BILL ANALYSIS                                                                                                                                                                                                    



                                                                  AB 378
                                                                  Page  1

          Date of Hearing:   April 14, 2009

                        ASSEMBLY COMMITTEE ON HUMAN SERVICES
                                Jim Beall, Jr., Chair
                  AB 378 (Cook) - As Introduced:  February 23, 2009
           
          SUBJECT  :  In-Home Supportive Services:  Provider training.

           SUMMARY  :  Requires each public authority or nonprofit  
          consortium, with input from its advisory committee and other  
          stakeholders, to develop training standards and core topics for  
          the trainings it provides to In-Home Supportive Services (IHSS)  
          providers and recipients. 

           EXISTING LAW  

          1)Establishes the IHSS program to provide personal services and  
            home care for eligible poor, aged, blind and disabled  
            individuals.

          2)Requires every public authority or nonprofit consortium  
            providing for the delivery of IHSS to provide for the training  
            of providers and recipients.

           FISCAL EFFECT  :  Unknown

           COMMENTS  :  This bill requires that public authorities and  
          nonprofit consortia providing for the delivery of IHSS to  
          develop standards and core topics to be used in training of  
          providers and recipients.  According to the author, "a statewide  
          program should have uniform standards for training in order to  
          ensure all consumers receive quality care."  Because it requires  
          each public authority and nonprofit consortium to establish  
          standards, however, it is not clear how this bill would result  
          in uniform standards.

          A prior bill--AB 182 (Ma 2007)--initially required the state  
          Department of Social Services (DSS), in consultation with public  
          authorities, to develop training standards and core topics.  The  
          Senate Appropriations Committee analysis identified $150,000 in  
          2007-08 costs and $100,000 in 2008-09 costs "for increased  
          workload for convening stakeholders meetings and developing the  
          training standards and topics."  AB 182 was subsequently amended  
          to, instead, require the public authorities and nonprofit  
          consortia to develop the standards and core topics.  In vetoing  








                                                                  AB 378
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          AB 182, the Governor said that the bill "could lead to the  
          development of dozens of different training standards across the  
          state.  I believe consistent training standards can be more  
          effectively developed at the state level."  The Governor further  
          said that he was "directing [DSS], in consultation with  
          consumers, counties and other key stakeholders, to establish  
          appropriate training standards for IHSS providers  
          administratively to the extent resources are available to  
          accomplish this task."  To date, DSS has not established such  
          statewide standards, which supports the need for this bill.

           Suggested amendment  :  This bill, like the amended versions of AB  
          182, by placing responsibility for developing standards with  
          individual public authorities and nonprofit consortia, would not  
          result in uniform statewide standards.  One possible alternative  
          to having each public authority or nonprofit consortium develop  
          its own standards, which the author may wish to consider as a  
          means of achieving more statewide uniformity, would be to  
          require the public authorities and nonprofit consortia to  
          collaborate in developing model training standards and core  
          topics, which counties could adopt or modify to meet local needs  
          and circumstances.

           REGISTERED SUPPORT / OPPOSITION  :   

           Support 
           
          United Domestic Workers of America, American Federation of  
          State, County and Municipal Employees (AFSCME) (sponsor)

           Opposition 
           
          None on file
           
          Analysis Prepared by  :    Eric Gelber / HUM. S. / (916) 319-2089