BILL ANALYSIS                                                                                                                                                                                                    Ó



                                                                 AB 122
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         CONCURRENCE IN SENATE AMENDMENTS
         AB 122 (Blumenfield)
         As Amended  June 8, 2011
         Majority vote.  Budget Bill Appropriation Takes Effect Immediately 
          
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         |ASSEMBLY:  |     |(February 22,    |SENATE: |26-4 |(June 11, 2011) |
         |           |     |2011)            |        |     |                |
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                   (vote not relevant)

          SUMMARY  :  This supplemental appropriations bill (deficiency bill) 
         appropriates $1.2 billion from the General Fund (GF) to the State 
         Controller for allocation to the Department of Corrections and 
         Rehabilitation (CDCR) ($1.15 billion), the Department of Mental 
         Health (DMH) ($50 million), CAL FIRE ($12,600), the Department of 
         Finance (DOF) ($145,000), and $1.1 million for Mariposa, Modoc and 
         Shasta Counties for homicide trial reimbursement.  

          FISCAL EFFECT  :  Appropriates $1,215,451 (GF) to the State Controller 
         for allocation to specified departments for what are supposed to be 
         unanticipated expenses.

         This appropriation is factored into current May Revision budget 
         figures.  Any unencumbered funds as of June 30, 2011 revert to the 
         GF. 
          
         COMMENTS:

         1)Rationale  .  This bill contains funding necessary to address 
           deficiencies in the 2009 and 2010 Budget Acts.  These funds have 
           already been spent.  The proposed funding in this measure has been 
           approved by DOF and the Joint Legislative Budget Committee.  

         2)Deficiency Descriptions  .  
                
              a)   CDCR  .  

              i)     $643,400,000 for the California Prison Health Care 
                Services Receiver  for savings erosion scored in the 2010 
                Budget Act.   

                 The 2010 Budget Act reduced the CDCR budget for the Receiver 
                by $820 million. The Receiver achieved only $94 million of 
                the $820 million target, and the proposed 2011 Budget Act 
                reduces the current year medical services budget by 5%, which 







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                results in a deficiency of $643,400,000.  

                 What would have been an ongoing reduction of $820 million has 
                also been restored in the 2011 Budget Act, with a 10% percent 
                reduction to the base medical budget.    

                 The Receivership cites its federal court mandate to provide 
                constitutionally adequate health care to all inmates as 
                rationale for its inability to significantly reduce costs.   

                 As the level of health care increases within the institutions 
                as a result of the receivership, more health issues are 
                identified.  To address these issues, the receivership has 
                increasingly relied on outside contractors, such as hospitals 
                for inpatient and outpatient care, specialty care physicians 
                and laboratories.  

                 According to the receiver, ongoing reforms will help hold 
                medical costs in check.  The receiver contends that 
                implementation of various reforms, including a utilization 
                management system, a third-party administrator to pay medical 
                invoices to reduce the number of incorrectly paid claims, as 
                well as penalties for delayed payments, will reduce referrals 
                to outside providers and reduce state costs.  


              ii)    $414,900,000 for "unanticipated costs" from the 2009 and 
                2010 Budget Acts  . 


                 (1)       $25,676,000 for "unanticipated costs" from the 
                   2009 Budget Act  .  Running out of cash in June 2010 due to 
                   unanticipated but structural deficiency costs, such as 
                   legal costs, overtime, medical guarding, workers 
                   compensation, lump sum retirement payments, and struggling 
                   to make payroll, CDCR stopped paying some vendors and 
                   ultimately used its Revolving Fund to pay vendors and 
                   contracts.  


                 (2)       $389,224234 for "unanticipated costs" from the 
                   2010 Budget Act  , as CDCR's structural deficiency continued 
                   to mount.  Last year CDCR also opted to use the Victim 
                   Compensation and Government Claims Board process for what 
                   amounted to deficiency appropriations, which merely 
                   delayed the deficiency settle-up. 







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                   CDCR contends significant "budget trueing" augmentations 
                   in the 2011 Budget Act, combined with decreased 
                   expenditures, including hiring freezes, administration 
                   cuts, program reductions, and contract savings, should 
                   eliminate its structural deficiency. 


                   According to DOF, "The Department has made every effort to 
                   control expenses while following proper safety and 
                   security measures, complying with court mandates and 
                   working closely with programs and institutions.  The 
                   Department cannot avoid these costs given they are related 
                   to mandatory security coverage and/or unforeseeable 
                   expenses (such as overtime and worker's compensation).  
                   The CDCR is unable to absorb these costs within its 
                   existing appropriation."


               iii)   $93,259,000 for what CDCR calls unanticipated inmate 
                population-related costs  , primarily related to a "reversal of 
                savings estimates."  (This in addition to a $200 million 
                augmentation to the 2010 Budget Act for unachieved savings.) 


                The delineation of these costs is somewhat murky; it does not 
                appear the $30 million attributed to contract facility costs 
                or the $50 million attributed to changes in parole caseload 
                were either unanticipated or emergency costs.  Nevertheless, 
                DOF contends CDCR cannot absorb a reduction of this 
                magnitude, and that delaying or denying this appropriation 
                will only further contribute to the CDCR structural 
                deficiency DOF is attempting to eliminate.  


             b)   DMH - $50,000,000 for unanticipated population workload 
              costs  , including rollover of a $24 million 2009-10 shortfall, 
              increased overtime to cover vacancies and furloughs and to 
              implement safety and security measures, and increases in state 
              hospital admissions.


              According to DOF, DMH has taken significant steps to control 
              state hospital costs, including limiting training and travel to 
              essential activities, strictly monitoring overtime, limiting 







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              equipment and supply purchases, capping contract costs, and 
              limiting reimbursement rates to Medicare fee schedules.   


             c)   CAL FIRE -  $12,600,000 for increased Unemployment Insurance 
              (UI) payments  .  State departments are responsible for payment 
              of standard UI claims and a portion of the recent UI 
              extensions.  CAL FIRE hires approximately 2,600 seasonal 
              firefighters to work during high risk months.  Although CAL 
              FIRE's budget includes funding for standard UI claims, CAL FIRE 
              is experiencing increased UI payments because of the recent UI 
              extensions, the downturn in the state's economy, and the 
              inability of seasonal firefighters to find work during 
              off-months.

              According to DOF, CAL FIRE's only alternative to this 
              deficiency would be to halt seasonal firefighter staffing for 
              the remainder of the fiscal year and/or release seasonal 
              firefighters until next fiscal year, which would create greater 
              pressure on local governments and private resources - at a 
              higher cost.  In addition, releasing seasonal firefighters 
              would increase UI costs. 

             d)   Reimbursement to counties for homicide trial costs - 
              $1,147,000  . 

              i)     $1,090,000 to Shasta County for the trial of Curtis 
                Taylor and Beau Gray, and the trial of Scott Varner.

              ii)    $53,000 to Modoc County for the trials of Christopher 
                Bradbury and Robert Chad Haralson.

              iii)   $3,800 to Mariposa County for records storage fees 
                related to the Cary Stayner trial.  

              Government Code 15202 and 15202.1 stipulate a county may apply 
              for reimbursement of costs in excess of the amount of derived 
              by the county from a tax of 0.0125 of 1% of the full value of 
              property assessed for purposes of taxation within the county.

              Eligible costs are defined as all costs, except normal salaries 
              and expenses, incurred in connection with bringing the 
              defendant(s) to trial, including the trial itself, including 
              extraordinary expenses such as witness fees, court reporter 
              fees, and costs in preparing transcripts.  Trial costs include 
              pretrial, hearing, and postconviction proceedings.







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            e)   DOF - $145,000 to reimburse its EdFund transaction financial 
              advisor  .  In April 2009, DOF contracted with FBR Capital 
              Markets to serve as financial advisor to determine the value of 
              EdFund and to assist in the transition to a new federal 
              guarantor, pursuant to the Federal Family Education Loan 
              Program.  The contract stipulated FBR would be paid an amount 
              determined by the amount of the final transaction, payable at 
              the close of the transaction, from the proceeds the state 
              received from the successor guarantor. 

              In August, 2010, however, the U.S. Department of Education 
              intervened, negating the transaction.  As a result FBR was due 
              only direct expenses, capped at $250,000.  The expense became 
              an unanticipated GF cost once the EdFund transaction was 
              cancelled.  


          3)Prior Legislation  .  SB 849 (Ducheny), Chapter 628, Statutes of 
           2010, appropriated $654 million ($517 million for CDCR medical 
           care, $131 million for Department of Developmental Services, $5.4 
           million for CAL FIRE, $5.9 million for homicide trial 
           reimbursement) to address 2009 Budget Act deficiencies.  




          Analysis Prepared by  :    Geoff Long / APPR. / (916) 319-2081FN: 
         0001284