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Counties press DHCS on underfunded California Children's Services; debate over opioid settlement spending
Summary
County and provider witnesses told the Assembly Subcommittee No. 1 on Health that recent CCS allocation changes have left some counties underfunded and asked the department to delay or adjust the monitoring and oversight rollout until funding and technical assistance gaps are addressed.
County and provider representatives told the Assembly Subcommittee on Health that recent changes to California Children’s Services (CCS) budget methodology left some counties underfunded and unprepared for new monitoring obligations.
Susan Philip, deputy director for Health Care Delivery Systems at the Department of Health Care Services, described a change to county CCS allocation methodology that bases allocations on counties’ recent average expenditures and average caseload rather than prior staffing‑standard calculations. Philip said DHCS has engaged with counties through monthly meetings with the County Health Executives Association of California (CHEAC) and has delayed full implementation of the CCS monitoring and oversight (MNO) program until July 1, 2025, after issuing an MOU and associated monitoring protocols.
CHEAC and county witnesses said the new approach left core CCS…
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