California's budget impasse is threatening to force the shutdown of many healthcare services across the state if a deal is not struck soon. Without a budget, hospitals, clinics, and homes for disabled residents that rely on state funds to operate will have lost as much as $5.4 billion in state funds by the end of September. State payments for most of them ended in July, and many service providers said they've already received loans, maxed out their credit cards, and even poured in personal funds to keep their centers open.