BILL ANALYSIS ------------------------------------------------------------ |SENATE RULES COMMITTEE | AB 1758| |Office of Senate Floor Analyses | | |1020 N Street, Suite 524 | | |(916) 651-1520 Fax: (916) | | |327-4478 | | ------------------------------------------------------------ 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. CONTINUED AB 1758 Page 2 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. CONTINUED AB 1758 Page 3 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 CONTINUED AB 1758 Page 4 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 CONTINUED AB 1758 Page 5 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 **** END **** CONTINUED