California legislation · 2025-2026 Regular Session
California AB2278: In-home supportive services: Community First Choice Option program: noncompliance penalties.
Status: Chaptered, September 20, 2026
What the bill says
An act to amend Section 12306.16 of the Welfare and Institutions Code, relating to in-home supportive services. in-home supportive services In-home supportive services: Community First Choice Option program: noncompliance penalties. Existing federal law, the Community First Choice Option (CFCO) program, authorizes states to provide home- and community-based attendant services and supports to eligible Medicaid enrollees, as specified. Existing federal law provides federal financial participation for a state that provides services under the CFCO program…
From the chaptered text, September 20, 2026:
An act to amend Section 12306.16 of the Welfare and Institutions Code, relating to in-home supportive services. in-home supportive services In-home supportive services: Community First Choice Option program: noncompliance penalties. Existing federal law, the Community First Choice Option (CFCO) program, authorizes states to provide home- and community-based attendant services and supports to eligible Medicaid enrollees, as specified. Existing federal law provides federal financial participation for a state that provides services under the CFCO program. Existing state law establishes the In-Home Supportive Services (IHSS) program, administered by the State Department of Social Services and counties, under which qualified aged, blind, and disabled persons are provided with services in order to permit them to remain in their own homes. Existing law requires the state and counties to share the annual cost of providing IHSS pursuant to a specified cost ratio. Existing law requires all counties to have a rebased County IHSS Maintenance of Effort (MOE) and requires the rebased MOE to be adjusted for the annualized cost of increases in provider wages, health benefits, or other benefits, as prescribed. Existing law, commencing July 1, 2026, requires a county to pay, separate from the rebased County IHSS MOE payment, a 100% share of the enhanced federal financial participation that would have been received if the state ceases to receive that funding for the …