BILL ANALYSIS                                                                                                                                                                                                    �



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          SENATE THIRD READING
          SB 83 (Budget and Fiscal Review Committee)
          As Amended  June 12, 2013
          Majority vote.  Budget Bill Appropriation Takes Effect  
          Immediately  

           SENATE VOTE  :Vote not relevant  
           
           SUMMARY  :  Contains statutory and technical changes necessary to  
          implement the Budget Act of 2013 relating to developmental  
          services.  Specifically,  this bill  : 

          1)Establishes a requirement for the administration to submit a  
            master plan for the future of developmental centers, which it  
            has committed to producing by November 15, 2013, to the  
            Legislature, by that same date.  In the preparation of this  
            plan, the administration shall consult with a cross-section of  
            stakeholders, as specified.  Further, creates a requirement  
            for the administration to report, by January 10, 2014, to the  
            Legislature regarding the administration's resulting plans to  
            meet the needs of current developmental center residents, and  
            to ensure the delivery of cost-effective, integrated, and  
            quality services for this population.

          2)Requires the Department of Developmental Services (DDS) to  
            complete closure of the Lanterman Developmental Center (LDC)  
            in the Fall of 2014 (no later than December 31, 2014).

          3)Removes a previously enacted, two-year time limit on the  
            community state staff program associated with the closure of  
            LDC.  The program allows DDS to contract with an entity, such  
            as a community-based provider of services, for use of the  
            department's employees to provide services in furtherance of  
            the orderly closure of the facility.

          4)Clarifies that existing restrictions on the use of  
            Institutions for Mental Disease (IMDs), enacted in trailer  
            bill language last year AB 1472 (Budget Committee), Chapter  
            25, Statutes of 2012, apply irrespective of the availability  
            of federal financial participation in the costs associated  
            with the placements.  At the same time, authorizes, until July  
            1, 2014, the placement of consumers, who are under 21 years of  
            age, in IMDs for a period of time that exceeds 180 days, if  
            specified conditions are met.  These placements would not,  








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            however, be authorized to extend beyond a period of one year,  
            unless specified conditions are met and DDS approves a  
            requested 30-day extension.

          5)Requires DDS and regional centers to work together to identify  
            services and supports needed for individuals under the age of  
            21 with both developmental and mental health disabilities, and  
            to facilitate the development of community-based resources, as  
            specified.

          6)Clarifies existing provisions, also established in AB 1472,  
            that require regional centers to conduct comprehensive  
            assessments of the needs of developmental center and IMD  
            residents.  More precisely, specifies that regional centers  
            shall identify the services and supports that would enable the  
            consumer to move to a community setting, and make other,  
            related changes.

          7)Specifies that regional centers shall provide, to the extent  
            appropriate, relevant information from the statewide  
            specialized resource service to individual program planning  
            teams, as specified.

          8)Ensures that clients' rights advocates will be notified of,  
            and unless the consumer objects, authorized to participate in,  
            hearings by writ of habeas corpus for release from specified  
            facilities.  Further, requires that clients' rights advocates  
            receive notice of, and be authorized, unless the consumer  
            objects, to participate in, specified individual program  
            planning team meetings.  Finally, requires specified notices  
            to the clients' rights advocate when regional centers make, or  
            extend, as specified, placements in IMDs.

          9)Establishes authority for regional centers to pay the costs of  
            health insurance copays and coinsurance payments that are  
            associated with a consumer accessing services identified as  
            necessary in his or her Individual Program Plan.  Further,  
            specifies that the conditions under which regional centers  
            would be authorized to make such copay or coinsurance  
            payments, and prohibits payment by regional centers of costs  
            associated with insurance deductibles.  The anticipated  
            General Fund costs in 2013-14 associated with coverage of  
            these co-payments and co-insurance is $9.9 million.









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          10)Eliminates the sunset date on a requirement for families with  
            children under the age of 18, living at home, who receive  
            services from regional centers beyond eligibility  
            determination, needs assessment, and service coordination, to  
            pay annual fees of $150 or $200.  The application of this  
            policy in 2013-14 is anticipated to result in $3.8 million  
            General Fund (GF) savings.

          11)Makes technical changes to the Welfare and Institutions Code  
            Sections 6500 and 6509, to clarify that changes made in AB  
            1472 last year were not intended to preclude court-ordered  
            placements, for individuals who are found to be a danger to  
            themselves or others, in settings less restrictive than  
            developmental centers.

          12)Clarifies that regional centers must notify DDS of meetings  
            scheduled, in accordance with existing requirements, regarding  
            specified data with respect to purchase of service,  
            authorization, utilization, and expenditure by regional  
            center.  Additionally, requires the regional centers and DDS  
            to collaborate to collect data with respect to the payment of  
            copays and coinsurance.  Finally, requires DDS to post notice  
            of the meetings on its Web site. 

          13)Provides that, if the Commission on State Mandates determines  
            that the bill contains costs mandated by the state,  
            reimbursement for those costs shall be made pursuant to  
            existing law. 

          14)Extends the period to liquidate encumbrances of funds  
            appropriated in Item 4300-003-0001 of the Budget Act of 2010  
            (SB 870 (Ducheny), Chapter 712, Statutes of 2010), to June 30,  
            2014, thereby making an appropriation.

          15)Contains an appropriation allowing this bill to take effect  
            immediately upon enactment.


           Analysis Prepared by  :    Nicole Vazquez / BUDGET / (916)  
          319-2099

                                                                FN: 0001155










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