BILL ANALYSIS Ó
SENATE COMMITTEE ON APPROPRIATIONS
Senator Ricardo Lara, Chair
2015 - 2016 Regular Session
AB 2568 (Atkins) - Integrated health and human services program
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|Version: June 30, 2016 |Policy Vote: HEALTH 7 - 0, |
| | HUMAN S. 5 - 0 |
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|Urgency: No |Mandate: No |
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|Hearing Date: August 8, 2016 |Consultant: Brendan McCarthy |
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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
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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
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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.
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