BILL ANALYSIS                                                                                                                                                                                                    Ó



                                                                    AB 1797


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          Date of Hearing:  April 13, 2016


                        ASSEMBLY COMMITTEE ON APPROPRIATIONS


                               Lorena Gonzalez, Chair


          AB  
          1797 (Lackey) - As Amended February 25, 2016


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          Urgency:  No  State Mandated Local Program:  YesReimbursable:   
          Yes


          SUMMARY: 


          This bill allows an individual to apply for in-home supportive  
          services (IHSS) either in-person or through electronic means,  
          including by telephone, and requires the county, if the  
          application is filed through electronic means, to provide a  
          confirmation number.  The bill permits the county to use the  
          case number as the confirmation number.  Further, the bill  
          codifies the existing regulation requiring the county to process  








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          an IHSS application within 30 days of receipt of the completed  
          application. 


          FISCAL EFFECT:


          Negligible costs to counties.  Although potentially a  
          reimbursable state mandate it is unlikely a county would incur  
          sufficient costs to file a claim. Specifically, the bill is  
          clear that case numbers (generated automatically through the  
          existing application process) can be given as confirmation  
          numbers. Further, the 30 day processing period required in the  
          bill is currently required through regulations.


          COMMENTS:


          1)Purpose.  According to the author, "Under current practice,  
            when a person wants to apply for IHSS, it is usually done by  
            telephone at the request of most counties.  The issue which  
            this bill addresses is one that has been raised by many IHSS  
            beneficiaries and their advocates. Many IHSS applications  
            filed over the phone get lost in the system.  This problem is  
            tremendously frustrating for beneficiaries who are elderly and  
            disabled.  This bill would adopt a regular business practice  
            of giving the applicant a confirmation number when the  
            application is filed [electronically, including] by  
            telephone."


          2)Background. The IHSS program enables low-income individuals  
            who are at least 65 years old, living with disabilities, or  
            blind to remain in their own homes by paying for care  
            providers to assist with personal care services (such as  
            toileting, bathing, and grooming), domestic and related  
            services (meal preparation, housecleaning, etc.), paramedical  
            services, and protective supervision.  Approximately 464,000  








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            Californians receive IHSS, with approximately 99% receiving it  
            as a Medicaid benefit. 


            To apply for IHSS, an individual must fill out an application  
            in order to be assigned a caseworker who will complete the  
            in-home needs assessment.  Applications are typically filed  
            over the telephone or in person at a county IHSS office, with  
            the majority of applications being initiated over the phone.   
            IHSS intake workers complete a paper application or enter  
            information directly into the Case Management, Information and  
            Payrolling System (CMIPS), which tracks case information and  
            processes payments for IHSS.  This process then generates a  
            case number.  Applicants must be sent the paper application to  
            sign and return. This bill would require that the applicant be  
            provided with a confirmation number, when applying by  
            telephone. 


            Upon receipt of applications for IHSS, existing regulations  
            require that applications must be processed and a notice of  
            action mailed no later than 30 days following the date the  
            written application is completed, with a few exceptions.  This  
            bill seeks to codify this regulation.


          


          Analysis Prepared by:Jennifer Swenson / APPR. / (916)  
          319-2081
















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