In a budget reduction measure approved by the state Legislature to address ongoing state revenue shortfalls, the DSHS Aging and Disability Services Administration implemented a broad-based reduction in authorized in-home personal care service hours in January 2011. The January 2011 cut followed a similar reduction in authorized hours implemented in July 2009 that was partially restored in July 2010. This memo provides an initial assessment of changes in mortality risk for the population of clients receiving Aging and Adult Services in-home personal care services who were subject to the reductions implemented in July 2009 and January 2011.