BILL ANALYSIS                                                                                                                                                                                                    



                                                                       



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          |SENATE RULES COMMITTEE            |                  AB 1758|
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                                 THIRD READING


          Bill No:  AB 1758
          Author:   Ammiano (D)
          Amended:  6/30/10 in Senate
          Vote:     21

           
           SENATE HUMAN SERVICES COMMITTEE  :  5-0, 6/22/10
          AYES:  Liu, Emmerson, Romero, Runner, Yee

           SENATE APPROPRIATIONS COMMITTEE  :  9-0, 8/2/10
          AYES:  Kehoe, Ashburn, Corbett, Emmerson, Leno, Price,  
            Wolk, Wyland, Yee
          NO VOTE RECORDED:  Alquist, Walters

           ASSEMBLY FLOOR  :  74-0, 4/22/10 - See last page for vote


           SUBJECT  :    County wraparound services program

           SOURCE  :     California Alliance of Child and Family  
          Services
                      City and County of San Francisco
                      County Welfare Directors Association

           DIGEST  :    This bill amends Section 18250 of the Welfare  
          and Institutions code to remove all references to "pilot  
          project" status of county-authorized wrap-around services,  
          striking "pilot projects" and replacing the phrase with the  
          designation of "wrap-around services program."  This bill  
          also replaces "academic performance" with "stability in the  
          least restrictive school placement," in the list of  
          outcomes evaluated in each county's wrap-around services  
          program.  
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           ANALYSIS  :    Under existing law, the Department of Social  
          Services (DSS) administers a pilot project that authorizes  
          a county to develop and implement a plan for providing  
          wraparound services designed to enable children who would  
          otherwise be placed in a group home setting to remain in  
          the least restrictive, most family-like setting possible.   
          The pilot project also imposes specified evaluation and  
          reporting requirements for participating counties, and  
          training requirements for staff in participating counties.

          Existing law provides for the Medi-Cal program,  
          administered by the State Department of Health Care  
          Services, under which eligible low-income persons are  
          provided with health care services.

          This bill amends Section 18250 of the Welfare and  
          Institutions code to remove all references to "pilot  
          project" status of county-authorized wrap-around services,  
          striking "pilot projects" and replacing the phrase with the  
          designation of "wrap-around services program."  This bill  
          also replaces "academic performance" with "stability in the  
          least restrictive school placement," in the list of  
          outcomes evaluated in each county's wrap-around services  
          program. 

          This bill also declares that pursuant to existing law  
          children categorically eligible for Medi-Cal benefits  
          without a share of cost due to receipt of benefits under  
          the AFDC-FC program shall remain eligible for Medi-Cal  
          benefits during participation in the wraparound services  
          program.

          This bill specifically states that a child who is  
          categorically eligible for Medi-Cal benefits without a  
          share of cost due to receipt of benefits under the AFDC-FC  
          program shall remain eligible for Medi-Cal benefits during  
          participation in the wraparound services program, provided  
          the child remains an eligible child under the standards of  
          existing law.  This provision clarifies existing law, and  
          does not expand Medi-Cal eligibility.  It is intended to  
          stop counties from mistakenly removing the Medi-Cal  
          coverage of eligible children due to confusion about the  
          program.

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           Background
           
           Wrap-around Services  .  Wrap-around refers to a program that  
          provides comprehensive social and other services that are  
          wrapped around a child and family.  California's program  
          was developed to support the placement of children in  
          family-based settings, rather than group homes or  
          institutional settings.  Children are eligible for a period  
          determined by an individualized services plan if they have  
          been adjudicated as dependents or wards and would be placed  
          in a group home with a Rate Classification Level of 10 or  
          higher, or if they would be voluntarily placed in  
          out-of-home care through the special education system. 

          There are at least 39 counties currently participating in  
          the program. According to DSS, most counties' programs are  
          led by community-based agencies.  Based on county reports  
          to DSS, there were about 3,000 children statewide served by  
          wrap-around (with nearly half in Los Angeles) in July,  
          2008. 

           Comments
           
          This bill is intended to clean up the wrap-around services  
          statute by removing any references to the original  
          implementing pilot project, making technical clarifications  
          to the statute regarding continuing Medi-Cal eligibility  
          for foster children in the wrap-around program, and  
          clarifying that foster children's service needs must  
          continue to be met if a county terminates its wrap-around  
          program. 

           FISCAL EFFECT  :    Appropriation:  No   Fiscal Com.:  Yes    
          Local:  No

          According to the Senate Appropriations Committee: 

                          Fiscal Impact (in thousands)

           Major Provisions                  2010-11             
           2011-12   2012-13   Fund  
          Code clean-up                   $0      $0        $0    
          General

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          Clarifies Medi-Cal eligibility  likely very minor costs, to  
          the extent that General
                                eligible youth were mistakenly  
          deniedFederal
                                coverage 

           SUPPORT  :   (Verified  8/3/10)

          California Alliance of Child and Family Services  
          (co-source)
          City and County of San Francisco (co-source)
          County Welfare Directors Association (co-source)
          Aspiranet
          California Communities United Institute
          California Probation Parole and Correctional Association
          California State Association of Counties
          Chief Probation Officers of California
          County Mental Health Directors Association
          County of Del Norte
          County of Los Angeles
          County of Los Angeles, Department of Children and Family  
          Services
          County of San Diego
          Junior Leagues of California
          National Association of Social Workers, California Chapter


           ARGUMENTS IN SUPPORT  :    The California Alliance of Child  
          and Family Services writes that the bill makes technical,  
          but critical, changes to the statute governing the  
          wraparound program by eliminating its pilot status and  
          codifying some elements of current practice.  The City and  
          County of San Francisco notes that Los Angeles County's  
          wraparound program cites, for 2008, higher family  
          reunification rates, shorter lengths of stay in foster  
          care, fewer and less restrictive placements, better scores  
          on child and adolescent functioning tests, and  
          substantially lower average placement costs for wraparound  
          participants compared to their peers in group homes.

          The County Welfare Directors Association, the California  
          State Association of Counties, and the County Mental Health  
          Directors Association writes that, since the pilot was  
          created more than a decade ago, the program provides the  

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          necessary services and assistance to help parents of  
          children with mental health issues and provide treatment  
          services to the children.  These organizations state that  
          the wraparound model has been shown to be successful and  
          cost-effective in California and other states.


           ASSEMBLY FLOOR  :  
          AYES:  Adams, Ammiano, Anderson, Arambula, Bass, Beall,  
            Bill Berryhill, Tom Berryhill, Blakeslee, Block,  
            Bradford, Brownley, Buchanan, Charles Calderon, Carter,  
            Chesbro, Conway, Cook, Coto, Davis, De La Torre, De Leon,  
            DeVore, Emmerson, Eng, Evans, Feuer, Fletcher, Fong,  
            Fuentes, Fuller, Furutani, Gaines, Galgiani, Garrick,  
            Gilmore, Hagman, Hall, Harkey, Hayashi, Hernandez, Hill,  
            Jeffries, Jones, Knight, Lieu, Logue, Bonnie Lowenthal,  
            Ma, Mendoza, Miller, Monning, Nava, Nestande, Niello,  
            Nielsen, V. Manuel Perez, Portantino, Ruskin, Salas,  
            Saldana, Silva, Skinner, Smyth, Solorio, Audra  
            Strickland, Swanson, Torlakson, Torres, Torrico, Tran,  
            Villines, Yamada, John A. Perez
          NO VOTE RECORDED: Blumenfield, Caballero, Huber, Huffman,  
            Norby


          CTW:nl  8/3/10   Senate Floor Analyses 

                         SUPPORT/OPPOSITION:  SEE ABOVE

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