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, however, be authorized to extend  
          beyond a period of one year, unless specified conditions are met  








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          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.

        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  








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          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


        *This bill is pending in the Assembly Budget Committee.  


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