Key Highlights from the 2023-2024
IHSS Budget in California

2023-2024 IHSS Budget Overview

The In-Home Supportive Services (IHSS) program in California is an essential service that provides in-home care for the elderly, blind, and disabled individuals, allowing them to live independently in their homes. The 2023-2024 IHSS budget carries significant updates and changes that affect caregivers and recipients statewide. This article provides an in-depth look at the crucial aspects of this year’s budget and its implications.

Budget Overview

The 2023-2024 IHSS budget reflects the ongoing commitment of the State of California to support in-home caregiving services. Despite economic challenges, the budget aims to maintain the quality and accessibility of services, focusing on fair compensation for caregivers and ensuring adequate care hours for recipients.

Key Points:

  1. Average Monthly Hours Per Case Remain Flat:

    • The budget projects that the average monthly number of IHSS hours per case will stay consistent with the previous year, averaging around 116 hours per case. This decision reflects a shift from the historical pattern of slight annual increases in average hours per case.
  2. Cost Per Hour Increase:

    • The cost per hour of IHSS services is expected to rise from $18.62 in 2022-23 to $19.12 in 2023-24. A significant portion of this cost is attributed to IHSS wages, which have seen a 6% annual increase since 2014. This increment is partly due to state minimum wage hikes and local wage ordinances or collectively bargained agreements.
  3. Impact of Federal Medicaid Funding Changes:

    • The budget addresses the expiration of the temporary increase in federal Medicaid funding under the Families First Coronavirus Response Act. The enhanced federal match, which lowered state costs for IHSS, phased down throughout 2023 and was fully eliminated by January 2024. This change implies an increase in General Fund costs for IHSS in 2023-24.
  4. IHSS-Related Home- and Community-Based Services (HCBS) Spending Plan Items:

    • The budget includes items from the HCBS spending plan, such as a one-time $500 payment to IHSS providers who worked during the specified period of the pandemic and the creation of specialized training opportunities for providers.


The 2023-2024 IHSS budget in California shows a nuanced approach to managing in-home supportive services amidst evolving financial landscapes. While maintaining service levels, the budget reflects the state’s commitment to adequately compensating caregivers and ensuring continued support for those reliant on these vital services. The changes, especially in funding structures, highlight the need for adaptive strategies to sustain and improve IHSS in the future.

Note to Readers: This summary provides an overview of the key aspects of the 2023-2024 IHSS budget. For detailed information, readers are encouraged to consult official state documents and resources.

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