BILL ANALYSIS                                                                                                                                                                                                    



                                                                  AB 2675
                                                                  Page  1

          Date of Hearing:   April 28, 2010

                        ASSEMBLY COMMITTEE ON APPROPRIATIONS
                                Felipe Fuentes, Chair

                AB 2675 (Chesbro) - As Introduced:  February 19, 2010 

          Policy Committee:                              HealthVote: 18-0

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

           SUMMARY  

          This bill requires applicants for an intermediate care facility  
          for the developmentally disabled-habilitative (ICF/DD-H) or  
          intermediate care facility for the developmentally  
          disabled-nursing (ICF/DD-N) license to attend a 16-hour  
          orientation approved by the California Department of  
          Developmental Services (DDS). This bill increases training from  
          eight hours to 16 hours and requires the new training hours to  
          address specific financial issues. 

           FISCAL EFFECT  

          1)No direct fiscal impact to the Department of Developmental  
            Services to approve and monitor the ICF/DD orientation  
            program. 

          2)According to the sponsors of this bill, fewer than 20  
            individuals complete the training annually and training fees  
            are paid by participants, not DDS or facilities. Current costs  
            for training are $359. This bill will increase training fees  
            to $718. Two non-profits currently provide the training. One  
            of these non-profits is an educational branch of the sponsor  
            of this bill. 
           
           BACKGROUND  

           1)Rationale  . This bill is sponsored by the California  
            Association of Health Facilities (CAHF) to increase training  
            and require a financial emphasis in the training for  
            administrators applying for licensure of an ICF/DD or  
            ICF/DD-N. According to the author and sponsor, licensees of  
            these facilities need to increase their understanding and  








                                                                  AB 2675
                                                                  Page  2

            expertise in financial matters to improve performance on state  
            audits and cost reporting. 

           2)Background  . About 7,000 people with developmental disabilities  
            live in community-based ICF. There are four types of ICF/DD  
            that vary by the level of nursing and medical support  
            provided. This bill addresses training for administrators of  
            the two most common types of ICF/DD.



           

          Analysis Prepared by  :    Mary Ader / APPR. / (916) 319-2081