BILL ANALYSIS                                                                                                                                                                                                    



                                                                       



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          |SENATE RULES COMMITTEE            |                   AB 188|
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                                 THIRD READING


          Bill No:  AB 188
          Author:   Assembly Budget Committee
          Amended:  7/23/09 in Senate
          Vote:     27 - Urgency

           
           PRIOR VOTES NOT RELEVANT  


           SUBJECT  :    Budget Act of 2009:  Department of Corrections  
          and                                                    
                        Rehabilitation 

           SOURCE  :     Author


           DIGEST  :     Senate Floor Amendments  of 7/23/09 delete the  
          prior version providing the necessary statutory changes in  
          the area of general government in order to enact  
          modifications to the 2009 Budget Act.

          This bill now appropriates $645 million (General Fund [GF])  
          to the Department of Corrections and Rehabilitation to  
          augment the Budget Acts of 2007 and 2008 to cover  
          deficiencies for those years.

           ANALYSIS  :    Specifically, this bill:

          1.Appropriates $135.1 million (GF) to augment the 2007  
            Budget Act for the Department of Corrections and  
            Rehabilitation (CDCR) health care-related deficiencies,  
            and authorizes the transfer of up to $126.5 million (GF)  
            between the main CDCR budget support item and the CDCR  
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            health care item to account for increased health delivery  
            costs.

          2.Appropriates $486.8 (GF) to augment the 2008 Budget Act  
            for CDCR health care-related deficiencies.

          3.Requires Prison Health Care Services (PHCS) (the federal  
            health care receiver) to provide the Legislature written  
            reports, as specified, detailing actions taken and  
            planned to reduce and better manage medical contract  
            service costs in 2009-10.

          4.Appropriates $23.3 million (GF) to augment the 2008  
            Budget Act for net inmate population and caseload  
            adjustments.

          5.Requires any unencumbered funds to revert to the GF.

           Rationale  .  This bill contains funding necessary to address  
          deficiencies in the 2007 and 2008 Budget Acts for CDCR.   
          These funds have already been spent.  The appropriation in  
          this bill will not impact current budget difficulties.

          The proposed funding in this bill has been approved by the  
          Department of Finance and the Joint Legislative Budget  
          Committee.

          The Legislative Analyst's Office (LAO) notes, in a June 23,  
          2009 letter, that deficiency funding - or supplemental  
          appropriation, as deficiencies are known - is mean to cover  
          unanticipated expenses in advance of expenditure.  The LAO  
          notes, in reference to the receiver's $486 million  
          deficiency request, that the request for additional funding  
          came after a large share of the requested funding had  
          already been spent.  "As a result, the Legislature has  
          little choice at this point but to approve the supplemental  
          appropriation, since there is not other feasible  
          alternative at this time to address the increased  
          expenditures resulting from a court order regarding inmate  
          medical care."

          The LAO's recommendations that any supplemental  
          appropriations for contract medical costs be restricted to  
          that purpose, that any unspent funds revert to the GF, and  

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          that the receiver provide detailed cost control plans to  
          the Legislature, are all included in this bill.

           FISCAL EFFECT  :    Appropriation:  Yes   Fiscal Com.:  Yes    
          Local:  No

          1.Appropriates $135,064,000 (GF) to augment the 2007 Budget  
            Act as follows:

             A.    $128,706,000 for health care funding pursuant to  
                the federal court receivership over CDCR provision of  
                health care services.  (Expenditures for prison  
                medical care in 2007008 were about $1.4 billion.)

                (1)      $82,868,000 to provide overtime funding for  
                   health care guarding and transportation to provide  
                   inmates specialty care outside of prisons in order  
                   to comply with court mandates to provide  
                   constitutional levels of medical care to all  
                   inmates.

                (2)      $45,838,000 to augment pharmaceuticals and  
                   medical supplies base funding.

             B.    $6,358,000 to implement September 2007 court  
                orders in the  Armstrong v Schwarzenegger  case, which  
                required CDCR to address issues related to disabled  
                inmates.

          2.Appropriates $510,125,000 (GF) to augment the 2008 Budget  
            Act as follows:

             A.    $486,800,000 for contract medical services.  This  
                appropriation, augmenting a contract medical services  
                base of $359 million, is directly related to the  
                Receiver's implementation of reforms determined  
                necessary to address the federal court's order to  
                raise inmate health care above what the court deemed  
                cruel and unusual punishment.

             B.    $23,325,000 for inmate population and caseload  
                adjustments.



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          DLW:nl  7/23/09   Senate Floor Analyses 

                       SUPPORT/OPPOSITION:  NONE RECEIVED

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