BILL ANALYSIS                                                                                                                                                                                                    



                                                                       



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          |SENATE RULES COMMITTEE            |                  AB 2322|
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                                 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
           
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          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. 







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          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  







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             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







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          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:







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                          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  







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          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

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