AB 112, as amended, Committee on Budget. In-home supportive services.
Existing law provides for the county-administered In-Home Supportive Services (IHSS) program, under which qualified aged, blind, and disabled persons are provided with services to permit them to remain in their own homes and avoid institutionalization. Existing law requires the State Department of Social Services to implement, under specified circumstances, a 20% reduction in authorized hours of service to each IHSS recipient, beginning January 1, 2012, except as specified.
This bill would delete those provisions.
Existing law requires the department, until July 1, 2013, to implement a 3.6% reduction in authorized hours of service to each IHSS recipient, as specified.
This bill would require the department, from July 1, 2013, to June 30, 2014, inclusive, to implement an 8% reduction in authorized hours of service to each IHSS recipient, as specified. The bill would authorize a county to administratively deny a request for reassessment based only on that reduction. The bill would require a specified notice to be mailed to the recipient at least 10 days before the reduction goes into effect. The bill would also require the department, beginning July 1, 2014, to implement a 7% reduction in authorized hours of service to each IHSS recipient, as specified. The bill would require a specified notice to be mailed to the recipient at least 20 days before the reduction goes into effect.
This bill would state the intent of the Legislature to authorize an assessment on home care services, including, but not limited to, home health care and in-home supportive services. This bill would require the Director of Finance, within 30 days after receipt of specified certification from the State Department of Health Care Services, to, among
other things, estimate the total amount of additional funding that would be derived from that assessment for the next fiscal year and calculate, as a percentage, the amount by which the 7% reduction in authorized hours of service for each IHSS recipient is offset by General Fund savings from that assessment. The bill would require the department to perform these activities for the fiscal year that the certification is received and the following fiscal year, and on or before May 14, prior to the 3rd fiscal year after the certification is received.begin delete Thisend deletebegin insert Theend insert bill would require the 7% reduction in authorized hours of services to be mitigated by the percentage offset determined by the Director of Finance, as specified. The bill would provide for these provisions to become operative only upon certification by the State
Department of Health Care Services that any necessary federal approvals have been obtained.
This bill would create the In-Home Supportive Services Reinvestment Fundbegin delete, a continuously appropriated fund,end delete to receive moneys to the extent that the assessment is implemented retroactively, and use those moneys to provide goods or services for one-time direct reinvestments benefiting IHSS recipients, as prescribed.begin delete This bill would require the Legislature to approve the initial allocation of moneys from the fund in the annual Budget Act or other legislation. This bill would authorize, under certain circumstances, the amount available for expenditure for this purpose if specified notice is provided to the Legislature.end deletebegin insert The bill
would require the Director of Finance to consult with specified plaintiffs to develop a plan to reinvest those funds, and require that plan to be submitted to the appropriate policy and fiscal committees of the Legislature. The bill would require the Director of Finance to provide specified notice to the Joint Legislative Budget Committee at least 30 days prior to allocating any of those funds, as prescribed. The bill would, subject to specified conditions, continuously appropriate the moneys in the fund to the department for these purposes.end insert
Existing law authorizes a county board of supervisors to elect to contract with a nonprofit consortium to provide for the delivery of IHSS or to establish a public authority to provide for the delivery of IHSS. Under existing law, the state is required to pay 65%, and the county 35%, of the nonfederal share of wage and benefit increases negotiated by a public authority or nonprofit consortium, as specified. Existing law, operative July 1, 2009, requires the state to participate in those wage and benefit increases in a total cost of wages up to $9.50 per hour and in individual health benefits up to $0.60 per hour. Existing law provides that those provisions establishing those rates of participation shall not be implemented until July 1, 2012, and shall only be implemented if specified conditions are met.
This bill would delete those latter provisions.
Under existing law, the department is required to develop a uniform needs assessment tool to assure that IHSS are delivered in all counties in a uniform manner. Existing law requires the uniform needs assessment tool to evaluate the recipient’s functioning in activities of daily living and instrumental activities of daily living and quantifies the recipient’s functioning ranks using a general 5-point scale for ranking each function, as specified. Under existing law, beginning September 1, 2009, only individuals who are ranked at a 4 or 5 in the activity of daily living relating to a domestic or related service are eligible for that service, except as specified.
This bill would delete those latter provisions.
Under existing law, beginning September 1, 2009, eligibility for IHSS shall also include functional index scores, which are assigned to a recipient as a weighted average based on his or her individual functional index rankings. Existing law, except as specified, provides that individuals with certain functional index scores are not eligible for IHSS.
This bill would delete those provisions.
The bill would appropriate $1,000 from the General Fund to the State Department of Social Services for its administrative costs during the 2013-14 fiscal year.begin insert The bill would require the State Department of Social Services and the State Department of Health Care Services to adopt emergency regulations to implement the bill’s provisions, as specified.end insert
This bill would declare that it is to take effect immediately as a bill providing for appropriations related to the Budget Bill.
Vote: majority. Appropriation: yes. Fiscal committee: yes. State-mandated local program: no.
The people of the State of California do enact as follows:
Section 12301.01 is added to the Welfare and
2Institutions Code, to read:
(a) (1) Notwithstanding any other law, except as
4provided in subdivision (d), the department shall implement an
58-percent reduction in hours of service to each recipient of services
6under this article, which shall be applied to the recipient’s hours
7as authorized pursuant to the most recent assessment. This
8reduction shall become effective July 1, 2013. This reduction shall
9be effective for 12 months. The reduction required by this section
10shall not preclude any reassessment to which a recipient would
11otherwise be entitled. However, hours authorized pursuant to a
12reassessment shall be subject to the 8-percent reduction required
13by this section.
14(2) A request for reassessment based only on the reduction
15required in
paragraph (1) may be administratively denied by the
16county.
17(3) A recipient of services under this article may direct the
18manner in which the reduction of hours is applied to the recipient’s
19previously authorized services.
20(4) For those individuals who have a documented unmet need,
21excluding protective supervision because of the limitations on
22authorized hours under Section 12303.4, the reduction shall be
23taken first from the documented unmet need.
24(b) The reduction in hours of service pursuant to paragraph (1)
25of subdivision (a) shall cease to be implemented 12 months after
26the reduction takes effect.
P5 1(c) The notice of action informing the recipient of the reduction
2pursuant to subdivision (a) shall be mailed at least 10 days prior
3to the reduction
going into effect. The notice of action shall be
4understandable to the recipient and translated into all languages
5spoken by a substantial number of the public served by the
6In-Home Supportive Services Program, in accordance with Section
77295.2 of the Government Code. The notice shall not contain any
8recipient financial or confidential identifying information other
9than the recipient’s name, address, and Case Management
10Information and Payroll System (CMIPS) client identification
11number, and shall include, but not be limited to, all of the following
12information:
13(1) The aggregate number of authorized hours before the
14reduction pursuant to subdivision (a) and the aggregate number of
15authorized hours after the reduction.
16(2) That the recipient may direct the manner in which the
17reduction of authorized hours is applied to the recipient’s
18previously authorized services.
19(3) begin deleteA end deletebegin insertThat a end insertcounty shall assess a recipient’s need for supportive
20services any time that the recipient notifies the county of a need
21to adjust the supportive services hours authorized, or when there
22are other indications or expectations of a change in circumstances
23affecting the recipient’s need for supportive services. Counties
24shall not require recipients to submit a medical certification form
25or a doctor’s note to show evidence of a change in the recipient’s
26circumstances.
27(d) A recipient shall have all appeal rights otherwise provided
28for under Chapter 7 (commencing with Section 10950) of Part 2.
Section 12301.02 is added to the Welfare and
30Institutions Code, to read:
(a) (1) Notwithstanding any other law, except as
32provided in subdivision (c), the department shall implement a
337-percent reduction in hours of service to each recipient of services
34under this article, which shall be applied to the recipient’s hours
35as authorized pursuant to the most recent assessment. This
36reduction shall become effective 12 months after the
37implementation of the reduction set forth in Section 12301.01. The
38reduction required by this section shall not preclude any
39reassessment to which a recipient would otherwise be entitled.
P6 1However, hours authorized pursuant to a reassessment shall be
2subject to the 7-percent reduction required by this section.
3(2) A request for reassessment based only on the reduction
4
required in paragraph (1) may be administratively denied by the
5county.
6(3) A recipient of services under this article may direct the
7manner in which the reduction of hours is applied to the recipient’s
8previously authorized services.
9(4) For those individuals who have a documented unmet need,
10excluding protective supervision because of the limitations on
11authorized hours under Section 12303.4, the reduction shall be
12taken first from the documented unmet need.
13(b) The notice of action informing the recipient of the reduction
14pursuant to subdivision (a) shall be mailed at least 20 days prior
15to the reduction going into effect. The notice of action shall be
16understandable to the recipient and translated into all languages
17spoken by a substantial number of the public served by the
18In-Home Supportive Services Program, in
accordance with Section
197295.2 of the Government Code. The notice shall not contain any
20recipient financial or confidential identifying information other
21than the recipient’s name, address, and Case Management
22Information and Payroll System (CMIPS) client identification
23number, and shall include, but not be limited to, all of the following
24information:
25(1) The aggregate number of authorized hours before the
26reduction pursuant to subdivision (a) and the aggregate number of
27authorized hours after the reduction.
28(2) That the recipient may direct the manner in which the
29reduction of authorized hours is applied to the recipient’s
30previously authorized services.
31(3) A county shall assess a recipient’s need for supportive
32services any time that the recipient notifies the county of a need
33to adjust the supportive services
hours authorized, or when there
34are other indications or expectations of a change in circumstances
35affecting the recipient’s need for supportive services. Counties
36shall not require recipients to submit a medical certification form
37or a doctor’s note to show evidence of a change in the recipient’s
38circumstances.
39(c) A recipient shall have all appeal rights otherwise provided
40for under Chapter 7 (commencing with Section 10950) of Part 2.
P7 1(d) The reduction specified in paragraph (1) of subdivision (a)
2shall be ongoing and may be adjusted pursuant to Section 12301.03.
Section 12301.03 is added to the Welfare and
4Institutions Code, to read:
(a) It is the intent of this section to offset the
6reductions described in Section 12301.02 to the extent that an
7assessment as described in Section 12301.05 provides General
8Fund savings. This section shall become operative only upon
9certification by the State Department of Health Care Services that
10any necessary federal approvals to implement the assessment
11referenced in Section 12301.05 have been obtained. This
12certification shall be provided promptly to the Joint Legislative
13Budget Committee and the Department of Finance.
14(b) Within 30 days after receipt of the certification described
15in subdivision (a), the Director of Finance shall perform the
16obligations described in this subdivision for the fiscal year in which
17the certification is
received and for the following fiscal year.
18Specifically, the Director of Finance shall do the following:
19(1) Estimate the total amount of additional funding, less refunds,
20that will be derived from the assessment for the next fiscal year.
21(2) Estimate the amount of the total revenues, if any, that are
22attributable to any permitted retroactive implementation of the
23assessment.
24(3) Estimate the amount of the total General Fund savings
25generated by the assessment revenues that remain after taking into
26account reductions such as the revenues attributable to any
27retroactive application of the assessment that will be allocated
28pursuant to Section 12301.04, and any General Fund costs
29associated with establishment and administration of the assessment.
30The General Fund costs shall be estimated following consultation
31with the
appropriate budget subcommittees of the Legislature.
32(4) Calculate, as a percentage, the amount by which the
33reduction described in Section 12301.02 is offset by General Fund
34savings. In making this calculation, the Director of Finance shall
35estimate the amount of the reduction that may be partially or
36completely offset. If the estimated General Fund savings from the
37assessment are less than the amount required to fully offset the
38reduction pursuant to Section 12301.02, then the percentage offset
39shall be proportionate to the level of General Fund savings. At no
P8 1point may the reduction pursuant to Section 12301.02 become
2negative or go below zero.
3(5) Notify the Joint Legislative Budget Committee of the
4determinations made in paragraphs (1) to (4), inclusive.
5(c) On or before May 14, prior to the third fiscal year
after the
6certification described in subdivision (a) is received, the Director
7of Finance shall perform the activities described in paragraphs (1)
8to (5), inclusive, of subdivision (b).
9(d) Within 10 days of the effective date of any federal change
10or action that prevents or reduces the amount of General Fund
11savings received from the assessment, the Director of Health Care
12Services shall provide a notification to the Joint Legislative Budget
13Committee and the Director of Finance of that change. Within 30
14days of the receipt of this notification, the Director of Finance shall
15perform the activities described in paragraphs (1) to (5), inclusive,
16of subdivision (b).
17(e) Notwithstanding any provision of Section 12301.02, the
18reduction of services required by Section 12301.02 shall be
19mitigated by the percentage offset determined by the Director of
20Finance in paragraph (4) of
subdivision (b).
21(f) (1) Any change in the percentage reduction of services as
22provided in Section 12301.02 shall occur on the first day of the
23first full month occurring 30 days after the determination provided
24for in subdivision (b) is made by the Director of Finance.
25(2) Any change in the percentage reduction of services as
26provided in Section 12301.02 due to a determination of the Director
27of Finance required by subdivision (c) shall occur on July 1 of the
28fiscal year immediately following the determination.
29(3) If a change in the percentage reduction of services as
30provided in Section 12301.02 is triggered based on a determination
31of the Director of Finance required by subdivision (d), that change
32in hours of service shall occur on July 1 after the notification
33referenced in subdivision (d)
from the Director of Health Care
34Services is received, if the notification is received between the
35preceding September 30 and January 2. If the notification is
36received on any other date, then a change in hours shall occur on
37the first of the month that is nine months after the notification is
38received.
P9 1(g) In preparation of every Governor’s Budget and for every
2May Revision, the Director of Finance shall perform the obligation
3described in paragraphs (1) to (3), inclusive, of subdivision (b).
Section 12301.04 is added to the Welfare and
5Institutions Code, to read:
(a) There is hereby created in the State Treasury an
7In-Home Supportive Services Reinvestment Fund, which shall
8receive moneys to the extent that an assessment described in
9Section 12301.05 is implemented retroactively.
10(b) The fund shall be used to provide goods or services for
11one-time direct reinvestments benefiting IHSS recipients.
12(c) The fund shall be used in a manner that does not create
13ongoing General Fund obligations.
14(d) Pursuant to Section 12301.03, the Director of Finance shall
15estimate the amount of retroactive fee due to the fund. In each
16fiscal year for which there are estimated retroactive
revenues, the
17Director of Finance shall provide the State Controller a schedule
18of what portion of the fee shall be deposited in the fund.
19(e) Notwithstanding Section 13340 of the Government Code,
20the fund is continuously appropriated to the State Department of
21Social Services to be reinvested, following consultation with
22plaintiffs in the lawsuits identified below, for the benefit of IHSS
23recipients in compliance with the requirements in this section and
24those in the settlement agreement pertaining to Oster v.
25Lightbourne, N.D. Cal., Case No. CV 09-04668 CW, U.S. Court
26of Appeals for the Ninth Circuit, Case No. 12-15366, and
27Dominguez v. Brown, N.D. Cal., Case No. CV 09-02306 CW,
28U.S. Court of Appeals for the Ninth Circuit, Case No. 09-16359.
29At least 30 days prior to allocating any funds pursuant to this
30section, the State Department of Social Services shall provide an
31expenditure plan to the Joint Legislative Budget Committee.
32(f) Notwithstanding subdivision (e), the Legislature shall, prior
33to expenditure, approve the initial allocation of moneys from the
34fund in the annual Budget Act or other legislation.
35(g) If the Legislature does not make the initial allocation of
36moneys from the fund pursuant to subdivision (f) during the regular
37annual budget process, the amount available for expenditure for
38the purposes of this section may be authorized pursuant to Section
3928 of the Budget Act of 2012 (Chapter 21 of the Statutes of 2012),
40or similar authority granted in future Budget Acts, if notification
P10 1is provided to the Legislature pursuant to that section prior to the
2initial allocation. Moneys from the fund shall be treated as nonstate
3funds for the purposes of Section 28 of the Budget Act of 2012
4(Chapter 21 of the Statutes of 2012), or similar authority granted
5in future Budget Acts.
begin insertSection 12301.04 is added to the end insertbegin insertWelfare and
7Institutions Codeend insertbegin insert, to read:end insert
(a) There is hereby created in the State Treasury
9an In-Home Supportive Services Reinvestment Fund, which shall
10receive moneys to the extent that an assessment described in
11Section 12301.05 is implemented retroactively.
12(b) The fund shall be used to provide goods or services for
13one-time direct reinvestments benefiting IHSS recipients.
14(c) The fund shall be used in a manner that does not create
15ongoing General Fund obligations.
16(d) Pursuant to Section 12301.03, the Director of Finance shall
17estimate the amount of retroactive assessment due to
the fund. In
18each fiscal year for which there are estimated retroactive revenues,
19the Director of Finance shall provide the Controller a schedule
20of what portion of the assessment shall be deposited in the fund.
21(e) The resources in the fund shall be reinvested for the benefit
22of IHSS recipients, in compliance with the requirements in this
23section and those in the settlement agreement pertaining to Oster
24v. Lightbourne, N.D. Cal., Case No. CV 09-04668 CW, U.S. Court
25of Appeals for the Ninth Circuit, Case No. 12-15366, and
26Dominguez v. Brown, N.D. Cal., Case No. CV 09-02306 CW, U.S.
27Court of Appeals for the Ninth Circuit, Case No. 09-16359.
28(f) The Director of Finance shall consult with plaintiffs in the
29lawsuits identified in subdivision (e) in order to develop a plan to
30reinvest the funds for the benefit of IHSS recipients. After
the plan
31is developed and prior to the allocation of any funds, it shall be
32submitted to the appropriate policy and fiscal committees of the
33Legislature.
34(1) If notice of federal approval of retroactive implementation
35of the assessment is received by the Director of Finance between
36January 1 and May 10 of any year, and the plan anticipates any
37expenditure of the funds before June 30 of that year, the Director
38of Finance shall notify the Joint Legislative Budget Committee at
39least 30 days prior to allocating any of those funds, for a purpose
P11 1authorized by this section, if the allocation is proposed to be used
2in the current fiscal year.
3(2) (A) If notice of federal approval of retroactive
4implementation of the assessment is received by the Director of
5Finance between January 1 and May 10 of any year, and the plan
6anticipates any
expenditure of the funds after June 30 of that year,
7for a purpose authorized by this section, the Director of Finance
8shall seek legislative approval of those budget year expenditures
9through the annual Budget Act or in other legislation.
10(B) Notwithstanding subparagraph (A), if the Legislature does
11not allocate moneys from the fund pursuant to subparagraph (A)
12in the annual Budget Act or in other legislation, the Director of
13Finance shall, on or after September 15, notify the Joint Legislative
14Budget Committee at least 30 days prior to allocating any of those
15funds, for a purpose authorized by this section, if the allocation is
16proposed to be used in that current fiscal year.
17(3) If notice of federal approval of retroactive implementation
18of the assessment is received by the Director of Finance after May
1910 and before January 1 of
any year, the Director of Finance shall
20notify the Joint Legislative Budget Committee at least 30 days
21prior to allocating any of those funds, for a purpose authorized
22by this section, if the allocation is proposed to be used in the
23current fiscal year.
24(g) Notwithstanding Section 13340 of the Government Code,
25when the requirements of subdivision (f) have been met, the moneys
26in the fund are continuously appropriated to the State Department
27of Social Services for the purposes of this section.
Section 12301.05 is added to the Welfare and
29Institutions Code, to read:
It is the intent of the Legislature to enact legislation
31in 2013 to authorize an assessment on home care services,
32including, but not limited to, home health care and in-home
33supportive services, consistent with the settlement agreement
34pertaining to Oster v. Lightbourne, N.D. Cal., Case No.
35CV09-04668 CW, U.S. Court of Appeals for the Ninth Circuit,
36Case No. 12-15366, and Dominguez v. Brown, N.D. Cal., Case
37No. CV 09-02306 CW, U.S. Court of Appeals for the Ninth Circuit,
38Case No. 09-16359.
Section 12301.07 of the Welfare and Institutions Code
40 is repealed.
Section 12306.1 of the Welfare and Institutions Code,
2as amended by Section 39 of Chapter 439 of the Statutes of 2012,
3is amended to read:
(a) When any increase in provider wages or benefits
5is negotiated or agreed to by a public authority or nonprofit
6consortium under Section 12301.6, then the county shall use
7county-only funds to fund both the county share and the state share,
8including employment taxes, of any increase in the cost of the
9program, unless otherwise provided for in the annual Budget Act
10or appropriated by statute. No increase in wages or benefits
11negotiated or agreed to pursuant to this section shall take effect
12unless and until, prior to its implementation, the department has
13obtained the approval of the State Department of Health Care
14Services for the increase pursuant to a determination that it is
15consistent with federal law and to ensure federal financial
16participation for the services under Title XIX of the federal Social
17Security Act, and
unless and until all of the following conditions
18have been met:
19(1) Each county has provided the department with
20documentation of the approval of the county board of supervisors
21of the proposed public authority or nonprofit consortium rate,
22including wages and related expenditures. The documentation shall
23be received by the department before the department and the State
24Department of Health Care Services may approve the increase.
25(2) Each county has met department guidelines and regulatory
26requirements as a condition of receiving state participation in the
27rate.
28(b) Any rate approved pursuant to subdivision (a) shall take
29effect commencing on the first day of the month subsequent to the
30month in which final approval is received from the department.
31The department may grant approval on a conditional basis, subject
32to
the availability of funding.
33(c) The state shall pay 65 percent, and each county shall pay 35
34percent, of the nonfederal share of wage and benefit increases
35negotiated by a public authority or nonprofit consortium pursuant
36to Section 12301.6 and associated employment taxes, only in
37accordance with subdivisions (d) to (f), inclusive.
38(d) (1) The state shall participate as provided in subdivision (c)
39in wages up to seven dollars and fifty cents ($7.50) per hour and
40individual health benefits up to sixty cents ($0.60) per hour for all
P13 1public authority or nonprofit consortium providers. This paragraph
2shall be operative for the 2000-01 fiscal year and each year
3thereafter unless otherwise provided in paragraphs (2), (3), (4),
4and (5), and without regard to when the wage and benefit increase
5becomes effective.
6(2) The state shall participate as provided in subdivision (c) in
7a total of wages and individual health benefits up to nine dollars
8and ten cents ($9.10) per hour, if wages have reached at least seven
9dollars and fifty cents ($7.50) per hour. Counties shall determine,
10pursuant to the collective bargaining process provided for in
11subdivision (c) of Section 12301.6, what portion of the nine dollars
12and ten cents ($9.10) per hour shall be used to fund wage increases
13above seven dollars and fifty cents ($7.50) per hour or individual
14health benefit increases, or both. This paragraph shall be operative
15for the 2001-02 fiscal year and each fiscal year thereafter, unless
16otherwise provided in paragraphs (3), (4), and (5).
17(3) The state shall participate as provided in subdivision (c) in
18a total of wages and individual health benefits up to ten dollars
19and ten cents ($10.10) per hour, if wages have reached at least
20seven dollars and fifty
cents ($7.50) per hour. Counties shall
21determine, pursuant to the collective bargaining process provided
22for in subdivision (c) of Section 12301.6, what portion of the ten
23dollars and ten cents ($10.10) per hour shall be used to fund wage
24increases above seven dollars and fifty cents ($7.50) per hour or
25individual health benefit increases, or both. This paragraph shall
26be operative commencing with the next state fiscal year for which
27the May Revision forecast of General Fund revenue, excluding
28transfers, exceeds by at least 5 percent, the most current estimate
29of revenue, excluding transfers, for the year in which paragraph
30(2) became operative.
31(4) The state shall participate as provided in subdivision (c) in
32a total of wages and individual health benefits up to eleven dollars
33and ten cents ($11.10) per hour, if wages have reached at least
34seven dollars and fifty cents ($7.50) per hour. Counties shall
35determine, pursuant to the collective
bargaining process provided
36for in subdivision (c) of Section 12301.6, what portion of the eleven
37dollars and ten cents ($11.10) per hour shall be used to fund wage
38increases or individual health benefits, or both. This paragraph
39shall be operative commencing with the next state fiscal year for
40which the May Revision forecast of General Fund revenue,
P14 1excluding transfers, exceeds by at least 5 percent, the most current
2estimate of revenues, excluding transfers, for the year in which
3paragraph (3) became operative.
4(5) The state shall participate as provided in subdivision (c) in
5a total cost of wages and individual health benefits up to twelve
6dollars and ten cents ($12.10) per hour, if wages have reached at
7least seven dollars and fifty cents ($7.50) per hour. Counties shall
8determine, pursuant to the collective bargaining process provided
9for in subdivision (c) of Section 12301.6, what portion of the
10twelve dollars and ten cents ($12.10) per
hour shall be used to fund
11wage increases above seven dollars and fifty cents ($7.50) per hour
12or individual health benefit increases, or both. This paragraph shall
13be operative commencing with the next state fiscal year for which
14the May Revision forecast of General Fund revenue, excluding
15transfers, exceeds by at least 5 percent, the most current estimate
16of revenues, excluding transfers, for the year in which paragraph
17(4) became operative.
18(e) (1) On or before May 14 immediately prior to the fiscal
19year for which state participation is provided under paragraphs (2)
20to (5), inclusive, of subdivision (d), the Director of Finance shall
21certify to the Governor, the appropriate committees of the
22Legislature, and the department that the condition for each
23subdivision to become operative has been met.
24(2) For purposes of certifications under paragraph (1), the
25
General Fund revenue forecast, excluding transfers, that is used
26for the relevant fiscal year shall be calculated in a manner that is
27consistent with the definition of General Fund revenues, excluding
28transfers, that was used by the Department of Finance in the
292000-01 Governor’s Budget revenue forecast as reflected on
30Schedule 8 of the Governor’s Budget.
31(f) Any increase in overall state participation in wage and benefit
32increases under paragraphs (2) to (5), inclusive, of subdivision (d),
33shall be limited to a wage and benefit increase of one dollar ($1)
34per hour with respect to any fiscal year. With respect to actual
35changes in specific wages and health benefits negotiated through
36the collective bargaining process, the state shall participate in the
37costs, as approved in subdivision (c), up to the maximum levels
38as provided under paragraphs (2) to (5), inclusive, of subdivision
39(d).
P15 1(g) For the period during which Section 12306.15 is operative,
2each county’s share of the costs of negotiated wage and benefit
3increases specified in subdivision (c) shall remain, but the County
4IHSS Maintenance of Effort pursuant to Section 12306.15 shall
5be in lieu of that share.
6(h) This section shall become inoperative only if Chapter 45 of
7the Statutes of 2012 is deemed inoperative pursuant to Section 15
8of that chapter.
Section 12306.1 of the Welfare and Institutions Code,
10as amended by Section 38 of Chapter 439 of the Statutes of 2012,
11is amended to read:
(a) When any increase in provider wages or benefits
13is negotiated or agreed to by a public authority or nonprofit
14consortium under Section 12301.6, then the county shall use
15county-only funds to fund both the county share and the state share,
16including employment taxes, of any increase in the cost of the
17program, unless otherwise provided for in the annual Budget Act
18or appropriated by statute. No increase in wages or benefits
19negotiated or agreed to pursuant to this section shall take effect
20unless and until, prior to its implementation, the department has
21obtained the approval of the State Department of Health Care
22Services for the increase pursuant to a determination that it is
23consistent with federal law and to ensure federal financial
24participation for the services under Title XIX of the federal Social
25Security Act, and
unless and until all of the following conditions
26have been met:
27(1) Each county has provided the department with
28documentation of the approval of the county board of supervisors
29of the proposed public authority or nonprofit consortium rate,
30including wages and related expenditures. The documentation shall
31be received by the department before the department and the State
32Department of Health Care Services may approve the increase.
33(2) Each county has met department guidelines and regulatory
34requirements as a condition of receiving state participation in the
35rate.
36(b) Any rate approved pursuant to subdivision (a) shall take
37effect commencing on the first day of the month subsequent to the
38month in which final approval is received from the department.
39The department may grant approval on a conditional basis, subject
40to
the availability of funding.
P16 1(c) The state shall pay 65 percent, and each county shall pay 35
2percent, of the nonfederal share of wage and benefit increases
3negotiated by a public authority or nonprofit consortium pursuant
4to Section 12301.6 and associated employment taxes, only in
5accordance with subdivisions (d) to (f), inclusive.
6(d) (1) The state shall participate as provided in subdivision (c)
7in wages up to seven dollars and fifty cents ($7.50) per hour and
8individual health benefits up to sixty cents ($0.60) per hour for all
9public authority or nonprofit consortium providers. This paragraph
10shall be operative for the 2000-01 fiscal year and each year
11thereafter unless otherwise provided in paragraphs (2), (3), (4),
12and (5), and without regard to when the wage and benefit increase
13becomes effective.
14(2) The state shall participate as provided in subdivision (c) in
15a total of wages and individual health benefits up to nine dollars
16and ten cents ($9.10) per hour, if wages have reached at least seven
17dollars and fifty cents ($7.50) per hour. Counties shall determine,
18pursuant to the collective bargaining process provided for in
19subdivision (c) of Section 12301.6, what portion of the nine dollars
20and ten cents ($9.10) per hour shall be used to fund wage increases
21above seven dollars and fifty cents ($7.50) per hour or individual
22health benefit increases, or both. This paragraph shall be operative
23for the 2001-02 fiscal year and each fiscal year thereafter, unless
24otherwise provided in paragraphs (3), (4), and (5).
25(3) The state shall participate as provided in subdivision (c) in
26a total of wages and individual health benefits up to ten dollars
27and ten cents ($10.10) per hour, if wages have reached at least
28seven dollars and fifty
cents ($7.50) per hour. Counties shall
29determine, pursuant to the collective bargaining process provided
30for in subdivision (c) of Section 12301.6, what portion of the ten
31dollars and ten cents ($10.10) per hour shall be used to fund wage
32increases above seven dollars and fifty cents ($7.50) per hour or
33individual health benefit increases, or both. This paragraph shall
34be operative commencing with the next state fiscal year for which
35the May Revision forecast of General Fund revenue, excluding
36transfers, exceeds by at least 5 percent, the most current estimate
37of revenue, excluding transfers, for the year in which paragraph
38(2) became operative.
39(4) The state shall participate as provided in subdivision (c) in
40a total of wages and individual health benefits up to eleven dollars
P17 1and ten cents ($11.10) per hour, if wages have reached at least
2seven dollars and fifty cents ($7.50) per hour. Counties shall
3determine, pursuant to the collective
bargaining process provided
4for in subdivision (c) of Section 12301.6, what portion of the eleven
5dollars and ten cents ($11.10) per hour shall be used to fund wage
6increases or individual health benefits, or both. This paragraph
7shall be operative commencing with the next state fiscal year for
8which the May Revision forecast of General Fund revenue,
9excluding transfers, exceeds by at least 5 percent, the most current
10estimate of revenues, excluding transfers, for the year in which
11paragraph (3) became operative.
12(5) The state shall participate as provided in subdivision (c) in
13a total cost of wages and individual health benefits up to twelve
14dollars and ten cents ($12.10) per hour, if wages have reached at
15least seven dollars and fifty cents ($7.50) per hour. Counties shall
16determine, pursuant to the collective bargaining process provided
17for in subdivision (c) of Section 12301.6, what portion of the
18twelve dollars and ten cents ($12.10) per
hour shall be used to fund
19wage increases above seven dollars and fifty cents ($7.50) per hour
20or individual health benefit increases, or both. This paragraph shall
21be operative commencing with the next state fiscal year for which
22the May Revision forecast of General Fund revenue, excluding
23transfers, exceeds by at least 5 percent, the most current estimate
24of revenues, excluding transfers, for the year in which paragraph
25(4) became operative.
26(e) (1) On or before May 14 immediately prior to the fiscal
27year for which state participation is provided under paragraphs (2)
28to (5), inclusive, of subdivision (d), the Director of Finance shall
29certify to the Governor, the appropriate committees of the
30Legislature, and the department that the condition for each
31subdivision to become operative has been met.
32(2) For purposes of certifications under paragraph (1), the
33
General Fund revenue forecast, excluding transfers, that is used
34for the relevant fiscal year shall be calculated in a manner that is
35consistent with the definition of General Fund revenues, excluding
36transfers, that was used by the Department of Finance in the
372000-01 Governor’s Budget revenue forecast as reflected on
38Schedule 8 of the Governor’s Budget.
39(f) Any increase in overall state participation in wage and benefit
40increases under paragraphs (2) to (5), inclusive, of subdivision (d),
P18 1shall be limited to a wage and benefit increase of one dollar ($1)
2per hour with respect to any fiscal year. With respect to actual
3changes in specific wages and health benefits negotiated through
4the collective bargaining process, the state shall participate in the
5costs, as approved in subdivision (c), up to the maximum levels
6as provided under paragraphs (2) to (5), inclusive, of subdivision
7(d).
8(g) This section shall become operative only if Chapter 45 of
9the Statutes of 2012 is deemed inoperative pursuant to Section 15
10of that chapter.
Section 12309 of the Welfare and Institutions Code is
12amended to read:
(a) In order to assure that in-home supportive services
14are delivered in all counties in a uniform manner, the department
15shall develop a uniform needs assessment tool.
16(b) (1) Each county shall, in administering this article, use the
17uniform needs assessment tool developed pursuant to subdivision
18(a) in collecting and evaluating information.
19(2) For purposes of paragraph (1), “information” includes, but
20is not limited to, all of the following:
21(A) The recipient’s living environment.
22(B) Alternative resources.
23(C) The recipient’s functional abilities.
24(c) (1) The uniform needs assessment tool developed pursuant
25to subdivision (a) shall evaluate the recipient’s functioning in
26activities of daily living and instrumental activities of daily living.
27(2) The recipient’s functioning shall be quantified, using the
28general hierarchical five-point scale for ranking each function, as
29specified in subdivision (d).
30(d) The recipient’s functioning ranks shall be as follows:
31(1) Rank one. A recipient’s functioning shall be classified as
32rank one if his or her functioning is independent, and he or she is
33able to perform the function without human assistance, although
34the recipient may have
difficulty in performing the function, but
35the completion of the function, with or without a device or mobility
36aid, poses no substantial risk to his or her safety.
37(2) Rank two. A recipient’s functioning shall be classified as
38rank two if he or she is able to perform a function, but needs verbal
39assistance, such as reminding, guidance, or encouragement.
P19 1(3) Rank three. A recipient’s functioning shall be classified as
2rank three if he or she can perform the function with some human
3assistance, including, but not limited to, direct physical assistance
4from a provider.
5(4) Rank four. A recipient’s functioning shall be classified as
6rank four if he or she can perform a function, but only with
7substantial human assistance.
8(5) Rank five. A recipient’s
functioning shall be classified as
9rank five if he or she cannot perform the function, with or without
10human assistance.
Section 12309.2 of the Welfare and Institutions Code
12 is repealed.
(a) Notwithstanding the rulemaking provisions of
14the Administrative Procedure Act (Chapter 3.5 (commencing with
15Section 11340) of Part 1 of Division 3 of Title 2 of the Government
16Code), the State Department of Social Services and the State
17Department of Health Care Services may implement and administer
18this act through all-county letters or similar instruction from their
19respective departments until regulations are adopted. Each
20department shall adopt emergency regulations implementing this
21begin delete sectionend deletebegin insert actend insert no later than July 1, 2015. Each department may readopt
22any emergency regulation
authorized by this section that is the
23same as or substantially equivalent to an emergency regulation
24previously adopted under this section.
25(b) For each department identified in subdivision (a), the initial
26adoption of emergency regulations implementing this act and one
27readoption of emergency regulations authorized by thisbegin delete subdivisionend delete
28begin insert section end insert shall be deemed an emergency and necessary for the
29immediate preservation of the public peace, health, safety, or
30general welfare. Initial emergency regulations and the one
31readoption of emergency regulations authorized by this section
32shall be exempt from review by the Office of Administrative Law.
33The initial emergency regulations and the one readoption of
34emergency regulations authorized by this section shall be
submitted
35to the Office of Administrative Law for filing with the Secretary
36of State and each shall remain in effect for no more than 180 days,
37by which time final regulations may be adopted.
The amount of one thousand dollars ($1,000) is
39hereby appropriated from the General Fund to the State Department
P20 1of Social Services for its administrative costs during the 2013-14
2fiscal year.
This act is a bill providing for appropriations related
4to the Budget Bill within the meaning of subdivision (e) of Section
512 of Article IV of the California Constitution, has been identified
6as related to the budget in the Budget Bill, and shall take effect
7immediately.
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