2010-11 Budget Update Kristine Chong Feb. 8, 2011

Big Picture Breakdown: Incoming budget shortfall: $26.4 billion Total expenditures: $84.6 billion Total resources: $86.3 billion Breakdown: Cuts: $12.5 billion Revenue solutions: $12 billion Other: $1.9 billion Deficit breakdown: $8.2 billion (2010-11) $17.2 billion (2011-12) $1 billion (reserve)

Major Cuts Exceptions: $1.7 billion – Medi-Cal $1.7 billion – Redevelopment Agencies $1.5 billion – CalWORKs $1 billion – mental health program $1 billion – higher ed (UC and CSU) Exceptions: K-12 Education Corrections relatively low % Change in Expenditures, by Program: HHS: -21.5% (largest % decrease) Corrections: -1% Other notable cuts: $750 million cut to the Department of Developmental Services (DDS) $500 million cut to In-Home Supportive Services (IHSS) $190 million cut to Social Security Income/State Supplemental Program (SSI/SSP).

The UGLY Limit utilization of services Require co-pays Medi-Cal Eliminate Adult Day Health Care Reduce Provider Payments (10%) Healthy Families Eliminate vision benefit Increase premiums Increase co-pays MEDI-CAL Limits/Caps: 6 prescriptions/month 10 doctor visits/month Cap on durable medical equipment Cap on hearing aids Cap on medical supplies COPAYS: $5 copay physician/clinic/dental/pharmacy services // $50 copay ER services // $100/day or $200 max copay for hospital stays (REQUIRES FED AUTHORIZATION) Provider payment reduction requires FEDERAL WAIVER HEALTHY FAMILIES: Increase monthly premiums for families: 151-200%% poverty ($22 million savings) by $14/child ($16$30 200-250% poverty Increase co-pays: ER visits from $15 to $50; inpatient stays from $0 to $100/day //$200 max

The UGLY AIDS Drug Assistance Program (ADAP) Increase in client cost-sharing Department of Developmental Services $750 million reduction ADAP: Clients with incomes of up to 100 percent of poverty: No cost sharing Clients with incomes of 101 percent to 200 percent: 5% of gross income Clients with incomes of 201 percent to 300 percent: 7% of gross income Clients with incomes greater than 300 percent: 10% of gross income

The UGLY 48 months time limit CalWORKs 13% grants reduction Supplemental Security Income (SSI) Reduce grants by $15/month In-Home Supportive Services (IHSS) Service hours reduction Eliminate Domestic & Related Services SSI Cut: Same reduction for CAPI recipients

The Immigrant Perspective Immigrant programs not targeted Medi-Cal, CFAP, CAPI Discriminatory CalWORKs cut

June Ballot Initiative Special Election to extend temporary taxes on: Sales Income Vehicle Means earlier budget passage: mid-March

What Next? Continued Messaging for Revenues Intense advocacy to mitigate cuts Hearings, legislative visits, call-ins, letters Legislators projected to make decisions end of February Ballot initiative: electoral push Voter education: revenues solutions! Continued Messaging for Revenues 9

Immigrant Day 2011 May 16, 2011 Sacramento www.caimmigrant.org     $85

Please visit www.caimmigrant.org for more info. Kristine Chong Statewide Policy Organizer California Immigrant Policy Center 1145 Wilshire Blvd, 2nd floor Los Angeles, CA 90017 (213) 241-0215 kchong@caimmigrant.org Please visit www.caimmigrant.org for more info.