BILL ANALYSIS                                                                                                                                                                                                    Ó



                                                                            



           ----------------------------------------------------------------- 
          |SENATE RULES COMMITTEE            |                       AB 2547|
          |Office of Senate Floor Analyses   |                              |
          |1020 N Street, Suite 524          |                              |
          |(916) 651-1520         Fax: (916) |                              |
          |327-4478                          |                              |
           ----------------------------------------------------------------- 
           
                                           
                                       CONSENT


          Bill No:  AB 2547
          Author:   Beth Gaines (R)
          Amended:  5/15/14 in Assembly
          Vote:     21

           
           SENATE HUMAN SERVICES COMMITTEE  :  4-0, 6/24/14
          AYES:  Beall, DeSaulnier, Liu, Wyland
          NO VOTE RECORDED:  Berryhill

           SENATE HEALTH COMMITTEE  :  8-0, 6/18/14
          AYES:  Hernandez, Morrell, Beall, DeSaulnier, Evans, Monning,  
            Nielsen, Wolk
          NO VOTE RECORDED:  De León

           SENATE APPROPRIATIONS COMMITTEE  :  Senate Rule 28.8
           
           ASSEMBLY FLOOR  :  73-0, 5/23/14 (Consent) - See last page for  
            vote


           SUBJECT  :    Placer County Integrated Health and Human Services  
          Program

           SOURCE  :     Placer County


           DIGEST  :    This bill deletes the July 1, 2016, sunset date of a  
          pilot program that allows Placer County, with the assistance of  
          the appropriate state departments to implement a pilot program  
          for the funding and delivery of services and benefits through an  
          integrated and comprehensive county health and human services  
          system, thereby making authority for this program permanent.
                                                                CONTINUED





                                                                    AB 2547
                                                                     Page  
          2


           ANALYSIS  :    Existing law:

          1.Requires Placer County, with the assistance of the appropriate  
            state departments, within the existing resources of those  
            departments, to implement a pilot program upon approval of  
            that county, for the funding and delivery of services and  
            benefits through an integrated and comprehensive county health  
            and human services system. This program is known as the Placer  
            County Integrated Health and Human Services Pilot Program.

          2.Requires the Placer County pilot project, in providing  
            services through an integrated system to families and  
            individuals, among other things, to do all of the following:

                 Implement and evaluate a system of universal intake for  
               those seeking services;
                 Implement and evaluate a system whereby a family or  
               individual eligible for more than one service may be  
               provided those services by as few as a single county  
               employee, through an integrated, coordinated service plan;
                 Implement and evaluate a system of administration that  
               centralizes the management and support of client services;  
               and 
                 Implement and evaluate a system of reporting and  
               accountability that provides for the combined provision of  
               services, without the loss of state or federal funds  
               provided under current law.

          1.Permits the integrated system to include, but need not be  
            limited to, any or all of the following:

                 Adoption services;
                 Child abuse prevention services;
                 Child welfare services;
                 Delinquency prevention services;
                 Drug and alcohol services;
                 Mental health services;
                 Eligibility determination;
                 Employment and training services;
                 Foster care services;
                 Health services;
                 Public health services;
                 Housing services;

                                                                CONTINUED





                                                                    AB 2547
                                                                     Page  
          3

                 Medically indigent program services; and
                 All other appropriately identified and targeted  
               services, except for dental care.

          1.Limits inclusion of programs or services in the pilot project  
            only to the extent that federal funding to either the state or  
            the county will not be reduced as a result of the inclusion of  
            the services in the project. Prohibits this pilot project from  
            generating any increased expenditures from the General Fund.

          2.Requires the county and the appropriate state departments to  
            jointly seek federal approval of the pilot project, as may be  
            needed to ensure its funding and allow for the integrated  
            provision of services.

          3.Prohibits the Placer County pilot program from authorizing  
            Placer County to discontinue meeting its obligations under  
            current law to provide services or to reduce its  
            accountability for the provision of these services, or from  
            authorizing Placer County to reduce Placer County's  
            eligibility under current law for state funding for the  
            services included in the pilot project.

          4.Requires Placer County to utilize any and all state general  
            and county funds that it is legally allocated or entitled to  
            receive. Requires the county to maximize federal matching  
            funds through the creation of integrated health and social  
            services structures.

          5.Requires the appropriate state departments that are assisting  
            and cooperating in the implementation of the project  
            authorized to have the authority to waive regulations  
            regarding the method of providing services and the method of  
            reporting and accountability, as may be required to meet the  
            goals of the project.

          6.Sunsets the pilot program on July 1, 2016.

          This bill:

          1.Deletes the July 1, 2016 sunset date of a pilot program that  
            allows Placer County, with the assistance of the appropriate  
            state departments to implement a pilot program for the funding  
            and delivery of services and benefits through an integrated  

                                                                CONTINUED





                                                                    AB 2547
                                                                     Page  
          4

            and comprehensive county health and human services system,  
            thereby making authority for this program permanent.

          2.Repeals an obsolete reporting requirement regarding the pilot  
            program.

           Background
           
           Placer County Integrated Health and Human Services Pilot  
          Program.   SB 1846 (Leslie, Chapter 899, Statutes of 1996)  
          authorized the integrated pilot program for Placer County.  The  
          county indicates it uses this authority to create alternative  
          approaches to service delivery and funding structures and has  
          provided the authority for a consolidated contract for 12 health  
          care programs. 

           Prior Legislation
           
          AB 1766 (Gaines, Chapter 364, Statutes of 2010) extended Placer  
          County's pilot program five years to July 1, 2016.

          AB 2039 (Logue, 2010) would have deleted the pilot status and  
          made the Placer County program permanent.  The bill was vetoed  
          Governor Schwarzenegger.

          AB 1859 (Leslie, Chapter 268, Statutes of 2006) extended Placer  
          County's pilot program five years to July 1, 2011.

          AB 308 (Leslie, Chapter 17, Statutes of 2001) extended Placer  
          County's pilot program five years to July 1, 2006.

          AB 1259 (Strom-Martin, Chapter 705, Statutes of 1999) gave  
          specific authority to Alameda, Humboldt, and Mendocino Counties,  
          to operate an integration pilot similar to Placer County's.

          AB 866 (Thomson, Chapter 265, Statutes of 1997) gave specific  
          authority to Solano County to operate an integration pilot  
          similar to Placer County's.

          SB 1846 (Leslie, Chapter 899, Statutes of 1996) authorized  
          Placer County's pilot program to integrate the funding and  
          delivery of services and benefits for the county health and  
          human services system.


                                                                CONTINUED





                                                                    AB 2547
                                                                     Page  
          5

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

           SUPPORT  :   (Verified  8/6/14)

          Placer County (source) 
          California State Association of Counties
          Placer Community Foundation


           ARGUMENTS IN SUPPORT  :    Placer County writes in support that  
          after nearly 18 years of operation and three sunset extensions,  
          this bill would allow Placer County to make this pilot project  
          permanent, thus allowing them to maintain the efficiencies they  
          have achieved by consolidating contracts and programs.  Placer  
          County argues the ultimate benefit of this pilot project are the  
          clients themselves, who can receive more efficient and  
          coordinated services from multiple county departments that are  
          all working together to ensure comprehensive services are  
          delivered in a professional and compassionate manner.  Placer  
          County states this pilot program has been held up as a state and  
          national model, and the county firmly believes it is time to  
          codify this method of service delivery as one that is a  
          permanent fixture for Placer County residents who receive  
          services from departments participating in the pilot.


           ASSEMBLY FLOOR  :  73-0, 5/23/14
          AYES: Achadjian, Alejo, Allen, Ammiano, Bigelow, Bloom,  
            Bocanegra, Bonta, Bradford, Brown, Buchanan, Ian Calderon,  
            Campos, Chau, Chávez, Chesbro, Conway, Cooley, Dababneh,  
            Dahle, Daly, Dickinson, Donnelly, Eggman, Fong, Fox, Frazier,  
            Beth Gaines, Garcia, Gatto, Gomez, Gonzalez, Gordon, Gorell,  
            Gray, Grove, Hagman, Hall, Holden, Jones, Jones-Sawyer,  
            Levine, Linder, Logue, Lowenthal, Maienschein, Mansoor,  
            Medina, Mullin, Muratsuchi, Nazarian, Olsen, Pan, Patterson,  
            Perea, John A. Pérez, Quirk, Quirk-Silva, Rendon,  
            Ridley-Thomas, Rodriguez, Salas, Skinner, Stone, Ting, Wagner,  
            Waldron, Weber, Wieckowski, Wilk, Williams, Yamada, Atkins
          NO VOTE RECORDED: Bonilla, Harkey, Roger Hernández, Melendez,  
            Nestande, V. Manuel Pérez, Vacancy


          JL:nl  8/6/14   Senate Floor Analyses 

                                                                CONTINUED





                                                                    AB 2547
                                                                     Page  
          6


                           SUPPORT/OPPOSITION:  SEE ABOVE

                                   ****  END  ****









































                                                                CONTINUED