BILL ANALYSIS                                                                                                                                                                                                    Ó



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          Date of Hearing:   April 12, 2016


                        ASSEMBLY COMMITTEE ON HUMAN SERVICES


                                Susan Bonilla, Chair


          AB 2256  
          (Maienschein) - As Amended March 28, 2016


          SUBJECT:  Homelessness:  report


          SUMMARY:  Requires homeless services providers to submit a  
          report to the California Health and Human Services Agency  
          containing specified data regarding persons experiencing  
          homelessness.  


          Specifically, this bill:  


          1)States that the purpose of collecting specific data related to  
            homelessness is to develop a statewide database of information  
            regarding homeless children or youth and homeless persons and  
            the public services being used in order to enable state and  
            local governments to develop better programs to target the  
            needs of those individuals and utilize funding and other  
            resources in the most efficient manner.


          2)Requires a homeless provider to submit a report to the  
            California Health and Human Services Agency before January 1,  
            2018, and on or before January 1 each year, that contains the  
            following data regarding homeless children, youth, and adults  
            for the previous calendar year:








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             a)   The number of ambulance rides;


             b)   The number of hospital stays and length of each stay;


             c)   The number of emergency room visits;


             d)   The number of arrests and length of each incarceration;


             e)   The number of homeless children or youth and homeless  
               persons using services provided by the homeless services  
               provider; and


             f)   The latest estimate by a local agency in the area in  
               which services are provided on the total number of homeless  
               persons in that area, if available.


          3)Requires the report to be submitted in an open format that  
            meets certain requirements, as specified.


          4)Requires the data provided to the California Health and Human  
            Services Agency be published on the California Health and  
            Human Services Open Data Portal.


          5)Defines "homeless children or youth" and "homeless persons" as  
            having the same definitions provided for in the McKinney-Vento  
            Homeless Assistance Act.


          6)Defines "homeless services provider" as a governmental or  








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            nonprofit provider that receives federal, state, or county or  
            municipal funding to provide services to homeless children or  
            youth and homeless persons or that is under contract to  
            provide those services by a local homeless continuum of care  
            organization.


          EXISTING LAW: 


          1)Establishes in federal law the McKinney-Vento Homeless  
            Education Assistance Improvements Act of 2001 to ensure  
            educational rights and protections for youth experiencing  
            homelessness.  (42 U.S.C. 11431 et seq.)


          2)Defines "homeless children or youth" as individuals who lack a  
            fixed, regular, and adequate nighttime residence.  The  
            definition also includes:


             a)   Children and youth who are sharing the housing of other  
               persons due to loss of housing, economic hardship, or a  
               similar reason; 


             b)   Children who may be living in motels, hotels, trailer  
               parks, shelters, or awaiting foster care placement; 


             c)   Children and youth who have a primary nighttime  
               residence that is a public or private place not designed  
               for, or ordinarily used as, a regular sleeping  
               accommodation for human beings; 


             d)   Children and youth who are living in cars, parks, public  
               spaces, abandoned buildings, substandard housing, bus or  
               train stations, or similar settings; or








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             e)   Migratory children who qualify as homeless because they  
               are children who are living in similar circumstances to  
               those listed above.  (42 U.S.C. Section 11301 et seq.) 


          3)Defines "homeless individual" and "homeless person" as:


             a)   An individual or family who lacks a fixed, regular, and  
               adequate nighttime residence;


             b)   An individual or family with a primary nighttime  
               residence that is a public or private place not designed  
               for or ordinarily used as a regular sleeping accommodation  
               for a human being, including a car, park, abandoned  
               building, bus or train station, airport, or camping ground;


             c)   An individual or family living in a supervised publicly  
               or privately operated shelter designated to provide  
               temporary living arrangements (including hotels and motels  
               paid for by Federal, State, or local government programs  
               for low-income individuals or by charitable organizations,  
               congregate shelters, and transitional housing);


             d)   An individual who resided in a shelter or place not  
               meant for human habitation and who is exiting an  
               institution where he or she temporarily resided;


             e)   An individual or family who:


                    i.         will imminently lose their housing,  
                     including housing they own, rent, or live in without  








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                     paying rent, are sharing with others, and rooms in  
                     hotels or motels not paid for by federal, state, or  
                     local government programs for low-income individuals  
                     or by charitable organizations, as evidenced by:


                         1.               a court order resulting from an  
                           eviction action that notifies the individual or  
                           family that they must leave within 14 days; or


                         2.               credible evidence indicating  
                           that the owner or renter of the housing will  
                           not allow the individual or family to stay for  
                           more than 14 days, and any oral statement from  
                           an individual or family seeking homeless  
                           assistance that is found to be credible shall  
                           be considered credible evidence for purposes of  
                           this clause;


                    ii.        has no subsequent residence identified; and


                    iii.       lacks the resources or support works needed  
                     to obtain other permanent housing. 


             f)   Unaccompanied youth and homeless families with children  
               and youth defined as homeless under other federal statutes  
               who:


                    i.         have experienced a long term period without  
                     living independently in permanent housing;


                    ii.        have experienced persistent instability as  
                     measured by frequent moves over such period; and








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                    iii.       can be expected to continue in such status  
                     for an extended period of time because of chronic  
                     disabilities, chronic health or mental health  
                     conditions, substance addiction, histories of  
                     domestic violence or childhood abuse, the presence of  
                     a child or youth with a disability, or multiple  
                     barriers to employment.  (42 U.S.C. Section 11301 et  
                     seq.)


          4)Establishes the California Health and Human Services Agency  
            which is tasked with providing a wide range of services in the  
            areas of health care, mental health, public health, alcohol  
            and drug treatment, income assistance, social services and  
            assistance to people with disabilities.  (GOV 12803)


          FISCAL EFFECT: Unknown. 


          COMMENTS: 


          Homelessness in California:  The federal McKinney-Vento Homeless  
          Assistance Act of 2001 defines homeless children and youths as  
          individuals who "lack a fixed, regular, and adequate nighttime  
          residence," to include children and youths who:  have to share  
          housing with others due to loss of housing or economic hardship;  
          are living in motels, hotels, trailer parks, or camp grounds  
          because they lack other accommodations; are living in emergency  
          or transitional shelters; are awaiting foster placement; or have  
          a primary nighttime residence that is not designed as a regular  
          sleeping accommodation for human beings.












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          According to the U.S. Department of Housing and Urban  
          Development's 2015 Annual Homeless Assessment Report to  
          Congress, on a single night in January 2015, California reported  
          having 10,416 homeless unaccompanied youth; this equaled 28% of  
          the national total.  California also reported having the largest  
          number (9,524) of unaccompanied homeless youth ages 18 to 24.   
          However, these counts only reflect the population of homeless  
          youth counted on one night.  It is estimated that, throughout  
          the course of the year, many more youth experience homelessness.  
           For example, the Californian Homeless Youth Project reported  
          that, for the 2012-13 school year, nearly 270,000 students  
          experienced homelessness in California.





          In 2011, the California Homeless Youth Project conducted a  
          point-in-time study to try to assess how many programs in the  
          state provided services and support specifically to  
          unaccompanied homeless youth, ultimately identifying 53  
          programs, from street outreach to transitional living, aimed at  
          reaching unaccompanied homeless youth.  Thirty counties were  
          found to have no services of any kind specifically for homeless  
          youth.


          According to the Department of Housing and Urban Development  
          (HUD), California accounted for 21% of the nation's homeless  
          population in 2015, with 115,738 people identified as homeless.   
          Between 2014 and 2015 California saw an increase in homelessness  
          cases with an additional 1,786 identified as homeless, however  
          between the years of 2007 and 2015, homelessness rates in  
          California actually declined with 23,248 fewer people  
          experiencing homelessness in 2015 than in 2007.  California also  
          has the largest number of veterans experiencing homelessness at  
          11,311 cases, representing 24% of the national homeless veteran  
          population.








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          California Health and Human Services Open Data Portal:  The  
          California Health and Human Services (CHHS) Agency launched its  
          Open Data Portal Initiative in order to increase public access  
          to non-confidential health and human services data.  According  
          to the CHHS website, the goal of the portal is to spark  
          innovation, promote research and economic opportunities, engage  
          public participation in government, increase transparency, and  
          inform decision-making.  The portal offers access to  
          standardized data that can be easily retrieved, combined,  
          downloaded, sorted, searched, analyzed, redistributed and  
          re-used by individuals, business, researchers, journalists,  
          developers, and government to process, trend and innovate. 


          Continuums of Care:  A Continuum of Care (CoC) is a regional or  
          local planning body that is designed to promote communitywide  
          commitment to the goal of ending homelessness; provide funding  
          for efforts by nonprofit providers, and State and local  
          governments to quickly rehouse homeless individuals and families  
          while minimizing the trauma and dislocation caused to homeless  
          individuals, families, and communities by homelessness; promote  
          access to and effect utilization of mainstream programs by  
          homeless individuals and families; and optimize self-sufficiency  
          among individuals and families experiencing homelessness.  The  
          U.S. Department of Housing and Urban Development identifies four  
          necessary parts of a continuum:


             1)   Outreach, intake and assessment in order to identify  
               service and housing needs and provide a link to the  
               appropriate level of both;


             2)   Emergency shelter to provide an immediate and safe  
               alternative to sleeping on the streets, especially for  
               homeless families with children;









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             3)   Transitional housing with supportive services to allow  
               for the development of skills that will be needed once  
               permanently housed; and


             4)   Permanent and supportive housing to provide individuals  
               and families with an affordable place to live with services  
               if needed.


          CoCs are tasked to track and manage the homeless community in  
          their area.  One of the most important activities entrusted to  
          CoCs is the biannual count of the homeless population and an  
          annual enumeration of emergency systems, transitional housing  
          units and beds that make up the homeless assistance systems.   
          These counts provide an overview of the state of homelessness in  
          a CoC, and offer the information necessary to redirect services,  
          funding, and resources as necessary.  The CoC also manages these  
          services, offering both prevention strategies and homeless  
          assistance programs to assist those at risk of experiencing  
          homelessness.


          Homeless Management Information System (HMIS):  According to  
          HUD, a Homeless Management Information System (HMIS) is a  
          locally-administered data system used to record and analyze  
          client, service, and housing data for individuals and families  
          who are homeless or at risk of homelessness.  HMIS is a valuable  
          resource because of its capacity to integrate and unduplicate  
          data across projects in a community.  Aggregate HMIS data can be  
          used to understand the size, characteristics, and needs of the  
          homeless population at multiple levels, including project,  
          system, local, state and national.  The Annual Homeless  
          Assessment Report (AHAR) is HUD's annual report that provides  
          Congress with detailed data on individuals and households  
          experiencing homelessness across the country each year. 










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          Project 25:  In April 2015, the Fermanian Business & Economic  
          Institute at Point Loma Nazarene University released a study  
          entitled "Project 25:  Housing the Most Frequent Users of Public  
          Services among the Homeless," which focused on individuals who  
          were among the most frequent user  s  of public services in the San  
          Diego metropolitan area and assessed the results of providing  
          housing and other services in an effort to reduce their use and  
          costs of public services.  Project 25 consisted of 28  
          individuals and was designed to determine if the provision of  
          permanent housing with intensive individualized support, coupled  
          with an identified "Medical Home" could significantly reduce the  
          use and cost of various public programs by their most frequent  
          homeless users in the San Diego metropolitan area.  The report  
          concluded that in the base year of 2010, the expenses of all  
          public services used by the 28 individuals totaled approximately  
          $3.5 million.  Hospitalization accounted for over three-fifths  
          of the total at $2.2 million.  In the first full year of  
          participation in the program (2012) these costs were reduced by  
          more than half to $1.5 million.  In 2013, there was a further  
          reduction of 25% to $1.1 million.  Overall the program showed a  
          67% reduction in total costs comparing the base year of 2010 to  
          2013.  The average expense per person fell from over $124,000 in  
          2010 to about $41,000 in 2013.


          Need for this bill:  According to the author's office, "This  
          bill would require a homeless services provider to submit a  
          report to the California Health and Human Services Agency that  
          contains specified data regarding homeless children or youth and  
          homeless persons.  [This bill] would require the data reported  
          to the California Health and Human Services Agency to be  
          published on the California Health and Human Services Open Data  
          Portal.  The purpose of asking homeless services providers to  
          submit the information required by this act is to develop a  
          statewide database of information regarding homeless children or  
          youth and homeless persons and the public services being used.   
          The data will enable state and local governments to develop  
          better programs to target the needs of these individuals and  
          utilize funding and other resources in the most efficient  








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          manner.  The formatting called for in the report is consistent  
          with the passage of AB 169 (Maienschein), Chapter 737, Statutes  
          of 2015 and will ensure broad public access to the information."


          According to a report released by the California Homeless Youth  
          Project in January 2013 entitled "More Than a Roof:  how  
          California Can End Youth Homelessness," California must improve  
          its data collection systems.  Without adequate data collection  
          systems it is difficult to know whether current services are  
          sufficient, if California is addressing the most pressing needs  
          of this population, and whether programs are successful in  
          reducing the number of youth experiencing homelessness. 


          Staff comments:  Should this bill move forward, the author may  
          wish to consider the following concerns:


          Are homeless services providers as defined the most appropriate  
          organizations to be collecting this data?  The bill defines a  
          homeless provider as "a governmental agency or nonprofit  
          provider that receives federal, state, or county or municipal  
          funding to provide services to homeless children or youth."   
          However, this definition is quite broad and may include  
          hospitals, county welfare agencies, nonprofit organizations, and  
          school districts, among others.  The broad scope of this  
          definition may likely encompass some organizations that already  
          face tight budgets; requiring these organizations to perform  
          extra services in order to collect, compile, format and provide  
          data without additional funding to carry out these requirements  
          may have the impact of diverting funds from direct service  
          provision.


          How reliable will the information be?  The homeless services  
          providers described in this bill often do not have access to the  
          type of information being requested under the provisions of this  
          bill, such as the number and duration of hospital stays, number  








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          of arrests, and the like.  Because of this lack of access,  
          homeless services providers rely on data that is self-reported  
          and therefore likely underreported.  While self-reporting can be  
          cost-effective because it removes the requirement for more  
          sophisticated means of data collection, it is often incomplete.   
          Because the intent of this bill is to obtain a clear picture of  
          public services being utilized by those experiencing  
          homelessness and the associated costs of those services, one  
          must ask whether self-reported data is the most effective way to  
          obtain that information.


          How do we measure success as it pertains to reducing  
          homelessness?  The specific data requested under the provisions  
          of this bill are based on similar information requested under  
          Project 25, which reported an annual cost savings to San Diego  
          County of $2 million.  However, this begs the question of how we  
          measure success when it comes to reducing homelessness.  Is  
          success measured by reducing the costs associated with  
          hospitalization and incarceration that is shouldered by the  
          taxpayers, or is it in providing mental health services, job  
          training and permanent, affordable housing - with the ultimate  
          goal of facilitating the removal of barriers and acquisition of  
          education, sufficient income, and stable housing?  Certainly, it  
          is helpful to know the associated costs of homelessness and on  
          public resources, however, the link between this information and  
          how it will contribute to the reduction in homelessness is  
          unclear. 


          PRIOR LEGISLATION:


          AB 1403 (Maienschein), Chapter 188, Statutes of 2015, allowed  
          one or more private, non-profit 501(c) (3) corporations that  
          provide services to homeless persons for the prevention of  
          homelessness to form a joint powers agency, or enter into a  
          joint powers agreement, with one or more public agencies. 









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          AB 169 (Maienschein), Chapter 737, Statutes of 2015, required  
          local agencies to use specified open data standards if they  
          choose to post public records online that are prescribed as  
          "open." 










































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          REGISTERED SUPPORT / OPPOSITION:




          Support


          Coalition of California Welfare Rights Organizations, Inc.




          Opposition


          None on file.




          Analysis Prepared by:Kelsy C. Castillo / HUM. S. / (916)  
          319-2089




















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