History

1903

The California Department of Social Services (CDSS) began as a six-member Board of Charities and Corrections.

1935

Social Security Act was signed into law by President Roosevelt.

1950

Post Polio survivors reside in a hospital at Rancho Los Amigos.

1950

Attendant Care Program established to enable elderly and disabled consumers who needed assistance to remain safely in their own homes.

1953

100 Polio survivors move to their community to live with attendants paid by the March of Dimes.

1959

California’s first Governor’s Conference on Aging convened and created a Citizens’ Advisory Committee on Aging.

1959

March of Dimes stopped paying for Polio survivors’ attendants and legislators granted limited funding to those survivors.

1960

Independent Living launched in the Bay Area led by Ed Roberts, a student with disabilities at UC Berkeley.

1963

Aid to the Totally Disabled provided $300 a month for attendant services.

1965

President Lyndon Johnson signed the Social Security Act amendments establishing both Medicare and Medicaid and creating the Older Americans Act.

1965

California Medical Assistance Program (MediCal) was instituted. County Welfare Departments in California established what they called “homemaker services” for the elderly and families on welfare.

1970

The Homemaker program was added to the Attendant Care program (AKA “Chore” program), allowing consumers who couldn’t supervise their own workers to receive services from a county-employed homemaker.

1972

The Center for Independent Living (The CIL) formed in Berkeley, the first independent living center in the nation.

1972

Congress enacted Supplemental Security Income.

1973

AB 134 passed creating Homemaker and Chore programs operated by counties and provided funding.

1974

The Social Security Act was amended to transfer local cash assistance programs for the aged, blind, and disabled to the federal government (the SSI/SSP program).

1978

Enactment of WIC 12302.2, mandating a payroll and payment system for the IHSS program resulting in the development of the Case Management, Information and Payrolling System (CMIPS).

1979

State legislation was passed to end the distinction between the Attendant Care and the Homemaker program and to identify the consumer as employer and the State as responsible for payments and related fiscal issues. This was the origin of our current IHSS program.

1980

Formation of the Family Caregiver Alliance.

1987

SB 412 froze county share of cost for IHSS at the 1987-88 level of $19.2 M, required the state to cover any IHSS shortfall through a state budget deficiency appropriation.

1990

The Americans with Disabilities Act (ADA) established a clear and comprehensive prohibition of discrimination on the basis of disability.

1991

AB 948 was passed and realignment adopted which transferred IHSS program from state to counties, changed cost sharing ratios and an increase in state sales tax and VLF was earmarked to support counties.

1991

Little Hoover Commission issued report on the difficulties of finding workers to meet the needs of older adults and people with disabilities.

1992

SB 485 allowed counties to voluntarily form Public Authorities or Non-Profit Consortium to improve services for IHSS.

1993

The Personal Care Services Program (PCSP) began and was the first IHSS program to obtain federal funding for recipients.

1996

The Little Hoover Commission recommended that the Governor and Legislature encourage counties to form Public Authorities to improve services under the IHSS program.

1996

The California State Independent Living Council (SILC) established as an independent California state agency.

1999

US Supreme Court ruled in what is now called “The Olmstead Decision.” The High Court held that people with disabilities should be placed in community settings rather than institutions.

1999

AB 1682 required each county to designate an employer of record for IHSS caregivers, identifying the option of establishing a Public Authority to meet the mandate.

2001

Yolo County Public Authority is created separate from the county.

2003

The California Association of Public Authorities (CAPA) is founded as a mutual benefit, nonprofit corporation, incorporated under section 501(c)(6).

2008

CDSS contracted with the Office of Systems Integration (OSI) to manage CMIPS.

2009

Gov. Schwarzenegger slashed the budget of the Public Authority resulting 57% cut.

2009

Provider enrollment regulations were put into effect, requiring new IHSS providers to prove right to work, sign forms, and undergo a background check.

2010

Affordable Care Act (ACA) was enacted allowing for the establishment of a new Medi-Cal state plan option, Community First Choice Option (CFCO).

2011

SB 72 established an 11-member, community-based, advisory committee/board that would have a majority of disabled and senior participants to provide guidance on the IHSS program.

2011

AB 106 allowed CAPA to consult with CDSS to develop a new rate setting methodology for Public Authority administrative costs.

2012

California’s Coordinated Care Initiative (CCI) adopted in July integrated the delivery of medical, behavioral, and long-term care Medi-Cal services, and provided a road map to integrate Medicare and Medi-Cal for “dual eligible beneficiaries.” CCI counties were Alameda, San Mateo, Santa Clara, Los Angeles, Orange, San Diego, Riverside and San Bernardino.

2012

SB 1036 was passed, establishing a Statewide Public Authority and the maintenance of effort (MOE) formula.

2013

CMIPS II was launched.

2013

The US Dept. of Labor adopted new regulations allowing the provision of overtime, wait time, and travel time to IHSS caregivers under the Fair Labor Standards Act.

2014

Harris v Quinn is a labor law case of the US Supreme Court regarding provisions of Illinois’ state law that allowed a union security agreement. Membership in unions for IHSS caregivers deemed voluntary.

2015

SB 878 was passed, mandating that counties provide a group orientation presentation, and to coordinate with their respective IHSS provider union.

2016

California implements the provisions of overtime, wait time, and travel time to IHSS caregivers under the Federal Fair Labor Standards act.

2017

County IHSS Maintenance of Effort (MOE) included in the 2017-18 budget (SB 90) including mitigations to offset increased costs and reopener provision.

2019

SB 80 established a new IHSS MOE which created a more sustainable fiscal structure for Counties to manage IHSS costs.

2019

Governor Gavin Newsom signed Executive Order N-14-19 calling for the development of the California Master Plan for Aging which launched in 2020.

2020

COVID-19 pandemic causes state of emergency in California leaving many IHSS providers and consumers vulnerable.

2021

AB 135 maintained the existing state/county sharing ratio for wage and benefit increases, extended the tool to allow state participation above the cap, and reenacted a Realignment withholding related to collective bargaining.

2022

Permanent Back Up Provider Program is funded for IHSS services.

2022

Career Pathways is launched offering training for providers through a special state allocation.

2023

AB 120 increased penalty to 10% of county MOE, with penalty ongoing until county and IHSS representative reach agreement effective 10/1/23.

2023

SB 101 establishes $1.5 M to convene a workgroup to discuss statewide collective bargaining.