1991 Realignment Training
CHEAC hosted a daylong training event in November 2022 for LHD leadership and fiscal staff on 1991 Realignment. Presentation materials and resources are available below.
Presentation Materials
Realignment Historical Overview
- Presentation – Diane Cummins, Former Special Adviser to Governor Jerry Brown
Realignment Basics
- Presentation – Robert Manchia, Chief Financial Officer, San Mateo County
Significant Policy Changes
- 2011 Realignment Presentation – Hurst Brooks Espinosa, LLC
- AB 85 Presentation – Hurst Brooks Espinosa, LLC
- IHSS Mitigation Presentation – Hurst Brooks Espinosa, LLC
Additional Materials
- 1991 Realignment Statutes – Welfare & Institutions Code 17600-17613.4
- Accounts: WIC 17600-17600.60
- Local Funding Shifts: WIC 17600.20
- Health Allocations: WIC 17603
- Growth Funds: WIC 17606.10-17606.20
- AB 85 Redirection: WIC 17612 and WIC 17613
- State Controller's Office (SCO) Monthly Health & Welfare Realignment Allocations
Realignment Historical Overview
- Presentation – Diane Cummins, Special Adviser to Governor Jerry Brown
Realignment Basics
- Presentation – Robert Manchia, San Mateo County Executive's Office
- Handout – Realignment Flow Chart with Code References
- Handout – 1991 Realignment Full Funding Assertion
Significant Policy Changes Impacting 1991 Realignment
- 2011 Realignment Presentation – Hurst Brooks Espinosa, LLC
- AB 85 Presentation – Hurst Brooks Espinosa, LLC
- IHSS Mitigation Presentation – Hurst Brooks Espinosa, LLC
- Handout – Realignment Flow Charts
CHEAC Realignment Tracking
- Presentation – Michelle Gibbons, CHEAC
- SB 90: 1991 Realignment Report – California Department of Finance (DOF), January 2019
- Rethinking 1991 Realignment – California Legislative Analyst's Office (LAO), October 2018
- Understanding the Relationship between CCI, IHSS, and 1991 Realignment Recording and Slides – County Coalition, February 2017
- Indigent Care Financing History – California Health Care Foundation (CHCF), June 2005