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May Revision proposes sweeping Medi‑Cal and IHSS reductions, including enrollment freeze, premiums and IHSS overtime cap
Summary
DHCS and CDSS presented a slate of May Revision proposals to the Senate Budget Subcommittee No. 3 May 20 that would curb Medi‑Cal spending and slow IHSS growth, including a freeze on full‑scope enrollment for adults with unsatisfactory immigration status, a proposed $100 monthly premium starting Jan. 1, 2027, reinstated asset limits, elimination of some state‑only benefits and a 50‑hour weekly cap on IHSS provider hours.
The Department of Health Care Services (DHCS) and the Department of Social Services (CDSS) presented May Revision proposals May 20 that would reduce general fund spending in Medi‑Cal and the In‑Home Supportive Services (IHSS) program. The administration said the measures are necessary to address a projected $12 billion general‑fund deficit.
DHCS Director Michelle Baass outlined a package that includes a freeze on new full‑scope Medi‑Cal enrollment for adults in the optional expansion who have unsatisfactory immigration status (UIS), and a later proposal for monthly state‑only premiums of $100 beginning Jan. 1, 2027 for that population. DHCS also proposed reinstating an asset limit for Medi‑Cal (the proposal would return an SSI‑linked test previously removed for expanded eligibility), eliminating state‑only long‑term care benefits for undocumented adults and cutting certain supplemental payments—most notably Proposition 56 supplemental payments that currently support family planning, dental and women's…
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