BILL ANALYSIS                                                                                                                                                                                                    






                                  SENATE HUMAN
                               SERVICES COMMITTEE
                            Senator Carol Liu, Chair


          BILL NO:       AB 378                                       
          A
          AUTHOR:        Cook                                         
          B
          VERSION:       May 4, 2009
          HEARING DATE:  June 23, 2009                                
          3
          FISCAL:        To Appropriations                            
          7
                                                                      
          8
          CONSULTANT:                                                
          Hailey
                                        

                                     SUBJECT
                                         
                 In-Home Supportive Services: provider training

                                     SUMMARY  

          Directs public authorities (the employer of record for  
          In-Home Supportive Services workers) to develop training  
          standards and core topics for the training they provide to  
          IHSS workers and clients.

                                     ABSTRACT  

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

          2)Establishes in each county a public authority or  
            nonprofit consortium to be the employer of record for  
            providers of IHSS services.

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

                                                         Continued---



          STAFF ANALYSIS OF ASSEMBLY BILL 378 (Cook)            Page  
          2


          

          This bill
          1)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 IHSS providers  
            and recipients.


                                  FISCAL IMPACT  

          The Assembly Appropriations Committee finds no significant  
          state costs.



                            BACKGROUND AND DISCUSSION  

          This bill requires that IHSS public authorities and  
          nonprofit consortia 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."  As the Assembly Human Services  
          Committee noted in its analysis, the bill requires each  
          public authority and nonprofit consortium to establish  
          standards, so it is unclear how this bill would result in  
          uniform standards.

          A prior bill, AB 182 (Ma 2007), would have required the  
          public authorities and nonprofit consortia to develop the  
          standards and core topics.  In vetoing 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  
          also stated that he was directing the State Department of  
          Social Services (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.

           Previous votes  :
          Assembly Floor:     62-4




          STAFF ANALYSIS OF ASSEMBLY BILL 378 (Cook)            Page  
          3


          

          Assembly Appropriations:11-5
          Assembly Human Services:  5-0


                              QUESTIONS AND COMMENT
           
           Accommodating a previous veto
           The committee may wish to ask the author if he has received  
          any indication that the governor will sign this bill, which  
          is similar to a bill vetoed in 2007, and what differences  
          he sees between then and now that would lead to a  
          signature.


                                    POSITIONS  

          Support:       United Domestic Workers of America (sponsor)
                         American Federation of State, County and
                               Municipal Employees (sponsor)
                         Service Employees International Union

          Oppose:   None received


                                   -- END --