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Report #163-2007 - November
14, 2007 - Wednesday
California State Budget
* LEGISLATIVE ANALYST: STATE HEADED FOR $10
BILLION DEFICIT
* GOVERNOR'S BUDGET NEXT YEAR LIKELY TO HAVE MAJOR
CUTS
* MAJOR IMPACT TO PEOPLE WITH DISABILITIES,
SENIORS, POOR
SACRAMENTO (CDCAN) - California budget crisis will
grow dramatically worse by June 2008, with a total budget shortfall that will
grow over $10 billion unless there is "corrective action" taken
by the State that could include proposals for major increases in revenues and
massive spending cuts next year, says a report released this morning by
the Legislative Analyst Office (LAO), the non-partisan agency that reviews
budget issues for the State Legislature. [The full report is available
on the CDCAN website at www.cdcan.us].
The
report, released by Legislative Analyst Elizabeth Hill [pictured left]
who is widely respected by both parties in the Legislature, confirms
what others have been claimed for the past several weeks that California is
now facing the most serious budget crisis since 2003 that will have major
impact especially on health and human service programs, including those
critical to children and adults with disabilities and other special needs,
seniors and low income families. At a time when policymakers are focused
on major health care reform in California, the budget areas especially
vulnerable include Medi-Cal, In-Home Supportive Services, SSI/SSP
(Supplemental Security Income/State Supplemental Payment), Developmental
Services (regional center funded community-based services, and developmental
centers), mental health services, affordable and accessible housing and
transportation.
Legislative Analyst Hill, who said that California's budget
situation has deteriorated significantly, underscored however that her
report is a "projection" of what would happen if changes are not
made to the state budget - and not a prediction of what the Governor and
Legislature will end up adopting in terms of changes in law and spending cuts
or increase in revenues. She however urged policymakers to take action -
including those that will impact the current year budget.
[Note: CDCAN is planning a series of CDCAN Townhall
Telemeetings in the coming weeks focusing on the budget crisis and related
issues, with the first scheduled November 27th, between 1 and 2:30 PM
featuring Department of Developmental Services officials. Subsequent
telemeetings will be scheduled focusing on other budget areas including Medi-Cal,
In-Home Supportive Services and SSI/SSP, Special Education, Employment,
Affordable and Accessible Housing and Transportation]
Governor Orders Agencies To Submit Plans for Major
Spending Cuts
In response to the growing budget crisis, Governor Arnold
Schwarzenegger on November 5th ordered all state agencies to submit
plans that call for a 10% reduction in spending that he will consider when
he puts together his proposed State budget for 2008-2009 that he will submit
to the Legislature on January 10th.
The Governor said in a statement released this morning
that .“Knowing the challenges that we face, throughout the fall, my
administration has been examining a variety of options to close next year's
budget gap. I have not made any final decisions yet, but it's clear
that the decisions that will be involved will be tough. I have a
constitutional requirement to submit a balanced budget to the Legislature in
January and I will fulfill that responsibility.”
He also said in his statement that since the
enactment of the 2007-2008 in August after a nearly two month stand-off
in the State Senate by Senate Republicans, "...we have made it
abundantly clear that next year's budget will be a difficult one.
Today's [release of the Legislative Analyst Office Report on the budget]
developments underscore that fact and they also underscore the need to begin
serious discussions on budget reform. I hope that the Legislature will
join with me to make this a priority."
Advocates and some policymakers fear that health and
human services programs - especially those serving children and adults with
disabilities, mental health needs, seniors and low income families are
especially vulnerable to major cuts and reductions.
Nothing is definite or final however until the Governor
submits a proposed budget to the Legislature in January and the
Legislature holds hearings in the Spring and passes a budget in
the early summer.
Budget Crisis Combination of Shortfalls This Year
and Next
The massive budget deficit, according to the
Legislative Analyst report, is the combination of a $2 billion
shortfall projected for this year's State budget passed last August by the Legislature
and signed by the Governor and in addition to that number, another shortfall
of over $8 billion projected for the entire budget year that begins on
July 1, 2008.
The budget shortfall of $2 billion for the current budget
year comes despite a budget reserve of $4.1 billion - which the Legislative
Analyst Office says will be gone by June 30, 2008, because of a dramatic drop
in revenues and increases in spending that outstrip what the State brings
in. With revenues expected to grow by 4.6% and spending to grow by
7%, barring a major improvement in the State's economy resulting in a
dramatic increase in state revenues, or "corrective action" by the
Governor and Legislature resulting in new taxes or other revenues and/or
massive spending reductions, the Legislative Analyst report projects that
the State will face an additional $8 billion shortfall for the July
1, 2008 to June 30, 2009 state budget year when, if nothing is changed.
That adds up to a gap of over $10 billion when the two numbers are combined.
The state’s current budget crisis is due to several
factors, according to the Legislative Analyst report:
* Significant decrease in state revenues due to
state's economy largely due to slumping real estate market and high
energy and gas prices.
* Lower property taxes, driving state General Fund spending on K–14
education upwards.
* A likely delay in the sale of EdFund and a reduction in the revenues that
was anticipated by the sale.
* Delayed implementation of new tribal gambling compacts.
* A court–ordered payment to the state’s teacher retirement system.
The report projects that the huge shortfall - barring any action
by the Governor and Legislature, will continue into the July 1, 2009 to June
30, 2010 budget year, with a deficit estimated at $8 billion. The report
suggests that after that the deficit will drop to about $3 billion in large
part because the cost of paying off loans that were made to help balance the
budget in previous years would have be fully paid off in 2010.
Budget Shortfall Could Grow Worse Depending
on Pending Lawsuits
* The budget shortfall could grow even worse depending on the outcome of
several lawsuits against the State, including those involving use of
transportation funds to balance this year's budget.
* Transportation Funding Shift - In September, advocates
for public transportation filed a law suit against the State claiming that the shift of
$1.3 billion in transportation funds to other budget areas in order to balance
the State budget for 2007-2008 was illegal. Of that total amount, $400
million was meant to be an on-going, permanent transfer to other budget areas,
with the remaining $900 million in transportation funds shifted to
other budget areas - including health and human service programs - for this
budget year only.
The case, expected to be heard at the end of this month,
and if the State loses, it could result in up to $1.3 billion added to the $10
billion shortfall next year.
* Other Lawsuits - Other additional costs due to lawsuits
and legal actions against the State relate to the prison health care system,
tax laws regarding limited liability companies, unclaimed property program.
Legislative Analyst Urges Legislature To Consider
"Numerous Options"
The Legislature, says the Legislative Analyst report
"...will need to develop a budget plan that provides almost $10 billion
in solutions" and that a "...substantial portion of the
current budget problem needs to be addressed through ongoing solutions"
and that even "with such an approach, the state would still need to come
up with billions of dollars in additional solutions of a more limited duration
to get through the worst of the upcoming budget years—2008–09 and
2009–10"
The Legislative Analyst report says that there are
"numerous options available" to put in place ongoing budget
solutions, though "almost all of them involve making tough policy
choices" for legislators and the Governor. This options, listed by
the Legislative Analyst report include:
* Slowing program growth by reducing or eliminating cost–of–living
adjustments (COLAs).
* Rolling back recent program expansions or reducing the level of program
benefits.
* Eliminating duplicative or ineffective programs and restructuring program
delivery methods.
* Shifting costs to special funds or to user fees.
* Eliminating tax credits and tax expenditure programs.
* Increasing efforts to enforce existing tax laws and ensure compliance.
* Raising tax rates.
Legislative Analyst Urges Mid-Year Action on
Current Budget
The Legislative Analyst report also strongly recommends
that the Governor and Legislature take action early next year to address the
shortfall in the current year budget by making mid-year reductions that could
include:
* Reducing Proposition 98 spending to the minimum
guarantee in 2007–08 would result in about $400 million in savings that year
and allow roughly the same amount of savings to be achieved in 2008–09.
* Delay or suspend COLAs, it may require action prior
to July 1, 2008. For example, the 2007–08 Supplemental Security Income/State
Supplementary Program COLA is due to go into effect on June 1, 2008, and the
Legislature would need to act this spring if it wished to suspend it and
generate $250 million in ongoing savings beginning in 2008–09. In the end,
any improvement that the state can make in its 2007–08 year–end balance
will make it that much easier to balance the 2008–09 budget.
* Suspend the Budget Stabilization Account (BSA) Transfer
Summary Highlighted Program In the Legislative
Analyst Office Report:
The Legislative Analyst Report briefly covered several
program areas that provided estimates on current and future spending and
growth.
MEDI-CAL
* The Medicaid Program - called Medi–Cal in California,
provides health care services to recipients of CalWORKs or SSI/SSP grants, and
other low–income persons who meet the program’s eligibility criteria
(primarily families with children and the elderly, blind, or disabled). The
state and federal governments share most of the program costs on a roughly
equal basis.
* Current Year (2007-2008) State Budget: State funds for Medi-Cal
will total $14.3 billion in the current year, about the same amount actually
appropriated in the 2007–08 Budget Act.
* 2008-2009 State Budget: The Legislative Analyst Office report says state
funding for Medi-Cal will grow to about $15 billion in 2008–09, a 5.2%
increase, largely due to increases in costs and usage of medical and health
services as well as the implementation of a new managed care rate–setting
methodology. By the end of the State Budget year for 2012–13, the
Legislative Analyst report estimates that State spending for Medi–Cal
will reach $18.7 billion, an average annual increase of 5.5%.
* Caseload Trends: The Legislative Analyst report estimates
that the caseload for Medi-Cal will be relatively flat overall, but the
caseload for those persons who have disabilities and seniors will grow faster
than that for families and children through the period of 2007 to 2013.
SSI/SSP (SUPPLEMENTAL SECURITY INCOME/STATE SUPPLEMENTAL
PAYMENT)
* The SSI/SSP program provides cash
assistance to eligible persons with disabilities, seniors and the blind.
There are two parts of the grant: SSI is funded only by federal dollars
and the SSP part is state funds only.
* Current Budget Year: State spending for SSI/SSP is estimated to be over
$3.6 billion in 2007–08, an increase of 3.4% compared to the prior budget
year.
* 2008–09 Budget Year: The Legislative Analyst
report says there will be an increase of 8.8% , raising spending
for the program to $3.9 billion. From 2007–08 through 2012–13 State
budget years, spending for SSI/SSP will increase at an average of 6.3%
eventually reaching a total of nearly $5 billion in state funds.
* Cost of Living Increases: The Legislative Analyst Office report says
that the two primary reasons for the increased State spending for SSI/SSP
are caseload growth and the cost of providing the cost of living
increases required by State law. The State cost of living
for the SSP portion of the SSI/SSP grant was suspended in
2005–06 and 2006–07. Budget related (trailer) bill passed as
part of the 2007-2008 State Budget, permanently moves the date of
the State cost of living increase for SSP from January 1 to June 1. That
action also eliminated the cost of living increase for SSP from January
through May 2008.
* That results in a one month cost of $22.4 million
in State funds in the 2007-2008 State Budget year, increasing to about $250
million for the entire 2008–09 State budget year, and about $150
million each State budget year through June 30, 2013. .
* Caseload Trends: The Legislative Analyst Office report says that from
1997–98 through 2005–06 the caseload grew at a steady rate of just over
2% per year but in 2006-2007, dropped to 1.4%. The caseload is projected to
increase to 1.8% in 2007–08 and rise to over 2% each year through 2013 due
to the increases in the senior population.
IN-HOME SUPPORTIVE SERVICES
* The IHSS program, funded with 50% federal Medicaid funds, 32%
state funds and 18% county funds, provides various services to eligible
persons with disabilities, the blind, and seniors who need in-home
supports and services to remain safely in their own homes.
* Current Budget Year: State spending for IHSS is
expected to be $1.6 billion in 2007–08, an increase of over 6% over the 2006-2007
State budget year, due to growth in the numbers of people using
IHSS (caseload) which the Legislative Analyst report estimates to be
about 5.2% each year, and wage increases for IHSS worker (provider).
Currently counties can receive the maximum amount of state funding for
IHSS worker wages of up to $12.10 per hour.
* 2008–09 Budget Year: the Legislative Analyst
report estimates that those costs will increase by 8% (over $1.7 billion),
with costs increasing by an average of 7.2% each year through the 2012-2013
State budget year with the State match in funding growing to $2.3 billion by
then. The Legislative Analyst report estimates that yearly
increases (through 2013) in state costs for IHSS worker wages would be $35
million as counties gradually increase wages, assuming no changes in State
law.
DEVELOPMENTAL SERVICES (REGIONAL CENTERS,
DEVELOPMENTAL SERVICES)
* The State provides a variety of services and supports to
individuals with developmental disabilities, including persons diagnosed
with mental retardation, cerebral palsy, epilepsy, and autism. The
Department of Developmental Services contracts and oversees the 21
non-profit regional centers who coordinate and fund community organizations
and individuals to provide community-based services and supports. The
Department also operates five Developmental Centers and two smaller
facilities which provide 24–hour health facility care.
* Current Year 2007-2008 State Budget: The
Legislative Analyst Office report estimates that State spending for
developmental services will total $2.6 billion, about what was appropriated
in the 2007-2008 budget. Of that total, about $2.2 billion will be
spent by the end of June 2008, by the 21 regional centers for
community-based services and supports, and about $383 million in state funds
will be spent on the 5 developmental centers and 2 smaller state owned and
operated facilities.
* 2008-2009 State Budget Year - Legislative Analyst
report estimates that State spending for developmental services will grow to
more than 2.8 billion in state funds, an increase of about 7.7% from
2007-2008.
* Between 2007–08 and 2012–13, the Legislative Analyst report estimates
that State spending for the developmental services will grow by $1.4
billion and reach a total of $4 billion in State spending every year, due
mainly to increased spending by the 21 regional centers on
community–based services. The Legislative Analyst report assumes
that Public Transportation Account funds will continue to be used to pay for regional
center transportation related services - an assumption that could change
as a result of a pending lawsuit.
* Spending for the 5 developmental centers and 2 smaller facilities is
projected to remain relatively flat from 2007 through 2013 State budget
years.
* Caseload Trends: The report reflects historical yearly increases of
3.8% in caseload (persons receiving services) and in the average cost increase
of 7% of serving each person receiving regional center funded services.
HEALTHY FAMILIES PROGRAM
* In 1997, the federal government enacted the State Children’s
Health Insurance Program (SCHIP) which in California funds several
programs - the largest being "Healthy Families" which provides
health insurance coverage to eligible children in families with incomes
below 250% of the federal poverty level. The federal program provides $2
of federal money for every $1 in state funds.
* The federal government has also authorized the use of federal funds
to cover children up to age two in families with incomes below 300% who
have transferred to the Healthy Families Program from the
state’s Access for Infants and Mothers program.
* Current 2007-2008 State Budget Cost: The Legislative Analyst Office
report estimates that overall State spending for Healthy
Families will be about $390 million in 2007–08, about $10 million
less than what was actually provided in the 2007–08 Budget Act.
This estimated decrease is due to slower caseload growth than previously
projected. They further estimate that overall State spending for the
program will increase to almost $445 million by 2008–09 and that by
2012–13 the program will have an annual State spending cost of almost
$570 million or a average increase in spending of about 7.8% each
year through 2013.
* Federal State Children's Health Insurance Program Reauthorization.
Funding for SCHIP has been authorized by Congress only through November
16, 2007 at the 2007 Federal budget level. The Legislative
Analyst Office report assumes that Congress and the President will
reauthorize SCHIP funding the same level of roughly two–to–one
federal/state matching basis and at a level necessary to support existing
caseloads as well as projected growth for all programs that use SCHIP
funds. If Congress does not reauthorize funding for SCHIP at a level
necessary to support the growing caseloads, the Legislative Analyst
projects about a $3 billion shortfall in federal funds over the next
five years for California.
* SB 437 [Chapter 328, Statutes of 2006] implementation that establishes
presumptive eligibility for the Healthy Families Program and an
accelerated enrollment program and establishes a process by which Healthy
Family Program applicants can self–certify income at the time of their
annual eligibility review. The Governor vetoed funds appropriated by the
Legislature to implement SB 437 in 2007–08 and indicated in his veto
message his intent to delay implementation by one year. The
Legislative Analyst Office report assumes that implementation will begin
in 2008–09 with full implementation of these changes occurring in
2009–10, which accounts for the gradual increase in caseload resulting
from this legislation.
CalWORKs
* The CalWORKs program provides cash grants and welfare–to–work
services to families with children whose incomes are not adequate to meet
their basic needs and is primarily funded by State general funds and federal
funds that the state receives as part of its "Temporary Assistance for
Needy Families " (TANF) block grant. A significant number of
persons in the CalWORKS program are either parents or children with
disabilities, special needs including mental health issues.
* Current Budget 2007-2008 Year: The
Legislative Analyst report says that spending for the CalWORKs program is
estimated to be $1.5 billion in 2007–08, a $480 million decrease from the
previous budget year.
* 2008-2009 State Budget Year: The report
projects that spending for CalWORKS will increase by about $180
million in 2008–09, and through 2013, increase by over $80 million each
year.]
Caseload Trends: The Legislative Analyst Office report says that the
CalWORKS program caseload reached its peak in March 1995 and reached its low
point in July 2003, declining by 49% to about 475,000 cases. This decline
in caseload, according to the report, is due to a number of factors
including the strong economy of the late 1990s, annual reductions in the teen
birth rate, and CalWORKs program changes which emphasized welfare–to–work
services. For the next 18 months, the caseload grew very slowly to a total
493,000 cases in December 2004. Since then, the caseload has once again been
in a slow decline, falling to 455,000 as of July 2007. Because the rate of
decline has slowed significantly during the past year, the Legislative
Analyst report is projecting the caseload will remain relatively flat during
the forecast period.
IMPACT TO PEOPLE WITH DISABILITIES, SENIORS &
OTHERS
With a shortfall of projected of over $10 billion, the
health and human services budget - which contains programs and funding for
nearly all the major programs impacting children and adults with
disabilities, mental health needs, seniors, the blind, persons with
traumatic brain and other injuries and disorders including Alzheimer's and MS,
seniors and low income families and direct care and IHSS workers, is the
budget area most vulnerable for significant major cuts and reductions
next year.
The current year budget includes requirements on some
agencies to submit plans to the Legislature for recommendations on ways to
control costs. AB 203 passed as part of the budget last August,
requires the Department of Developmental Services to submit such a report to
the Legislature by October 1 this year making recommendations to control
spending of regional center funded services and supports. The report
is still being developed and has not yet been submitted to the Legislature.
Beyond possible spending reductions and other proposals
that could impact hundreds of thousands of children and adults with
disabilities, mental health needs, seniors and low income families and workers
across California, the growing budget crisis also has or will impact the
following major issues:
* Health Care Reform: While the budget crisis worsens, at
the same time the Governor and the Legislature are trying to come to agreement
on major health care reforms that would be impacted - and have impact on the
budget shortfall. How health care reform is put together and if it passes
- has major impact on children and adults with disabilities, seniors and low
income families and workers.
* Autism Commission Report Proposals: many of the
recommendations by the Blue Ribbon Legislative Commission on Autism require
changes in existing state laws or new state laws and possibly significant
resources in funding.
* Olmstead Implementation - further progress in the State's
implementation of the landmark 1999 US Supreme Court "Olmstead
Decision" that requires, under the federal Americans with Disabilities
Act, for the states to take measures, to avoid the
"unjustified institutionalization" of persons with disabilities and
seniors, could be impacted. Some advocates have been sharply critical of
what they say is "extremely slow" progress in moving persons with
disabilities and seniors out of institionalized settings into integrated
community settings. The budget crisis could impact state funding for
health services and supports needed to support people in community-based
settings, and also funding for other services and supports including
accessible transportation, housing, employment and education.
NEXT STEPS
The Legislature is currently in special session on health
care and also on water - though neither house is meeting on a regular basis on
either issue. [Note: the Assembly Health Committee is meeting today to
consider proposals regarding health care reform, and the full Assembly could
meet after Thanksgiving, followed by the State Senate in early December to
possibly approve a health care reform package and send it to the Governor.].
The regular session of the Legislature is scheduled to reconvene on January
7th (this is the regular session where the budget for 2008-2009 and bills
from the 2007 session, with exceptions, are carried forward for further
action)
BUDGET FOR JULY 1, 2008 - JUNE 30, 2009
* The State Constitution requires the governor to
submit a proposed balanced budget to the Legislature on January 10th.
Governors give hints of what that budget proposal will contain in their annual
"State of the State" address to the Legislature a week or a few days
before that.
* The Governor - on November 5th, ordered all state
agencies to present to him plans for reductions in state spending of 10% -
most of which would likely require changes in state law that need
approval by the Legislature to be considered for inclusion in the budget that
the Governor will submit on January 10th. It doesn't mean those
proposals will be included in the budget proposal he submits on January
10th - but it is a clear signal that he intends to look at spending reductions
as one of the major ways to address the $10 billion budget gap.
* The Legislative budget committees and subcommittees in
both houses usually schedule hearings to review major parts of the Governor's
proposed budget as early as late February through May.
* Governor releases in early May changes or revisions to
the proposed budget he had submitted on January 10th. These changes or
revisions - referred to as the "May Revise" or the "May
Revision" often contain new major proposals that previously were not
announced.
* The Legislative budget subcommittees in both houses will
usually hold a final round of hearings to review new proposals contained in
the revised version of the proposed budget
* After that the budget proposal heads to the floors of
both houses, then for review and action by a special joint committee - called
a budget conference committee, composed of 3 members each from the Assembly
and State Senate to resolve differences between the actions taken by both
houses.
* Budget proposal then heads for final action on both
floors of the Legislature - though in reality outstanding issues are left to
the Democratic and Republican legislative leaders and Governor to resolve.
MID-YEAR CUTS AND REDUCTIONS
* In previous major budget crisis -
including 2002 and 2003, then Governor Davis in the fall of 2002 and in
the fall of 2003, the new incoming Governor Schwarzenegger proposed
mid-year cuts and reductions, meaning proposals that would cut spending and
make other changes in the current year's budget. Both called special sessions
of the Legislature to approve such cuts - though in both cases, the
Legislature refused to enact any of the proposed mid-year major cuts meant for
the current budget year. However the Legislature in 2003 and 2004 did
agree to modified versions of cuts for the new budget year that begins on July
1.
* As of now, the Governor has not proposed
such mid-year reductions - which would require approval by the
Legislature. * However, all that could change in the coming months,
especially if the State's economic picture gets worse and the Governor
declares a "fiscal emergency", triggering provisions of Proposition
58, the Balanced Budget Initiative passed by voters in March 2004. [see
below]
PROPOSITION 58 IMPACT
* Unlike in 2002 and
2003, Proposition 58, passed by voters in March 2004 by 71-29%, gives
the Governor special (though limited) authority to declare a
"fiscal emergency" should he or she determines that the state is
facing substantial revenue shortfalls or spending increases (resulting in
going over budget) that would force the Legislature to act. In theory,
the Governor could make such a declaration now.
* After declaring a "fiscal emergency" the
Governor would then be required to propose legislation to address the problem,
and call the Legislature into special session to consider his proposals and
address the problem. If the Legislature fails to pass and send to the Governor
legislation to address the budget problem within 45 days, the Legislature
would be prohibited from acting on any other bills or adjourning until
such legislation is passed.
* It is not certain what happens if the Legislature passes
legislation that the Governor does not believe addresses the budget problem or
what actually defines, and adjourns the special session and moves forward on
regular session bills. Almost every year in the past decade the
Legislature has failed to meet the constitutional deadline of passing a State
budget by June 15th each year, or pass a budget by the beginning of the State
budget year without any penalty against them.
Please: Contributions
Urgently Needed!
Advocacy Without
Borders
Advocacy
Without Borders: Connecting People With Disabilities, Mental
Health Needs, Seniors, Traumatic Brain & other injuries,
People with MS & other health needs, including People of
color, different languages, cultures, Families, Workers,
Providers, & Organizations to Rights & Unified Action.
This report - and the CDCAN townhalls, and other events and
projects are for all of them and for promoting advocacy without
borders toward unified action. We are one community.
To respond to
this report reply to: Marty Omoto at martyomoto@rcip.com
CDCAN website: www.cdcan.us
To
continue the CDCAN website, the CDCAN News Reports. sent
out and read by over 45,000 people and organizations, policy
makers and media across California and to continue the CDCAN
"Advocacy Without Borders Townhall Telemeetings" which
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disabilities, seniors, mental health needs, people with MS and
other disorders, people with traumatic brain and other injuries
to public policy makers, legislators, and issues. Please send
your contribution/donation (make payable to "CDCAN" or
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The CDCAN Townhall Telemeetings are partially funded by a small
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Administration on Developmental Disabilities. (note: the
opinions expressed or content in these reports do not
necessarily reflect the views or opinions of the USC UCEDD.
MANY THANKS to Manteca CAPS, Training Toward Self Reliance, UCP,
California NAELA, Californians for Disability Rights, Inc (CDR)
including CDR chapters, CHANCE Inc, Parents Helping Parents,
Arriba, Strategies To Empower People (STEP), Parents Helping
Parents, Asian American parents groups, Resources for
Independent Living and many other Independent Living Centers,
several regional centers, People First chapters, IHSS workers,
other self advocacy and family support groups, developmental
center families, adoption assistance program families and
children, and others across California.