BILL ANALYSIS                                                                                                                                                                                                    Ó






                                  SENATE HUMAN
                               SERVICES COMMITTEE
                            Senator Jim Beall, Chair


          BILL NO:       AB 1579                                      
          A
          AUTHOR:        Stone                                        
          B
          VERSION:       May 27, 2014
          HEARING DATE:  June 10, 2014                                
          1
          FISCAL:        Yes                                          
          5
                                                                      
          7
          CONSULTANT:    Mareva Brown                                 
          9

                                        

                                     SUBJECT
                                         
                            CalWORKs: pregnant women

                                     SUMMARY  

          This bill would, beginning July 1, 2015, require that  a  
          pregnant woman who qualifies for CalWORKs benefits be  
          eligible for aid beginning for the month in which the birth  
          is anticipated and for the 6-month period immediately prior  
          to that.

                                     ABSTRACT 
           Existing law:

              1)   Establishes in Federal law the Temporary Assistance  
               for Needy Families (TANF) program to provide  
               assistance to needy families so that children may be  
               cared for in their own homes or in the homes of  
               relatives, and to end the dependence on government  
               benefits by promoting job preparation, work and  
               marriage. (45 CFR 260.2)



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             2)   Establishes the California Work Opportunity and  
               Responsibility to Kids (CalWORKs) Act, to provide cash  
               benefits, employment training and other supports to  
               low-income families through a combination of state and  
               county funds and federal funds through the TANF block  
               grant. (WIC 11200, et seq)


             3)   Requires that CalWORKs benefits be paid to an  
               eligible, childless pregnant woman beginning in the  
               month in which the birth is anticipated and for the  
               three-month period immediately prior to the month in  
               which the birth is anticipated.(WIC 11450 (b)(2))


             4)   Requires verification of pregnancy as a condition  
               of eligibility. (WIC 11450 (b)(2))



           This bill:

              1)   Entitles this act the Healthy Babies Act of 2014.

             2)   Declares legislative findings that: 

                  a.        Women who experience multiple stressful  
                    situations during pregnancy, such as  
                    homelessness, hunger, violence, and deep poverty,  
                    are more likely to have premature and low birth  
                    weight babies, or to experience high rates of  
                    mother and infant mortality. The cost of medical  
                    care for pre-term births is much higher than for  
                    full-term births, and the human costs of infant  
                    mortality are immeasurable.

                  b.        Children whose birth mothers experience  
                    the harmful stressor of deep poverty are more  
                    likely to suffer poor health and less likely to  
                    succeed academically.

                  c.        Domestic violence causes more health  
                    problems among pregnant women than any other  
                    single cause. Without the support of the CalWORKs  
                    program, low-income pregnant women have few  





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                    alternatives and are more likely to endure abuse  
                    that will cause long- and short-term harm to both  
                    themselves and their unborn fetus.

             3)   Provides that CalWORKS aid shall be paid to a  
               pregnant woman for the month in which the birth is  
               anticipated and for the six-month period immediately  
               prior to the month in which the birth is anticipated,  
               as specified in existing statute. 

                                  FISCAL IMPACT  

          An analysis by the Assembly Committee on Appropriations  
          estimated this bill would result in ongoing CalWORKs grant  
          and administrative costs of $2 million to $4 million in  
          federal and state funds in 2014-15 and $6 million to $12  
          million beginning in 2015-16. Actual costs will depend on  
          the number of eligible women who apply for the earlier  
          benefit and the number of additional months of benefit they  
          receive. The analysis also noted potential savings in out  
          years to the extent affected recipients remain on CalWORKs  
          for the entire amount of time they are eligible and are  
          merely receiving their benefit earlier.

                            BACKGROUND AND DISCUSSION  

           Purpose of the bill:
           
          According to the author, AB 1579 helps ensure that poor  
          pregnant women are healthier and can prepare for a new baby  
          by allowing eligible pregnant women who do not have any  
          other children to access CalWORKs benefits beginning in the  
          second trimester of their pregnancy instead of waiting  
          until the third trimester. The author further states that  
          the delayed eligibility rule to receive CalWORKs cash aid  
          is more than two decades old and fails to take into account  
          the many academic studies showing that instability and  
          stress felt by a pregnant woman can have long-lasting  
          impacts on the health of infants and children.

          Writing in support of the bill, the Legal Aid Society  
          Employment Law Center, a co-sponsor, notes that pregnant  
          women with inadequate financial support are less able to  
          afford healthy diets which prevents them from getting the  
          nutrients necessary for proper fetal development. The  





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          sponsor also notes that domestic violence often begins or  
          escalates during pregnancy and that financial dependence  
          often forces women in abusive relationships to remain in  
          them. "This measure will increase the financial stability  
          of poor California women, providing greater safety and  
          better health outcomes." 

           CalWORKs
                                        
           The California Work Opportunity and Responsibility to Kids  
          (CalWORKs) program provides monthly income assistance and  
          employment-related services to move children out of poverty  
          and help families meet basic needs.  Federal funding for  
          CalWORKs comes from the Temporary Assistance for Needy  
          Families (TANF) block grant.  The average monthly CalWORKs  
          cash grant for a family of three is $463, or $15.43 per day  
          to meet basic needs such as rent, clothing, utilities and  
          other necessities. A family of three receiving the average  
          grant amount would have an annual household income at  
          $5,556 per year -- about one quarter of the Federal Poverty  
          Guidelines level for the same size family of $19,790.   

          Pregnant women

          Pregnant women who do not have other children in their  
          household also may qualify for CalWORKs assistance once  
          they reach the third trimester of pregnancy and have  
          provided verification of pregnancy to the county welfare  
          office.  During those three months, the pregnant woman is  
          eligible for CalWORKs aid for an assistance unit of one  
          (for herself) plus a $47 benefit to meet special needs  
          resulting from pregnancy. Approximately 3,000 women in 2013  
          were qualified for the pregnancy benefit from an overall  
          caseload of more than 500,000 families.

          Domestic violence

          According to information from the University of California  
          San Francisco Medical Center, domestic violence is more  
          common than any other health problem among women during  
          pregnancy. It greatly threatens both the mother's and  
          baby's health. Domestic violence is a pattern of assault  
          and coercive behavior, including physical, sexual and  
          psychological attacks, as well as economic coercion that  






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          adults use against their partners.<1> 

          According to UCSF, in addition to physical and  
          psychological trauma that the mother may face, effects of  
          domestic violence on an unborn child have been linked to  
          low birth weight, trouble nursing or taking a bottle,  
          sleeping problems, delayed walking and speech and lasting  
          emotional problems. All of these effects have been linked  
          to other chronic health problems and to long term health  
          costs. According to the March of Dimes, nearly 1 in 6  
          pregnant women have been abused by a partner. A World  
          Health Organization study, reported in Reproductive Health  
          Matters magazine in 2010, found that one-third of pregnant  
          domestic violence victims suffered blows to the abdomen. 

           Other states:  

           California is one of 32 states that provide TANF benefits  
          to eligible pregnant women with no other aided children,  
          according to July 2011 data from the Urban Institute's  
          "Welfare Rules Databook." Among those states, 20 provided  
          benefits earlier than California's third trimester, or 7th  
          month, policy, including New York, Tennessee and Nevada.

           Related legislation:

           AB 1640 (Mitchell) Chapter 778, Statutes of 2012 required  
          that CalWORKs aid would be paid to a pregnant mother in the  
          month in which the birth is anticipated, and the 3 months  
          immediately prior to that month. The bill also requires  
          CalWORKs aid to be paid to a pregnant mother who is 18  
          years of age or younger at any time after verification of  
          pregnancy, when the Cal-Learn Program is operative,  
          regardless of whether she is eligible for the Cal-Learn  
          Program. 
                                         
           
                                     COMMENTS
           
          The author may wish to consider adding language to permit  
          the Department to implement this bill through an all-county  
          letter until regulations are in place. 
          -------------------------
          <1>  
          http://www.ucsfhealth.org/education/domestic_violence_and_pr 
          egnancy/




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                                   PRIOR VOTES  


          Assembly Floor      59 - 15
          Assembly Appropriations  13 - 4
          Assembly Human Services    6 - 0

                                    POSITIONS  

          Support:       The Legal Aid Society Employment Law Center  
          (co-sponsor)
                         Access Women's Health Justice
                         Asian Americans Advancing Justice
                         Asian Law alliance
                         Asian Women's Shelter
                         California Food Policy Advocates
                         California Immigrant Policy Center
                         California Nurses Association
                         California Partnership to End Domestic  
                    Violence
                         California Primary Care Association
                         California State Association of Counties
                         Center for Reproductive Rights and Justice  
                    at 
                                    UC Berkeley School of Law
                         City and County of San Francisco, Office of  
          the Mayor
                         Coalition for Women and Children
                         Coalition of California Welfare Rights  
          Organizations
                         Communications Workers of America, District  
                    9 AFL-CIO
                         Communications Workers of America, AFL-CIO,  
                    CLC Local 9003
                         Community United Against Violence
                         Crittenton Services for Children and  
                    Families
                         Equal Rights Advocates
                         Family Violence Law Center
                         Filipina Women's Network
                         My Sister's House
                         National Association of Social Workers
                         Next Door Solutions to Domestic Violence
                         Office of the District Attorney, City and  





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                    County of San Francisco
                         Peace over Violence 
                         Planned Parenthood Affiliates of California 
                         Rally Families Visitation Services
                         San Francisco Department on the Status of  
                    Women.
                         San Francisco Domestic Violence Consortium 
                         Shanti Project
                         St. Anthony Foundation
                         Western Center on Law and Poverty
                         Women's Foundation of California
                         WorkLife Law
                         Worksafe
                         Y- Empowerment, Inc.

          Oppose:   None received.


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