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Providers urge Assembly to bridge funding gap for congregate living and boost HCBA capacity

Assembly Budget Subcommittee on Health · April 6, 2026
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Summary

Congregate living health facility operators and patient witnesses warned that CLIFs face closure without short‑term bridge funding; DHCS told lawmakers it will transition CLIFs into a managed‑care benefit by 01/01/2028 to remove slot caps, while officials cautioned workforce limits constrain near‑term enrollment growth.

Providers and patients from California congregate living health facilities (CLIFs) and state officials told the Assembly Budget Subcommittee that immediate, limited bridge funding and longer‑term managed‑care changes are needed to protect medically complex residents.

Mary Anne Bosconian, a registered nurse who leads the Congregate Living Health Facility Association, told the committee CLIFs care for young people with catastrophic injuries and complex medical needs and receive a daily Medi‑Cal reimbursement of $490. "Our daily reimbursement rate is $490. It has not increased by even $1 since the 1980s," she said, and requested a…

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