BILL ANALYSIS                                                                                                                                                                                                    Ó






                                  SENATE HUMAN
                               SERVICES COMMITTEE
                            Senator Jim Beall, Chair


          BILL NO:       AB 1089                                      
          A
          AUTHOR:        Ian Calderon                                 
          B
          VERSION:       May 15, 2014
          HEARING DATE:  June 10, 2014                                
          1
          FISCAL:        Yes                                          
          0
                                                                      
          8
          CONSULTANT:    Mareva Brown                                 
          9

                                        
                                     SUBJECT
                                         
                                  Foster care

                                     SUMMARY  

          This bill specifies transfer procedures between regional  
          centers that would apply when a consumer of regional center  
          services who also is placed in foster care is moved from a  
          home in one regional center's catchment area to another. 

                                     ABSTRACT  

           Existing law

              1)   Establishes that a child shall be within the  
               jurisdiction of the juvenile court, in foster care,  
               when the child has suffered, or is of substantial risk  
               of suffering, serious physical harm or illness as a  
               result of the following: (WIC 300 (b))

                  a.        A failure or inability of the parent or  
                    guardian to adequately supervise or protect the  
                    minor;
                  b.        A failure or inability of the parent or  

                                                         Continued---




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                    guardian to adequately supervise or protect the  
                    minor from the conduct of a custodian with whom  
                    the child has been left;
                  c.        A willful or negligent failure of the  
                    parent or guardian to provide the minor with  
                    adequate food, clothing, shelter, or medical  
                    treatment;
                  d.        The inability of the parent or guardian  
                    to provide regular care for the minor due to the  
                    parent's or guardian's mental illness,  
                    developmental disability or substance abuse.

             2)   Establishes that, in all cases in which a minor is  
               adjudged a dependent child of the court as specified,  
               the court may limit parental control over a foster  
               child and requires the court to clearly and  
               specifically set forth those limitations. Provides  
               that such limitations may not exceed those necessary  
               to protect the child. (WIC 361)

             3)   Establishes the state Department of Developmental  
               Services (DDS) to administer the Lanterman  
               Developmental Disabilities Act, which entitles  
               individuals with developmental disabilities to  
               community services and supports. (WIC 4500)

             4)   Establishes the Early Intervention program, based  
               on federal statute, for infants and toddlers with a  
               developmental delay, as specified, and defines the  
               responsibilities of DDS and the California Department  
               of Education (CDE) to care for these children. (GOV  
               95014)

             5)   Requires DDS to contract with private non-profit  
               regional centers to provide fixed points of contact in  
               the community for persons with developmental  
               disabilities and their families, so that these persons  
               may have access to the services and supports best  
               suited to them throughout their lifetime. (WIC 4620)

             6)   Requires the regional centers to secure appropriate  
               services and supports, as identified in an Individual  
               Program Plan (IPP), and to give the highest preference  
               to those services and supports which would allow  
               minors to live with their families and adults to live  





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               as independently as possible within the community, as  
               specified. (WIC 4648)

             7)   Requires that if a consumer is or has been  
               determined to be eligible for services by a regional  
               center, he or she also shall be considered eligible by  
               any other regional center if he or she has moved to  
               another location within the state, and defines  
               transfer protocols for transfers between regional  
               centers. (WIC 4643.5 (a))

             8)   Requires that if the services and supports  
               identified in a consumer's IPP do not exist in the new  
               regional center catchment area, the new regional  
               center shall convene a meeting to develop a new IPP  
               within 30 days. (WIC 4643.5 (c))

           This bill

              1)   States various Legislative declarations.

             2)   Adds to existing responsibilities of DDS and CDE  
               the requirement that specified transfer procedures and  
               timelines shall apply if an eligible infant or toddler  
               has an order for foster care placement, is awaiting  
               foster care placement, or is placed in out-of-home  
               care through voluntary placement as defined, and  
               transfers between regional centers or local  
               educational agencies.

             3)   Establishes procedures to apply to a regional  
               center consumer who is transferred from one regional  
               center's catchment area to a different catchment area  
               and either has an order for foster care placement, is  
               awaiting foster care placement, or is placed in  
               out-of-home care through voluntary placement as  
               defined. These procedures include: 

                  a.        The county social worker or county  
                    probation officer shall immediately send a notice  
                    of relocation regarding the consumer. The  
                    consumer's court-appointed attorney may also  
                    provide written notice of relocation. The notice  
                    of relocation shall be deemed received when the  
                    sending regional center receives written notice  





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                    of relocation.

                  b.        Upon receiving the notice of relocation,  
                    the sending regional center shall immediately  
                    send a notice of transfer, and records needed for  
                    the planning process, including, but not limited  
                    to, the current IPP or individualized family  
                    services plan (IFSP), assessments, contact  
                    information for the consumer, the caregiver, the  
                    consumer's legal guardian, the current  
                    developmental services decisionmaker, and the  
                    current educational rights holder, by priority  
                    mail, facsimile, or electronic mail, to the  
                    receiving regional center.

                  c.        The receiving regional center shall, as  
                    soon as possible, provide the sending regional  
                    center with contact information for a staff  
                    member who is available to confer with the  
                    planning team at the sending regional center  
                    regarding the types of services and vendors  
                    available to address the service needs of the  
                    consumer in his or her new residential location.

                  d.        Within 14 days of the notice of transfer,  
                    the receiving regional center shall provide  
                    authorization as needed to allow the sending  
                    regional center to contract for services from  
                    appropriate vendors through the courtesy  
                    vendorization process, as well as information  
                    regarding appropriate vendors and services to  
                    meet the needs of the consumer.

                  e.        The sending regional center shall confer  
                    with the planning team and, using information  
                    provided by the receiving regional center,  
                    determine whether changes to the current IPP or  
                    IFSP are needed to meet the service needs of the  
                    consumer in the new residential location.

                  f.        Prior to transfer of case management, the  
                    sending regional center shall ensure that  
                    services needed to support the consumer in the  
                    new residential location are included in the IPP  
                    or IFSP, a new service coordinator has been  





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                    assigned, and the consumer is receiving the  
                    services and supports listed in the new or  
                    revised IPP or IFSP.

             4)   Requires that the sending regional center shall  
               make every reasonable effort to initiate services, as  
               provided for in the consumer's current IPP, as soon as  
               possible following the notice of transfer to a new  
               catchment area, but no later than 30 days from the  
               date of notice of transfer, except in cases in which  
               the consumer objects to the plan and has filed for a  
               fair hearing, as defined.

             5)   Requires that efforts to initiate services begin in  
               advance of the IPP meeting.

             6)   Requires that no later than 30 calendar days after  
               the notice of transfer, the sending regional center  
               shall report in writing to the court, the county  
               social worker or probation officer, as applicable, and  
               the developmental services decisionmaker, all services  
               that are being provided to the consumer, and the  
               process to secure any additional services that have  
               been identified in the consumer's IPP but not yet  
               initiated. 

             7)   Requires that if all services identified in the  
               consumer's IPP have not been initiated within 30 days,  
               the regional center with responsibility for the case  
               shall report in writing to the court, county social  
               worker, probation officer, as applicable, and the  
               developmental services decisionmaker at 30-day  
               intervals until all services are initiated.

             8)   Requires that services shall continue to be  
               provided pending the court's appointment of a  
               developmental services decisionmaker, as specified,  
               and that if the regional center with responsibility  
               for the case is unable to obtain confirmation of the  
               parent's, guardian's, or current developmental  
               services decisionmaker's participation in the IPP  
               meeting, the regional center shall notify the court  
               having jurisdiction, the county placing agency, and  
               the consumer's attorney that the appointment of a new  
               developmental services decisionmaker may be necessary.





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             9)   If a consumer is receiving services under the  
               California Early Intervention Program, requires the  
               same processes and timelines be undertaken as in the  
               IPP process for regional center consumers, with the  
               following exceptions. 

                  a.        Substitutes the IFSP process and services  
                    for IPP process and services, as applicable.  

                  b.        Requires notification to the educational  
                    rights holder rather than the developmental  
                    services decisionmaker of changes to the plan,  
                    services and the notice if services have not been  
                    put into place. 

                  c.        Acknowledges the pivotal role of the  
                    education rights holder in approving services by  
                    modifying the requirement that services continue  
                    to be provided to requiring that all services not  
                    requiring consent shall continue to be provided,  
                    pending the court's appointment of an educational  
                    rights holder. 

             10)  Provides that the regional center of origin and the  
               consumer's parent, educational rights holder, or  
               developmental services decisionmaker, as applicable,  
               may agree that the regional center of origin will  
               continue to serve the consumer and not transfer the  
               case to the regional center in the consumer's new  
               catchment area only if the regional center of origin  
               continues to provide all of the services in the  
               consumer's IPP or IFSP. 

             11)  Requires that the regional center of origin shall  
               notify the regional center in the consumer's new  
               catchment area within two business days of the receipt  
               of the notice of relocation that the regional center  
               of origin will continue to provide services despite  
               the consumer's relocation.

             12)  Defines the following terms for the purposes of  
               this section: 

                  a.        "Consumer" refers to individuals as  





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                    defined in Section 4512 and any eligible infant  
                    or toddler, as defined in Section 95014 of the  
                    Government Code.

                  b.        "Initiation of services" means the point  
                    at which the consumer begins to receive a  
                    particular service and may include assessment  
                    procedures for services, if necessary, if those  
                    services begin immediately following the  
                    completion of the assessment.

                  c.        "Notice of relocation" means a written  
                    notice informing a regional center that currently  
                    serves a consumer described in subdivision (d)  
                    that the consumer has been relocated to a foster  
                    home that is located in a catchment area that is  
                    not served by that regional center. The notice  
                    includes, at a minimum, the consumer's name, date  
                    of birth, and current address, and the name of  
                    the consumer's caregiver.

                  d.        "Notice of transfer" means a written  
                    notice that a consumer who also is a foster  
                    child, as defined, is transferring from a  
                    regional center located in one catchment area to  
                    a regional center located in a different  
                    catchment area and includes, at a minimum, the  
                    following information:

                        i.             The consumer's name and date  
                         of birth.
                        ii.            The name of, and contact  
                         information for, the consumer's parent, or  
                         the consumer's educational rights holder or  
                         developmental services decisionmaker, if  
                         applicable.
                        iii.           The name of, and contact  
                         information for, the consumer's current  
                         caregiver.
                        iv.            A copy of the consumer's  
                         current IFSP or IPP.

                                         
                                 FISCAL IMPACT  






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          This bill has been substantially amended since it was heard  
          in the Assembly Appropriations Committee, and many of the  
          timelines and processes in the original version have been  
          removed. The Appropriations analysis, reflecting the bill's  
          prior language, noted that requiring regional centers to  
          expedite transfers and establish services within days,  
          rather than within weeks, could result in cost pressure for  
          regional centers that have taken cuts in funding over  
          recent years. It is not known how much cost pressure this  
          would create because it is difficult to know how many  
          children might be affected, the analysis noted.  However,  
          cost pressures could easily exceed $100,000 dollars  
          statewide. 

                            BACKGROUND AND DISCUSSION  

           Purpose of the bill:

           According to the author, this bill addresses a need to  
          create specific procedures for foster children who are  
          moved from the catchment area of one regional center to  
          another. A lack of specific procedures allows for delayed  
          services and loss of developmental progress, as a result.  
          Anecdotal information from attorneys for these foster  
          children indicates that delays of up to a year in the  
          resumption of developmental services may be experienced by  
          some young children in foster care who are transferred from  
          one regional center to another. This is an especially  
          critical time for children who have been identified as  
          needing behavioral treatment, as studies have proven that  
          intensive services delivered to children at young ages can  
          halt or reverse delays. The author states that by requiring  
          regional centers to coordinate transfers and ensure  
          implementation of services to foster children in a timely  
          manner, AB 1089 prevents developmental regression and  
          furthers developmental progress for this population.

           Regional Centers

           California's 21 nonprofit regional centers are part of a  
          system of care for individuals with developmental  
          disabilities that is overseen by DDS. The state is  
          responsible for overall coordination of services and  
          supports for more than 275,000 individuals who receive  
          services in their communities, and another 1,275 who  





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          currently reside in developmental centers. California  
          statute defines a developmental disability as a substantial  
          disability that originates before the age of 18 and  
          continues, or can be expected to continue, indefinitely,  
          such as intellectual disabilities, cerebral palsy, epilepsy  
          and autism.

          Early Start

          In April 2014, more than 30,000 children between birth and  
          age 3 were served in California's Early Start program. The  
          Early Start Program is California's response to federal  
          legislation requiring that early intervention services to  
          infants and toddlers with disabilities and their families  
          are provided in a coordinated, family-centered system of  
          services that are available statewide. Families whose  
          infants or toddlers have a developmental delay or  
          disability or an established risk condition with a high  
          probability of resulting in a delay may be eligible to  
          receive supports that include service coordination,  
          healthcare providers, early intervention specialists,  
          occupational, physical and speech therapists, and parent  
          resource specialists to evaluate and assess infants or  
          toddlers and provide appropriate early intervention and  
          family support services.

          Research on the use of intensive early intervention therapy  
          has proven effective in improving cognition and language  
          skills among very young children with autism. Early  
          intervention therapy has been shown to normalize brain  
          activity, decrease autism symptoms and improve social  
          skills, according to a nationwide study led by researchers  
          from the MIND Institute at UC Davis, which was funded by  
          the National Institute of Mental Health.<1> Participants  
          received 20 hours a week of therapy and their parents were  
          trained to deliver core features of the intervention. 

           Foster Children

          In California, children may enter the foster care system  
          -------------------------


          <1> "Early behavioral intervention is associated with  
          normalized brain activity in young children with autism,"  
          Journal of the American Academy of Child & Adolescent  
          Psychiatry, October 2012.





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          for a variety of circumstances that permit a juvenile court  
          to find clear and convincing evidence that there is  
          substantial danger to the health, safety, protection or  
          physical and emotional well-being of a child. There were  
          61,020 children in foster care in California, as of January  
          1, 2014, an increase of about 5,000 children from a year  
          earlier.<2> Of those, approximately 11,750 children were  
          younger than age 3, and another 9,370 children were between  
          ages three and five - combined these young age groups are  
          one-third of all children in foster care. 


          Data from the Center for Social Services Research at the  
          University of California at Berkeley on Placement Stability  
          showed that more than half of foster children experience at  
          least two relocations within the first year of  
          placement.<3>


          Overlapping populations

          According to DDS, approximately 1,650 foster children were  
          receiving regional center services, and 339 children  
          younger than age three were receiving services from  
          regional centers. 

           Arguments in support:

           The California Alliance of Child and Family Services write  
          that this bill will ensure that foster children do not  
          suffer unnecessary and detrimental delays in services by  
          creating uniform procedure regarding the transfer of cases  
          between regional centers. "Foster youth often move suddenly  
          and lack an advocate or consistent caregiver who can  
          navigate the smooth transfer of supports and services - the  
          very things that increase placement stability for these  
          -------------------------
          <2> CWS/CMS 2013 Quarter 4 Extract, Center for Social  
          Sciences Research, U.C. Berkeley


          <3>  
           http://cssr.berkeley.edu/ucb_childwelfare/Stability.aspx  







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          vulnerable youth."

          The California Welfare Directors Association writes that AB  
          1089 requires the county to notify the regional center when  
          a child is moved. "Today there is not a formal notification  
          process, though counties often have identified liaisons  
          with their regional centers to make the transfer process go  
          more smoothly. It makes sense to have this notification  
          requirement set forth in statute to use as a starting point  
          for the time frames for the transition of services."

           Arguments in opposition: 
           
          The Association of Regional Center Agencies writes that  
          regional centers agree that certain populations, foster  
          children included, require special attention in the case  
          transfer process, but ARCA does not believe that the  
          current structure of and lack of dedicated funding in AB  
          1089 will lead to improved outcomes in these cases. "Strict  
          timelines for service initiation have the potential to deny  
          foster children the opportunity to be connected to the most  
          appropriate service provider rather than the one that  
          happens to be available. In order to promote placement  
          stability, foster families need the opportunity to choose  
          from among the best providers."

                                     COMMENTS

           The author has worked with several organizations that  
          expressed concerns about the rigid timelines in this bill.  
          This version of the bill reflects several months of  
          collaboration and technical assistance. It redirects the  
                                        process to require the sending regional center to establish  
          services in the new catchment are rather than having those  
          services established by the receiving regional center.  
          Amendments have removed most of the timelines that  
          originally were established in the bill as well as other  
          contentious language. While the Association of Regional  
          Centers (ARCA) remains opposed to this version of the bill,  
          citing staggering caseloads and other unfunded mandates,  
          other organizations have removed their opposition. 

          Staff recommends a number of additional amendments to  
          Section 3 of the bill based in part on input from regional  
          center caseworkers, county welfare directors and others to  





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          clarify the scope and timelines. A mockup of those  
          amendments is attached.
          
                                   PRIOR VOTES  

          Assembly Floor:               72 - 0
          Assembly Appropriations:      17 - 0
          Assembly Human Services Committee:  5 - 0


                                    POSITIONS  

          Support:       Alliance for Children's Rights
                         California SEIU, Developmental Disabilities  
                    Council
                         California Welfare Directors Association
                         Developmental Disabilities Area Board 10
                         Disability Rights California
                         Public Counsel
                         

          Oppose:   The Association of Regional Center Agencies  
          (ARCA)







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