BILL ANALYSIS Ó SB 557 Page 1 Date of Hearing: June 28, 2011 ASSEMBLY COMMITTEE ON JUDICIARY Mike Feuer, Chair SB 557 (Kehoe) - As Amended: June 15, 2011 PROPOSED CONSENT (As Proposed to be Amended) SENATE VOTE : 39-0 SUBJECT : FAMILY JUSTICE CENTERS KEY ISSUE : IN ORDER TO BETTER HELP VICTIMS OF ABUSE, SHOULD A PRIVATELY FUNDED, TWO-YEAR STUDY BE MADE OF FOUR FAMILY JUSTICE CENTERS IN CALIFORNIA? FISCAL EFFECT : As currently in print this bill is keyed non-fiscal. SYNOPSIS The Family Justice Center (FJC) model, first developed in California in 2002 in San Diego, establishes a coordinated, single-point-of-access center offering comprehensive services for victims of domestic violence, thereby reducing the number of locations a victim must visit in order to receive critical services and improving access to those services. This bill, sponsored by the National Family Justice Center Alliance, authorizes, until January 1, 2014, the creation and evaluation of four FJCs to assist victims of domestic violence, sexual assault, stalking, cyberstalking, cyberbullying, human trafficking, and elder or dependent adult abuse. The required, independent evaluation is due to the Legislature by January 1, 2013. To address concerns that had been raised about confidentiality of information and privacy protection, this bill includes a number of provisions requiring informed consent, limiting the sharing of information between FJC partner organizations and requiring proper training of all FJC staff and volunteers. As a result of these amendments, there is no longer any opposition to this bill, as proposed to be amended. This bill unanimously passed the Assembly Public Safety Committee last week. SUMMARY : Authorizes, until January 1, 2014, the creation and SB 557 Page 2 evaluation of four FJCs to assist victims of domestic violence, sexual assault, stalking, cyberstalking, cyberbullying, human trafficking, and elder or dependent adult abuse. Specifically, this bill : 1)Allows, until January 1, 2014, the cities of San Diego and Anaheim, and the counties of Alameda and Sonoma to establish multi-agency, multi-disciplinary FJCs to assist victims of domestic violence, officer-involved domestic violence, sexual assault, elder or dependent adult abuse, stalking, cyberstalking, cyberbullying, or human trafficking, as defined and depending on the availability of services, to ensure victims of abuse are able to access all needed services in one location in order to enhance victim safety, increase offender accountability and improve services to victims. 2)Defines a "family justice center" as a multi-agency, multi-disciplinary service center where public and private agencies assign staff members to provide services to victims of crime from one location in order to reduce the number of times victims must tell their story, reduce the number of places victims must go to for help, and increase access to services and support for victims and their children. Provides that staff members may be either full-time or part-time and may be comprised of, but are not limited to, the following: a) Law enforcement personnel; b) Medical personnel; c) Victim-witness program personnel; d) Domestic violence shelter staff; e) Community-based rape crisis, domestic violence, and human trafficking advocates; f) Staff from social service agencies, child welfare agencies and county health departments; g) City or county welfare and public assistance workers; h) Nonprofit agency counseling professionals; i) Civil legal service providers; j) Supervised volunteers from partner agencies; and aa) Other professionals providing services 3)Provides that victims of crime shall not be required to participate in the criminal justice system or cooperate with law enforcement in order to receive counseling, medical care, or other services at a FJC. SB 557 Page 3 4)Provides that victims of crime shall not be denied services on the grounds of criminal history. Provides that no criminal history search shall be conducted of a victim at a FJC without the victim's written consent, unless the criminal history search is pursuant to an active criminal investigation. 5)Requires each FJC to consult with domestic violence, sexual assault, elder or dependent adult abuse, stalking, cyberstalking, cyberbullying, and human trafficking agencies in partnership with survivors of violence and abuse and their advocates, in the operations process of the FJC, and to establish procedures for the ongoing input, feedback, and evaluation of the FJC by survivors of violence and abuse and community-based crime victim service providers and advocates. 6)Requires each FJC to develop policies and procedures, in collaboration with crime victim service providers and survivors of violence or abuse, to ensure coordinated services are provided to victims and to enhance the safety of victims and professionals at a FJC who participate in affiliated survivor-centered support or advocacy groups. Requires each FJC to maintain a formal client feedback, complaint, and input process to address client concerns about services provided or the conduct of any FJC professionals, agency partners, or volunteers providing services in a FJC. 7)Requires each FJC to maintain an informed client consent policy that must be in compliance with all state and federal laws protecting confidentiality, as provided. Provides that at no time shall a victim be required to sign a client consent form to share information in order to access services. Requires each FJC to inform the victim that information shared with FJC staff may be shared with law enforcement, as provided, and requires each FJC to obtain a written acknowledgment that the victim has been informed of this policy. Provides that information obtained from victims in FJCs is privileged and confidential to the extent it is protected under state law. States that a victim's consent to share information pursuant to a consent policy shall not be construed as a waiver of confidentiality or any privilege held by the victim or FJC professionals. 8)Requires the National Family Justice Center Alliance, with private funds, to contract with an independent organization to conduct an evaluation and prepare a report on the four pilot SB 557 Page 4 centers. Requires the independent organization conducting the evaluation to submit the report first to the Office of Privacy Protection and the National Family Justice Center Alliance for review and comment, and then, by January 1, 2013, to the Assembly and Senate Judiciary and Public Safety Committees. Allows the National Family Justice Center Alliance to include any recommendations for statewide legislation, best practices, and model policies and procedures in the comments submitted to the independent evaluation organization and the Legislature. Requires the independent organization to consult with specified groups in developing evaluation criteria, which shall include, but not be limited to: a) The number of clients served, number of children served, reasons for seeking services at the FJC, services utilized, and number of returning clients; b) Filing, conviction, and dismissal rates for misdemeanor and felony criminal cases handled at the FJC; c) Subjective and objective measurements of the impacts of co-located multi-agency services for victims and their children related to safety, empowerment, and mental and emotional well-being and comparison data from victims, if any, on their access to services outside the FJC model; d) Barriers, if any, to receiving needed services including access to services based on immigration status, criminal history, or substance abuse/mental health issues and potential ways to mitigate any identified hurdles to accessing needed services; e) Whether privacy, immigration status, or other barriers prevented victims from utilizing a FJC and, if so, recommendations to improve utilization rates; f) Compliance by the four pilot FJCs, with the service delivery requirements set forth in #s 3-7, above; and g) Recommended best practices and model protocols, if any. 9)Requires each FJC to maintain a formal training program with mandatory training for all staff members, volunteers, and agency professionals of not less than eight hours per year on subjects including, but not limited to, privileges and confidentiality, information sharing, risk assessment, safety planning, victim advocacy and high-risk case response. 10)Establishes a sunset date of January 1, 2014. EXISTING LAW : SB 557 Page 5 1) Declares, under the California Constitution, that the right to privacy is an inalienable right. (California Constitution, Article I, Section 1.) 2) Requires, under the federal Health Insurance Portability and Accountability Act of 1996, that medical information be kept confidential unless authorized by the patient. Allows for disclosure to law enforcement personnel for specified purposes. (Pub. Law 104-191; 45 CFR 160, 164.) 3) Provides for the establishment of community-based domestic violence victim shelters and services. (Welfare & Institutions Code Sections 18290-18309.5.) 4) Provides that a victim has a privilege to refuse to disclose, and to prevent another from disclosing, a confidential communication between the victim and a sexual assault counselor, a domestic violence counselor or a human trafficking caseworker. (Evidence Code Section 1035 et seq.) 5) Provides for the California Emergency Management Agency to provide grants to proposed and existing child sexual exploitation and child sexual abuse victim counseling centers and prevention programs, including programs for minor victims of human trafficking. (Penal Code Section 13837.) 6) Provides that child protective services agencies, law enforcement, prosecution, child abuse and domestic violence experts, and community-based organizations serving abused children and victims of domestic violence shall develop, in collaboration with one another, protocols as to how law enforcement and child welfare agencies will cooperate in their response to incidents of domestic violence in homes in which a child resides. (Penal Code Section 13732.) 7) Authorizes a program for interagency domestic violence death review teams. Allows each organization to share with other members of the team information in its possession concerning the victim. States that any information shared by an organization with other members of a team is confidential, but permits the disclosure to members of the team of any information deemed confidential, privileged or prohibited from disclosure by any other statute, as specified. (Penal Code Section 11163.3.) SB 557 Page 6 8) Allows the Attorney General to work with various agencies and groups to develop a protocol for the development and implementation of interagency domestic violence death review teams for use by counties, which shall include relevant procedures for both urban and rural counties. (Penal Code Section 11163.5.) 9) Authorizes the Department of Justice, with the cooperation of specified organizations and agencies, to coordinate and integrate state and local efforts to address fatal child abuse and neglect, and to create a body of information to prevent child abuse. (Penal Code Section 11174.34.) COMMENTS : The FJC model was originally developed in San Diego, which opened a center in 2002. The idea behind the FJC model is to create a coordinated, single-point-of-access center offering comprehensive services for victims of domestic violence, thereby reducing the number of locations a victim must visit in order to receive critical services. The United States Department of Justice, through its Office on Violence Against Women (OVW), has identified the FJC model as a best practice in the field of domestic violence. According to the OVW, documented and public FJC outcomes include a reduction in the rate of homicide; increased victim safety; improved offender prosecution; reduced fear and anxiety for victims and their children; increased efficiency among service providers through the provision of collaborative victims; and increased community support for the provision of services to victims and their children. (Casey Gwinn and Gael Strack, Hope for Hurting Families: Creating Family Justice Centers Across America, Volcano Press, 2006.) There are currently fifteen FJCs in California and over seventy centers in the United States. This bill, sponsored by the National Family Justice Center Alliance, authorizes, until January 1, 2014, the creation and evaluation of four FJCs to assist victims of domestic violence, sexual assault, stalking, cyberstalking, cyberbullying, human trafficking, and elder or dependent adult abuse. In support of the bill, the author writes: Family Justice Centers have been identified as a "best practice" by the U.S. Department of Justice and involved SB 557 Page 7 collaboration among public and private, non-profit agencies providing intervention and prevention services to address domestic violence, sexual assault, and other forms of abuse. While the composition of Centers vary by community, the general concept of providing all the services for victims under one roof has been identified as an effective approach to increase safety and offender accountability by avoiding the need for victims to travel from agency to agency, telling their story over and over in order to receive help. There now have fifteen such Centers in California and fifteen more in early stages of planning. The Family Justice Center Alliance is the umbrella organization for Family Justice Centers in California and around the United States and gathers non-identifying, aggregate data from existing Centers to document outcomes and impacts of this multi-disciplinary model. In order to ensure that victims receive the same level of service and privacy protections, there need to be statewide standards for the Family Justice Center model. Independent Evaluation to be Done of Four FJCs : FJCs offer victims of crime, generally domestic violence victims, a single place to turn to for help. While FJCs have existed in California for nearly a decade and are expanding throughout the state, there has yet to be a comprehensive study on their operations. This bill remedies the lack of information by requiring that the National Family Justice Center Alliance, with private funds, contract with an independent organization to conduct an evaluation and prepare a report on FJCs in San Diego and Anaheim, as well as in Alameda and Sonoma Counties. In order to ensure that the study is comprehensive, the bill requires the evaluator to consult with the four FJCs, the National Family Justice Center Alliance, victims group, community-based crime victim service provider representatives, including one person recommended by the federally recognized state domestic violence coalition, privacy rights organizations and other relevant stakeholders in developing evaluation criteria. The bill sets out some of the criteria that must be evaluated, including specified outcome measures, such as clients served and conviction and dismissal rates; and subjective and objective measurements on the impacts of co-located services for victims related to safety, empowerment, and well-being, as well as comparison data from victims on their access to services outside the FJC model. The bill also requires an evaluation of the SB 557 Page 8 barriers, if any, to receiving needed services, based on immigration status, criminal history, substance abuse/mental health issues or privacy concerns, and ways to mitigate such barriers. Finally, the evaluator is to review compliance of the FJCs with required confidentiality and privacy standards, discussed below. The evaluation report is to be submitted to the Office of Privacy Protection and the National Family Justice Center Alliance for review and comment, and then, by January 1, 2013, to the Assembly and Senate Judiciary and Public Safety Committees. Both the evaluator and the bill's sponsor, the National Family Justice Center Alliance, may include any recommendations, best practices and model protocols in the materials submitted to the Legislature. Pilot FJCs May Offer Services to a Broad Range of Victims : FJCs have traditionally provided services to victims of domestic violence. This bill expands the potential victims served by allowing, but not requiring, the four pilot FJCs to offer assistance to victims of sexual assault, elder or dependent adult abuse, stalking, cyberstalking, cyberbullying, and human trafficking, in addition to domestic violence. It will be helpful to learn whether any of the pilot FJCs afforded services to this broad range of victim groups and, if so, what were the utilization rates by the various groups. Confidentiality and Privacy Concerns Addressed in Latest Amendments to the Bill : This bill allows for some sharing of crime victims' information with and by staff members and other FJC professionals. Victims of sexual assault and other victims of crime serviced by FJCs will often provide personal health information or undergo counseling or medical examinations which would fall under medical privacy laws and privilege laws. California law provides that confidential communications between victims and sexual assault counselors, domestic violence counselors, and human trafficking caseworkers are privileged communications that may be disclosed upon consent by the victim, or under circumstances where a court orders disclosure of information as relevant evidence for a related criminal proceeding if the court determines that the probative value outweighs the effect on the victim, the counseling relationship and the counseling services. (Evidence Code Section 1035 et seq.) SB 557 Page 9 Under the federal Health Insurance Portability Act of 1996 (HIPAA) medical records and other personal health information are confidential, subject to specified exceptions and procedures. (Pub. Law 104-191; 45 CFR Pts. 160, 164.) Under HIPAA, covered entities may disclose protected health information to law enforcement officials for specified law enforcement purposes, such as court orders, to identify suspects or witnesses, to find missing persons, information about a crime victim, notice of death and related matters. As this bill has worked its way through the Legislature, various groups have raised concerns about the confidentiality of information shared with FJC partners, particularly the criminal justice partners. To address those concerns, the bill contains a number of provisions designed to both safeguard information and ensure that victims using the FJC understand how information may be shared between FJC member staff. Under this bill, as proposed to be amended, each FJC must maintain an informed client consent policy that is in compliance with all state and federal laws protecting the victim's confidentiality, and develop privacy policies and procedures consistent with state and federal privacy laws and the Fair Information Practice Principals. Each FJC must also inform victims that information shared with staff members at a FJC may, under limited circumstances, be shared with law enforcement professionals and must obtain written acknowledgment that the victims have been informed of this policy. The bill specifies that information obtained from victims is privileged and confidential to the extent it is protected from disclosure under existing California law, and a victim's consent to share information cannot be construed as a waiver of confidentiality or any privilege held by the victim or the FJC staff. Additionally, this bill prohibits searching a victim's criminal history without the written consent of the victim, unless the search is pursuant to an active criminal investigation. Finally, each FJC is required to maintain a formal mandatory training program for all staff members, volunteers, and agency professionals on, among other things, privilege, confidentiality and information sharing. SB 557 Page 10 This Bill Seeks to Encourage Collaboration Between Stakeholders : The objective of an FJC is to bring all victim services together under one roof to provide enhanced assistance to victims. In order for those various public and private groups to work together optimally, collaboration and coordination is key. This bill seeks to enhance that collaboration. First, as discussed above, interested stakeholders will participate with the pilot evaluator in developing the evaluation criteria. Second, each of the four FJCs must consult with community-based victims' organizations, as well as the victims themselves and their advocates, in the operations process of the FJCs. Finally, the FJCs must establish procedures for ongoing input, feedback, and evaluation of the FJCs by victims, advocates and service providers, along with a complaint process. These required lines of communication should help improve not only the collaboration among the various stakeholders, but also the services delivered to victims. REGISTERED SUPPORT / OPPOSITION : Support (to the bill as proposed to be amended) National Family Justice Center Alliance (sponsor) Disability Rights California Solano County Board of Supervisors One individual Opposition (to the bill as proposed to be amended) None on file Analysis Prepared by : Leora Gershenzon / JUD. / (916) 319-2334