BILL ANALYSIS                                                                                                                                                                                                    Ó






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          |SENATE RULES COMMITTEE            |                        AB 109|
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                                   THIRD READING 


          Bill No:  AB 109
          Author:   Committee on Budget 
          Amended:  6/16/15 in Senate
          Vote:     21  

           SENATE BUDGET & FISCAL REVIEW COMMITTEE:  14-1, 6/18/15
           AYES: Leno, Nielsen, Allen, Anderson, Beall, Block, Hancock,  
            Monning, Moorlach, Nguyen, Pan, Roth, Stone, Wolk
           NOES: Mitchell
           NO VOTE RECORDED: Pavley

           ASSEMBLY FLOOR:  Not relevant

           SUBJECT:   Developmental services


          SOURCE:    Author


          DIGEST:  This bill is the developmental services trailer bill to  
          the Budget Act of 2015.


          ANALYSIS:   This bill makes the following statutory changes,  
          related to developmental services, necessary to implement the  
          Budget Act of 2015.


           1) Sick Leave Requirements.  Authorizes rate adjustments to  
             reflect the costs associated with the implementation of AB  
             1522 (Gonzalez, Chapter 319, Statutes of 2014), for  
             community-based service programs that do not currently  
             provide sick leave benefits to employees.  








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           2) Fair Labor Standards Act.  Current law provides for a rate  
             increase to supported living providers, in-home respite  
             providers and personal assistants upon the implementation of  
             federal Fair Labor Standards Act regulations regarding  
             overtime pay.  This bill requires the Department of  
             Developmental Services (DDS), upon the implementation of  
             these regulations, to consult with system stakeholders to  
             evaluate the impact of the regulations on consumers and  
             providers.
           
            3) Disparities in Service Delivery.  Requires regional centers  
             to provide a written copy of an individual program plan (IPP)  
             to a consumer or other specified individuals in a threshold  
             language, if requested, within 45 days.  Requires regional  
             centers to report on the number of instances when the  
             provision of a written IPP to a consumer or other specified  
             individuals in a non-threshold language has exceeded 60 days.  
              Requires regional center performance contracts to include  
             the measurement of progress in reducing disparities.   
             Requires DDS to consult with stakeholders to interpret data,  
             identify barriers to equitable access to services, and  
             develop recommendations.  Requires DDS to report on the above  
             efforts during the 2016-17 budget process.

           4) Institutions for Mental Disease (IMD).  Clarifies the  
             responsibility of a regional center when a consumer is placed  
             in an IMD, regardless of who makes the placement.  Requires  
             an IMD to notify a regional center when it is known that a  
             person placed in the facility is a regional center consumer.   
             Requires the collection and reporting of specified  
             information regarding consumers placed in IMDs.

           5) Enhanced Behavioral Supports Homes.  Current law creates a  
             pilot program, until January 1, 2020, to provide enhanced  
             behavioral supports in a homelike community setting.  Current  
             law limits DDS approval to six such homes in each fiscal  
             year.  This bill removes the six home limitation.

           6) Self-Determination Program.  Clarifies that persons moving  
             from a developmental center are eligible to participate in  
             the self-determination program and allows the Department of  
             Finance, upon the request of DDS, and following notification  
             to the Joint Legislative Budget Committee, to increase the  







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             number of participants above the existing 2,500 cap.

           7) Delayed Egress/Secured Perimeter Community Facilities.   
             Removes the requirement that these facilities be eligible for  
             federal funding participation; caps number of total beds that  
             can be developed statewide at 150; requires a minimum of 50  
             beds for persons deemed incompetent to stand trial (IST);  
             generally limits the number of beds per facility to six,  
             except one-half of the facilities serving IST placements may  
             be up to 15 beds; and makes other changes relative to health  
             and safety safeguards.

           8) Porterville Developmental Center (PDC) - Secured Treatment  
             Program/ Transitional Treatment Program.  Increases the cap  
             on beds in the Secured Treatment Program at PDC from 170 to  
             211.  Maintains the cap on beds in the Transitional Treatment  
             Program at 60.  Clarifies who can be served in these programs  
             and the activities that will occur related to transition  
             planning.  Requires DDS to report to the Legislature, on  
             March 1, 2016, on these residents.

           9) Developmental Center Closure Plan(s).  Existing law requires  
             that whenever DDS proposes the closure of a developmental  
             center, it must submit a detailed plan to the Legislature no  
             later than April 1 immediately prior to the fiscal year in  
             which the plan is to be implemented.  This bill expands the  
             requirements of that plan to include: expanded discussion on  
             alternative uses for state staff in serving persons with  
             developmental disabilities following a closure; a requirement  
             that DDS confer with the county in which the developmental  
             center is located; a requirement that DDS consider  
             recommendations for the use of the developmental center  
             property; a description of resident characteristics; a  
             description of stakeholder input; a description of the unique  
             and specialized services provided by the developmental  
             center; a description of the assessment and community  
             placement processes; a description of how clients' rights  
             advocacy services will transfer from the developmental center  
             to the community; and a description of how the well-being of  
             residents will be monitored during and following a move to  
             the community.  Additionally, this bill requires that by  
             October 1, 2015, DDS shall submit a plan or plans to close  
             one or more developmental centers.  This plan shall meet the  
             criteria described above and must be posted on DDS' website.  







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             States that the plan may be modified during the legislative  
             review process, including changes based on stakeholder and  
             county-designated advisory group comments.  States that  
             implementation of the plan is contingent upon legislative  
             approval as part of the legislative budget process during the  
             2016-17 Regular Session of the Legislature.  Authorizes DDS  
             to develop community resources and engage in activities for  
             transitioning developmental center residents to the  
             community, utilizing funds provided in the Budget Act for  
             this purpose.  Requires DDS to provide quarterly updates to  
             legislative staff throughout the closure process.

           10)Developmental Center Closure Savings.  States legislative  
             intent that General Fund savings derived from the closure of  
             state developmental centers benefit persons with  
             developmental disabilities living in the community.  Requires  
             DDS to display annually in its budget estimates all General  
             Fund savings or gains reasonably associated with the  
             downsizing or closure of a developmental center and all  
             community development funds reasonably associated with the  
             downsizing or closure of a developmental center, including  
             the costs associated with the development and provision of  
             services and supports for persons moving from a developmental  
             center or at risk of institutionalization. 

           11)Housing on Developmental Center Property.  Allows the  
             Director of the Department of General Services, with the  
             consent of the Director of DDS, to lease up to 20 acres  
             located within the grounds of Fairview Developmental Center  
             for a period not to exceed 55 years, for the purpose of a  
             housing development.  A minimum of 20 percent of the housing  
             units would be required to be available and affordable to  
             persons with developmental disabilities served by a regional  
             center.  Lease revenues or other proceeds under the lease  
             would be utilized by the DDS to support individuals with  
             developmental disabilities, including rent subsidizes.  
             Requires DDS, or its designee, to provide management  
             oversight and administration over the housing for persons  
             with developmental disabilities, and sets other requirements.

           12) Appropriation.  Appropriates $61.5 million General Fund for  
             shortfalls in 2011-12 and 2012-13 fiscal years.  The  
             shortfalls are the result of an overestimate of  
             reimbursements not adjusted for cost-containment proposals  







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             enacted during those fiscal years and lower than anticipated  
             savings from the private insurance coverage of behavioral  
             health therapy required by SB 946 (Steinberg, Chapter 650,  
             Statutes of 2011).

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


          SUPPORT:   (Verified6/17/15)


          None received


          OPPOSITION:   (Verified6/17/15)


          None received


          Prepared by:Peggy Collins / B. & F.R. / (916) 651-4103
          6/18/15 18:58:49


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