Amended in Senate August 17, 2016

Amended in Senate June 30, 2016

Amended in Senate June 13, 2016

California Legislature—2015–16 Regular Session

Assembly Bill No. 2568

Introduced by Assembly Member Atkins

February 19, 2016

An act to begin insert amend Section 30025 of the Government Code, and to end insert 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. begin delete Integrated end delete begin insert County integrated end insert health and human services program.

Existing law authorizes the Counties of Humboldt, Mendocino, and 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 begin delete supervisors, end delete begin insert supervisors and the California Health and Human Services Agency, end insert to operate an integrated and comprehensive begin insert county end insert health and human services system, as specified.

begin insert

Existing law establishes the Local Revenue Fund 2011 to provide funding to counties for public safety services, including mental health and foster care services, among others. Existing law directs each county to establish a County Local Revenue Fund 2011 for receipt of funds allocated from the Local Revenue Fund 2011, and further directs the county to establish various accounts and subaccounts within the County Local Revenue Fund 2011, including a Protective Services Subaccount and a Behavioral Health Subaccount. Existing law provides that a county authorized to operate an integrated and comprehensive county health and human services system may reallocate money between the Protective Services Subaccount and the Behavioral Health Subaccount, consistent with specified provisions.

end insert begin insert

This bill would provide that a county’s reallocation of funds between the Protective Services Subaccount and the Behavioral Health Subaccount remains in effect for only the fiscal year in which the reallocation is made, and would require the county to report the reallocation to the Department of Finance and the Secretary of California Health and Human Services, as specified.

end insert

Vote: majority. Appropriation: no. Fiscal committee: yes. State-mandated local program: no.

The people of the State of California do enact as follows:

begin insert

begin insert SECTION 1. end insert   

end insert

begin insert Section 30025 of the end insert begin insert Government Code end insert begin insert is
amended to read: end insert

30025.  

(a) The Local Revenue Fund 2011 is hereby created
in the State Treasury and shall receive all revenues, less refunds,
derived from the taxes described in Sections 6051.15 and 6201.15;
revenues as may be allocated to the fund pursuant to Sections
11001.5 and 11005 of the Revenue and Taxation Code; and other
moneys that may be specifically appropriated to the fund.

(b) (1) (A)  The Trial Court Security Account, the Local
Community Corrections Account, the Local Law Enforcement
Services Account, the Mental Health Account, the District Attorney
and Public Defender Account, the Juvenile Justice Account, the
Health and Human Services Account, the Reserve Account, and
the Undistributed Account are hereby created within the Local
Revenue Fund 2011.

(B) On September 15, 2012, all of the funds in the Trial Court
Security Account, the Local Community Corrections Account, the
Local Law Enforcement Services Account, the District Attorney
and Public Defender Account, and the Juvenile Justice Account
shall be distributed to the appropriate successor subaccounts and
special accounts as provided in paragraph (3), and on September
30, 2012, are abolished.

(C) On September 30, 2012, the Health and Human Services
Account is abolished.

(D) On January 1, 2013, the Reserve Account and the
Undistributed Account described in subparagraph (A) are
abolished.

(2) (A) The Support Services Account, the Law Enforcement
Services Account, and the Sales and Use Tax Growth Account are
hereby created within the Local Revenue Fund 2011.

(B) The Protective Services Subaccount, the Behavioral Health
Subaccount, and the County Intervention Support Services
Subaccount are hereby created within the Support Services
Account.

(C) The Trial Court Security Subaccount, the Enhancing Law
Enforcement Activities Subaccount, the Community Corrections
Subaccount, the District Attorney and Public Defender Subaccount,
and the Juvenile Justice Subaccount are hereby created within the
Law Enforcement Services Account.

(D) The Enhancing Law Enforcement Activities Growth Special
Account is hereby created within the Enhancing Law Enforcement
Activities Subaccount.

(E) The Support Services Growth Subaccount and the Law
Enforcement Services Growth Subaccount are hereby created
within the Sales and Use Tax Growth Account.

(F) The Protective Services Growth Special Account and the
Behavioral Health Services Growth Special Account are created
within the Support Services Growth Subaccount.

(G) The Women and Children’s Residential Treatment Services
Special Account is hereby created in the Behavioral Health
Subaccount for the Women and Children’s Residential Services
Treatment Program as described in Chapter 2.1 (commencing with
Section 11757.65) of the Welfare and Institutions Code.

(H) The Trial Court Security Growth Special Account, the
Community Corrections Growth Special Account, the District
Attorney and Public Defender Growth Special Account, and the
Juvenile Justice Growth Special Account are hereby created within
the Law Enforcement Services Growth Subaccount.

(3) On September 15, 2012, the funds in the following accounts
and subaccounts, and funds that subsequently would have been
deposited in the following accounts and subaccounts, shall be
transferred as follows:

(A) Funds in the Trial Court Security Account shall be
transferred to the Trial Court Security Subaccount.

(B) Funds in the Local Community Corrections Account shall
be transferred to the Community Corrections Subaccount.

(C) Funds in the Local Law Enforcement Services Account
shall be transferred to the Enhancing Law Enforcement Activities
Subaccount.

(D) Funds in the District Attorney and Public Defender Account
shall be transferred to the District Attorney and Public Defender
Subaccount.

(E) Funds in the Juvenile Justice Account shall be transferred
to the Juvenile Justice Subaccount.

(c) (1) (A) The Youthful Offender Block Grant Subaccount
and the Juvenile Reentry Grant Subaccount are hereby created
within the Juvenile Justice Account.

(B) On September 15, 2012, all of the funds in the Youthful
Offender Block Grant Subaccount and the Juvenile Reentry Grant
Subaccount shall be distributed to the appropriate successor special
accounts as provided in paragraph (3), and on September 30, 2012,
the subaccounts are abolished.

(2) The Youthful Offender Block Grant Special Account and
the Juvenile Reentry Grant Special Account are hereby created
within the Juvenile Justice Subaccount.

(3) On September 15, 2012, the funds in the following
subaccounts, and funds that subsequently would have been
deposited in the following subaccounts, shall be transferred as
follows:

(A) Funds in the Youthful Offender Block Grant Subaccount
shall be transferred to the Youthful Offender Block Grant Special
Account.

(B) Funds in the Juvenile Reentry Grant Subaccount shall be
transferred to the Juvenile Reentry Grant Special Account.

(d) (1) (A) The Adult Protective Services Subaccount, the
Foster Care Assistance Subaccount, the Foster Care Administration
Subaccount, the Child Welfare Services Subaccount, the Adoptions
Subaccount, the Adoption Assistance Program Subaccount, the
Child Abuse Prevention Subaccount, the Women and Children’s
Residential Treatment Services Subaccount, the Drug Court
Subaccount, the Nondrug Medi-Cal Substance Abuse Treatment
Services Subaccount, and the Drug Medi-Cal Subaccount are
hereby created within the Health and Human Services Account
within the Local Revenue Fund 2011.

(B) On September 15, 2012, all of the funds in the Adult
Protective Services Subaccount, the Foster Care Assistance
Subaccount, the Foster Care Administration Subaccount, the Child
Welfare Services Subaccount, the Adoptions Subaccount, the
Adoption Assistance Program Subaccount, the Child Abuse
Prevention Subaccount, the Women and Children’s Residential
Treatment Services Subaccount, the Drug Court Subaccount, the
Nondrug Medi-Cal Substance Abuse Treatment Services
Subaccount, and the Drug Medi-Cal Subaccount shall be distributed
to the appropriate successor subaccounts as provided in paragraph
(2), and on September 30, 2012, the subaccounts named in this
paragraph are abolished.

(2) On September 15, 2012, the funds in the following
subaccounts, and funds that subsequently would have been
deposited in the following subaccounts, shall be transferred as
follows:

(A) Funds in the Adult Protective Services Subaccount, the
Foster Care Assistance Subaccount, the Foster Care Administration
Subaccount, the Child Welfare Services Subaccount, the Adoptions
Subaccount, the Adoption Assistance Program Subaccount, and
the Child Abuse Prevention Subaccount shall be transferred to the
Protective Services Subaccount.

(B) Funds in the Drug Court Subaccount, the Nondrug Medi-Cal
Substance Abuse Treatment Services Subaccount, and the Drug
Medi-Cal Subaccount shall be transferred to the Behavioral Health
Subaccount.

(C) Funds in the Women and Children’s Residential Treatment
Services Subaccount shall be transferred to the Women and
Children’s Residential Treatment Services Special Account.

(e) Funds transferred to the Local Revenue Fund 2011 and its
accounts, subaccounts, and special accounts are, notwithstanding
Section 13340, continuously appropriated and shall be allocated
pursuant to statute exclusively for Public Safety Services as defined
in subdivision (i) and as further limited by statute. The moneys
derived from taxes described in subdivision (a) and deposited in
the Local Revenue Fund 2011 shall be available to reimburse the
General Fund for moneys that are advanced to the Local Revenue
Fund 2011. Additionally, all funds deposited in the Local Revenue
Fund 2011 and its accounts shall be available to pay for state costs
incurred during the 2011-12 fiscal year from state agency or
department appropriations authorized in the Budget Act of 2011
for the realignment of Public Safety Services programs during the
2011-12 legislative session. The Department of Finance is
authorized to determine the time, manner, and amount to be
reimbursed pursuant to this subdivision, provided that
reimbursement shall be made no later than December 1, 2012.

(f) (1) Each county treasurer, city and county treasurer, or other
appropriate official shall create a County Local Revenue Fund
2011 for the county or city and county.

(2) (A) Each county treasurer, city and county treasurer, or
other appropriate official shall create the Local Community
Corrections Account, the Trial Court Security Account, the District
Attorney and Public Defender Account, the Juvenile Justice
Account, the Health and Human Services Account, and the
Supplemental Law Enforcement Services Account within the
County Local Revenue Fund 2011 for the county or city and
county.

(B) On September 15, 2012, each county treasurer, city and
county treasurer, or other appropriate official shall distribute all
of the funds in the Local Community Corrections Account, the
Trial Court Security Account, the District Attorney and Public
Defender Account, the Juvenile Justice Account, the Health and
Human Services Account, and the Supplemental Law Enforcement
Services Account within the County Local Revenue Fund 2011
for the county or city and county to the appropriate successor
accounts as provided in paragraphs (7) and (8), and on September
30, 2012, each county treasurer, city and county treasurer, or other
appropriate official shall abolish the accounts described in
subparagraph (A).

(3) Each county treasurer, and city and county treasurer, or other
appropriate official, shall create the Support Services Account and
the Law Enforcement Services Account within the County Local
Revenue Fund 2011 for the county or city and county.

(4) Each county treasurer, and city and county treasurer, or other
appropriate official, shall create the Protective Services Subaccount
and the Behavioral Health Subaccount within the Support Services
Account.

(A) Any county or city and county may only annually reallocate
money between subaccounts in the Support Services Account,
provided that the reallocation may not exceed 10 percent of the
amount deposited in the immediately preceding fiscal year in the
subaccount in the Support Services Account with the lowest
balance.

(B) A county or city and county shall, at a regularly scheduled
public hearing of its governing body, document that any decision
to make any change in its allocation between the Protective
Services Subaccount or Behavioral Health Subaccount moneys
among services, facilities, programs, or providers as a result of
reallocating funds pursuant to subparagraph (A) was based on the
most cost-effective use of available resources to maximize client
outcomes.

(C) Any reallocation made pursuant to this paragraph shall only
be in effect for the fiscal year in which the reallocation is made,
and the reallocation shall be neither a permanent allocation nor a
permanent funding source for any program or service receiving
funds from the reallocation.

(D) Any county or city and county that reallocates funds
pursuant to this paragraph shall forward a copy of the
documentation in subparagraph (B) to the Controller. The
Controller shall make an annual report to the fiscal committees of
the Legislature of transfers made and shall forward copies of the
documentation to other interested parties upon request.

(E)  begin insert (i) end insert begin insert   end insert Notwithstanding subparagraph (A), any county
authorized to operate an integrated and comprehensive county
health and human services system pursuant to Chapter 12.95
(commencing with Section 18989), Chapter 12.96 (commencing
with Section 18986.60), or Chapter 12.991 (commencing with
Section 18986.86) of Part 6 of Division 9 of the Welfare and
Institutions Code may reallocate money between the Protective
Services Subaccount and the Behavioral Health Subaccount within
the Support Services Account of the County Local Revenue Fund
2011 established pursuant to paragraph (3), consistent with the
provisions and restrictions contained in Chapter 12.95
(commencing with Section 18989), Chapter 12.96 (commencing
with Section 18986.60), or Chapter 12.991 (commencing with
Section 18986.86) of Part 6 of Division 9 of the Welfare and
Institutions Code.

begin insert

(ii) A reallocation made pursuant to clause (i) shall be in effect
for only the fiscal year in which the reallocation is made and the
reallocation shall be neither a permanent allocation nor a
permanent funding source for any program or service receiving
funds from the reallocation.

end insert begin insert

(iii) A county or city and county that reallocates funds pursuant
to clause (i) shall make a report to the Department of Finance and
the Secretary of California Health and Human Services describing
the reallocation made for that fiscal year.

end insert

(F) The Counties of Alameda, Los Angeles, Marin, San Diego,
San Francisco, and San Joaquin shall create, within the Behavioral
Health Subaccount created pursuant to this paragraph, a County
Women and Children’s Residential Treatment Services Special
Account.

(5) Each county treasurer, city and county treasurer, or other
appropriate official shall create the following subaccounts and
special accounts for each respective county or city and county:

(A) The Trial Court Security Subaccount, the Enhancing Law
Enforcement Activities Subaccount, the Community Corrections
Subaccount, the District Attorney and Public Defender Subaccount,
the Juvenile Justice Subaccount, and the Local Innovation
Subaccount within the Law Enforcement Services Account.

(B) The Youthful Offender Block Grant Special Account and
the Juvenile Reentry Grant Special Account within the Juvenile
Justice Subaccount.

(6) (A) Each county treasurer, city and county treasurer, or
other appropriate official shall create, if so directed by the board
of supervisors, a Support Services Reserve Subaccount in the
Support Services Account.

(B) A county’s or city and county’s board of supervisors shall
have the authority to reallocate funds from the Protective Services
Subaccount or the Behavioral Health Subaccount, or both, to the
Support Services Reserve Subaccount in an amount equal to, or
less than, 5 percent of the total funds allocated to those subaccounts
from the corresponding State Treasury subaccounts for the
immediately preceding fiscal year, provided that no reallocation
may occur that would cause the Support Services Reserve
Subaccount to exceed 5 percent of the total funds allocated to the
Protective Services Subaccount and the Behavioral Health
Subaccount from the corresponding State Treasury subaccounts
for the immediately preceding fiscal year. The county’s or city
and county’s board of supervisors shall have the authority to spend
moneys deposited in the Support Services Reserve Subaccount as
they would any funds in the Protective Services Subaccount or the
Behavioral Health Subaccount. The authorization to make this
reallocation or to appropriate the funding may only be made in a
duly noticed public meeting. The county or city and county shall
document any reallocations that occurred in the previous fiscal
year by September 30 and shall forward a copy of the
documentation to the Controller. The Controller shall make an
annual report to the fiscal committees of the Legislature of
reallocations made and shall forward copies of the documentation
to other interested parties upon request.

(7) On September 15, 2012, each county treasurer, city and
county treasurer, or other appropriate official shall distribute all
of the funds in the Local Community Corrections Account, the
Trial Court Security Account, the District Attorney and Public
Defender Account, the Juvenile Justice Account, the Youthful
Offender Block Grant Subaccount, the Juvenile Reentry Grant
Subaccount, and the Supplemental Law Enforcement Services
Account within the County Local Revenue Fund 2011 for the
county or city and county to the appropriate successor subaccounts
and special accounts as follows:

(A) Funds in the Local Community Corrections Account shall
be transferred to the Community Corrections Subaccount.

(B) Funds in the Trial Court Security Account shall be
transferred to the Trial Court Security Subaccount.

(C) Funds in the District Attorney and Public Defender Account
shall be transferred to the District Attorney and Public Defender
Subaccount.

(D) Funds in the Juvenile Justice Account shall be transferred
to the Juvenile Justice Subaccount.

(E) Funds in the Youthful Offender Block Grant Subaccount
shall be transferred to the Youthful Offender Block Grant Special
Account.

(F) Funds in the Juvenile Reentry Grant Subaccount shall be
transferred to the Juvenile Reentry Grant Special Account.

(G) Funds in the Supplemental Law Enforcement Services
Account shall be transferred to the Enhancing Law Enforcement
Activities Subaccount.

(8) On September 15, 2012, each county treasurer, city and
county treasurer, or other appropriate official shall distribute the
funds in the Health and Human Services Account within the County
Local Revenue Fund 2011 for the county or city and county to the
appropriate successor accounts and subaccounts as follows:

(A) Funds that a county or city and county received from the
Adult Protective Services Subaccount, the Foster Care Assistance
Subaccount, the Foster Care Administration Subaccount, the Child
Welfare Services Subaccount, the Adoptions Subaccount, the
Adoption Assistance Program Subaccount, and the Child Abuse
Prevention Subaccount in the Local Revenue Fund 2011 shall be
transferred to the Protective Services Subaccount in the County
Local Revenue Fund 2011.

(B) Funds that a county or city and county received from the
Drug Court Subaccount, the Nondrug Medi-Cal Substance Abuse
Treatment Services Subaccount, and the Drug Medi-Cal
Subaccount in the Local Revenue Fund 2011 shall be transferred
to the Behavioral Health Subaccount in the County Local Revenue
Fund 2011.

(C) Funds that a county or city and county received from the
Women and Children’s Residential Treatment Services Subaccount
shall be transferred to the Women and Children’s Residential
Treatment Services Special Account within the Behavioral Health
Subaccount.

(9) The moneys in the County Local Revenue Fund 2011 for
each county or city and county and its accounts shall be exclusively
used for Public Safety Services as defined in subdivision (i) and
as further described in this section.

(10) The moneys in and transferred from the Trial Court Security
Account, and the moneys in its successor subaccount and special
account, the Trial Court Security Subaccount and the Trial Court
Security Growth Special Account, shall be used exclusively to
fund trial court security provided by county sheriffs. No general
county administrative costs may be charged to this account,
including, but not limited to, the costs of administering the account.

(11) The moneys in and transferred from the Local Community
Corrections Account, and the moneys in its successor subaccount
and special account, the Community Corrections Subaccount and
the Community Corrections Growth Special Account, shall be the
source of funding for the provisions of Chapter 15 of the Statutes
of 2011. This funding shall not be used by local agencies to
supplant other funding for Public Safety Services. This account,
subaccount, and special account shall be the source of funding for
the Postrelease Community Supervision Act of 2011, as enacted
by Section 479 of Chapter 15 of the Statutes of 2011, and to fund
the housing of parolees in county jails.

(12) The moneys in and transferred from the District Attorney
and Public Defender Account, and the moneys in its successor
subaccount and special account, the District Attorney and Public
Defender Subaccount and the District Attorney and Public
Defender Growth Special Account, shall be used exclusively to
fund costs associated with revocation proceedings involving
persons subject to state parole and the Postrelease Community
Supervision Act of 2011 (Title 2.05 (commencing with Section
3450) of Part 3 of the Penal Code), and may be used to fund
planning, implementation, and training costs for those proceedings.
The moneys shall be allocated equally by the county or city and
county to the district attorney’s office and county public defender’s
office, or where no public defender’s office is established, to the
county for distribution for the same purpose.

(13) The moneys in and transferred from the Juvenile Justice
Account, and the moneys in its successor subaccount and special
account, the Juvenile Justice Subaccount and the Juvenile Justice
Growth Special Account, shall only be used to fund activities in
connection with the grant programs described in this paragraph.

(A) The Youthful Offender Block Grant Subaccount, and its
successor, the Youthful Offender Block Grant Special Account,
shall be used to fund grants solely to enhance the capacity of county
probation, mental health, drug and alcohol, and other county
departments to provide appropriate rehabilitative, housing, and
supervision services to youthful offenders, subject to Sections
731.1, 733, 1766, and 1767.35 of the Welfare and Institutions
Code. Counties, in expending an allocation from this subaccount
or special account, shall provide all necessary services related to
the custody and parole of the offenders.

(B) The Juvenile Reentry Grant Subaccount, and its successor,
the Juvenile Reentry Grant Special Account, shall be used to fund
grants exclusively to address local program needs for persons
discharged from the custody of the Department of Corrections and
Rehabilitation, Division of Juvenile Facilities. County probation
departments, in expending the Juvenile Reentry Grant allocation,
shall provide evidence-based supervision and detention practices
and rehabilitative services to persons who are subject to the
jurisdiction of the juvenile court, and who were committed to and
discharged from the Department of Corrections and Rehabilitation,
Division of Juvenile Facilities. “Evidence-based” refers to
supervision and detention policies, procedures, programs, and
practices demonstrated by scientific research to reduce recidivism
among individuals on probation or under postrelease supervision.
The funds allocated from this subaccount or special account shall
supplement existing services and shall not be used by local agencies
to supplant any existing funding for existing services provided by
those entities. The funding provided from this subaccount or special
account is intended to provide payment in full for all local
government costs of the supervision, programming, education,
incarceration, or any other cost resulting from persons discharged
from custody or held in local facilities pursuant to the provisions
of Chapter 729 of the Statutes of 2010.

(14) The moneys in and transferred from the Supplemental Law
Enforcement Services Account, and the moneys in its successor
subaccount, the Enhancing Law Enforcement Activities
Subaccount, and moneys in the Enhancing Law Enforcement
Activities Growth Special Account, shall be used to provide grants
and funding to local law enforcement as provided by statute.

(15) Notwithstanding any other provision of this section, the
moneys in the Local Innovation Subaccount shall be used to fund
local needs. The board of supervisors of a county or city and county
shall have the authority to spend money deposited in the Local
Innovation Subaccount as it would any funds in the Juvenile Justice
Subaccount, the District Attorney and Public Defender Subaccount,
the Community Corrections Subaccount, or the Trial Court Security
Subaccount.

(16) The moneys in and transferred from the Health and Human
Services Account and its subaccounts and the moneys in its
successor account, the Support Services Account, and the moneys
in the Protective Services Subaccount and the Behavioral Health
Subaccount shall be used only to fund activities performed in
connection with the programs described in this subdivision. Except
as provided in subdivisions (c) and (d), as restricted by subdivision
(e), of Section 30026.5, counties and cities and counties shall pay
100 percent of the nonfederal costs of the programs described in
this subdivision using funds allocated from the Local Revenue
Fund, the Local Revenue Fund 2011, and any required matching
expenditures. Funds shall be used in a manner that maintains
eligibility for federal funding.

(A) The moneys in the Protective Services Subaccount and the
Protective Services Growth Special Account shall be used
exclusively to fund the following:

(i) Adult protective services described in statute and regulation.

(ii) Foster care grants and services as those services are
described in statute, regulation, and the Title IV-E Child Welfare
Waiver Demonstration Capped Allocation Project.

(iii) The administrative costs of foster care services as those
services are described in statute, regulation, and the Title IV-E
Child Welfare Waiver Demonstration Capped Allocation Project.

(iv) The costs of child welfare services as those services are
described in statute, regulation, and the Title IV-E Child Welfare
Waiver Demonstration Capped Allocation Project.

(v) The costs connected with providing adoptive services,
including agency adoptions, as described in statute and regulation,
including the costs incurred by the county or city and county if the
county or city and county elects to contract with the state to provide
those services.

(vi) The costs of child abuse prevention, intervention, and
treatment services as those costs and services are described in
statute and regulation.

(vii) The administrative costs and payments for families adopting
children with special needs.

(B) The moneys in the Behavioral Health Subaccount and the
Behavioral Health Services Growth Special Account shall be used
exclusively to fund the following:

(i) Residential perinatal drug services and treatment as those
services and treatment are described in statute and regulation.

(ii) Drug court operations and services as those costs are
currently permitted and described by statute and regulation.

(iii) Nondrug Medi-Cal substance abuse treatment programs,
as described in statute and regulation.

(iv) The Drug Medi-Cal program as that program is described
in statute, regulation, or the State Plan or its amendment or
amendments.

(v) Medi-Cal specialty mental health services, including the
Early and Periodic Screening, Diagnosis, and Treatment Program
and mental health managed care, as described in statute, regulation,
the managed care waiver provisions of Title XIX of the federal
Social Security Act (42 U.S.C. Sec. 1396n), or the State Plan or
its amendment or amendments.

(C) The moneys in the Women and Children’s Residential
Treatment Services Special Account shall be used exclusively to
fund the Women and Children’s Residential Treatment Services
program, as described in Chapter 2.1 (commencing with Section
11757.65) of the Welfare and Institutions Code.

(g) The moneys in the Reserve Account shall be used to fund
entitlements paid from the Foster Care Assistance Subaccount, the
Drug Medi-Cal Subaccount, and the Adoption Assistance Program
Subaccount of the Health and Human Services Account after the
funding of any entitlements for the 2011-12 fiscal year, and not
later than December 1, 2012.

(h) The moneys in the Undistributed Account shall be used to
reimburse the General Fund for costs incurred and expenditures
made by the state on behalf of any local government entity in
providing Public Safety Services, as defined in subdivision (i),
after all 2011-12 costs have been reimbursed, but not later than
December 1, 2012.

(i) For purposes of this section, “Public Safety Services” shall
include all of the following:

(1) Employing and training public safety officials, including
law enforcement personnel, attorneys assigned to criminal
proceedings, and court security staff.

(2) Managing local jails and providing housing, treatment, and
services for, and supervision of, juvenile and adult offenders.

(3) Preventing child abuse, neglect, or exploitation; providing
services to children and youth who are abused, neglected, or
exploited, or who are at risk of abuse, neglect, or exploitation, and
the families of those children; providing adoption services; and
providing adult protective services.

(4) Providing mental health services to children and adults in
order to reduce failure in school, harm to themselves and others,
homelessness, and preventable incarceration or institutionalization.

(5) Preventing, treating, and providing recovery services for
substance abuse.

(j) The realignment moneys collected by the state and distributed
to the local governmental entities pursuant to this article shall be
considered state funds for the purposes of the political subdivision
provision of the nonfederal share of Medicaid expenditures for
purposes of Section 5001(g)(2) of the federal American Recovery
and Reinvestment Act of 2009 (Public Law 111-5) and Section
100201(c)(6) of the federal Patient Protection and Affordable Care
Act (Public Law 111-148). Although the realignment moneys shall
be considered state proceeds of taxes, they are not General Fund
revenues.

(k) The receipt of funding by each county or city and county
pursuant to this chapter shall be contingent upon the creation of
the accounts, subaccounts, and special accounts required by this
chapter in each county’s, or city and county’s treasury.

begin delete SECTION 1. end delete

begin insert SEC. 2. end insert   

Section 18986.89 is added to the Welfare and
Institutions Code, to read:

18986.89.  

(a)  begin insert (1) end insert begin insert   end insert 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 begin insert county end insert health and human
services system.

begin insert

(2) A system described in paragraph (1) shall comply with the
requirements of this section and is subject to the approval of the
California Health and Human Services Agency. The California
Health and Human Services Agency shall grant approval if the
county furnishes a certified copy of a current ordinance or
resolution authorizing an integrated and comprehensive health
and human services system in that county.

end insert

(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)  begin delete Veteran’s end delete begin insert Veterans’ end insert 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 begin delete chapter end delete begin insert section end insert 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 begin insert State end insert
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
begin delete chapter end delete begin insert section end insert 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.