, Executive Director of the \u003ca title=\"http://www.cbp.org/\" href=\"http://www.cbp.org/\" target=\"_blank\">California Budget Project\u003c/a>:\u003c/p>\n\u003cblockquote>\u003cp>The Proposed Budget includes major reductions in a number of critical areas, especially support for low- and middle-income Californians who need health coverage, child care, help in moving from welfare to work, or help financing a college education. Still, the governor should be commended for a balanced approach that calls for new revenue, instead of taking a cuts-only approach to addressing the state's fiscal challenges.\u003c/p>\u003c/blockquote>\n\u003cp>\u003cspan class=\"Apple-style-span\" style=\"border-collapse: collapse\">\u003cbr>\n\u003c/span>\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"fullwidth"},"numeric":["fullwidth"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\u003cp>\u003c/p>\n\u003c/div>\u003c/p>","attributes":{"named":{},"numeric":[]}}],"link":"/stateofhealth/1740/governors-budget-and-its-health-and-social-services-cuts","authors":["240"],"categories":["stateofhealth_14","stateofhealth_13"],"tags":["stateofhealth_87","stateofhealth_104","stateofhealth_99"],"label":"stateofhealth"},"stateofhealth_1332":{"type":"posts","id":"stateofhealth_1332","meta":{"index":"posts_1591205157","site":"stateofhealth","id":"1332","score":null,"sort":[1323871233000]},"guestAuthors":[],"slug":"how-lawsuits-can-stymie-some-budget-cuts","title":"How Lawsuits Can Stymie Some Trigger Cuts","publishDate":1323871233,"format":"aside","headTitle":"State of Health | KQED News","labelTerm":{"site":"stateofhealth"},"content":"\u003cp>By Sarah Varney\u003c/p>\n\u003cfigure id=\"attachment_1365\" class=\"wp-caption alignleft\" style=\"max-width: 180px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2011/12/JerryBrown_LeagueofWomenVoters.jpg\">\u003cimg class=\"size-full wp-image-1365\" title=\"(League of Women Voters: Flickr)\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2011/12/JerryBrown_LeagueofWomenVoters.jpg\" alt=\"(League of Women Voters: Flickr)\" width=\"180\" height=\"195\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">(League of Women Voters: Flickr)\u003c/figcaption>\u003c/figure>\n\u003cp>Trigger cuts have been the weapon of choice in many recent budgetary negotiations, most famously as the Congressional 'Super Committee' failed to come to agreement last month.\u003c/p>\n\u003cp>But in California, where Governor Jerry Brown yesterday announced nearly a billion dollars in additional reductions to state spending, that budget gun is jammed, as advocates for the elderly and mentally and physically disabled have managed to thwart the automatic reductions by asserting that the state's severe cuts -- some $15 billion to health and human services since 2008 -- are beginning to violate federal law.\u003c/p>\n\u003cp>That defense has largely been the result of an aggressive legal strategy by disability rights groups, something witnessed recently when the state aborted a plan to eliminate funding for adult day health care centers in the face of a lawsuit by\u003ca title=\"http://www.disabilityrightsca.org/\" href=\"http://www.disabilityrightsca.org/\" target=\"_blank\"> Disability Rights California\u003c/a>. The centers offer health care services, shared meals and exercise among other activities and, most experts agree, help keep seniors and disabled people out of nursing homes.\u003c/p>\n\u003caside class=\"pullquote alignleft\">The state cuts are running headlong into the Americans with Disabilities Act. \u003c/aside>\n\u003cp>But that's not the only place where state lawyers are busy. Officials in Sacramento are also preparing to defend the recent decision by state lawmakers to reduce what it pays doctors who care for Medicaid recipients before the U.S. Supreme Court. Legal advocates also successfully sued in federal court to stop $100 million in automatic cuts to the state's home care program for the disabled and frail seniors known as In-Home Supportive Services. A hearing has yet to be set.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>\u003c!--more-->Melinda Bird, an attorney with Disability Rights California, based in Los Angeles, says the state cuts are running headlong into the Americans with Disabilities Act, the two decades old civil rights law that bars discrimination based on disability. \"The ADA mandates that people be provided services in the most integrated setting appropriate to their needs,\" says Bird. \"And that means providing the services to people at a home rather than in a nursing home.\" Without home aides to help them bathe, dress, eat and take medications, many of these disabled Californians, says Bird, would end up in costly nursing homes or psychiatric hospitals.\u003c/p>\n\u003cp>Not all of which is bad news for some politicians, says \u003ca title=\"http://www.cbp.org/about/about_staff.html\" href=\"http://www.cbp.org/about/about_staff.html\" target=\"_blank\">Jean Ross\u003c/a>, Executive Director of the \u003ca title=\"http://www.cbp.org/\" href=\"http://www.cbp.org/\" target=\"_blank\">California Budget Project\u003c/a>, a nonpartisan watchdog group. Lawsuits can provide political cover for legislators and agency directors reluctant to cut programs they support, says Ross, but which are vulnerable in tight economic times.\u003c/p>\n\u003cp>\"When the proposed policies the courts in some cases have ruled against were debated before the legislature, advocates [and] others would raise the concern that they might not pass judicial muster,\" says Ross. In several cases, those familiar with the budget process say, lawmakers approve budget reductions knowing that the courts will likely stop them from going into effect.\u003c/p>\n\u003cp>In some cases, advocates for such programs are also just stalling for time. Attorneys can slow budget cuts down by arguing that recipients of public programs haven't received adequate notice, says Mike Herald, a legislative advocate for the \u003ca title=\"http://www.wclp.org/\" href=\"http://www.wclp.org/\" target=\"_blank\">Western Center on Law and Poverty\u003c/a> in Sacramento. He cited a suit that his group filed against former Governor Arnold Schwarzenegger after that adminstration sought to cut child care programs for the working poor.\u003c/p>\n\u003cp>\"We were able to go and get a judge to say, 'No, you've got to send out a notice that gives people 30 days advance warning,'\" says Herald. \"That pushed back the whole schedule and by then we had a new governor, and then voila he changed his position and the cuts never really went into effect.\"\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>That said, Mr. Herald and others legal advocate insist they do not just sit on the sidelines waiting to file lawsuits, saying that they would much rather negotiate up front with lawmakers to find ways to save money and preserve vital programs. But trying to make deals with anyone in a state with as many money problems as California can be difficult.\u003c/p>\n\n","blocks":[],"excerpt":"Trigger cuts have been the weapon of choice in many recent budgetary negotiations, most famously as the Congressional 'Super Committee' failed to come to agreement last month.\r\n\r\nBut in California, where Governor Jerry Brown yesterday announced nearly a billion dollars in additional reductions to state spending, that budget gun is jammed, as advocates for the elderly and mentally and physically disabled have managed to thwart the automatic reductions by asserting that the state's severe cuts -- some $15 billion to health and human services since 2008 -- are beginning to violate federal law.","status":"publish","parent":0,"modified":1323870875,"stats":{"hasAudio":false,"hasVideo":false,"hasChartOrMap":false,"iframeSrcs":[],"hasGoogleForm":false,"hasGallery":false,"hasHearkenModule":false,"hasPolis":false,"paragraphCount":13,"wordCount":677},"headData":{"title":"How Lawsuits Can Stymie Some Trigger Cuts | KQED","description":"Trigger cuts have been the weapon of choice in many recent budgetary negotiations, most famously as the Congressional 'Super Committee' failed to come to agreement last month.\r\n\r\nBut in California, where Governor Jerry Brown yesterday announced nearly a billion dollars in additional reductions to state spending, that budget gun is jammed, as advocates for the elderly and mentally and physically disabled have managed to thwart the automatic reductions by asserting that the state's severe cuts -- some $15 billion to health and human services since 2008 -- are beginning to violate federal law.","ogTitle":"","ogDescription":"","ogImgId":"","twTitle":"","twDescription":"","twImgId":"","schema":{"@context":"http://schema.org","@type":"Article","headline":"How Lawsuits Can Stymie Some Trigger Cuts","datePublished":"2011-12-14T14:00:33.000Z","dateModified":"2011-12-14T13:54:35.000Z","image":"https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png"}},"disqusIdentifier":"1332 http://blogs.kqed.org/stateofhealth/?p=1332","disqusUrl":"https://ww2.kqed.org/stateofhealth/2011/12/14/how-lawsuits-can-stymie-some-budget-cuts/","disqusTitle":"How Lawsuits Can Stymie Some Trigger Cuts","path":"/stateofhealth/1332/how-lawsuits-can-stymie-some-budget-cuts","audioTrackLength":null,"parsedContent":[{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003cp>By Sarah Varney\u003c/p>\n\u003cfigure id=\"attachment_1365\" class=\"wp-caption alignleft\" style=\"max-width: 180px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2011/12/JerryBrown_LeagueofWomenVoters.jpg\">\u003cimg class=\"size-full wp-image-1365\" title=\"(League of Women Voters: Flickr)\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2011/12/JerryBrown_LeagueofWomenVoters.jpg\" alt=\"(League of Women Voters: Flickr)\" width=\"180\" height=\"195\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">(League of Women Voters: Flickr)\u003c/figcaption>\u003c/figure>\n\u003cp>Trigger cuts have been the weapon of choice in many recent budgetary negotiations, most famously as the Congressional 'Super Committee' failed to come to agreement last month.\u003c/p>\n\u003cp>But in California, where Governor Jerry Brown yesterday announced nearly a billion dollars in additional reductions to state spending, that budget gun is jammed, as advocates for the elderly and mentally and physically disabled have managed to thwart the automatic reductions by asserting that the state's severe cuts -- some $15 billion to health and human services since 2008 -- are beginning to violate federal law.\u003c/p>\n\u003cp>That defense has largely been the result of an aggressive legal strategy by disability rights groups, something witnessed recently when the state aborted a plan to eliminate funding for adult day health care centers in the face of a lawsuit by\u003ca title=\"http://www.disabilityrightsca.org/\" href=\"http://www.disabilityrightsca.org/\" target=\"_blank\"> Disability Rights California\u003c/a>. The centers offer health care services, shared meals and exercise among other activities and, most experts agree, help keep seniors and disabled people out of nursing homes.\u003c/p>\n\u003caside class=\"pullquote alignleft\">The state cuts are running headlong into the Americans with Disabilities Act. \u003c/aside>\n\u003cp>But that's not the only place where state lawyers are busy. Officials in Sacramento are also preparing to defend the recent decision by state lawmakers to reduce what it pays doctors who care for Medicaid recipients before the U.S. Supreme Court. Legal advocates also successfully sued in federal court to stop $100 million in automatic cuts to the state's home care program for the disabled and frail seniors known as In-Home Supportive Services. A hearing has yet to be set.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"fullwidth"},"numeric":["fullwidth"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>\u003c!--more-->Melinda Bird, an attorney with Disability Rights California, based in Los Angeles, says the state cuts are running headlong into the Americans with Disabilities Act, the two decades old civil rights law that bars discrimination based on disability. \"The ADA mandates that people be provided services in the most integrated setting appropriate to their needs,\" says Bird. \"And that means providing the services to people at a home rather than in a nursing home.\" Without home aides to help them bathe, dress, eat and take medications, many of these disabled Californians, says Bird, would end up in costly nursing homes or psychiatric hospitals.\u003c/p>\n\u003cp>Not all of which is bad news for some politicians, says \u003ca title=\"http://www.cbp.org/about/about_staff.html\" href=\"http://www.cbp.org/about/about_staff.html\" target=\"_blank\">Jean Ross\u003c/a>, Executive Director of the \u003ca title=\"http://www.cbp.org/\" href=\"http://www.cbp.org/\" target=\"_blank\">California Budget Project\u003c/a>, a nonpartisan watchdog group. Lawsuits can provide political cover for legislators and agency directors reluctant to cut programs they support, says Ross, but which are vulnerable in tight economic times.\u003c/p>\n\u003cp>\"When the proposed policies the courts in some cases have ruled against were debated before the legislature, advocates [and] others would raise the concern that they might not pass judicial muster,\" says Ross. In several cases, those familiar with the budget process say, lawmakers approve budget reductions knowing that the courts will likely stop them from going into effect.\u003c/p>\n\u003cp>In some cases, advocates for such programs are also just stalling for time. Attorneys can slow budget cuts down by arguing that recipients of public programs haven't received adequate notice, says Mike Herald, a legislative advocate for the \u003ca title=\"http://www.wclp.org/\" href=\"http://www.wclp.org/\" target=\"_blank\">Western Center on Law and Poverty\u003c/a> in Sacramento. He cited a suit that his group filed against former Governor Arnold Schwarzenegger after that adminstration sought to cut child care programs for the working poor.\u003c/p>\n\u003cp>\"We were able to go and get a judge to say, 'No, you've got to send out a notice that gives people 30 days advance warning,'\" says Herald. \"That pushed back the whole schedule and by then we had a new governor, and then voila he changed his position and the cuts never really went into effect.\"\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>That said, Mr. Herald and others legal advocate insist they do not just sit on the sidelines waiting to file lawsuits, saying that they would much rather negotiate up front with lawmakers to find ways to save money and preserve vital programs. But trying to make deals with anyone in a state with as many money problems as California can be difficult.\u003c/p>\n\n\u003c/div>\u003c/p>","attributes":{"named":{},"numeric":[]}}],"link":"/stateofhealth/1332/how-lawsuits-can-stymie-some-budget-cuts","authors":["240"],"categories":["stateofhealth_14","stateofhealth_13"],"tags":["stateofhealth_87"],"label":"stateofhealth"}},"programsReducer":{"possible":{"id":"possible","title":"Possible","info":"Possible is hosted by entrepreneur Reid Hoffman and writer Aria Finger. Together in Possible, Hoffman and Finger lead enlightening discussions about building a brighter collective future. The show features interviews with visionary guests like Trevor Noah, Sam Altman and Janette Sadik-Khan. Possible paints an optimistic portrait of the world we can create through science, policy, business, art and our shared humanity. It asks: What if everything goes right for once? How can we get there? 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Hosted by journalists of color, the show tackles the subject of race head-on, exploring how it impacts every part of society — from politics and pop culture to history, sports and more.\u003cbr />\u003cbr />\u003cem>Life Kit\u003c/em>, which will be in the second part of the hour, guides you through spaces and feelings no one prepares you for — from finances to mental health, from workplace microaggressions to imposter syndrome, from relationships to parenting. The show features experts with real world experience and shares their knowledge. 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Plus, KQED’s Bianca Taylor brings you the local KQED news you need to know.","imageSrc":"https://cdn.kqed.org/wp-content/uploads/2024/04/Consider-This-Podcast-Tile-703x703-1.jpg","imageAlt":"Consider This from NPR and KQED","officialWebsiteLink":"/podcasts/considerthis","meta":{"site":"news","source":"kqed","order":"7"},"link":"/podcasts/considerthis","subscribe":{"apple":"https://podcasts.apple.com/podcast/id1503226625?mt=2&at=11l79Y&ct=nprdirectory","npr":"https://rpb3r.app.goo.gl/coronavirusdaily","google":"https://podcasts.google.com/feed/aHR0cHM6Ly9mZWVkcy5ucHIub3JnLzUxMDM1NS9wb2RjYXN0LnhtbA","spotify":"https://open.spotify.com/show/3Z6JdCS2d0eFEpXHKI6WqH"}},"forum":{"id":"forum","title":"Forum","tagline":"The conversation starts here","info":"KQED’s live call-in program discussing local, state, national and international issues, as well as in-depth interviews.","airtime":"MON-FRI 9am-11am, 10pm-11pm","imageSrc":"https://cdn.kqed.org/wp-content/uploads/2024/04/Forum-Podcast-Tile-703x703-1.jpg","imageAlt":"KQED Forum with Mina Kim and Alexis Madrigal","officialWebsiteLink":"/forum","meta":{"site":"news","source":"kqed","order":"8"},"link":"/forum","subscribe":{"apple":"https://podcasts.apple.com/us/podcast/kqeds-forum/id73329719","google":"https://podcasts.google.com/feed/aHR0cHM6Ly9mZWVkcy5tZWdhcGhvbmUuZm0vS1FJTkM5NTU3MzgxNjMz","npr":"https://www.npr.org/podcasts/432307980/forum","stitcher":"https://www.stitcher.com/podcast/kqedfm-kqeds-forum-podcast","rss":"https://feeds.megaphone.fm/KQINC9557381633"}},"freakonomics-radio":{"id":"freakonomics-radio","title":"Freakonomics Radio","info":"Freakonomics Radio is a one-hour award-winning podcast and public-radio project hosted by Stephen Dubner, with co-author Steve Levitt as a regular guest. 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Hosts Ki Sung and Katrina Schwartz introduce listeners to educators, researchers, parents and students who are developing effective ways to improve how kids learn. We cover topics like how fed-up administrators are developing surprising tactics to deal with classroom disruptions; how listening to podcasts are helping kids develop reading skills; the consequences of overparenting; and why interdisciplinary learning can engage students on all ends of the traditional achievement spectrum. This podcast is part of the MindShift education site, a division of KQED News. KQED is an NPR/PBS member station based in San Francisco. You can also visit the MindShift website for episodes and supplemental blog posts or tweet us \u003ca href=\"https://twitter.com/MindShiftKQED\">@MindShiftKQED\u003c/a> or visit us at \u003ca href=\"/mindshift\">MindShift.KQED.org\u003c/a>","imageSrc":"https://cdn.kqed.org/wp-content/uploads/2024/04/Mindshift-Podcast-Tile-703x703-1.jpg","imageAlt":"KQED MindShift: How We Will Learn","officialWebsiteLink":"/mindshift/","meta":{"site":"news","source":"kqed","order":"2"},"link":"/podcasts/mindshift","subscribe":{"apple":"https://podcasts.apple.com/us/podcast/mindshift-podcast/id1078765985","google":"https://podcasts.google.com/feed/aHR0cHM6Ly9mZWVkcy5tZWdhcGhvbmUuZm0vS1FJTkM1NzY0NjAwNDI5","npr":"https://www.npr.org/podcasts/464615685/mind-shift-podcast","stitcher":"https://www.stitcher.com/podcast/kqed/stories-teachers-share","spotify":"https://open.spotify.com/show/0MxSpNYZKNprFLCl7eEtyx"}},"morning-edition":{"id":"morning-edition","title":"Morning Edition","info":"\u003cem>Morning Edition\u003c/em> takes listeners around the country and the world with multi-faceted stories and commentaries every weekday. 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