1991 Realignment

CHEAC Health Realignment Training – December 2017

CHEAC held a one-day Health Realignment Training on December 6, 2017, for county health executives and senior staff. The training covered a variety of topics and featured technical experts on 1991 Realignment. Below are materials presented during the CHEAC Health Realignment Training:

• Realignment Historical Overview (Diane Cummins, Special Advisor to Governor Brown)
• Realignment Basics (Robert Manchia, San Mateo County Manager’s Office)
  • Handout: Realignment Flow Chart with Code References
  • Handout: 1991 Realignment Full Funding Assertion
• Significant Policy Changes  Impacting 1991 Realignment (Jean Hurst and Kelly Brooks-Lindsey, Hurst Brooks Espinosa, LLC)
  • 2011 Realignment
  • AB 85
  • IHSS Mitigation
  • Handout: Realignment Flow Charts
• CHEAC Realignment Tracking (Michelle Gibbons, CHEAC Executive Director)

Other Resources

• SB 90: 1991 Realignment Report – California Department of Finance (LAO), January 2019
• Rethinking 1991 Realignment – California Legislative Analyst’s Office (LAO), October 2018
• Understanding the Relationship between CCI, IHSS, and 1991 Realignment – Realignment Webinar Recording, February 2017
  • Webinar Slides