BILL ANALYSIS                                                                                                                                                                                                    Ó




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          |SENATE RULES COMMITTEE            |                       SB 1226|
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                                UNFINISHED BUSINESS 


          Bill No:  SB 1226
          Author:   Beall (D) and Huff (R), et al.
          Amended:  8/18/16  
          Vote:     21 

           SENATE HUMAN SERVICES COMMITTEE:  5-0, 4/12/16
           AYES:  McGuire, Berryhill, Hancock, Liu, Nguyen

           SENATE APPROPRIATIONS COMMITTEE:  7-0, 5/27/16
           AYES:  Lara, Bates, Beall, Hill, McGuire, Mendoza, Nielsen

           SENATE FLOOR:  39-0, 5/31/16
           AYES:  Allen, Anderson, Bates, Beall, Berryhill, Block,  
            Cannella, De León, Fuller, Gaines, Galgiani, Glazer, Hall,  
            Hancock, Hernandez, Hertzberg, Hill, Hueso, Huff, Jackson,  
            Lara, Leno, Leyva, Liu, McGuire, Mendoza, Mitchell, Monning,  
            Moorlach, Morrell, Nguyen, Nielsen, Pan, Pavley, Roth, Stone,  
            Vidak, Wieckowski, Wolk
           NO VOTE RECORDED:  Runner

           ASSEMBLY FLOOR:  78-1, 8/23/16 - See last page for vote

           SUBJECT:   Regional centers:  audits and reviews


          SOURCE:    ResCoalition


          DIGEST:  This bill requires regional centers to submit to the  
          California Department of Developmental Services (DDS) copies of  
          independent audit reports for vendors of regional center  
          services. This bill requires DDS to compile data, by regional  
          center, on vendor compliance with audit requirements and  
          opinions resulting from audit reports and shall annually publish  
          the data, as specified. 








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          Assembly Amendments remove the mandate for DDS to analyze data  
          and require the Department instead to compile and publish the  
          data. Amendments also resolve chaptering conflicts with ABX2-1  
          (Thurmond, Chapter 3, Statutes of 2016 Second Extraordinary  
          Session), and clarify the timeframe for which an audit must be  
          conducted.


          ANALYSIS:   


          Existing law:


          1)Defines, in California law, a "developmental disability" as a  
            disability that originates before the age of 18, continues, or  
            can be expected to continue, indefinitely, and constitutes a  
            substantial disability. This term includes intellectual  
            disability, cerebral palsy, epilepsy, and autism. (WIC 4512)


          2)Establishes, in California law, that DDS shall contract with  
            private non-profit regional centers to provide fixed points of  
            contact in the community for persons with developmental  
            disabilities and their families, so that these persons may  
            have access to the services and supports best suited to them  
            throughout their lifetime. (WIC 4620)


          3)Requires an entity receiving payments from one or more  
            regional centers to contract with an independent accounting  
            firm for an audit or review its financial statements, as  
            specified. (WIC 4652.5 (a)(1) 


          4)Exempts state agencies, the University of California and  
            California State University systems and certain providers, as  
            defined, from the audit requirement. (WIC 4652.5. (a) (2), et  
            seq.)









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          5)Requires regional centers to review audits or review reports  
            and resolve issues identified in the report that have an  
            impact on regional center services. Requires regional centers  
            to take appropriate action, up to termination of  
            vendorization, for lack of adequate resolution of issues. (WIC  
            4652.5. (c))


          6)Requires regional centers to notify DDS of all qualified  
            opinion reports or reports noting significant issues that  
            directly or indirectly impact regional center services within  
            30 days after receipt, and requires the notification include a  
            plan for resolution of issues. (WIC 4652.5. (d))


          Special Session Legislation:


          ABX2-1 made a number of changes to the audit requirements for  
          vendors of regional center services effective June 9, 2016:  


          1)Requires that an entity receiving payments from one or more  
            regional centers shall contract with an independent accounting  
            firm for an audit or review of its financial statements  
            relating to payments made by regional centers subject to all  
            of the following: 


            a)  When the amount received from the regional center or  
              regional centers during the entity's fiscal year is more  
              than or equal to five hundred thousand dollars ($500,000)  
              but less than two million dollars ($2,000,000), the entity  
              shall obtain an independent audit or independent review  
              report of its financial statements for the period. This  
              includes work activity program providers receiving less than  
              five hundred thousand dollars ($500,000), as specified. 


            b)  When the amount received from the regional center or  
              regional centers during the entity's fiscal year is equal to  








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              or more than two million dollars ($2,000,000), the entity  
              shall obtain an independent audit of its financial  
              statements for the period. (WIC 4652.5 (a) (1))


          2)Requires vendors to provide copies of the audit or review to  
            the vendoring regional center within nine months of the end of  
            the vendor's fiscal year. (WIC 4652.5. (b))


          3)Permits an entity that obtains an independent review based on  
            regional center payments of between $500,000 and $2 million to  
            request a two-year exemption if the regional center does not  
            find issues in the prior year's audit or review that has an  
            impact on regional center services. (WIC 4652.5 (h)(1))


          4)Permits an entity that is required to obtain an independent  
            audit of its financial statements based on regional center  
            payments in excess of $2 million to apply to the regional  
            center for an exemption subject to all of the following  
            conditions:


             a)   If the independent audit for the prior year resulted in  
               an unmodified opinion or an unmodified opinion with  
               explanatory language, the regional center shall grant the  
               entity a two-year exemption.


             b)   If the independent audit for the prior year resulted in  
               a qualified opinion and the issues are not material, the  
               regional center shall grant the entity a two-year  
               exemption. However, the entity and the regional center  
               shall continue to address issues raised in this independent  
               audit, regardless of whether the exemption is granted. (WIC  
               4652.5.(h)(2))


          5)Requires a regional center to notify DDS annually of any  
            exemption it grants to an entity, as specified. (WIC 4652.5.  
            (h) (3))








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          This bill:


          1)Requires the vendoring regional center to submit copies of all  
            independent audit reports to DDS for review. 


          2)Requires DDS to compile data, by regional center, on vendor  
            compliance with audit requirements and opinions resulting from  
            audit reports and shall annually publish the data in the  
            performance dashboard, as specified.


          3)Requires, as of January 1, 2018, that the amount of money a  
            vendor receives from a regional center in the state's fiscal  
            year, versus an entity's fiscal year as required by current  
            law, be used to determine if a vendor is required to submit a  
            review or audit report.


          4)Clarifies that, as of January 1, 2018, the period of time for  
            which a vendor shall obtain either the independent review  
            report or the independent audit of its financial statements,  
            as applicable and specified is the entity's fiscal year that  
            includes the last day of the most recent state fiscal year.




          Background


          The Lanterman Developmental Disabilities Services Act,  
          established an entitlement to services and supports for  
          Californians with developmental disabilities and set up an  
          extensive system to care for individuals who are living in their  
          communities. A developmental disability is defined in statute as  
          one that originates before the age of 18, continues, or can be  
          expected to continue, indefinitely, and constitutes a  
          substantial disability. Today, more than 290,000 children and  








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          adults with developmental disabilities are served in  
          community-based programs and supported by state- and federally  
          funded services that are coordinated 21 by local, nonprofit  
          regional centers. 


          According to statewide data from December 2015, slightly more  
          than half of the regional center population is between age 18  
          and 61 years old; about two-thirds of all consumers have an  
          intellectual disability, three in 10 are diagnosed with autism  
          or a related disorder, and 18 percent are identified as having  
          severe behaviors, according to data reported by the DDS.  
          Statewide, 75 percent of consumers live in the home of a parent  
          or guardian. 


          Vendorization. To be eligible to provide services to a regional  
          center client, a provider must become a vendor of those services  
          in the specific regional center's catchment area. According to  
          the DDS Web site, "vendorization is the process for  
          identification, selection, and utilization of service providers  
          based on the qualifications and other requirements necessary in  
          order to provide the services. The vendorization process allows  
          regional centers to verify, prior to the provision of services  
          to consumers, that an applicant meets all of the requirements  
          and standards specified in regulations."


          In truth, regional centers must vendorize any applicant who  
          meets all the requirements for the service to be provided. The  
          DDS Web site notes that vendorization in no way obligates that  
          regional center to purchase service from that vendor. Applicants  
          who pass vendorization requirements are assigned a service code  
          and unique vendor identification number by the regional center,  
          which determines the appropriate vendor category for the service  
          to be provided.


          Bureau of State Audits (BSA) report. In August 2010, the BSA  
          released a report entitled "Department of Developmental  
          Services: A More Uniform and Transparent Procurement and Rate  
          Setting Process Would Improve the Cost Effectiveness of Regional  








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          Centers." Among its conclusions was that regional centers were  
          not appropriately monitoring expenditures of vendors and that  
          the centers themselves did not always document how rates are  
          set, why certain vendors are selected, or how contracts are  
          procured; "thus, in some cases, the ways in which regional  
          centers established payment rates and selected vendors had the  
          appearance of favoritism or fiscal irresponsibility."  The audit  
          prompted a Senate Human Services Committee hearing as well as  
          discussions in the Senate budget subcommittee about the need for  
          additional oversight of vendor expenditures. While DDS is tasked  
          with auditing service providers (WIC 4648.1), the Department  
          does not have sufficient resources to conduct audits on many  
          vendors and typically focuses solely on those that have been  
          brought to its attention. 


          Audit requirements. Faced with dramatic fiscal shortfalls in  
          2011, and on the heels of the BSA findings, the Administration  
          and Legislature added a requirement for vendors receiving more  
          than $250,000 to obtain either an independent audit or a lesser  
          audit review to ensure good bookkeeping practices (SB 74,  
          Committee on Budget and Fiscal Review, Chapter 9, Statutes of  
          2011). 

          Audit completion has varied widely. On average, according to a  
          2015 survey of 18 regional centers by the Association of  
          Regional Center Agencies (ARCA), 52 percent of vendors have  
          completed audits with 99 percent of audits resulting in  
          unqualified vendor opinions. DDS reports that approximately 90  
          audits have been reported to the department with problems. The  
          original legislation did not require regional centers to report  
          to DDS the number of audits or reviews completed successfully  
          and the department does not have any data on overall compliance  
          with the audit requirement, nor does it know which vendors have  
          passed with clean audits or reviews. 


          The thresholds in 2011 were derived, in part, by a budget  
          savings estimate that projected improved accounting procedures  
          and internal controls by vendors at this level would save about  
          one percent in annual purchase of service costs. The audits were  
          not expected to find significant amounts of fraud; rather the  








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          savings assumed that the audits would identify poor billing  
          practices, errors in billings and inappropriate transactions  
          that would otherwise be billed to regional centers. DDS would be  
          able to focus its audits on those vendors with qualified reports  
          or significant issues raised, according to a Department  
          description of the proposal. 

          Thresholds were increased this year in the special session:  
          Vendors receiving between $500,000 and $2 million must obtain an  
          audit review and vendors receiving more than $2 million must  
          obtain an independent audit. These requirements went into effect  
          June 9, 2016 (ABX2-1, Thurmond, Chapter 3, Statutes of 2016  
          Second Extraordinary Session).The adjustment in the financial  
          threshold for audits under ABX2-1 is expected to result in  
          nearly 70 percent of providers being eliminated from the audit  
          requirement: only 410 vendors would be required to obtain an  
          independent audit from a total of 1,381 currently eligible  
          vendors. 


          Audit findings


          An audit report is completed by an independent accounting  
          professional to appraise the financial status of a business or  
          company. It considers a company's assets and liabilities, and  
          reviews whether financial records have been maintained in  
          accordance with Generally Acceptable Accounting Standards  
          (GAAS). There are four types of auditor opinions a business can  
          receive:


          1)Unmodified opinion - Often called a clean opinion, and  
            formerly called an unqualified opinion, this is issued when an  
            auditor determines that the financial records are presented  
            fairly and free of any misrepresentations.


          2)Qualified opinion - In situations when a company's financial  
            records have not been maintained in accordance with GAAS but  
            no misrepresentations are identified, an auditor will issue a  
            qualified opinion.








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          3)Adverse opinion - This is issued when an auditor concludes  
            that the audited financial statements do not fairly represent  
            the organization's financial position and there are  
            significant departures from GAAS.


          4)Disclaimer of opinion - An auditor also may choose not to  
            issue an opinion, either due to significant uncertainties in  
            the appropriateness of the materials, significant limitations  
            in the scope of the audit or the auditor feels he or she  
            cannot be impartial or independent about the business. 


          Related/Prior Legislation


          ABX2-1 (Thurmond, Chapter 3, Statutes of 2016 Second  
          Extraordinary Session) made adjustments to fiscal audit  
          requirements for regional center vendors working with the  
          developmentally disabled. It also clarified what monies were be  
          analyzed for audits and allowed exemptions to audits and reviews  
          under specific conditions. 


          SB 490 (Beall, 2015) would have increased audit threshold and  
          reporting requirements and clarified what monies can be counted  
          toward the threshold and when audits and financial reviews are  
          submitted to regional centers. The bill was held in the Assembly  
          Appropriations Committee.
          
          FISCAL EFFECT:   Appropriation:    No          Fiscal  
          Com.:YesLocal:   No

          According to the Assembly Appropriations Committee, this bill  
          may result in minor and absorbable fiscal impact to DDS to  
          review and summarize data received from regional centers to  
          include on the performance data dashboard.

          SUPPORT:  (Verified  8/23/16)









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          ResCoalition (source)
          Alliance Supporting People with Intellectual and Developmental  
          Disabilities


          OPPOSITION:   (Verified8/23/16)


          None received


          ARGUMENTS IN SUPPORT:     The bill's sponsor, ResCoalition,  
          writes that there are ongoing concerns with the vendor audit  
          process, despite recent reforms made in the Second Extraordinary  
          Session. This bill "seeks to get the Department of Developmental  
          Services to assess the effectiveness of the continued mandate  
          for fiscal audits, considering the department has acknowledged  
          they have not achieved the intended or desired outcomes."




           ASSEMBLY FLOOR:  78-1, 8/23/16
           AYES:  Achadjian, Alejo, Travis Allen, Arambula, Atkins, Baker,  
            Bigelow, Bloom, Bonilla, Bonta, Brough, Brown, Burke,  
            Calderon, Campos, Chang, Chau, Chávez, Chiu, Chu, Cooley,  
            Cooper, Dababneh, Dahle, Daly, Dodd, Eggman, Frazier, Beth  
            Gaines, Gallagher, Cristina Garcia, Eduardo Garcia, Gatto,  
            Gipson, Gomez, Gonzalez, Gordon, Gray, Grove, Roger Hernández,  
            Holden, Irwin, Jones, Jones-Sawyer, Kim, Lackey, Levine,  
            Linder, Lopez, Low, Maienschein, Mathis, Mayes, McCarty,  
            Medina, Melendez, Mullin, Nazarian, Obernolte, O'Donnell,  
            Olsen, Patterson, Quirk, Ridley-Thomas, Rodriguez, Salas,  
            Santiago, Steinorth, Mark Stone, Thurmond, Ting, Wagner,  
            Waldron, Weber, Wilk, Williams, Wood, Rendon
           NOES:  Harper
           NO VOTE RECORDED:  Hadley

          Prepared by:   Mareva Brown / HUMAN S. / (916) 651-1524
          8/23/16 20:02:59









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