BILL ANALYSIS                                                                                                                                                                                                    Ó



                                                                            



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                                    THIRD READING


          Bill No:  AB 1579
          Author:   Stone (D), et al.
          Amended:  8/19/14 in Senate
          Vote:     21


           SENATE HUMAN SERVICES COMMITTEE  :  3-0, 6/10/14
          AYES:  Beall, DeSaulnier, Liu
          NO VOTE RECORDED:  Berryhill, Wyland

           SENATE APPROPRIATIONS COMMITTEE  :  5-0, 8/14/14
          AYES:  De León, Hill, Lara, Padilla, Steinberg
          NO VOTE RECORDED:  Walters, Gaines

           ASSEMBLY FLOOR  :  59-15, 5/29/14 - See last page for vote


           SUBJECT  :    CalWORKs:  pregnant women

           SOURCE  :     Legal Aid Society Employment Law Center
                      Peace Over Violence
                      Shanti Project
                      Western Center on Law and Poverty
                      WOMAN, Inc.


           DIGEST  :    This bill, beginning July 1, 2015, requires that a  
          pregnant woman who qualifies for the California Work Opportunity  
          and Responsibility to Kids (CalWORKs) benefits, be eligible for  
          aid beginning for the month in which the birth is anticipated  
          and for the six-month period immediately prior to that.

           ANALYSIS  :    
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          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.

          2.Establishes the 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.

          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.

          4.Requires verification of pregnancy as a condition of  
            eligibility.

          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  

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               support of the CalWORKs program, low-income pregnant women  
               have few alternatives and are more likely to endure abuse  
               that will cause long- and short-term harm to both  
               themselves and their unborn fetus.

          1.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.

          2.Specifies that these provisions may be implemented by means of  
            all-county letters until regulations are adopted.

           Background
           
           CalWORKs  .  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 (UCSF) Medical Center, domestic  
          violence is more common than any other health problem among  
          women during pregnancy.

          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  

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          have been linked to other chronic health problems and to long  
          term health costs.  According to the March of Dimes, nearly one  
          in six pregnant women has 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 three months immediately  
          prior to that month.  The bill also required 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.

           FISCAL EFFECT  :    Appropriation:  No   Fiscal Com.:  No   Local:  
           No

          According to the Senate Appropriations Committee:

           Ongoing increased costs of $7.2 million (General Fund) to  
            provide CalWORKs benefits three months earlier than provided  
            for under existing law, assuming continuing operation of the  
            CalLearn Program.  This estimate is based on 3,025 pregnant  
            women each year being impacted by the provisions of this bill.

           Should the CalLearn Program be suspended in the future,  
            potential loss of savings in excess of $20 million (General  
            Fund) annually, as over 9,000 pregnant teens would have  
            otherwise been eligible for CalWORKs benefits only during  
            their third trimester under existing law upon suspension of  
            the CalLearn Program.

           One-time potentially significant costs to the Department of  

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            Social Services for automation changes necessary due to  
            changing eligibility criteria for this program.

           Unknown, potential future cost savings in health and other  
            governmental program services costs to the extent the  
            provision of assistance earlier during a woman's pregnancy  
            results in healthier children and better overall life outcomes  
            for these families.

           SUPPORT  :   (Verified  8/19/14)

          Legal Aid Society - Employment Law Center (co-source)
          Peace Over Violence (co-source)
          Shanti Project (co-source)
          Western Center on Law and Poverty (co-source)
          WOMAN, Inc. (co-source)
          ACCESS Women's Health Justice
          AFSCME
          American Academy of Pediatrics - California
          American Civil Liberties Union
          American Congress of Obstetricians and Gynecologists
          Asian Law Alliance
          Asian Women's Shelter
          Building Future
          California Catholic Conference
          California Food Policy Advocates
          California Nurses Association
          California Partnership to End Domestic Violence
          California Primary Care Association
          California WIC Association
          Center on Reproductive Rights and Justice
          Coalition for Women and Children
          Communications Workers of America, Local 9003
          Equal Rights Advocates
          Family Violence Law Center
          Filipina Women's Network
          March of Dimes - California Chapter
          My Sister's House
          National Association of Social Workers - California
          Next Door Solutions to Domestic Violence
          Planned Parenthood Affiliates of California
          Saint Anthony's Foundation
          Saint Francis Memorial Hospital
          San Francisco District Attorney, George Gascon

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          San Francisco Domestic Violence Consortium
          St. Vincent de Paul Society - The Riley Center
          Women's Foundation of California
          Work Life Law, UC Hastings College of Law
          Worksafe
          Y-Empowerment, Inc.


           ARGUMENTS IN SUPPORT :    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.

          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.

           ASSEMBLY FLOOR  :  59-15, 5/29/14
          AYES:  Alejo, Ammiano, Bloom, Bocanegra, Bonilla, Bonta,  
            Bradford, Brown, Buchanan, Ian Calderon, Campos, Chau, Chávez,  
            Chesbro, Cooley, Dababneh, Daly, Dickinson, Eggman, Fong, Fox,  
            Frazier, Garcia, Gatto, Gomez, Gonzalez, Gordon, Gorell, Gray,  
            Roger Hernández, Holden, Jones-Sawyer, Levine, Linder,  
            Lowenthal, Maienschein, Medina, Mullin, Muratsuchi, Nazarian,  
            Nestande, Olsen, Pan, Perea, John A. Pérez, V. Manuel Pérez,  
            Quirk-Silva, Rendon, Ridley-Thomas, Rodriguez, Salas, Skinner,  
            Stone, Ting, Weber, Wieckowski, Williams, Yamada, Atkins
          NOES:  Achadjian, Allen, Bigelow, Conway, Dahle, Donnelly, Beth  
            Gaines, Grove, Hagman, Jones, Logue, Mansoor, Melendez,  
            Wagner, Waldron
          NO VOTE RECORDED:  Hall, Harkey, Patterson, Quirk, Wilk, Vacancy


          JL:e  8/19/14   Senate Floor Analyses 

                           SUPPORT/OPPOSITION:  SEE ABOVE

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