The Community Care Expansion Program

Overview

• The Community Care Expansion (CCE) Program funds the acquisition, construction, and/or rehabilitation of adult and senior care facilities that serve applicants and recipients of Supplemental Security Income/State Supplementary Payment (SSI/SSP) or Cash Assistance Program for Immigrants (CAPI), who are at risk of or experiencing homelessness.  Funds are also available to preserve residential care settings, including through operating subsidies for existing licensed adult and senior care facilities currently serving SSI/SSP or CAPI recipients.
• The CCE program was established by Assembly Bill (AB) 172 (Committee on Budget, Chapter 696, Statutes of 2021). The Fiscal Year (FY) 2021-22 state budget appropriated $805 million for the program, available over three years (July 1, 2021 through June 30, 2024). In FY 2022-23, AB 178 (Chapter 45, Statutes of 2022) appropriated an additional $55 million to fund operating subsidies for existing licensed facilities.
• CCE is part of a broader, state-wide effort to expand the state’s housing and care continuum, improve treatment outcomes, and prevent the cycle of homelessness or unnecessary institutionalization. These state-wide investments include a total of $3 billion in funding opportunities through competitive grants to qualified entities to construct, acquire and rehabilitate real estate assets. These funds are available through CCE as well as the Behavioral Health Continuum Infrastructure Program (BHCIP) at the Department of Health Care Services (DHCS).
• For the most recent updates and more information on the CCE Program, please visit the CCE Grant website.

Background

Timeline

Through CCE Capital Expansion, approximately $570 million has been made available for capital expansion projects, including the acquisition, construction, and rehabilitation of residential care settings. Grantees may be approved to use a portion of these funds to establish a capitalized operating subsidy reserve (COSR) for these projects, available for use for up to 5 years. The Joint RFA and information on awardees can be found here. Awards are reviewed on a rolling basis.

Through CCE Preservation, approximately $249 million has been made available through noncompetitive allocations to counties for the preservation of existing licensed residential and senior care facilities serving applicants and recipients of SSI/SSP or CAPI, including those who are experiencing or at risk of homelessness. More information, including a list of participating counties, can be found on the Building CalHHS Infrastructure website. Two types of noncompetitive funds are available to counties:  

1. Operating Subsidy Payments (OSP) to cover potential or projected operating deficits in existing residential adult and senior care facilities to avoid their closure.
2. Capital Project (CP) funding to allow facilities to make essential physical repairs or necessary upgrades to avoid closure or make the facility compliant with licensing standards.

Contact Us

For more information about the CCE program, please visit the CCE Grant website. For questions or to be added to the CCE listserv, please email Support@CCEprogram.com.