BILL ANALYSIS                                                                                                                                                                                                    �



                                                                  AB 1041
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          ASSEMBLY THIRD READING
          AB 1041 (Chesbro)
          As Introduced  February 22, 2013
          Majority vote 

           HUMAN SERVICES      7-0         APPROPRIATIONS      13-4        
           
           ----------------------------------------------------------------- 
          |Ayes:|Stone, Maienschein,       |Ayes:|Gatto, Bocanegra,         |
          |     |Ammiano,                  |     |Bradford,                 |
          |     |Ian Calderon, Garcia,     |     |Ian Calderon, Campos,     |
          |     |Grove, Hall               |     |Eggman, Gomez, Hall,      |
          |     |                          |     |Ammiano, Linder, Pan,     |
          |     |                          |     |Quirk, Weber              |
          |     |                          |     |                          |
          |-----+--------------------------+-----+--------------------------|
          |     |                          |Nays:|Harkey, Bigelow,          |
          |     |                          |     |Donnelly, Wagner          |
          |     |                          |     |                          |
           ----------------------------------------------------------------- 
           SUMMARY  :  Creates a statewide Employment First Policy and sets  
          forth requirements related to the inclusion of employment  
          opportunities and services in a regional center consumer's  
          individual program plan (IPP).  Specifically,  this bill  :  

          1)Requires a regional center planning team to consider the  
            Employment First Policy, as specified, when developing an IPP  
            for a transition age youth or a working age adult.

          2)Defines "competitive employment" as work in the competitive  
            labor market that is performed on a full-time or part-time  
            basis in an integrated setting and for which an individual is  
            compensated at or above the minimum wage, as specified.

          3)Defines "microenterprises" as small businesses, which may be  
            considered integrated competitive employment, that are owned  
            by individuals with developmental disabilities who have  
            control and responsibility for decision-making and overseeing  
            the business, as specified.

          4)Defines "self-employment" as an employment setting in which an  
            individual works in a chosen occupation, for profit or fee, in  
            his or her own small business, with control and responsibility  
            for decisions affecting the conduct of the business.








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          5)Creates a statewide Employment First Policy, which establishes  
            that opportunities for integrated, competitive employment  
            shall be given the highest priority for working age  
            individuals with development disabilities, regardless of the  
            severity of their disabilities. 

          6)Requires implementation of the Employment First Policy to not  
            infringe upon the rights of people with developmental  
            disabilities to make informed choices with respect to the  
            services and supports they need through the IPP process.

          7)Provides that integrated competitive employment shall be the  
            first option considered by planning teams for working  
            individuals, but individuals may choose goals other than  
            integrated competitive employment.

          8)Requires that the Employment First Policy not be construed to  
            expand the existing entitlement to services for persons with  
            developmental disabilities or alleviate schools of their  
            responsibility to provide transition services to individuals  
            with developmental disabilities.

          9)Requires regional centers to ensure  that consumers, beginning  
            at 16 years of age, as well as their parents, legal guardians,  
            or conservators, as appropriate, are provided information in a  
            language the consumer or appropriate representative  
            understands, pertaining to the following:

               a)     The Employment First Policy; 

               b)     Options for integrated competitive employment; and

               c)     Services and supports, including postsecondary  
                 education, available to enable the consumer to transition  
                 from school to work and to achieve the outcomes of  
                 obtaining and maintaining integrated competitive  
                 employment.

          10)Grants the Department of Developmental Services authority to  
            request information from regional centers pertaining to a  
            regional center's current and planned activities related to  
            the Employment First Policy.
           








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          EXISTING LAW  :

          1)Establishes an entitlement to services for individuals with  
            developmental disabilities under the Lanterman Developmental  
            Disabilities Services Act (Lanterman Act).

          2)Authorizes the Department of Developmental Services (DDS) to  
            contract with private non-profit regional centers to provide  
            case management services and arrange for, or purchase,  
            services that meet the needs of individuals with developmental  
            disabilities, as defined. 

          3)Grants all individuals with developmental disabilities, among  
            all other rights and responsibilities established for any  
            individual by the United States Constitution and laws and the  
            California Constitution and laws, the right to treatment and  
            habilitation services and supports in the least restrictive  
            environment.

          4)Requires the development of an Individual Program Plan (IPP)  
            for each regional center consumer, which specifies services to  
            be provided to the consumer, based on his or her  
            individualized needs determination and preferences, and  
            defines that planning process as the vehicle to ensure that  
            services and supports are customized to meet the needs of  
            consumers who are served by regional centers.

          5)Requires the State Council on Developmental Disabilities to  
            form a standing Employment First Committee to identify  
            strategies and recommend legislative, regulatory, and policy  
            changes to increase integrated employment, as defined,  
            self-employment, and microenterprises for persons with  
            developmental disabilities, as specified.

           FISCAL EFFECT  :  According to the Assembly Appropriations  
          Committee, costs associated with this bill should be minor and  
          absorbable within existing DDS resources. 

           COMMENTS  :  The Lanterman Act guides the provision of services  
          and supports for Californians with developmental disabilities,  
          including intellectual disabilities, cerebral palsy, epilepsy,  
          and autism.  Each individual under the Act, typically referred  
          to as a "consumer," is legally entitled to treatment and  
          habilitation services and supports in the least restrictive  








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          environment.  Lanterman Act services are designed to enable all  
          consumers to live more independent and productive lives in the  
          community.  The Department of Developmental Services (DDS)  
          contracts with 21 regional centers, which are private nonprofit  
          entities, to carry out many of the state's responsibilities  
          under the Act.  

          The regional center caseload includes over 250,000 consumers who  
          receive services such as residential placements, supported  
          living services, respite care, transportation, day treatment  
          programs, work support programs, and various social and  
          therapeutic activities.  Approximately 1,600 consumers reside at  
          one of California's four Developmental Centers-and one  
          state-operated, specialized community facility-which provide  
          24-hour habilitation and medical and social treatment services.   
          According to the State Council on Developmental Disabilities,  
          over 125,000 regional center consumers are of working age.

           Employment opportunities for individuals with developmental  
          disabilities  :  Regional center consumers in California work in a  
          variety of settings. Some consumers participate in Work Activity  
          Programs, which provide work adjustment and supported  
          habilitation services in a sheltered workshop setting in which  
          consumers are paid at a daily per capita rate based on  
          productivity.  Consumers may also participate in Supported  
          Employment Programs, in which they might work in the community  
          with support services and on-the-job training provided by job  
          coaches, and are paid directly by the employer.

          According to data from DDS and the California Employment  
          Development Department (EDD), only 14% of working age  
          Californians with developmental disabilities are employed,  
          compared to 74.3% of the general population.  Additionally, EDD  
          data related to Californians in the workforce with all  
          disability types show that disabled persons are nearly twice as  
          likely to be working part time for non-economic reasons as  
          persons without disabilities. Individuals with developmental  
          disabilities continue to experience higher unemployment and  
          underemployment rates than people in the workforce without  
          disabilities, and the number of opportunities they have for  
          gainful employment in integrated settings continues to be  
          woefully low.  
           
          Employment First  :  The primary goal of Employment First is to  








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          ensure people with significant disabilities are fully included  
          in their communities and in the workplace.  Rather than limiting  
          opportunities for individuals with disabilities to programs that  
          don't include employment, or even work placements that limit  
          tasks and wages, Employment First policies drive meaningful  
          participation of people with disabilities in typical, integrated  
          workplace settings where they are paid directly by an employer  
          and earn at least minimum wage.  Employment First recognizes  
          that providing services and supports that enable people with  
          disabilities to earn a living wage is a legitimate state  
          priority and makes integrated employment the first option for  
          employment for working-age youth and adults with disabilities.
           
           In August 2011, the State Council on Developmental Disabilities  
          released an Employment First Report outlining goals and  
          objectives to improve integrated employment outcomes.  This bill  
          adopts the language in that report which proposes to define the  
          state's Employment First Policy as "integrated, competitive  
          employment is the priority outcome for working age individuals  
          with developmental disabilities." It defines certain key terms  
          and requires regional center planning teams to consider  
          employment first as they create IPPs with consumers of working  
          age.  The report also includes the objectives of interagency  
          collaboration, transition planning for students in secondary  
          education, obtaining and maintaining employment, and the impact  
          of employment on public benefits.  The report notes that,  
          "Employment First is about focusing on real jobs, real wages,  
          and real business settings for individuals with developmental  
          disabilities to have the ability to increase their income and  
          benefits, accrue assets and build wealth."  Recommendations in  
          the report are the subject of this bill and prior identical  
          legislation.  
           
          Need for the bill  :
           
           According to the author:

               "For the last 40 years it has been the policy of  
               the State of California, through the Lanterman  
               Developmental Services Act, that people with  
               developmental disabilities be supported 'to  
               approximate the pattern of everyday living  
               available to people without disabilities of the  
               same age,? to be integrated into the mainstream of  








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               life in their home communities' and receive  
               services and supports that enable them to live  
               'more independent, productive, and normal lives.'  
               (WIC Section 4501)  However, the state has failed  
               to adequately support people with developmental  
               disabilities to achieve one of the central  
               elements of leading a normal, productive life -  
               employment? This legislation seeks to re-orient  
               the provision of developmental services by making  
               employment opportunities the priority of the  
               state."

          The State Council on Developmental Disabilities states:

          "?based on EDD data, only about 14% of working age people with  
          developmental disabiliti8es are employed.  Unfortunately, this  
          includes many people working very few hours a week, making  
          sub-minimum wage, and working in segregated facilities.  These  
          appalling employment statistics represent wasted talents,  
          deferred dreams, and hundreds of millions in unnecessary costs  
          to the state supporting people in non-work day services?The  
          policy embodied in AB 1041 represents a shift in emphasis, and a  
          change of direction for regional center services."
           

          Analysis Prepared by  :    Myesha Jackson / HUM. S. / (916)  
          319-2089 


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