BILL ANALYSIS Ó SENATE COMMITTEE ON GOVERNMENTAL ORGANIZATION Senator Isadore Hall, III Chair 2015 - 2016 Regular Bill No: AB 959 Hearing Date: 7/14/2015 ----------------------------------------------------------------- |Author: |Chiu | |-----------+-----------------------------------------------------| |Version: |7/7/2015 Amended | ----------------------------------------------------------------- ------------------------------------------------------------------ |Urgency: |No |Fiscal: |Yes | ------------------------------------------------------------------ ----------------------------------------------------------------- |Consultant:|Arthur Terzakis | | | | ----------------------------------------------------------------- SUBJECT: Lesbian, Gay, Bisexual, and Transgender Disparities Reduction Act DIGEST: This bill enacts the Lesbian, Gay, Bisexual, and Transgender Disparities Reduction Act and requires four specified state entities (the Department of Health Care Services, the Department of Public Health, the Department of Social Services, and the Department of Aging) to include the collection of sexual orientation and gender identity data in the course of their current demographic data collection efforts. ANALYSIS: Existing law requires a state agency, board, or commission that directly, or by contract, collects demographic data as to the ancestry or ethnic origin of Californians, to use separate collection categories and tabulations for each major Asian group and each major Pacific Islander group. This data is required to be made available to the public in accordance with state and federal law, except for personal identifying information, which shall be deemed confidential. This bill: 1)Requires the Department of Health Care Services, the Department of Public Health, the Department of Social Services, and the Department of Aging, in the course of collecting demographic data directly or by contract as to the AB 959 (Chiu) Page 2 of ? ancestry or ethnic origin of Californians, to collect voluntary self-identification information pertaining to sexual orientation and gender identity. 2)Requires collected data to be reported to the public in accordance with state and federal law, except for personal identifying information, which shall be deemed confidential and shall not be disclosed. 3)Stipulates that the four state entities identified above may use information voluntarily provided about sexual orientation and gender identity only for demographic analysis, coordination of care, quality improvement of services, conducting approved research, fulfilling reporting requirements, and guiding policy or funding decisions. 4)Makes it explicit that all information about sexual orientation and gender identity collected pursuant to this bill must be used only for purposes specified in this Act. 5)Requires the four state entities identified above to comply with the provisions of this Act as soon as possible, but no later than July 1, 2017. 6)Finds and declares that due to the sensitive general nature of data relating to sexual orientation and gender identity and the need to protect the safety of those who would provide voluntary self-identification information pertaining to their sexual orientation and gender identity, it is necessary to prohibit the public disclosure of personal identifying information that would allow the identification of an individual who provided voluntary self-identification information pertaining to sexual orientation and gender identity. 7)States legislative intent that the state departments identified above utilize existing work and research, including, but not limited to, referencing research on promising and community-defined practices and stakeholders when developing questions to collect voluntary self-identified information pertaining to sexual orientation and gender identity. AB 959 (Chiu) Page 3 of ? 8)Contains various legislative findings and declarations relative to the limited data available for Lesbian, Gay, Bisexual, and Transgender (LGBT) communities and due to historical systematic exclusion of data collection of LGBT communities, significant disparities in their health and welfare have been prolonged compared to the broader community. Also, declares that it is in the best interests of the state to respect, embrace, and understand the full diversity of its residents and to collect accurate data to effectively implement and deliver critical state services and programs. Background State government agencies routinely collect demographic data on race, ethnicity, gender, and disability on a wide variety of state forms and surveys. The purpose of this data is to help better understand disparities in underserved communities. Current law only requires any state agency, board, or commission that directly, or by contract, collects demographic data to separate the collection of this data by major Asian groups. The law is silent on demographic data collection based on sexual orientation or gender identity. Purpose of AB 959. According to the author's office, this bill seeks to reduce health and well-being disparities for LGBT communities by ensuring that sexual orientation and gender identity data is collected on a statewide basis by key government agencies that deal with health and human services. The author's office states, "Due to the systematic exclusion of data collection of LGBT communities, significant disparities in their health and welfare have been prolonged compared to the broader community. LGBT communities face disproportionately high rates of poverty, suicide, homelessness, isolation, substance abuse, and violence, and low rates of health insurance. These issues are more prevalent for youth and seniors, communities of color, and transgender and undocumented communities. Collecting voluntary data on sexual orientation and gender identity is a necessary first step to understand the extent to which LGBT communities are experiencing disparities and whether government programs are effectively reaching LBGT individuals in need of care and assistance." Prior/Related Legislation AB 532 (McCarty, 2015) requires any state agency, board, or AB 959 (Chiu) Page 4 of ? commission that collects demographic data to provide forms that offer respondents the option of identifying as "multiracial" and selecting one or more ethnic or racial designations. (Pending in Senate Appropriations Committee) AB 176 (Bonta, 2015) places certain requirements regarding the collection of demographic data, by the state's public segments of postsecondary education and by state health-related departments, pertaining to tabulation categories of Native Hawaiian, Asian, and Pacific Islander groups. (Pending in Senate policy committee) SB 280 (Lieu, 2014) would have authorized, until January 1, 2015, the application form for insurance affordability program coverage to include additional voluntary questions on sexual orientation and gender identity or expression. Also, would have required, effective January 1, 2016, the application form to include voluntary questions regarding demographic data categories, including race, ethnicity, primary language, disability status, sexual orientation, gender identity or expression and other categories recognized by the federal Secretary of the Department of Health and Human Services. (Died on Senate Appropriations Suspense File) AB 1208 (Pan, 2013) contained similar provisions to SB 280 (Lieu, 2014). (Vetoed by the Governor who stated, "the state does not need to mandate these requirements in law as DHCS and Covered California already have the authority to modify these types of questions on the form, and they can work constructively with stakeholders to decide what is necessary to change for 2015 and beyond.") SB 416 (Kehoe, 2011) would have required the statewide Health Interview Survey and the Behavioral Risk Factor Surveillance System to include specified information related to sexual orientation or gender identity. (Vetoed by the Governor who stated, "what particular questions should be in these health surveys is better handled by the current process, not the Legislature or the Governor.") AB 1088 (Eng, Chapter 689, Statutes of 2011) required certain state agencies to collect and tabulate data for additional major Asian groups, as listed, in order to better reflect the diversity of Asian American, Hawaiian and Pacific Islander communities in California. AB 959 (Chiu) Page 5 of ? AB 1878 (Lieu, 2010) would have required all California agency forms that ask for demographic information to include sexual orientation or gender identity. (Died on Assembly Appropriations Suspense File) AB 1281 (Portantino, 2009) would have enacted the California School Racial Equality Designation Act and required any state agency, board, or commission that directly, or by contract, collects demographic data on the race or ethnicity of pupils in any elementary or secondary school to provide written instructions for reporting racial information that specify that multiracial pupils may select 2 or more racial categories. (Vetoed - Governor's message stated the California Department of Education has already put into place processes to update forms and instructions to accommodate the inclusion of multiracial students. Therefore, this bill is unnecessary.) SB 26 (Simitian, 2007) would have enacted the "Ethnic Heritage Respect and Recognition Act of 2007" requiring any state entity that collects demographic data on the ancestry, ethnic origin, ethnicity, or race of Californians to provide forms that offer respondents the option of selecting one or more ethnic or racial designations. (Died in Assembly Appropriations) SB 1615 (Simitian, 2006) would have enacted the "Ethnic Heritage Respect and Recognition Act" to require any state agency, board, or commission that directly or by contract collects demographic data, as soon as reasonably feasible and in no event later than January 1, 2014, to provide forms that offer respondents the option of selecting one more ethnic or racial designation according to specified federal standards. (Died in Senate Appropriations) AB 2324 (Chan, 2004), among other things, would have required each state program directly involved in furnishing information to, or rendering services to, the public to collect data regarding the race, ethnicity, and primary language of all participants, on a voluntary basis. (Died in Assembly Appropriations) FISCAL EFFECT: Appropriation: No Fiscal Com.: Yes Local: No AB 959 (Chiu) Page 6 of ? SUPPORT: AIDS Legal Referral Panel Alcohol Justice American Civil Liberties Union of California (ACLU) American Federation of State, County, and Municipal Employees (AFSCME) Anti-Defamation League Asian and Pacific Islander Wellness Center California Council of Community Mental Health Agencies California Immigrant Policy Center California LGBT Health and Human Services Network California Pan-Ethnic Health Network Compassionate Community Care Equality California Gay-Straight Alliance Network of California Lavender Youth Recreation and Information Center LGBTQ Center of Long Beach Los Angeles LGBT Center Lutheran Social Services of Northern California Maitri AIDS Hospice Meals on Wheels of San Francisco Mental Health America of Northern California National Center for Lesbian Rights Native American Health Center NorCal Mental Health America Openhouse Our Family Coalition Queer LifeSpace Rafiki Coalition for Health and Wellness Rainbow Community Center of Contra Costa County Sacramento LGBT Community Center San Francisco Community Clinic Consortium San Francisco Democratic Party San Francisco Department of Aging and Adult Services San Francisco Drug Users Union San Francisco HIV/AIDS Provider Network San Francisco LGBT Community Center San Francisco Suicide Prevention's HIV/AIDS Nightline Shanti Project SteppingStone Adult Day Health Trevor Project UC San Francisco Center of Excellence for Transgender Health UC San Francisco LGBT Resource Center Westside Community Services AIDS Case Management & Home Care AB 959 (Chiu) Page 7 of ? Program OPPOSITION: None received