BILL NUMBER: SB 662	AMENDED
	BILL TEXT

	AMENDED IN SENATE  APRIL 14, 2011

INTRODUCED BY   Senator DeSaulnier

                        FEBRUARY 18, 2011

    An act to add Chapter 12.97 (commencing with Section
18986.65) to Part 6 of Division 9 of the Welfare and Institutions
Code, relating to public social services.   An act to
add Section 13084 to the Government Code, relating   to
public services. 



	LEGISLATIVE COUNSEL'S DIGEST


   SB 662, as amended, DeSaulnier.  Integrated health and
human services program: Contra Costa County.   Public
services.  
   Existing law requires counties to administer various public safety
programs, including, among others, mental health services for
children, substance abuse recovery services, jail services, and fire
protection and support services.  
   This bill would authorize the Department of Finance and any county
to enter into a contract that would authorize the county to
integrate public services, as specified. The bill would require the
Legislative Analyst's Office to provide an analysis of any contract
entered into pursuant to these provisions, and would require the
Legislature to ratify the contract by a enactment of a bill vote.
This bill would also require the applicable county board of
supervisors to ratify the contract. The bill would provide that a
contract would last 10 years, and would require the county to report
to the Department of Finance and the Legislature on the progress
towards meeting the goals of the contract during the 5th year. 

   Existing law authorizes Humboldt County, Mendocino County, and
Alameda County, and any additional county or counties, as determined
by the Secretary of California Health and Human Services, to
implement a program for the funding and delivery of services and
benefits through an integrated and comprehensive county health and
human services system, subject to certain limitations. Existing law
separately requires Placer County, with the assistance of the
appropriate state departments, to implement a pilot program in the
county, upon approval by that county, for the funding and delivery of
services and benefits through an integrated and comprehensive county
health and human services system.  
   This bill would require Contra Costa County, with the assistance
of the appropriate state departments, to implement a permanent
program for the funding and delivery of services and benefits through
an integrated and comprehensive county health and human services
system, upon approval of the county, as specified. The bill would
require the county to evaluate the program and submit the evaluation
to the Governor and other designated recipients, no later than 6
months following the 3rd year of the implementation of the program,
provided that nonstate funding is available for purposes of the
evaluation, as specified. 
   Vote: majority. Appropriation: no. Fiscal committee: yes.
State-mandated local program: no.


THE PEOPLE OF THE STATE OF CALIFORNIA DO ENACT AS FOLLOWS:

   SECTION 1.    Section 13084 is added to the 
 Government Code   , to read:  
   13084.  (a) The department may enter into a contract with a
county, whether general law or charter, that would authorize the
county to integrate public services as provided in this section. A
contract is not fully executed pursuant to this section until the
Legislature and the applicable county board of supervisors have
ratified the contract pursuant to subdivision (d).
   (b) Any contract entered into pursuant to this section shall
include all of the following:
   (1) A list of statutes and regulations that, in order to achieve
the goals of the contract, must be waived with respect to the county
that is a party to the contract and the public services subject to
the contract.
   (2) A plan to integrate public services shall be cost neutral to
both the state and the county.
   (3) Benchmarks and expected outcomes that the county shall achieve
over the life of the contract.
   (4) A list of any regional or intragovernmental agency agreements,
including, but not limited to, agreements between two or more
counties or joint powers agreements, that the county has made, or
intends to make, in order to achieve the goals of the contract.
   (5) A plan submitted by the county that specifies the steps the
county intends to take to comply with any applicable federal law.
   (c) (1) Any contract entered into pursuant to this section shall
be for a period of not more than 10 years. The county shall, in the
fifth year of the contract, submit to the department and the Assembly
Committee on Budget and the Senate Committee of Budget and Fiscal
Review a statement of the county's progress in achieving the goals of
the contract.
   (2) In the ninth year of the contract, the department and the
county may negotiate a renewal of the contract that shall comply with
the requirements of this section.
   (d) Within 30 days of entering into the contract, the department
shall submit the contract to the Legislature and the Legislative
Analyst's Office.
   (1) Within 60 days of receipt of the proposed contract, the
Legislative Analyst's Office shall issue a report on the policy and
fiscal effects of the proposed contract.
   (2) Prior to the contract becoming operative, the Legislature
shall enact a bill to ratify the contract. The contract shall not
take effect until the Legislature enacts a bill that implements the
provisions of the contract, including waiver of any statutes or
regulation specified in the contract pursuant to paragraph (1) of
subdivision (b).
   (3) Prior to the contract becoming operative, the applicable
county board of supervisors shall ratify the contract.
   (4) If the act to ratify the contract is not enacted within one
year of the initial date of agreement, the department may, after 60
days submit a new or revised contract to the Legislature and
Legislative Analyst's Office.
   (e) For purposes of this section, the term "public services"
includes all of the following:
   (1) Employing and training public safety officials, including law
enforcement personnel, attorneys assigned to criminal proceedings,
and court security staff.
   (2) Managing local jails and providing housing, treatment, and
services for, and supervision of, juvenile and adult offenders.
   (3) Providing fire protection and support services.
   (4) Preventing child abuse, neglect, or exploitation; providing
services to children who are abused, neglected, or exploited, or who
are at risk of abuse, neglect, or exploitation, and the families of
those children; providing adoption services, providing transitional
housing and other services to emancipated youth and providing adult
protective services.
   (5) Providing mental health services to children and adults to
reduce failure in school, harm to self or others, homelessness, and
preventable incarceration or institutionalization.
   (6) Preventing, treating, and providing recovery services for
substance abuse.  
  SECTION 1.    Chapter 12.97 (commencing with
Section 18986.65) is added to Part 6 of Division 9 of the Welfare and
Institutions Code, to read:
      CHAPTER 12.97.  CONTRA COSTA COUNTY INTEGRATED HEALTH AND HUMAN
SERVICES PROGRAM


   18986.65.  (a) Contra Costa County, with the assistance of the
appropriate state departments, and within the existing resources of
those departments, shall implement a program, upon approval of the
county, for the funding and delivery of services and benefits through
an integrated and comprehensive county health and human services
system in accordance with this chapter.
   (b) The Contra Costa County program, in providing services through
an integrated system to families and individuals, shall do all of
the following:
   (1) Implement and evaluate a universal intake system for those
seeking services.
   (2) Implement and evaluate a system whereby a family or individual
eligible for more than one service may be provided those services by
as few as a single county employee, through an integrated,
coordinated service plan.
   (3) Implement and evaluate a system of administration that
centralizes the management and support of client services.
   (4) Implement and evaluate a system of reporting and
accountability that provides for the combined provision of services
as provided for in paragraph (2), without the loss of state or
federal funds provided under current law.
   (c) The integrated system may include, but need not be limited to,
any of the following services:
   (1) Adoption services.
   (2) Child abuse prevention services.
   (3) Child welfare services.
   (4) Delinquency prevention services.
   (5) Drug and alcohol services.
   (6) Mental health services.
   (7) Eligibility determination.
   (8) Employment and training services.
   (9) Foster care services.
   (10) Health services.
   (11) Public health services.
   (12) Housing services.
   (13) Medically indigent program services.
   (14) All other appropriately identified and targeted services,
except for dental care.
   (d) Programs or services shall be included in the program only to
the extent that federal funding to either the state or the county
will not be reduced as a result of the inclusion of the services in
the program. This program shall not generate any increased
expenditures from the General Fund.
   (e) The county and the appropriate state departments shall jointly
seek federal approval of the program, as may be needed to ensure its
funding and allow for the integrated provision of services.
   (f) This chapter shall not authorize the county to discontinue
meeting its obligations required by law to provide services, or to
reduce its accountability for the provision of these services.
   (g) This chapter shall not authorize the county to reduce its
eligibility for state funding for the services included in the
program.
   (h) The county shall utilize any state general and county funds
that it is legally allocated or entitled to receive. Through the
creation of integrated health and social services structures, the
county shall maximize federal matching funds.
   (i) The appropriate state departments that are assisting and
cooperating in the implementation of the program authorized by this
chapter shall be authorized to waive regulations regarding the method
of providing services and the method of reporting and
accountability, as may be required to meet the goals set forth in
subdivision (b).
   18986.66.  (a) The county shall evaluate and prepare a final
evaluation of the program. The county shall submit its final
evaluation to the Governor or the Governor's designee and the
appropriate policy committees of the Legislature, no later than six
months following the third year of the implementation of the program.

   (b) With the assistance of the appropriate state departments, the
county shall seek private funding to provide for the evaluation of
the program as required by this section. The evaluation required by
this section shall be conducted only if nonstate resources are
available for this purpose.
   (c) Pursuant to Section 10231.5 of the Government Code, this
section is repealed on January 1, 2016.