California’s older adults and people with disabilities who qualify for state-funded adult day health care (ADHC) may be some of the hardest hit from the recent state budget cuts. Governor Schwarzenegger signed the budget revisions last week that reduces the amount of days covered for adult day health care from 5 to 3 days per week. In addition, the budget revision eliminates funding for Alzheimer’s disease programs.
These cuts pose a significant challenge for many families who may not be able to afford private caregivers. They also create a paradox, as the cuts may, in the long-term, end up costing the state much more money. Adult day health care services help many people continue living at home in their communities, versus living in an institutional setting like a nursing home. With a 40% cut in services, many beneficiaries have to move into an institutional setting, costing the state more than twice the amount of money per person for each day of care. For example, Medi-Cal, California’s Medicaid program pays $76.50 per day for ADHC services, compared with $170 to $200 per day for nursing home care.
For updated information on the California budget, see:
For information on Medi-Cal and long-term care, see: