BILL ANALYSIS ------------------------------------------------------------ |SENATE RULES COMMITTEE | AB 2322| |Office of Senate Floor Analyses | | |1020 N Street, Suite 524 | | |(916) 651-1520 Fax: (916) | | |327-4478 | | ------------------------------------------------------------ THIRD READING Bill No: AB 2322 Author: Feuer (D), et al Amended: 8/5/10 in Senate Vote: 27 - Urgency SENATE HUMAN SERVICES COMMITTEE : 5-0, 6/30/10 AYES: Liu, Emmerson, Romero, Runner, Yee SENATE APPROPRIATIONS COMMITTEE : 8-0, 8/9/10 AYES: Kehoe, Alquist, Ashburn, Emmerson, Leno, Price, Wolk, Yee NO VOTE RECORDED: Corbett, Walters, Wyland ASSEMBLY FLOOR: 77-0, 6/1/10 - See last page for vote SUBJECT : Abuse of children, elder, or dependent persons: confidentiality SOURCE : County Welfare Directors Association Los Angeles County Board of Supervisors Service Employees International Union DIGEST : This bill makes various changes to statutes governing discretionary multidisciplinary personnel teams. ANALYSIS : Existing Law CONTINUED AB 2322 Page 2 1. Defines "child abuse" as a situation in which a child suffers from: A. Serious physical injury inflicted by other than accidental means. B. Harm caused by intentional neglect or malnutrition or sexual abuse. C. The absence of basic physical care. D. Willful mental injury or negligent treatment or maltreatment. E. Any condition which results in the violation of rights or welfare or jeopardizes present or future health, normal development, or capacity for independence. 2. Defines a child abuse multidisciplinary personnel team (MDT) as any team of three or more people trained in the prevention, identification, and treatment of child abuse and neglect cases and who are qualified to provide a broad range of child abuse-related services such as mental health professionals, law enforcement personnel, social workers, and teachers. 3. Permits members of an MDT, as defined in Section 18951, to exchange confidential information and writings during team meetings, provided the information is relevant to the prevention, identification or treatment of child abuse and is kept confidential. 4. Permits members of an MDT to exchange confidential information that includes information about voluntary and involuntary mental health services if the information and records are relevant to the prevention, identification, management, or treatment of an abused child and that child's parents. 5. Allows psychotherapists to release information to law enforcement agencies if a patient presents a serious danger of violence to a reasonably foreseeable victim or victims. AB 2322 Page 3 6. Authorizes each county to establish a computerized data base to allow provider agencies to share identifying information related to families at risk for child abuse or neglect for the purpose of forming of MDTs for the prevention, identification, management or treatment of child abuse. 7. Specifies the identifying information in the data base as: A. The name, address, telephone number, and date and place of birth of family members. B. The number assigned to the case by each provider agency. C. The name and telephone number of each employee assigned to the case from each provider agency. D. The date or dates of contact between each provider agency and a family member. 8. Requires that the information in the system be entered by and disclosed to designated employees, and the heads of provider agencies shall establish a system by which unauthorized personnel cannot access the data contained in the system. 9. Defines "provider agencies" for the purposes of the computerized data base as any governmental or other agency which has as one of its purposes the prevention, identification, management or treatment of child abuse or neglect -- agencies including but not limited those providing social services, children's services, health services, mental health services, probation, law enforcement, or education. 10.Requires each county to develop its own standards for defining "at risk" establishing a computerized database system for sharing information among MDT members. 11.Establishes the California Work Opportunities and Responsibility to Kids (CalWORKs) program to provide AB 2322 Page 4 welfare to work services and benefit payments to qualifying households with children. This bill: 1. Provides that the activities of MDTs engaged in the prevention, identification, management, or treatment of child abuse, elder or dependent person abuse, are activities performed in the administration of public social services. 2. Includes in the definition of MDTs CalWORKs case managers, and social workers with experience or training in child abuse or neglect prevention, identification, management, or treatment. 3. Includes information relevant to the provision of child welfare services, as defined, as information that may be disclosed and exchanged by an MDT. 4. Requires specified optional computer databases that are authorized in statute, if they are developed by individual counties at their discretion, to include information about persons living in a child's home and a contact person instead of the employee assigned to the case from a provider agency, as specified. 5. Specifically authorizes the County of Los Angeles, to include information in its database about convictions of family members or persons living in the child's home for crimes that involved a child as a victim, as specified. 6. Permits the otherwise confidential information contained in the databases to be used for the provision of child welfare services, as specified. 7. Recasts various related confidentiality provisions, to provide that the above information, if relevant to the provision of child welfare services, as defined, or the investigation, prevention, identification, or treatment of child abuse or neglect, may be disclosed to multidisciplinary personnel teams; as specified. Background AB 2322 Page 5 For about 20 years, California law has authorized MDTs to allow a coordinated interagency response to child abuse cases. MDTs, formed and operated at the county level, can share confidential information among team members for the purposes of preventing, identifying, or treating child abuse. Currently, all 58 California counties operate child abuse MDTs. In approximately 30 California counties, case managers in the CalWORKs program join colleagues providing child welfare services for the purpose of case planning and coordination. These coordinated efforts are called the "linkages project." Under existing law, counties may establish computerized databases so that provider agencies can share identifying information regarding families receiving child welfare services and children at risk of abuse or neglect. A county's database is available to members of these multidisciplinary personnel teams that are charged with preventing, identifying, managing, and treating child abuse. At this time, Los Angeles County is the only California county operating a computerized database for its MDTs. Called the family child index, it is a "pointer" system, telling authorized users if another participating agency has had contacts with a family. For example, a social worker investigating an abuse case after providing emergency response should be able to discover if the district attorney's office, the sheriff's department, or another county agency such as social services and health services, has had contact with the child or a member of the child's family. The database includes the name and phone number of a person in each of those departments whom the social worker can contact for more information. Those contact persons constitute the team that can share information. FISCAL EFFECT : Appropriation: No Fiscal Com.: Yes Local: Yes According to the Senate Appropriations Committee analysis: AB 2322 Page 6 Fiscal Impact (in thousands) Major Provisions 2010-11 2011-12 2012-13 Fund Expands allowable Likely minor, non-reimbursable costs* Local MDT activities Requirements for Potentially significant, non-reimbursable Local optional local costs* databases New authority for Potentially significant, non reimbursable Local LA County costs *To the extent that counties choose to participate/adopt. SUPPORT : (Verified 8/10/10) County Welfare Directors Association (co-source) Los Angeles County Board of Supervisors (co-source) Service Employees International Union (co-source) County Sheriff's Department State Public Affairs Committee of the Junior Leagues of Los Angeles OPPOSITION : (Verified 8/10/10) American Civil Liberties Union ARGUMENTS IN SUPPORT : The County Welfare Directors Association supports the bill in general and specifically argues for allowing CalWORKs case managers to participate on MDTs: such participation will improve cross-program planning and coordination. The County of Los Angeles supports the clarification of circumstances under which information can be shared among multidisciplinary team members. It also argues that timely access to information AB 2322 Page 7 about unrelated persons living in a child's home and conviction information about those persons and family members will assist social workers prior to making home visits. ARGUMENTS IN OPPOSITION : Because the bill adds information about convictions to the database, the American Civil Liberties Union recommends four changes: (1) require notice to individuals in the database that information is being held about him or her and the opportunity for correction of inaccuracies in the information; (2) require destruction of data after specified time periods - when it is no longer useful to maintain personal and conviction information in the database; (3) establish legal remedies including injunctive relief for individuals if their information is wrongfully accessed or deliberately misused; (4) define "at risk for child abuse or neglect" and delete the reference to "in need of child welfare services" in order to provide a more narrow definition of who can be included in a county database. ASSEMBLY FLOOR : AYES: Adams, Ammiano, Anderson, Arambula, Bass, Beall, Bill Berryhill, Blakeslee, Block, Blumenfield, Bradford, Brownley, Buchanan, Caballero, 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, Huber, Huffman, Jeffries, Jones, Knight, Lieu, Logue, Bonnie Lowenthal, Ma, Mendoza, Miller, Monning, Nava, Nestande, Niello, Nielsen, Norby, V. Manuel Perez, Portantino, Ruskin, Salas, Saldana, Silva, Skinner, Smyth, Solorio, Swanson, Torlakson, Torres, Torrico, Tran, Villines, Yamada, John A. Perez NO VOTE RECORDED: Tom Berryhill, Audra Strickland, Vacancy CTW:do 8/10/10 Senate Floor Analyses SUPPORT/OPPOSITION: SEE ABOVE **** END ****