BILL ANALYSIS                                                                                                                                                                                                    



                                                                  AB 1970
                                                                  Page  1

          Date of Hearing:   April 28, 2010

                        ASSEMBLY COMMITTEE ON APPROPRIATIONS
                                Felipe Fuentes, Chair

                     AB 1970 (Fong) - As Amended:  April 5, 2010 

          Policy Committee:                              Human  
          ServicesVote:4 - 1 

          Urgency:     No                   State Mandated Local Program:  
          Yes    Reimbursable:              Yes

           SUMMARY  

          This bill requires counties to assess the needs of the elderly  
          and disabled in emergency shelters during a declared state of  
          emergency and to provide and pay In-Home Supportive Services  
          (IHSS) providers to work with those individuals needing  
          services. Specifically, this bill: 

          1)Requires that, upon request of an emergency shelter operator,  
            a person designated by the county as a county social services  
            department representative shall assess the shelter to  
            determine the assistance needs of seniors and people with  
            disabilities at the shelter site.

          2)Requires the county or a representative to contact IHSS  
            providers to provide assistance to seniors and persons with  
            disabilities in emergency shelters. 

          3)States that the timesheets for an IHSS provider working during  
            a state of emergency shall be approved by the county and  
            submitted to the state IHSS payroll system for payment.

          4)Requires that the timesheets also be submitted by the county  
            to the appropriate state entity for reimbursement, if  
            available, using federal disaster relief funds. 

          5)Provides that the county representative may work with a third  
            party, including the public authority, in conducting the  
            assessment of the needs of the individuals in the shelter.

          6)States that the IHSS provider who provides assistance at an  
            emergency shelter shall not be liable for harm caused by an  








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            act or omission of the provider if he or she is acting within  
            the scope of his or her responsibilities and the harm was not  
            cased by a willful or criminal act.

           FISCAL EFFECT  

          1)During the May 2009 Jesusita fire in Santa Barbara, over  
            50,000 individuals were evacuated from their homes.  If half  
            of those individuals ended up in emergency shelters until the  
            fire was contained (14 days) and 10% of them needed services  
            in the shelter because they were elderly or disabled,  it  
            would have cost the state approximately $4 million for that  
            care. 

          2)Under general disaster relief rules, costs would be  
            reimbursable if they are "extraordinary."  It is unclear  
            whether this kind of assistance would fit that definition or,  
            if it did, how much of it would be covered. If the federal  
            government does not reimburse the state for that expenditure,  
            the costs would be borne by the General Fund. For the Jesusita  
            fire, the federal government provided funding to cover 75% of  
            the eligible firefighting costs.  Those eligible costs  
            included expenses for field camps; equipment use, repair and  
            replacement; tools, materials and supplies; and mobilization  
            and demobilization activities.


           COMMENTS  

           1)Purpose  . According to the author, a 2004 report by the  
            California State Independent Living Council found that the  
            emergency response plan for people with disabilities  
            floundered during the 2003 wildfires in which 730,000 acres of  
            the state burned.  Moreover, during the San Bernardino fires  
            of 2006 there were reportedly a number of seniors and people  
            with disabilities who were evacuated from their residence and  
            were unable to utilize emergency shelter services without  
            assistance from shelter personnel.  

            According to the author, this bill, sponsored by the  
            California Senior Legislature, "allows for IHSS workers to  
            receive payment for providing services for senior and disabled  
            evacuees at emergency shelter locations while being free of  
            liability.  [This bill] allows IHSS workers to provide  
            immediate care to senior and disabled evacuees at emergency  








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            shelter locations during a declared emergency using existing  
            emergency management funds."  

            This bill limits this IHSS expansion to federally declared  
            disasters. There are three types of federally declared  
            emergencies: major disaster declarations, emergency  
            declarations, and fire management assistance declarations.  In  
            total there have been 188 federal declarations since 1954;   
            108 are fire declarations that have occurred in the last eight  
            years, the most recent being a major disaster declaration due  
            to the Southern California flooding and mudslides in March of  
            this year. 

           2)Committee Concerns  . It is unclear from this legislation  
            whether the author intends for these types of services to be  
            provided at all three types of declared disasters. That  
            language needs to be clarified and should reference the  
            relevant sections of the federal Robert T. Stafford Disaster  
            Relief and Emergency Assistance Act.  
           
             In addition, the bill defines emergency shelters as "a  
            facility contracted by a county."  It is unclear whether that  
            would limit this bill to certain emergency shelters while  
            excluding others, when a formal contract is not in place. 

           3)State Emergencies . According to a 2006 report from the Little  
            Hoover Commission, California is considered a high-risk state  
            for natural disasters. The geography, population and  
            development patterns of California make it prone to flooding,  
            fires and earthquakes. 

              a)   Floods  . Since 1992, every county has been declared a  
               disaster area for a flooding event at least once. Between  
               1992 and 1998, federally-declared floods in California  
               caused nearly $5 billion in damage and 78 deaths.  
               Population projections anticipate that over the next 20  
               years, 62% of the growth in the state will occur in the  
               Central Valley floodplain. 

              b)   Fires  . Each year, an average of 10,000 wildfires burn  
               half a million acres in California. Wildfire-related  
               financial losses have increased in recent years, exceeding  
               $100 million five times between 1990 and 2001. Between 1990  
               and 2003, wildfires damaged or destroyed almost 12,000  
               structures and caused 56 deaths. The Southern California  








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               wildfires in October and November 2003 burned 750,043  
               acres, killed 22 people and resulted in the allocation of  
               more than $200 million in federal and state recovery funds.

              c)   Earthquakes  . Vulnerability to damage from earthquakes is  
               a function of the magnitude and location of a temblor and  
               the built environment where it occurs. Building codes for  
               new buildings attempt to reduce the type of damage that has  
               occurred in previous earthquakes. Scientists anticipate,  
               however, that larger earthquakes will occur in the future,  
               taxing current building standards. 

              d)   Other hazards  . Between 1950 and 1997, the state declared  
               some 400 emergencies for other events, including severe  
               weather conditions or storms, drought, agricultural  
               emergencies, energy shortages and landslides. The State's  
               Multi-Hazard Mitigation Plan also discusses other threats  
               that can activate the emergency response system, including  
               terrorism, civil disturbances, freezes, pest infestations  
               and hazardous material spills.

           4)In-Home Supportive Services Program  . The IHSS Program helps  
            pay for services so that the elderly, disabled, or blind  
            individuals can remain in their own homes. To be eligible, an  
            applicant must be over 65 years of age, disabled, or blind.  
            Disabled children are also eligible. IHSS is considered an  
            alternative to out-of-home care, such as nursing homes or  
            board and care facilities. 

            IHSS services are: housecleaning, meal preparation, laundry,  
            grocery shopping, personal care services (such as bowel and  
            bladder care, bathing, grooming and paramedical services),  
            accompaniment to medical appointments, and protective  
            supervision for the mentally impaired. IHSS consists of four  
            programs, including: Personal Care Services Program (PCSP),  
            IHSS Plus Waiver Program (IPW), IHSS Residual Program (IRP),  
            and Medi-Cal Waiver Personal Care Program (MWPCS). 

            The PCSP, IPW, and IRP are administered at the county level by  
            county welfare departments and at the State level by the Adult  
            Programs Division within CDSS. The Medi-Cal Waiver Personal  
            Care Services (MWPCS) Program is administered through  
            Department of Health Care Services. A portion of the costs for  
            IHSS services are paid by federal funding. The entire program  
            consists of over 400,000 recipients and on average 325,000  








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            IHSS workers. 

           5)Related Legislation  . SB 1451 (Kehoe; Chapter 600, Statutes of  
            2006) required the Office of Emergency Services (OES) to  
            ensure that members of the disabled community are represented  
            on all pertinent emergency preparedness committees.

           Analysis Prepared by  :    Julie Salley-Gray / APPR. / (916)  
          319-2081