BILL ANALYSIS Ó SENATE COMMITTEE ON APPROPRIATIONS Senator Ricardo Lara, Chair 2015 - 2016 Regular Session AB 2568 (Atkins) - Integrated health and human services program ----------------------------------------------------------------- | | | | | | ----------------------------------------------------------------- |--------------------------------+--------------------------------| | | | |Version: June 30, 2016 |Policy Vote: HEALTH 7 - 0, | | | HUMAN S. 5 - 0 | | | | |--------------------------------+--------------------------------| | | | |Urgency: No |Mandate: No | | | | |--------------------------------+--------------------------------| | | | |Hearing Date: August 8, 2016 |Consultant: Brendan McCarthy | | | | ----------------------------------------------------------------- This bill does not meet the criteria for referral to the Suspense File. Bill Summary: AB 2568 would authorize San Diego County to operate an integrated health and human services system. Fiscal Impact: No significant fiscal impact to any state department is anticipated. The bill authorizes state agencies that interact with the integrated program authorized in the bill to waive state regulations as needed to allow the San Diego to operate an integrated system. Any costs to do so by impacted state agencies are anticipated to be minor. No state fiscal impact is anticipated due to potential changes to realignment funding within San Diego County. Under current law, counties have the authority to move up to 10% of funds in their Support Services Account between the various subaccounts. Current law allows counties that operate a joint AB 2568 (Atkins) Page 1 of ? health and human services system to move unlimited amounts of funding between the subaccounts. Because the overall amount of realignment funding to San Diego County would not change under the bill, there is no state fiscal impact from this change. Background: Current law authorizes Humboldt, Mendocino, Alameda, and Placer counties to operate integrated health and human services system and authorizes the Secretary of Human Services to authorize additional counties to do so. Current law places certain requirements on the use of that authority by participating counties. Current law relating to the 2011 realignment establishes the Support Services Account and several subaccounts within the Support Services Account to be used to fund specified realigned programs using county realignment funds. Current law authorizes counties to reallocate funds between the subaccounts, providing the reallocation does not exceed 10% of the funds deposited in the subaccount with the lowest balance. However, current law also allows a county that operates an integrated health and human services system to reallocate more than 10% of funds between the Protective Services Subaccount and the Behavioral Health Subaccount. Proposed Law: AB 2568 would authorize San Diego County to operate an integrated health and human services system. Specific provisions of the bill would: Authorize the County of San Diego to operate an integrated and comprehensive health and human services system; Specify services that may be provided, but not limit the services that may be provided to those identified in the bill; Require the county to comply with all applicable state and federal medical and social service privacy protection laws; Limit the inclusion of programs or services to the extent that federal funding shall not be reduced; Specify that the bill does not authorize the county to discontinue meeting any existing obligations under current law; Require the county to utilize all state General Fund and county funds that it is legally allocated or entitled to AB 2568 (Atkins) Page 2 of ? received; Prohibit the integration from resulting in additional expenditures from the General Fund; Authorize appropriate state departments that interact with the integrated program to waive regulations necessary to meet the requirements of the bill, with specified limitations. Staff Comments: Staff notes that discussions are ongoing between the author and the Administration about potentially expanding this bill to create statewide authority for counties to operate integrated health and human services systems. -- END --