BILL ANALYSIS                                                                                                                                                                                                    Ó



                                                                  SB 856
                                                                  Page  1


          (  Without Reference to File  )
           
          SENATE THIRD READING
          SB 856 (Budget and Fiscal Review Committee)
          As Amended  June 12, 2014
          Majority vote.  Budget Bill Appropriation Takes Effect  
          Immediately
           
           SENATE VOTE  :Vote not relevant  
           
           SUMMARY  :  This is the Developmental Services Trailer Bill for  
          2014-15.  It contains necessary changes related to the Budget  
          Act of 2014.  This bill makes various statutory changes to  
          implement the 2014-15 budget.  Specifically,  this bill  :

          1)Implements recommendations made in the California Health and  
            Human Services Agency's (CHHSA) Plan for the Future of  
            Developmental Centers in California (plan), including:

             a)   Establishment of Enhanced Behavioral Supports Homes.   
               Authorizes a pilot program to develop up to six enhanced  
               behavioral support homes per year, to provide intensive  
               behavioral services and supports to adults and children  
               with developmental disabilities who need intensive services  
               and supports and who are at risk of institutionalization or  
               out-of-state placement, or are transitioning to the  
               community from a developmental center, other state-operated  
               residential facility, institution for mental disease, or  
               out-of-state placement.  The homes will be developed by  
               regional centers using community placement plan (CPP)  
               funds.  Each home will serve no more than four residents  
               and up to six homes may be developed with secured  
               perimeters. The homes will be certified by the Department  
               of Developmental Services (DDS) and licensed by the  
               Department of Social Services (DSS), and each department  
               will have authority to develop emergency regulations.  The  
               homes will be distributed regionally.  The pilot will end  
               January 1, 2020, unless extended or made permanent through  
               further legislative action. 

             b)   Establishment of Community Crisis Homes.  Authorizes DDS  
               to develop two community crisis homes (one in the north and  
               one in the south), each to serve, on a short-term basis, no  
               more than eight adults who would otherwise be at risk of  








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               admission to the acute crisis center at Fairview  
               Developmental Center (FDC) or Sonoma Developmental Center  
               (SDC), an acute general hospital, an acute psychiatric  
               hospital, an institution for mental disease, as described  
               in Part 5 (commencing with Section 5900) of Division 5 of  
               the Welfare and Institutions Code, or an out-of-state  
               placement.  The homes will be certified by DDS and licensed  
               by DSS, and each department will have authority to develop  
               emergency regulations.  

             c)   Establishment of Acute Crisis Centers at State  
               Developmental Centers.  Authorizes DDS to create an acute  
               crisis center at SDC and FDC.  These centers will be  
               distinct from other residential units and serve up to five  
               individuals each.  Placement into these acute crisis  
               centers will be pursuant to a court order, as is currently  
               the requirement for crisis placement into FDC.

             d)   Evaluation of New Models.  Requires DDS to evaluate the  
               effectiveness of three new models described above in order  
               to access the impact on implementing the recommendations of  
               the CHHSA plan.  The evaluation reports shall be provided  
               annually to the Legislature, commencing on January 10,  
               2015, for the FDC acute crisis center; January 10, 2016,  
               for the SDC acute crisis center; and January 10 of the  
               first year following the opening of the first enhanced  
               behavioral supports home or community crisis home is  
               opened.  

             e)   Expansion of the Community State Staff Program.  Expands  
               the community state staff program associated with both the  
               Agnews and Lanterman developmental centers' closures, to  
               allow developmental center staff from any developmental  
               center to work with residents moving from a developmental  
               center to the community or individuals at risk of admission  
               to a developmental center, an institution for mental  
               disease, an out-of-state placement, a general acute care  
               hospital, or an acute psychiatric hospital, and maintain  
               state staff status through a contract with a community  
               provider.  

          1)Requires a court be provided with a copy of the comprehensive  
            assessment completed for each resident of a developmental  
            center, and any updates to it, during all judicial reviews of  








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            a consumer's commitment to a developmental center.   
            Additionally, requires that regional center client rights'  
            advocates be provide specified information, including  
            comprehensive assessments and notices of relevant meetings and  
            court notifications and proceedings related to a person moving  
            from a developmental center, or at risk of placement in a  
            developmental center.

          2)Restores infant and toddler eligibility for the Early Start  
            program to the level in place prior to adoption of the Budget  
            Act of 2009, effective January 1, 2015.

          3)Deletes the prohibition on the payment, by regional centers,  
            of insurance deductibles on behalf consumers and their  
            families, for the services identified as necessary in an  
            individual program plan, under defined circumstances.

          4)Makes statutory changes necessary to adjust for the impact of  
            the minimum wage increase and the Federal Labor Standards  
            changes relating to the payment of overtime, on specified  
            service providers, effective on January 1, 2015.
          
           COMMENTS  :  This bill is a budget trailer bill within the overall  
          2014-15 budget package to implement actions taken affecting DDS.  
           Funding related to the changes in this bill is contained in the  
          2014-15 Budget Act.  Additionally, this bill re-appropriates $13  
          million ($12.9 million General Fund) from 2011-12, a portion of  
          which is unspent CPP funds, to support the development of the  
          new community home models described in this analysis.


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


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