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