BILL ANALYSIS                                                                                                                                                                                                    



          SENATE COMMITTEE ON APPROPRIATIONS
                             Senator Ricardo Lara, Chair
                            2015 - 2016  Regular  Session

          AB 959 (Chiu) - Lesbian, Gay, Bisexual, and Transgender  
          Disparities Reduction Act.
          
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          |Version: August 31, 2015        |Policy Vote: G.O. 12 - 1        |
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          |Urgency: No                     |Mandate: No                     |
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          |Hearing Date: August 27, 2015   |Consultant: Mark McKenzie       |
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          *********** ANALYSIS ADDENDUM - SUSPENSE FILE ***********
             The following information is revised to reflect amendments 
                     adopted by the committee on August 27, 2015


          Bill  
          Summary:  AB 959 would require the Department of Health Care  
          Services (DHCS), the Department of Public Health (DPH), the  
          Department of Social Services (DSS), and the Department of Aging  
          (CDA) to collect voluntary self-identification information on  
          sexual orientation and gender identity, beginning no later than  
          January 1, 2018, when collecting demographic data.


          Fiscal  
          Impact:  
           DHCS: This department indicates costs to update paper and  
            online versions of the single streamline application (SSApp)  
            would not be significant because the department is currently  
            working with the federal government regarding the placement of  
            sexual orientation and gender identity information on the  
            SSApp.  Programming costs to add new fields into CalHEERS  







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            would be approximately $170,000 (General Fund, federal funds,  
            and/or special funds).


           DPH: DPH administers two programs that would be impacted by  
            the bill.  
               o      Under its Center for Health Statistics and  
                 Information (CHSI), DPH estimates one-time costs of  
                 approximately $165,000 (General Fund) to make programming  
                 changes to Birth and Death Registration systems.  Ongoing  
                 costs for CHSI-related activities would be minor and  
                 absorbable. 
               o      Under its Genetic Disease Screening Program (GDSP),  
                 DPH estimates one-time programming costs of approximately  
                 $160,000 (General Fund) to update the Screening  
                 Information System.  There would also be ongoing costs of  
                 approximately $105,000 (General Fund) related to printing  
                 an enlarged form, but only some of these ongoing costs  
                 can be attributed to this bill. 


           DSS: Unknown costs to DSS.  The department was unable to  
            provide information for purposes of this analysis.  Staff  
            estimates that there could be significant one-time costs to  
            the extent that county welfare department information  
            technology systems would need programming changes to provide  
            for the collection of sexual orientation and gender identity  
            information. (General Fund)


           CDA: The CDA indicates minor and absorbable costs to implement  
            the bill.  CDA contracts with vendors for administering data  
            systems require the vendors to make changes to the systems to  
            meet federal and state requirements, at no additional cost to  
            the state.  


          Author  
          Amendments:  Amendments would delay the deadline for compliance  
          by one year, to January 1, 2018, and make several clarifying  
          changes.


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