In 2016, the California legislature ordered a rate study regarding community-based services for people with IDD. The final rate study was published in January 2020 and found a funding gap of at least $1.8 billion. Burns & Associates, the research firm that performed the study, developed rate models that change reimbursement structures and increase rates for the majority of services. Despite the state’s $3 million investment in this study and the stark findings of underfunding, no plan has been offered to fund and implement the rate models.

CDSA and our members have been involved in every step of this process. We pushed for the study, provided hundreds of pages of input to correct faulty assumptions in the first draft, and won supplemental rate increases to address the study’s initial findings. Now, we are advocating for the most important step: Implementing the rate models to fill the $1.8 billion funding gap.