BILL ANALYSIS Ó AB 233 Page 1 Date of Hearing: April 14, 2015 ASSEMBLY COMMITTEE ON HUMAN SERVICES Kansen Chu, Chair AB 233 (Lopez) - As Amended April 9, 2015 SUBJECT: Child care and development services: alternative payment programs: reimbursement rates SUMMARY: Adopts a 12-month eligibility determination process for subsidized child care and removes certain reporting and administrative requirements. Specifically, this bill: 1)Adds "access" to the current designated purpose of alternative payment programs (APPs) of allowing for maximum parental choice. 2)Makes components of APPs which were previously permissible, as specified, required. 3)Requires APPs to include an eligibility determination process of every 12 months. AB 233 Page 2 4)Removes the requirement that alternative payment (AP) child care providers maintain monthly attendance records or invoices in the unaltered original format and instead simply requires that these records or invoices be maintained. 5)Removes the requirement that contractors track absences for purpose of reimbursement to providers through an APP. 6)Adds language that allows an APP to implement an altered rate level once per year. 7)Deletes the requirement that a licensed child care provider post its rates and discounts or scholarship policies, as specified. 8)Deletes the requirement that an APP must verify provider rates at least once a year, as specified. Further deletes the requirement that the Department of Social Services (DSS) develop regulations to address discrepancies identified in this process. 9)Changes the requirement that every agency operating both a direct service program and an APP provide at least four referrals to a family, as specified, to apply only to resource and referral agencies. AB 233 Page 3 10)Adds language stating that a family that transfers from one subsidized child care program to another in order to maintain eligibility shall be considered continuously eligible for services for 12 months from the time of initial, or subsequent, eligibility determination. 11)Specifies that extension of the 60-day working period, as specified, may be granted to all contractors. 12)States that it is the intent of the Legislature that an extension of the 60-day working period improve services in areas with high unemployment rates or areas with disproportionately high numbers of seasonal agricultural jobs, or both. 13)Removes the requirement that families have a physical examination and evaluation, including age-appropriate immunization, as a condition of enrollment in APP services, as specified. 14)Specifies that the funding and reimbursement procedures the Superintendent of Public Instruction is currently required to adopt rules, regulations, and guidelines for apply to contractors operating centers, family child care homes, or both. AB 233 Page 4 15)Allows contractors, as specified, to develop a written policy directing parents to pay family fees directly to the child care provider. Establishes requirements related to this process, including, among others as specified, that the contractor shall deduct the amount of the family fee assessed to the parent from the payment to the provider. 16)Exempts contractors that have a written policy instructing parents to pay family fees directly to the provider from certain requirements, as specified, including having to supply record or proof that the family fee was paid to the provider. 17)Deletes outdated language and makes technical, non-substantive amendments. EXISTING LAW: 1)Establishes the Child Care and Developmental Services Act to provide child care and development services as part of a coordinated, comprehensive, and cost-effective system serving children from birth to 13 years old and their parents including a full range of supervision, health, and support services through full- and part-time programs. (EDC 8200 et seq.) 2)Defines "child care and development services" to mean services designed to meet a wide variety of children's and families' needs while parents and guardians are working, in training, seeking employment, incapacitated, or in need of respite. (EDC 8208) AB 233 Page 5 3)States the intent of the Legislature that all families have access to child care and development services, through resource and referral where appropriate, and regardless of demographic background or special needs, and that families are provided the opportunity to attain financial stability through employment, while maximizing growth and development of their children, and enhancing their parenting skills through participation in child care and development programs. (EDC 8202) 4)Requires the Superintendent of Public Instruction to administer general child care and development programs to include, among other things as specified, age- and developmentally-appropriate activities, supervision, parenting education and involvement, and nutrition. Further allows such programs to be designed to meet child-related needs identified by parents or guardians, as specified. (EDC 8240 and 8241) 5)To allow for maximum parental choice, authorizes the operation of APPs and provision of alternative payments and support services to parents and child care providers by local government agencies or non-profit organizations that contract with the California Department of Education (CDE). (EDC 8220) 6)Establishes rules and requirements for APPs and providers, as contracted agencies with CDE, to observe, including but not limited to accounting and auditing requirements, attendance monitoring requirements, referral requirements where applicable, and reimbursement and payment procedures. (EDC 8220 et seq.) 7)Requires the Superintendent of Public Instruction to adopt rules and regulations regarding eligibility, enrollment, and priority of services. Allows the Superintendent to extend the 60-day eligibility limit for job-seeking activities (per Section 18086.5 of Title 5 of the California Code of Regulations), as specified, in order to promote continuity of care. Requires a physical examination and evaluation for AB 233 Page 6 enrollment, as specified. (EDC 8263) 8)Requires the Superintendent to adopt rules, regulations, and guidelines to facilitate funding and reimbursement procedures for subsidized child care. (EDC 8269) 9)Requires the Superintendent to establish a family fee schedule for subsidized child care, as specified, contingent on income and subject to a cap. (EDC 8273) FISCAL EFFECT: Unknown COMMENTS: Alternative Payment Programs: A network of APPs contract with CDE to provide to low-income and eligible families access to subsidized child care. In 2013-14, there were 76 APPs across the state providing support and payment services. APPs do not provide direct child development services or programs; instead, they facilitate family choice by providing families with subsidized child care vouchers. Eligible families can include those participating in welfare-to-work activities under the California Work Opportunities and Responsibility to Kids (CalWORKs) program, or those who are low-income but do not qualify for CalWORKs. A family who receives a voucher from an APP will typically be referred to a local child care resource and referral (R&R) agency, which, like APPs, is also funded through state and federal dollars. R&Rs assist families in identifying and accessing available and appropriate care and services. Currently, limited state resources have hindered access to programs accepting vouchers, and many families are placed on a waiting list, if one is available. Child Care and Development Block Grant: The federal Child Care and Development Block AB 233 Page 7 Grant Act of 2014 (P.L. 113-186) reauthorized the Child Care and Development Block Grant Act of 1990. This reauthorization brought about a number of changes aimed at addressing health and safety requirements, quality of care, and consumer and provider education. One specific change adopted by this reauthorization establishes a 12-month eligibility redetermination period for families, regardless of changes in income (provided income does not exceed 85% of State median income) or temporary changes in participation in work, training, or education activities. Need for this bill: According to the author, "The priority of this bill is to provide maximum parental choice, access and stable child care for eligible working families up to 12 months. Our working poor families dealing with a multitude of poverty stressors, that are getting up, working and doing everything we ask of them to move towards self-sufficiency, ought to have peace of mind that their child care is stable. Additionally, this bill aims to create greater efficiencies and maximize the use of public funds to greater support working families." Supporters contend that maintaining eligibility for 12 months will strengthen the subsidized child care delivery system, where they see, firsthand, the benefit of removing the threat of loss of child care in the lives of families. Additionally, employers stand to benefit from the more stable and reliable workforce resulting when child care is consistently available. Furthermore, this bill's provisions adopting a 12-month eligibility period for subsidized child care will help bring the state into conformity with pending federal requirements per the Child Care and Development Block Grant Act of 2014. DOUBLE REFERRAL . This bill has been double-referred. Should this bill pass out of this committee, it will be referred to the Assembly Committee on Education. REGISTERED SUPPORT / OPPOSITION: AB 233 Page 8 Support Coalition of California Welfare Rights Organizations, Inc. Child Care Links Community Resources for Children Controltec, Inc. Mexican American Opportunity Foundation Davis Street Family Resource Center Child Development Resources of Ventura County, Inc. North Coast Opportunities, Inc. Supportive Services, Inc. Community Child Care Council (4C's) of Alameda County CAPPA Children's Foundation Child Development Associates, Inc. Family Resource & Referral Center Sierra Nevada Children's Services AB 233 Page 9 Valley Oak Children's Services Community Action Partnership of San Luis Obispo Santa Cruz County Parents Association Opposition None on file. Analysis Prepared by: Daphne Hunt/HUM. S./(916) 319-2089