BILL ANALYSIS                                                                                                                                                                                                    �




                   Senate Appropriations Committee Fiscal Summary
                            Senator Kevin de Le�n, Chair


          AB 1041 (Chesbro) - Developmental services: Employment First  
          Policy.
          
          Amended: June 27, 2013          Policy Vote: Human Services 5-1
          Urgency: No                     Mandate: No
          Hearing Date: August 30, 2013                           
          Consultant: Brendan McCarthy    
          
          SUSPENSE FILE. AS PROPOSED TO BE AMENDED.
          
          
          Bill Summary: AB 1041 would establish a state Employment First  
          Policy for individuals with developmental disabilities, under  
          the Lanterman Act.

          Fiscal Impact (as proposed to be amended): 
              Unknown potential increase in demand for supported  
              employment services by regional centers (General Fund and  
              federal funds). By making competitive employment the highest  
              priority for individuals with developmental disabilities, it  
              is likely that there will be increased demand for the  
              services that assist individuals with developmental  
              disabilities in successfully attaining competitive  
              employment, such as supported employment services. Some  
              regional center consumers may require additional supported  
              employment services, while continuing to receive day program  
              or sheltered workshop services, until the consumer is ready  
              for competitive employment. In the short run, this is likely  
              to increase overall program costs.

              Unknown potential increase in demand for pre-vocational  
              training services by special education local plan areas  
              (General Fund). Under current law, school-age individuals  
              with developmental disabilities are entitled to certain  
              special education services, including services to assist the  
              individual with the transition from school to employment.  
              Under an Employment First Policy, there may be additional  
              demand for pre-vocational services. 

              Unknown potential long-term savings due to reduced demand  
              for sheltered workshop services or day program services. To  
              the extent that the Employment First Policy is successful in  








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              assisting regional center consumers with achieving long-term  
              competitive employment, there is likely to be a reduction in  
              the demand for other services. It is important to note that  
              regional centers spend, on average, about $4,100 per  
              consumer per year on individual supported employment  
              services, while the regional centers spend on average $5,300  
              for sheltered workshop services and $11,700 for day  
              programs.

          Background: California provides community-based services to  
          approximately 250,000 persons with developmental disabilities  
          and their families through a statewide system of 21 regional  
          centers. Regional centers are private, nonprofit agencies under  
          contract with the Department of Developmental Services for the  
          provision of various services and supports to people with  
          developmental disabilities. As a single point of entry, regional  
          centers provide diagnostic and assessment services to determine  
          eligibility; convene planning teams to develop an Individual  
          Program Plan for each eligible consumer; and either provide or  
          obtain from generic agencies appropriate services for each  
          consumer in accordance with the Individual Program Plan. 

          Under current law, school-age individuals with developmental  
          disabilities are entitled to certain special education services,  
          including services to assist the individual with the transition  
          from school to employment.

          According to the State Council on Developmental Disabilities,  
          data indicates only 13% of working age individuals with  
          developmental and intellectual disabilities are engaged in  
          competitive or supported employment. The State Council on  
          Developmental Disabilities released an Employment First Report  
          in August 2011 which outlined goals and objectives to improve  
          integrated employment outcomes, including interagency  
          collaboration, transition planning for students in secondary  
          education, obtaining and maintaining employment, and the impact  
          of employment on public benefits. The recommendations included  
          in the report are the subject of this measure.

          Proposed Law: AB 1041 would establish a state Employment First  
          Policy for individuals with developmental disabilities, under  
          the Lanterman Act.

          Specific provisions of the bill would:








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                 Declare that it is the policy of the state, to be known  
               as the Employment First Policy, that opportunities for  
               integrated, competitive employment shall be given the  
               highest priority for working age individuals with  
               developmental disabilities, regardless of the severity of  
               their disabilities;
                 Require implementation of the policy to be consistent  
               with, and not infringe upon, the rights of people with  
               developmental disabilities to make informed choices with  
               respect to services and supports through the Individual  
               Program Plan process;
                 Provide that integrated competitive employment is  
               intended to be the first option considered by planning  
               teams for working age adults, but individuals may choose  
               goals other than integrated competitive employment;
                 Require a regional center planning team to consider the  
               Employment First Policy, as specified, when developing an  
               Individual Program Plan for a transition age youth or  
               working age adult;
                 Provide that this chapter shall not be construed to  
               expand the existing entitlement to services for persons  
               with disabilities;
                 Provide that this chapter shall not alleviate schools of  
               their responsibility to provide transition services to  
               individuals with developmental disabilities;
                 Require regional centers to provide consumers, beginning  
               at 16 years of age with information about the Employment  
               First Policy.

          Related Legislation: 
                 AB 2338 (Chesbro, 2012) was substantially similar to  
               this bill. That bill was held on this committee's Suspense  
               File.
                 AB 254 (Beall, 2011) would have established an  
               Employment First Policy. That bill was held on the Assembly  
               Appropriations Committee's Suspense File.
                 AB 2424 (Beall, 2008) would have established an  
               Employment First Policy. That bill was held on this  
               committee's Suspense File.

          Staff Comments: Individuals with developmental disabilities have  
          low levels of employment in California. According to the  
          Institute on Community Inclusion, about 14% of individuals with  
          developmental disabilities who are able to participate in  








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          employment or day programs are in competitive employment.  
          Washington State, which has the highest level of competitive  
          employment amongst this population, has an employment rate over  
          80%.

          In 2012, a class action lawsuit was filed against the State of  
          Oregon on behalf of individuals with developmental disabilities  
          employed in sheltered workshops, under the premise that such  
          segregated employment violates an Americans with Disabilities  
          Act requirement that government services be provided in the most  
          integrated manner possible. The federal Department of Justice  
          has moved to intervene in the case on behalf of the plaintiffs.

          Proposed Author Amendments: Would require the State Council on  
          Developmental Disabilities to develop informational materials on  
          the Employment First Policy in multiple languages, to be used by  
          the regional centers.