Governor Newsom’s May Revision of the proposed 2026-27 state budget will make it more unaffordable to age in California by cutting access to critical health and long-term care programs.
The Trump administration's move to withhold an unprecedented $1.3 billion in Medicaid funding from California is part of a pattern of attacks on older adults, people with disabilities, and their families across the country who rely on Medicaid to live safely in their homes instead of institutions.
Over half of Californians receiving In-Home Supportive Services (IHSS) need nursing facility-level care. Through IHSS, they can stay in their homes and hire a caregiver or family member to help with care.
IHSS program in California provides in-home personal care and household assistance to eligible seniors and people with disabilities so they can live safely in their own homes instead of institutions like nursing facilities.
This issue brief, Breaking Down Barriers to Personal Care: Unlocking Vital Services for Those Who Need Them Most, shares insights from interviews with stakeholders—including providers, consumers, advocates, and policymakers—on the barriers people face in accessing California’s personal care services. It concludes with policy recommendations to improve access to personal care services for people who need them most.
Justice in Aging used its equity framework to analyze California’s In-Home Supportive Services Program, the state’s largest Medi-Cal home and community-based services program.
