BILL ANALYSIS                                                                                                                                                                                                    






                                  SENATE HUMAN
                               SERVICES COMMITTEE
                            Senator Carol Liu, Chair


          BILL NO:       AB 287                                       
          A
          AUTHOR:        Beall                                        
          B
          VERSION:       June 10, 2009
          HEARING DATE:  June 23, 2009                                
          2
          FISCAL:        To Appropriations                            
          8
                                                                      
          7
          CONSULTANT:                                                
          Hailey
                                        
                                     SUBJECT
                                         
              Persons with developmental disabilities: employment

                                     SUMMARY  

          Establishes an employment first policy intended to increase  
          the number of individuals with developmental disabilities  
          who engage in integrated and gainful employment.

                                     ABSTRACT 

           Current law
           1)Establishes the Lanterman Act, under which the State  
            Department of Development Services contracts with 21  
            private non-profit regional centers to provide case  
            management services and arrange for, or purchase,  
            services that meet the needs of individuals with  
            developmental disabilities.

          2)Requires that regional centers secure needed services and  
            supports that meet the needs of each consumer, as  
            determined in the consumer's individual program plan.

          3)Provides that regional center planning teams give the  
            highest priority to services and supports that allow  
            adults with developmental disabilities to live as  
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            independently as possible in the community, and states  
            that services and supports should be available to enable  
            persons with developmental disabilities to approximate  
            the pattern of everyday living available to people  
            without disabilities of the same age, that support their  
            integration into the mainstream life of the community,  
            and that result in more independent, productive, and  
            normal lives for the persons served.

          4)Defines "integrated work" as "the engagement of an  
            employee with a disability in work in a setting typically  
            found in the community in which individuals interact with  
            individuals without disabilities other than those who are  
            providing services to those individuals, to the same  
            extent that individuals without disabilities in  
            comparable positions interact with other persons."

          5)Creates the State Council on Developmental Disabilities  
            to provide an effective method for planning and  
            coordinating the state's resources to assure the legal,  
            civil, and service rights of persons with developmental  
            disabilities.

           This bill
           1)Makes findings and declarations about persons with  
            disabilities and employment, including:

             a)   Research demonstrates that wages and hours worked  
               increase dramatically as individuals move from  
               facility-based to integrated employment, and research  
               suggests that other benefits of employment include  
               expanded social relationships, heightened  
               self-determination, and more typical job acquisition  
               and job roles; and,

             b)   Because the likelihood of individuals with  
               developmental disabilities obtaining employment is  
               greater if they move directly from school to work,  
               education programs must prepare transition age  
               students for employment in community settings.

          2)Directs regional centers to be guided by the "employment  
            first policy" when developing an individual program plan  
            for a transition age youth (at age 14 and older) or a  
            working age adult.




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          3)Directs regional center representatives to inform the  
            consumer, parent, legal guardian, or conservator that the  
            regional center is available, upon request, to  
            participate in the consumer's individualized education  
            plan meetings to discuss school-to-work opportunities and  
            transition planning.

          4)For purposes of an employment first policy, defines the  
            following:

             a)   "Gainful employment" as work where the individual  
               earns minimum wage or higher, and also includes  
               self-employment and microenterprises.

             b)   "Integrated employment" means the same as  
               "integrated work" as defined in Lanterman Act  
               provisions related to habilitation services: "the  
               engagement of an employee with a disability in work in  
               a setting typically found in the community in which  
               individuals interact with individuals without  
               disabilities other than those who are providing  
               services to those individuals, to the same extent that  
               individuals without disabilities in comparable  
               positions interact with other persons."  (Welfare and  
               Institutions Code Section 4851) 

          5)Establishes, as the first premise of an employment first  
            policy, that integrated employment is the primary service  
            option for working age adults upon completion of their  
            formal education, including postsecondary education and  
            vocational education.

          6)Establishes, as the intended outcome of an employment  
            first policy, a significant increase in the number of  
            individuals with developmental disabilities who engage in  
            integrated and gainful employment.

          7)Requires the State Council on Developmental Disabilities  
            to form a standing committee on employment.

          8)Establishes the membership of the standing committee:

             a)   One designee of each of the following State Council  
               members:  the director of the Department of  




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               Developmental Services, the director of the Department  
               of Rehabilitation, the Superintendent of Public  
               Instruction, each university center for excellence,  
               and the executive director of the state protection and  
               advocacy agency.

             b)   A member of the State Council consumer advisory  
               committee.

          9)Requires the committee to meet and consult, as  
            appropriate, with other state and local agencies and  
            organizations, including the Employment Development  
            Department, the Association of Regional Center Agencies,  
            one or more supported employment provider organizations,  
            a labor union that represents service coordinators, and  
            one or more consumer family member organizations.

          10)Directs the committee to:

             a)   Identify the roles and responsibilities of state  
               and local agencies in enhancing integrated and gainful  
               employment opportunities for people with developmental  
               disabilities.

             b)   Identify strategies and practices for increasing  
               integrated employment and gainful employment  
               opportunities for people with developmental  
               disabilities.

             c)   Identify existing sources of employment data,  
               recommend employment goals, and recommend methods to  
               measure progress in integrated and gainful employment  
               of people with developmental disabilities.

             d)   Recommend legislative, regulatory, and policy  
               changes for increasing the percentage of people with  
               developmental disabilities in integrated and gainful  
               employment.

          11)Requires the committee, no later than July 1, 2011, and  
            annually thereafter, to provide a report to legislative  
            policy committees and the governor describing its work  
            and recommendations.

                                  FISCAL IMPACT  




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          The Assembly Appropriations Committee identifies absorbable  
          workload for the regional centers and potential savings for  
          regional centers to the extent the bill reduces the need  
          for services for persons who transition to employment.

                                         


                           BACKGROUND AND DISCUSSION  

           Background  
          SB 1270 (Chesbro, Chapter 397, Statutes of 2006) directed  
          the State Council on Developmental Disabilities to seek  
          public input on ways to expand opportunities for people  
          with developmental disabilities in the areas of employment  
          and community participation.  A report included  
          recommendations to improve transition planning for students  
          and steps to expand employment opportunities for people  
          with developmental disabilities.  (SB 1270 Report on  
          Expanding Opportunities and Choice in California's Day  
          Program Services for Individuals with Developmental  
          Disabilities, May 2007.)

          In October 2008, the U.S. Department of Labor, Office of  
          Disability Employment Policy, held a roundtable on  
          employment for people with intellectual and other  
          developmental disabilities.  The executive summary made the  
          following point related to employment of people with  
          disabilities and the value of policies that promote  
          employment:

              Fortunately, innovative strategies have emerged  
              over the last few years that, if fully implemented,  
              would remove most of the existing barriers to  
              employment and self-sufficiency for individuals  
              with intellectual and other significant, complex  
              disabilities. ... [A] handful of states have  
              adopted policies that require employment to be a  
              prime consideration for Medicaid Waiver dollars.   
              These "Employment First" initiatives can  
              significantly increase employment opportunities for  
              individuals with intellectual and other  
              developmental disabilities and high support needs.
           




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          Administration efforts
           In 2005, Governor Schwarzenegger issued an executive order  
          confirming, among other commitments, "State Government has  
          an opportunity and a responsibility to lead by example,  
          ensuring individuals with disabilities have an open door to  
          the many opportunities in public service.." ordering all  
          state entities to utilize best efforts regarding  
          recruitment, hiring, and advancement of people with  
          disabilities.  The executive order sets the goal that  
          California will be a model employer for hiring people with  
          disabilities.

          The administration reports that the governor's cabinet  
          approved a comprehensive strategy for employment of people  
          with disabilities in 2006.  The strategy includes supports  
          to counties to increase the number of people returning to  
          work who use Supplemental Security Income and Social  
          Security Disability Insurance.  The administration also  
          reports developing a media campaign to reach employers and  
          people with developmental and other disabilities; a pilot  
          test of the campaign is under way in San Diego and Kern.

          The administration also reports that the governor and the  
          first lady announced a broad commitment to a  
          "developmentally disabled opportunity initiative" to give  
          individuals with intellectual disabilities a chance at  
          purposeful employment.  To support this goal, the first  
          lady has an initiative "We Include": it includes marketing  
          tools, a DVD, website, and informational packet for  
          prospective employers.
           
          Need for the bill
           According to the author, AB 287 represents a modest first  
          step to increase the number of Californians with  
          developmental disabilities who are employed and are more  
          self-sufficient and involved in their communities.   
          According to the author, establishing integrated employment  
          as the primary service option for working-age adults with  
          disabilities, upon completion of their education, is a  
          significant policy change.  The author also states his  
          intention that the policy will result in recommendations  
          from the State Council on Developmental Disabilities that  
          will provide the impetus to expand opportunities for people  
          with developmental disabilities to engage in integrated  
          gainful employment and postsecondary education.




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          The meaning of "employment first"
           AB 287 establishes integrated and gainful employment as the  
          first priority for people with developmental disabilities.   
          According to the author, employment first policies require  
          that employment be the first or preferred service option  
          considered for service recipients, but typically  
          individuals do not have to meet exclusion criteria in order  
          to choose a service option other than employment.

           Previous legislation  
          AB 2424 (2008, Beall) would have established an employment  
          first policy.  AB 2424 made additional, significant changes  
          in the individual program planning process.  It was held in  
          the Senate Appropriations Committee after passing out of  
          the Senate Human Services Committee on a 4-0 vote.

           Previous votes  
          Assembly Floor 53-24
          Assembly Appropriations12-4
          Assembly Human Services  5-2

                              COMMENTS AND QUESTIONS
                                         
           Scope of the bill's directive
           As noted above, one of the changes this bill makes to state  
          policy is establish integrated employment is the primary  
          service option for working age adults upon completion of  
          their formal education.  The committee may want to ask the  
          author how this bill will change the behavior of the State  
          Department of Rehabilitation's vocational rehabilitation  
          counselors, regional center case managers, state vendors  
          who may be providing employment services, offices of the  
          Employment Development Department,  and counselors within  
          the education system.  Does the author envision changes in  
          the behavior of job counselors and job training programs?
                                         
                                   POSITIONS  

          Support:       Association of Regional Center Agencies  
          (sponsor)
                         Disability Rights California (sponsor)
                         State Council on Developmental Disabilities  
                    (sponsor)
                         California Communities United Institute




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                         Developmental Disabilities Area Board 10
                         Service Employees International Union

          Oppose:   None received
                                   -- END --