BILL ANALYSIS                                                                                                                                                                                                    Ó



                                                                      



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          |SENATE RULES COMMITTEE            |                   AB 159|
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                                    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 
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             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.


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          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 

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          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 

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          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

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