BILL ANALYSIS                                                                                                                                                                                                    




                   Senate Appropriations Committee Fiscal Summary
                           Senator Christine Kehoe, Chair

                                           82 (Evans)
          
          Hearing Date:  08/17/2009           Amended: 08/17/2009
          Consultant:  Jacqueline Wong-HernandezPolicy Vote: Human  
          Services 4-0
          _________________________________________________________________ 
          ____
          BILL SUMMARY: AB 82 establishes a pilot project that would  
          create additional requirements in the court approval process for  
          requests to administer psychotropic medications to children in  
          foster care. This bill requires the Judicial Council to adopt  
          specified rules and forms to implement the project by July 1,  
          2010. The pilot project will be operative until January 1, 2013,  
          in three counties, as specified, selected by the Department of  
          Social Services (DSS) in consultation with the California  
          Welfare Directors Association (CWDA), California Mental Health  
          Director Association (CMHDA) and the Judicial Council. This bill  
          requires DSS, after consultation with the Department of Mental  
          Health, to report to the Legislature before July 1, 2013,  
          regarding the findings of the pilot project, as specified.  
          _________________________________________________________________ 
          ____
                            Fiscal Impact (in thousands)

           Major Provisions         2009-10      2010-11       2011-12     Fund
           DSS workload (report and          $32                  $56        
                      $32               General
          Pilot implementation)                  $18                  $24   
                           $18               Federal

          Local assistance                       ***Unknown, potentially  
          significant***             General

          New Judicial Council forms      Minor and absorbable    General*

          *Trial Courts Trust Fund
          _________________________________________________________________ 
          ____

          STAFF COMMENTS: This bill meets the criteria for referral to the  
          Suspense File.

          This bill would require DSS, in consultation with specified  










          stakeholders, to develop the described pilot program, select  
          three counties to participate in the program, and implement the  
          program (including any necessary training and negotiations with  
          participating counties). Considering both the scope of the  
          project, and DSS budget reductions and furloughs, it is likely  
          that DSS will need one additional staff person at the Social  
          Services Consultant III level to initiate this new program. This  
          staff person would also be responsible for establishing the  
          structure for the report, and the interaction between counties  
          and DSS to exchange the specified information and monitor the  
          pilot. In fiscal years 2011-12 and 2012-13 (after designing and  
          establishing the program) the ongoing workload could be  
          completed by  PY. 

          DSS is also required to report demographic information on  
          specified youth, which can be collected and reported easily by  
          counties if DSS establishes a framework for doing so at the  
          beginning of the pilot. This bill also requires DSS to report  
          "data on mental health outcomes for these youth." The specific  
          information required is unclear, and thus, so is the extent of  
          the workload which may result.
          Page 2 
          AB 82 (Evans) 

          Implementing this pilot project as the county level will likely  
          require local assistance. DSS, in consultation with specified  
          stakeholders, will select the counties that will participate. It  
          is unlikely that counties will volunteer to take on additional  
          work at a time when they are facing substantial reductions,  
          without some amount of local assistance to implement the  
          program. This pilot project requires participating counties'  
          social workers, medical providers, and judicial officers take on  
          additional tasks, and they will require some amount of training  
          and/or information about the new expectations. 

          This bill could also result in additional cost pressure in  
          2014-15 to make the pilot project a statewide, permanent  
          program. Because the success of the pilot is related to mental  
          health outcomes of individual foster youth, which is necessarily  
          subjective, and is not related to a fiscal impact to the state,  
          this pilot project's deemed success may put substantial cost  
          pressure on the state to mandate a similar program statewide in  
          the future.