BILL NUMBER: AB 2568	AMENDED
	BILL TEXT

	AMENDED IN SENATE  JUNE 30, 2016
	AMENDED IN SENATE  JUNE 13, 2016

INTRODUCED BY   Assembly Member Atkins

                        FEBRUARY 19, 2016

   An act to add Section 18986.89 to the Welfare and Institutions
Code, relating to health and human services.


	LEGISLATIVE COUNSEL'S DIGEST


   AB 2568, as amended, Atkins. Integrated health and human services
program.
   Existing law authorizes the Counties of Humboldt, Mendocino, and
 Alameda,   Alameda  to implement a program
for the funding and delivery of services and benefits through an
integrated and comprehensive county health and human services system,
subject to certain limitations.
   This bill would authorize the County of San Diego, upon approval
of the county board of supervisors, to operate an integrated and
comprehensive health and human services  system. 
 system, as specified. 
   Vote: majority. Appropriation: no. Fiscal committee:  no
  yes  . State-mandated local program: no.


THE PEOPLE OF THE STATE OF CALIFORNIA DO ENACT AS FOLLOWS:

  SECTION 1.  Section 18986.89 is added to the Welfare and
Institutions Code, to read:
   18986.89.   (a)    Notwithstanding the dates
provided in subdivisions (a) and (b) of Section 18986.87, the County
of San Diego may, upon approval of the county board of supervisors,
operate an integrated and comprehensive health and human services
system. 
   (b) In providing services through an integrated system to families
and individuals, the system may, among other things, do both of the
following:  
   (1) Maintain and evaluate a system of administration that
integrates and coordinates the management and support of client
services.  
   (2) Maintain a system of reporting and accountability that
provides for the combined provision of services without the loss of
state or federal funds provided under current law.  
   (c) The integrated and comprehensive county health and human
services system may include, but not be limited to, any or all of the
following:  
   (1) Adoption services.  
   (2) Child abuse prevention services.  
   (3) Child welfare services.  
   (4) Delinquency prevention services.  
   (5) Drug and alcohol services.  
   (6) Mental health services.  
   (7) Eligibility determination.  
   (8) Employment and training services.  
   (9) Foster care services.  
   (10) Health services.  
   (11) Public health services.  
   (12) Housing services.  
   (13) Medically indigent program services.  
   (14) Veteran's services.  
   (15) Aging services.  
   (16) Any other related program as designated by the board of
supervisors.  
   (d) The county shall comply with all applicable state and federal
privacy laws that govern medical and social service information,
including, but not limited to, the Confidentiality of Medical
Information Act (Part 2.6 (commencing with Section 56) of Division 1
of the Civil Code), the federal Health Insurance Portability and
Accountability Act (HIPAA), and Sections 827, 5328, and 10850. 

   (e) Programs or services shall be included in the system only to
the extent that federal funding to either the state or the county
will not be reduced as a result of the inclusion of the services in
the project.  
   (f) This chapter shall not authorize the county to discontinue
meeting its obligations under current law to provide services or to
reduce its accountability for the provision of these services. 

   (g) The county shall utilize any and all state general funds and
county funds that it is legally allocated or entitled to receive.
Through the creation of integrated health and social services
structures, the county shall maximize federal matching funds. This
integration shall not result in increased expenditures from the
General Fund.  
   (h) The appropriate state departments, as designated by the
Secretary of Health and Human Services, that are assisting,
participating, and cooperating in the program authorized by this
chapter shall have the authority to waive regulations, with the
concurrence of the county, regarding the method of providing services
and the method of reporting and accountability, as may be required
to meet the goals set forth in subdivision (b). However, the
departments shall not waive regulations pertaining to privacy and
confidentiality of records, civil service merit systems, or
collective bargaining. The departments shall not waive regulations if
the waiver results in a diminished amount or level of services or
benefits to eligible recipients as compared to the benefits and
services that would have been provided to recipients absent the
waiver.