2013 年 3 月 19 日，社会服务部和卫生保健服务部宣布与家庭支持服务 (IHSS) 受益人和劳工组织达成协议，以解决涉及 IHSS 计划的几起集体诉讼。 该协议解决了奥斯特诉莱特伯恩案和多明格斯诉施瓦辛格案中州政府与原告之间的纠纷。​​ 

有关该和解的更多信息，请参阅家庭支持服务和解协议信息页面。​​ 

In-Home Supportive Services加州计划选项 ( IHSS )​​ 

The IHSS Plus Waiver was converted to the IHSS Plus State Plan Option Program September 2009. The IHSS Plus Program pays enrolled care providers, including parents or spouses, to provide services to qualified Medi-Cal recipients. Eligibility for program participation includes persons who are 65 years or older, blind, or disabled who might be placed in an out-of-home care facility. The program allows participants to receive services at home.​​ 

To receive services, an assessment is conducted to determine which types of services may be authorized for each participant based on their needs. Services provided through IHSS can include: housecleaning, meal preparation, laundry, grocery shopping, personal care services (such as bowel and bladder care, bathing, grooming and paramedical services), accompaniment to medical appointments, and/or protective supervision for the mentally impaired. Authorized services may be provided by a parent, a spouse or a caregiver. Recipients may qualify for the option of receiving advance pay and restaurant meal allowance.​​ 

For further information, refer to the Department of Social Services’ IHSS Program Page.​​