BILL ANALYSIS                                                                                                                                                                                                    Ó




           ----------------------------------------------------------------- 
          |SENATE RULES COMMITTEE            |                       AB 1930|
          |Office of Senate Floor Analyses   |                              |
          |(916) 651-1520    Fax: (916)      |                              |
          |327-4478                          |                              |
           ----------------------------------------------------------------- 


                                    THIRD READING


          Bill No:  AB 1930
          Author:   Lackey (R)
          Amended:  8/1/16 in Senate
          Vote:     21  

           SENATE HUMAN SERVICES COMMITTEE:  4-0, 6/14/16
           AYES: McGuire, Hancock, Liu, Nguyen
           NO VOTE RECORDED: Berryhill

           SENATE APPROPRIATIONS COMMITTEE:  7-0, 8/11/16
           AYES: Lara, Bates, Beall, Hill, McGuire, Mendoza, Nielsen

           ASSEMBLY FLOOR:  77-0, 6/1/16 - See last page for vote

           SUBJECT:   In-home supportive services:  family caregivers:   
                     advisory committee


          SOURCE:   UDW/AFSCME Local 3930
                    California Association of Public Authorities


          DIGEST:  This bill establishes the In-Home Supportive Services  
          (IHSS) Family Caregiver Benefits Advisory Committee for the  
          purpose of studying and providing a report on employment-based  
          supports and protections for IHSS providers.  

          ANALYSIS:  
          
          Existing law:

          1)Establishes the IHSS program to provide defined supportive  
            services for aged, blind, or disabled persons who are unable  
            to perform the services themselves and who cannot safely  
            remain in their homes unless such services are provided. Those  








                                                                    AB 1930  
                                                                    Page  2



            supportive services include, but are not limited to, domestic  
            services, heavy cleaning, personal care services, and  
            accompaniment during travel to health-related appointments or  
            to alternative resource sites, yard hazard abatement,  
            protective supervision, and paramedical services, as defined.  
            (WIC 12300 et seq.)

          2)Establishes county authority to contract with a nonprofit  
            consortium or a public authority for the delivery of IHSS  
            supportive services.  Requires those nonprofit consortia and  
            public authorities to establish a registry in order to assist  
            IHSS recipients with hiring providers, and to investigate the  
            background and qualifications of potential providers, as  
            specified. (WIC 12301.6)

          3)Requires that the application for IHSS services shall contain  
            a notice to the recipient of services that his or her provider  
            or providers will be given written notice of the recipient's  
            authorized services, and full number of services hours  
            allotted to the recipient. The application shall inform  
            recipients of the Medi-Cal toll-free telephone fraud hotline  
            and Internet Web site for reporting suspected fraud or abuse  
            in the provision or receipt of supportive services. (WIC  
            12301.15)
          
          4)Provides that an authorized recipient of IHSS supportive  
            services shall direct those authorized services, and that  
            authorized services shall be performed by a provider or  
            providers within a workweek and in a manner that complies with  
            the requirements, as specified. (WIC 12300.4)

          5)Maintains an IHSS recipient's right to hire, fire, and  
            supervise the work of any IHSS provider, regardless of the  
            employer responsibilities of a public authority or nonprofit  
            consortium, as specified.  (WIC 12301.6)




          This bill: 

          1)Creates the IHSS Family Caregiver Benefits Advisory Committee  








                                                                    AB 1930  
                                                                    Page  3



            to describe the availability of, and barriers to,  
            employment-based supports and protections, including, but not  
            limited to, federal Social Security benefits and state  
            unemployment insurance benefits, and to study the impact that  
            lack of access to these supports and protections has on IHSS  
            providers who care for specified family members, and their  
            communities.


          2)Requires the advisory committee to be made up of not more than  
            11 individuals, and further requires those individuals to  
            represent specified entities, including, but not limited to,  
            academic entities and nonprofit organizations, the California  
            Department of Social Services (CDSS), IHSS public authorities,  
            labor organizations that represent IHSS providers, and IHSS  
            providers and consumers.


          3)Permits the Governor to appoint not more than nine individuals  
            to the advisory committee and requires that individuals  
            appointed by the Governor may include only representatives  
            from specified groups.


          4)Requires the Speaker of the Assembly and the Senate Committee  
            on Rules to each appoint one individual to the advisory  
            committee, as specified. 


          5)Requires that appointments made to the advisory committee  
            include representatives from all groups, as specified.


          6)Requires, by January 1, 2018, the advisory committee to  
            provide a peer-reviewed report to designated Legislative  
            committees that includes a summary of findings and  
            recommendations on steps the state could take to ensure that  
            all IHSS providers who provide care for specified family  
            members have access to employment-based supports and  
            protections, as specified.










                                                                    AB 1930  
                                                                    Page  4



          7)Provides that the provisions of the bill shall remain in  
            effect only until January 1, 2019, and as of that date is  
            repealed, unless a later enacted statute, that is enacted  
            before January 1, 2019, deletes or extends that date.


          Background
          
          The IHSS program, which is administered by CDSS, provides  
          in-home services for low-income individuals who are at least 65  
          years of age, blind and/or disabled and unable to perform the  
          services themselves and who cannot safely remain in their homes  
          unless these services are provided.  IHSS recipients need those  
          services in order to avoid out-of-home care. 

          IHSS services may include domestic and related services, like  
          housework, meal preparation, laundry and shopping; personal care  
          services; accompaniment to medical appointments; protective  
          supervision for recipients who may place themselves at risk for  
          injury; and hazard or accident and paramedical services when  
          directed by a physician. 

          County welfare departments notify IHSS recipients which services  
          are approved, how much time is authorized for each service, and  
          the total authorized monthly hours.  IHSS recipients are  
          responsible for hiring, firing, directing and supervising their  
          IHSS provider. These responsibilities include some  
          administrative duties, such as scheduling and signing  
          timesheets.  However, CDSS handles IHSS payroll.   

          Providers must complete an enrollment process, including  
          submitting fingerprints for a criminal background screening and  
          participating in an orientation prior to receiving payment for  
          services.  

          Approximately 464,000 Californians receive IHSS and about 99% of  
          recipients receive IHSS as a Medicaid benefit. There are  
          currently about 433,400 IHSS providers in the state.   
          Approximately 69 percent of them are relatives and about 50  
          percent are live-in providers.   
          
          IHSS Exclusion from certain employment benefits








                                                                    AB 1930  
                                                                    Page  5





          Access to some employment-based benefits and protections are  
          limited for certain IHSS providers, particularly if a provider  
          is related to the IHSS consumer.  According to IHSS provider  
          training materials from CDSS, "some family members, especially  
          spouses and parents of consumers, are not eligible to have  
          Social Security (FICA) funds withheld from paychecks" and  
          "Unemployment Insurance benefits may be available to you if you  
          are not the parent or spouse of your employer/recipient and  
          become unemployed, able and available to work and you meet  
          certain eligibility requirements." 


          CDSS cites existing state and federal laws as the reason why  
          spouses and parents are generally not subject to Social  
          Security, Medicaid and unemployment benefits.  
          Existing federal law requires employers to withhold and match  
          Social Security and Medicare taxes from an employee's wages,  
          which are then used to fund the employee's future Social  
          Security and Medicare benefits.  However, wages earned while  
          providing IHSS services by a spouse, child or parent are not  
          subject to these withholdings, making these providers ineligible  
          to receive such benefits.  

          Specifically, the Federal Insurance Contribution Act (FICA)  
          requires employers to withhold taxes from the wages an  
          individual receives for employment. The employer matches the  
          amount of these withholdings, which together are used to fund  
          the employee's future Social Security and Medicare benefits.   
          The Internal Revenue Code (IRC) section 3121 (b) defines  
          "employment" as any service an employee performs for an  
          employer. The IRC contains an exception to this definition for  
          family employment (IRC section 3121(b) (3)). The "family  
          employment exception" applies to service in a private home "in  
          the employ of an individual's son, daughter, or spouse."  In  
          those cases, according to the IRS, no actual employment  
          relationship exists. 

          As a result, the CDSS has determined that wages paid through  
          IHSS to parent or spouse providers fall under the "family  
          employment exception" and therefore are exempt from employment  








                                                                    AB 1930  
                                                                    Page  6



          taxes such as FICA and state UI. 

          Additionally, Section 631 of the California Unemployment  
          Insurance Code states, in part, that "Employment" does not  
          include service performed by ? an individual in the employ of  
          his (or her) son, daughter, or spouse.  Therefore, these family  
          employees are excluded from Unemployment Insurance (UI),  
          Employment Training Tax, and State Disability Insurance  
          coverage.  

          In order to change the benefits to this subset of IHSS workers,  
          changes in federal and state law are likely necessary.   
          According to the author, some people argue that "this is a  
          federal issue and that any remedy for this situation can only be  
          pursued on a federal level.  Though we agree that this problem  
          originates in federal code, we believe there may be steps the  
          state can take to resolve the issue or, at the least, mitigate  
          the negative economic impacts. The first step would be to bring  
          together policy experts, lawmakers, and individuals directly  
          impacted by this problem in order to thoroughly analyze and  
          understand it. After studying the problem, it will be possible  
          to determine what else the state can do to address this issue."

          Related/Prior Legislation

          SB 1036 (Senate Budget and Fiscal Review Committee, Chapter 45,  
          Statutes of 2012) established the IHSS Statewide Authority for  
          purposes of collective bargaining.

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

          According to the Senate Appropriations Committee: 


           Estimated costs to the CDSS of $373,000 in fiscal year 2016-17  
            and $331,000 in fiscal year for administrative costs to  
            support the advisory group, assuming the committee will meet  
            quarterly. This includes three new staffing positions to  
            assist in staffing the committee and to prepare the  
            peer-reviewed report. (GF)









                                                                    AB 1930  
                                                                    Page  7



           Costs to CDSS of $97,000 for fiscal years 2016-17 and 2017-18  
            for transportation and meeting expenses for committee members,  
            county representatives, IHSS providers, IHSS recipients and  
            their providers and for legal research and consultation. (GF)

           Significant cost to CDSS of $250,000 for fiscal years 2016-17  
            and 2017-18 for an external contract with the University of  
            California to complete the study and peer-reviewed report.  
            (GF)

           Likely significant cost pressure to implement any  
            recommendations that the advisory committee produces. 


          SUPPORT:   (Verified8/12/16)


          UDW/AFSCME Local 3930 (co-source)
          The California Association of Public Authorities (co-source)
          American Federation of State, County and Municipal Employees 
          California Alliance for Retired Americans
          California Health Advocates 
          Centro Laboral de Graton 
          Coalition for Humane Immigrant Rights of Los Angeles
          Congress of California Seniors 
          GABRIELA San Francisco 
          Justice in Aging
          National Employment Law Project
          Pilipino Workers Center of Southern California
          San Francisco Senior Disability Action
          The California Commission on Aging 
          The California Domestic Workers Coalition 
          The California Labor Federation 
          The Coalition of Welfare Rights Organizations
          The Instituto de Educacion Popular del Sur de California 
          The Personal Assistance Services Council
          The Los Angeles County IHSS Public Authority


          OPPOSITION:   (Verified)8/12/16










                                                                    AB 1930  
                                                                    Page  8



          California Department of Finance


          ARGUMENTS IN SUPPORT:      According to the author, individuals  
          who provide services through the IHSS program to their child or  
          spouse are not allowed to contribute towards social security,  
          Medicare, or state unemployment insurance (UI). This means that  
          when they retire, if they become disabled, or if they lose their  
          jobs, these hard-working caregivers do not have access to our  
          nation's most important programs for seniors and the uninsured,  
          per the author. The author also states that this situation has  
          resulted in terrible economic hardship for tens of thousands of  
          IHSS workers who are at or near retirement age. 

          AB 1930 establishes an advisory committee to study how the  
          exclusion from certain employment-based supports and  
          protections, such as Social Security, impacts the economic  
          security of individuals who provide these critical services and  
          their communities. This committee includes policy experts from  
          the field and the administration as well as individuals who are  
          directly impacted by the exclusion. AB 1930 would require the  
          committee to provide a peer-reviewed report to the Legislature  
          by January 1, 2018 with a summary of the findings and  
          recommendations on steps the state can take to ensure that all  
          IHSS providers who provide supportive services to a spouse or  
          child have access to all employment-based supports and  
          protections, including federal Social Security benefits. 


          ARGUMENTS IN OPPOSITION:      The Department of Finance is  
          "opposed to this bill because it results in additional General  
          Fund costs that are not included in the Administration's current  
          fiscal plan."

           ASSEMBLY FLOOR:  77-0, 6/1/16
           AYES: Achadjian, Alejo, Travis Allen, Arambula, Atkins, Baker,  
            Bigelow, Bloom, Bonilla, Bonta, Brough, Brown, Burke,  
            Calderon, Campos, Chang, Chau, Chávez, Chiu, Chu, Cooley,  
            Cooper, Dababneh, Daly, Dodd, Eggman, Frazier, Gallagher,  
            Cristina Garcia, Eduardo Garcia, Gatto, Gipson, Gomez,  
            Gonzalez, Gordon, Gray, Grove, Hadley, Roger Hernández,  
            Holden, Irwin, Jones, Jones-Sawyer, Kim, Lackey, Levine,  








                                                                    AB 1930  
                                                                    Page  9



            Linder, Lopez, Low, Maienschein, Mathis, Mayes, McCarty,  
            Medina, Melendez, Mullin, Nazarian, Obernolte, O'Donnell,  
            Olsen, Patterson, Quirk, Ridley-Thomas, Rodriguez, Salas,  
            Santiago, Steinorth, Mark Stone, Thurmond, Ting, Wagner,  
            Waldron, Weber, Wilk, Williams, Wood, Rendon
           NO VOTE RECORDED: Dahle, Beth Gaines, Harper



          Prepared by:  Taryn Smith / HUMAN S. / (916) 651-1524
          8/16/16 9:33:55


                                   ****  END  ****