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Respite use rises; state and regional centers point to workforce, language and transportation barriers
Summary
Officials reported rising in‑home respite authorizations and expenditures, noted demographic patterns, and said workforce shortages and transportation limit access in rural areas.
Department of Developmental Services staff and regional center directors told the subcommittee that in‑home respite use and spending have increased over the past several years, but families still face barriers to receiving authorized hours.
Nechi Gates, chief deputy director of program services at DDS, said in‑home respite caseloads rose from about 85,000 to roughly 150,000 between fiscal years 2016–17 and 2023–24, a growth she called in line with regional center caseload increases. DDS described several delivery options — agency respite, participant-directed employer-of-record models, and respite available within…
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