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AB 346

In-home supportive services: licensed health care professional certification.

2025-2026 Regular Session Introduced by Stephanie Nguyen

AB 346 requires California IHSS providers to employ licensed health care professionals for certain support services, potentially increasing costs while affecting worker availability and care access.

In committee: Held under submission.
#in-homesupportiveservices #licensedhealthcareprofessionalcertification
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Bill Summary · AB 346

Legislative bill overview

AB 346 modifies California's In-Home Supportive Services (IHSS) program by requiring certain tasks to be performed by licensed health care professionals rather than allowing non-licensed in-home support workers to perform them. The bill adjusts certification and professional requirements for workers providing these services to Medi-Cal beneficiaries.

Why is this important

IHSS serves approximately 500,000+ vulnerable Californians, including elderly and disabled individuals who depend on in-home care for daily living. This bill directly affects both the cost of care delivery and worker classifications, potentially impacting care accessibility, worker employment, and state program expenditures. The requirement for licensed professionals could significantly increase program costs while affecting the availability of affordable in-home care options.

Potential points of contention

  • Cost implications: Requiring licensed health care professionals may substantially increase IHSS program costs, raising questions about budget sustainability and whether Medi-Cal reimbursement rates are adequate
  • Worker impacts: Current non-licensed IHSS workers could face job displacement or requirements to obtain expensive licenses and credentials, affecting lower-wage workforce availability
  • Care access: Stricter licensing requirements may reduce the supply of willing workers, potentially limiting service availability to vulnerable populations in underserved areas

Compiled from official sources — confirm details with the bill’s official record.

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