BILL ANALYSIS Ó ------------------------------------------------------------ |SENATE RULES COMMITTEE | AB 159| |Office of Senate Floor Analyses | | |1020 N Street, Suite 524 | | |(916) 651-1520 Fax: (916) | | |327-4478 | | ------------------------------------------------------------ CONSENT Bill No: AB 159 Author: Beall (D), et al Amended: 3/24/11 in Assembly Vote: 21 SENATE HUMAN SERVICES COMMITTEE : 7-0, 6/14/11 AYES: Liu, Emmerson, Berryhill, Hancock, Strickland, Wright, Yee SENATE APPROPRIATIONS COMMITTEE : Senate Rule 28.8 ASSEMBLY FLOOR : 73-0, 5/2/11 - See last page for vote SUBJECT : Community care facilities: foster family agencies SOURCE : California Alliance of Child and Family Services DIGEST : This bill changes the sunset provision on the requirement for certain foster family agencies to employ one full-time social work supervisor for every eight social workers, as specified. ANALYSIS : Existing Law : 1. Establishes a system of community care facilities licensing, administered by the Department of Social CONTINUED AB 159 Page 2 Services (DSS), to license and approve out-of-home placements for abused and neglected children. 2. Establishes foster family agencies (FFAs) as nonprofit organizations that recruit, train, certify, and provide support for foster parents who car for children with intensive care needs as an alternative to group home placement. 3. Provides for the licensure and regulation of FFAs by DSS, and applies social worker personnel requirements. 4. Requires DSS to differentiate between treatment FFAs, providing mental health treatment services to foster youth, and nontreatment FFAs, and to develop licensing regulations accordingly. 5. Provides Aid to Families with Dependent Children Foster Care (AFDC-FC) payments with a state and county share-of-cost for care and supervision provided to children in foster care. 6. Reduces the FFA rate effective October 1, 2009, by 10 percent, and allows FFAs flexibility in applying the reduction, provided the amount paid to foster families providing car to foster children was not reduced more than 10 percent. 7. Requires treatment FFAs to employ at least one full-time social work supervisor for every eight social workers inn the agency, and sunsets this provision January 11, 2 012. This bill : 1. Deletes the January 1, 2012, sunset date for the one to eight ration of social work supervisors to social workers in the foster family agency, and instead, sunset this ration when the total foster family agency rate paid to licensed FFAs is restored to at least the rate effective on September 30, 2009, and the DSS director issues a declaration to that effect to the Legislature, as specified. CONTINUED AB 159 Page 3 2. Repeals the ration of the date of the declaration. Background Established in 1985 as an alternative to group home placements, FFAs are not-for-profit agencies that train, recruit and certify foster parents. County placement agencies use licensed private non-profit FFAs to place children who require more intensive care in foster family homes with training and support services as an alternative to group homes. According to DSS, there are 464 FFAs in California providing care and treatment to approximately 11,817 foster children. Initially intended as an alternative to group home placement for children with higher service needs, FFAs now provide placements to almost half of all foster children in nonrelative placements in California. DSS has statutory responsibility for developing, implementing, and maintaining a rate setting system for FFAs receiving AFDC-FC funds. DSS distinguishes between two types of FFAs for the purposes of rate setting and regulations. "Treatment foster care, "also referred to as "therapeutic foster care" provides a higher level of care to children with needs that cannot be met in foster family homes, and who would otherwise require a group home placement. FFAs may also certify a family home seeking to adopt a foster child as a "nontreatment foster care" placement. FFA and other foster care provider rates were cut by 10 percent as part of the State Budget effective on October 1, 2009. Acknowledging the impact of the 10 percent FFA rate cut, SB 597 (Liu), Chapter 339, Statues of 2009, adjusted the ratio of FFA supervisor to staff ratio from 1:6 to the existing 1:8 ratio. The change initially was set to expire on January 1, 2011, but was extended by one more year to January 1, 2012 with the passage of AB 2474 (Beall), Chapter 43, Statutes of 2010. Prior to SB 597, social work supervisor/social worker ratios had been set forth in regulations (Title 22, Division 6, Chapter 8.8), which distinguished between the CONTINUED AB 159 Page 4 ratios applied to treatment and nontreatment agencies. Treatment FFAs had been required to employ one social work supervisor for every six social workers, whereas nontreatment FFAs had to adhere to the 1:8 supervisor/social worker ratio. State law and regulations require FFA social work supervisors to meet minimum education and experience standards, including the requirement to have a master's degree in social work or a related field. Social work supervisors are responsible for, among other assigned duties, training, oversight, and review of social workers' casework, and ensuring that their agency social workers perform their duties in compliance with applicable laws, regulations, policies, and procedures. According to the Council on Accreditation (COA) standards, supervisor-to-social worker ratios generally should not exceed the 1:8 ratio, as they cite research to suggest that supportive, quality supervision can lead to better service delivery to children and families, better productivity, and less turnover among social work staff. The COA standards do not, however, delineate the standards that should be applied to the treatment versus nontreatment categories of services overseen by a social work supervisor, as found under state regulation. FISCAL EFFECT : Appropriation: No Fiscal Com.: Yes Local: No SUPPORT : (Verified 6/27/11) California Alliance of Child and Family Services (source) American Federation of State, County and Municipal Employees, AFL-CIO Aspiranet California Communities United Institute County Welfare Directors Association of California National Association of Social Workers, California Chapter ARGUMENTS IN SUPPORT : The sponsor of this bill, the California Alliance for Child and Family Services writes that FFA rates have been cut by 10 percent for the past two CONTINUED AB 159 Page 5 years and prior to that cut, FFA rates had been frozen for 15 out of the past 19years. The group writes that, as a result, the FFA rate to cover the cost of care and social work for foster children has declined to just 70 percent of what it originally was in 1990. The group notes that, in order to absorb these cuts, many FFAs have been force to lay-off social workers, are borrowing money to keep operation, are spending down savings, are fundraising in an increasingly competitive environment or have shut down their programs. The group states that, under the current rate reduction, FFAs need some flexibility within the rate setting and community care licensing systems, and while this may seem minor, it could make the difference between an FFA having to borrow more money to remain in operation or close down altogether. ASSEMBLY FLOOR : AYES: Achadjian, Alejo, Allen, Ammiano, Atkins, Beall, Bill Berryhill, Block, Blumenfield, Bonilla, Bradford, Brownley, Buchanan, Butler, Campos, Carter, Cedillo, Chesbro, Conway, Cook, Davis, Dickinson, Donnelly, Eng, Feuer, Fletcher, Fong, Furutani, Garrick, Gatto, Gordon, Grove, Hagman, Halderman, Hall, Harkey, Hayashi, Hill, Huber, Hueso, Huffman, Jeffries, Jones, Knight, Lara, Logue, Bonnie Lowenthal, Ma, Mansoor, Miller, Mitchell, Monning, Morrell, Nestande, Nielsen, Norby, Olsen, Pan, Perea, V. Manuel Pérez, Portantino, Silva, Skinner, Smyth, Solorio, Swanson, Torres, Valadao, Wagner, Wieckowski, Williams, Yamada, John A. Pérez NO VOTE RECORDED: Charles Calderon, Fuentes, Galgiani, Gorell, Roger Hernández, Mendoza, Vacancy CTW:do 6/28/11 Senate Floor Analyses SUPPORT/OPPOSITION: SEE ABOVE **** END **** CONTINUED