Stronger Together

September 4, 2025

Budget Advocacy – How Trump’s Medicaid Cuts Are Reshaping California’s Budget

We have new info about how Trump’s Medicaid cuts will impact California’s state budget:

·         State leaders see “tremendous challenge” ahead – Jesse Gabriel from the San Fernando Valley is the Assembly Budget Chair. At a recent budget hearing, he stressed that Trump’s Medicaid cuts will create major budget gaps for California. He asked that stakeholder groups (such as CBAS providers) realize how challenging the next few years will be in terms of financial deficits and resource limits.

·         Massive pressure on Long Term Services and Supports (LTSS) – SCAN Foundation just released a new analysis of state budget cuts and federal budget impacts. The details demonstrate that older Californians and people with disabilities will be disproportionately impacted by the State’s current and future financial challenges.

·         CBAS providers have done well so far amidst growing uncertainty – California is already experiencing a difficult budget year. (The Current Fiscal Year lasts from July 2025 through June 2026). The PACE program, for example, is facing tens of millions of dollars in cuts (see SCAN’s analysis above). And it is going to get worse as state leaders respond to Trump’s Medicaid cuts. So far, CAADS advocacy has succeeded in protecting CBAS providers against growing pressures.

With all of this in mind, we’ll continue fighting to stabilize CBAS. The published CBAS reimbursement rate has flatlined since George W Bush was President – in 2006, the rate was $76.22 (compared to $76.27 today). Meanwhile, inflation has dramatically increased operating costs – resulting in an accelerating financial crisis and regular closures. So we cannot stop pushing for sustainability. But going forward, we will have to do so in a way that recognizes California is entering an era of major financial limits.

August 18, 2025

Raise Our Rates – Where We’re Going Next

State and federal policymakers are about to return from vacation. And as they fly back to Sacramento and Washington, CAADS will be preparing for our next round of advocacy. What should you expect to see happening in the next few months?

We’ll be focused on analyzing and communicating new circumstances:

·         Less safety for participants – The Trump Administration’s One Big Beautiful Bill is bad for Californians and bad for Adult Day Services (see this overview and this one). The bill will have direct impacts on an unknown number of participants and their families. For example, it’ll be harder to stay on Medi-Cal, access public assistance for groceries, or feel safe from ICE raids.

·         Worse state budget conditions – The bill will also indirectly impact CBAS providers by making it much harder to win rate increases (see this analysis for context). California and other state governments will have much less funding and less flexibility with both Medicaid funding and state General Fund dollars. State leaders will thus have more financial problems and fewer resources.

We’ll continue to advance our core objectives while adapting them as necessary: 

·         CBAS financial stability – The primary goal is still moving the Raise Our Rates campaign forward. We do, though, anticipate needing to adjust our methods and conversations for achieving financial stability. For example, Trump’s bill is likely to blow massive holes in California’s budget. So, we’re positioning ourselves to protect CBAS against any future threats.

·         ADP/ADVP support – CAADS also fights for the social model. In 2025, we got AB 1172 amended to clarify the bill and supported SB 582 to try and waive ADP licensing fees in emergency situations. We also joined other Sacramento groups in creating the Aging and Disability Coalition (ADC), a cross-cutting voice for challenging problematic federal changes to Long Term Services and Supports. (See our Statement of Solidarity and our pro-Administration for Community Living flyer.) Going forward, we anticipate similar engagements as new state and federal proposals emerge. 

We’ll be updating CAADS members regularly. Look out for updates over the next few months. More info will soon be available on the state budget situation and on CAADS’ efforts going into 2026. Oh, and don’t forget to Save the Date for Fall Conference: November 10-12, 2025, at the Hotel Fera in Anaheim! See you there!

CAADS Executive Director in Action April 15, 2025 - Watch the video below for a recap of the action!

Use the following link to see our official budget request for $74.8 million to raise our rates: https://caads.org/file_download/bb9e5c13-1e04-4b61-beaf-0038e39be98a

November 25, 2024

Raise Our Rates Campaign Kicks Off Again to Make CBAS Revenue Sustainable

September 17, 2024

Governor Newsom Vetoes AB 2428, What Now?

August 26, 2024

Letter from CAADS to Governor Newsom Urging Signature on AB 2428

Campaign Focused Clips from the Past