Providing Health Insurance to IHSS Providers (Home Care Workers) in Los Angeles County

By: Michael Cousineau

This is archived content; for historical reference only.

In 2000, the California In-Home Supportive Services (IHSS) program provided personal care assistance to 230,000 elderly and disabled clients and employed more than 200,000 home care workers statewide — 72,000 in Los Angeles County alone. The program has been supported entirely with government funds, including more than $667 million in state general funds for the 1999 fiscal year.

This report analyzes the health insurance options available to Los Angeles County’s 72,000 IHSS workers in 2000, and provides key data on home care workers’ demographics, utilization patterns, and preferences. It also lays out viable options for extending needed coverage to this group of low-income, underserved individuals, with implications for national as well as state policy options for reducing the number of uninsured. Regardless of the approach or approaches taken, covering home care workers is consistent with other policy goals in California and Los Angeles County and could result in dramatic benefits for workers and their clients.

The complete report is available under Document Downloads below.