BILL ANALYSIS                                                                                                                                                                                                    






                                 SENATE HEALTH
                               COMMITTEE ANALYSIS
                        Senator Elaine K. Alquist, Chair


          BILL NO:       AB 398                                       
          A
          AUTHOR:        Monning and Chesbro                          
          B
          AMENDED:       June 30, 2009                                 
                    
          HEARING DATE:  July 15, 2009                                 
                                                             3       
          CONSULTANT:                                                 
          9
          Tadeo/                                                      
          8
                                        

                                     SUBJECT
                                         
                     Acquired brain trauma: administration

                                     SUMMARY  

          Transfers the administrative duties and oversight of the  
          California Traumatic Brain Injury Program from the  
          Department of Mental Health to the Department of  
          Rehabilitation, and deletes the program's sunset date.

                             CHANGES TO EXISTING LAW  

          Existing law:
          Establishes the Department of Mental Health (DMH), which  
          directs and coordinates statewide efforts for the treatment  
          of mental health conditions and illnesses. 

          Establishes the Department of Rehabilitation (DOR) to  
          provide services and advocacy resulting in employment,  
          independent living and equality for individuals with  
          disabilities.

          Establishes the Traumatic Brain Injury Program within DMH  
          and requires the department to designate project sites for  
          a system of post-acute continuum-of-care models for adults  
          with traumatic brain injury.  The program sunsets on July  
                                                         Continued---



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          1, 2012.

          Requires DMH to ensure that the Traumatic Brain Injury  
          Program sites provide or coordinate services to clients,  
          including supported living, community reintegration  
          services, vocational supportive services, and information,  
          referral, and assistance in identifying, accessing,  
          utilizing, and coordinating all services needed by  
          individuals with traumatic brain injury and their families.

          Establishes the Penalty Fund as a depository for  
          assessments on specified fines, penalties, and forfeitures  
          imposed and collected by the courts for specified offenses;  
          and provides for the distribution of money in the fund.

          Establishes the Traumatic Brain Injury Fund, which pays for  
          the Traumatic Brain Injury Program, and receives a monthly  
          transfer of 0.66 percent of the Penalty Fund.
          Directs the Department of Health Care Services (DHCS), by  
          March 15, 2009, to submit a home and community-based  
          services waiver application to the federal Centers for  
          Medicare and Medicaid Services to serve at least 100  
          adults, who have an acquired traumatic brain injury,  
          utilizing rehabilitative therapies in lieu of a nursing  
          facility or an intermediate care facility for persons with  
          developmental disabilities.

          This bill:
          Transfers the administration of the Traumatic Brain Injury  
          Program from DMH to DOR.

          Defines community rehabilitation program, by citing federal  
          law, to mean a program that provides directly, or  
          facilitates the provision of, vocational rehabilitation  
          services to individuals with disabilities, and that  
          provides, singly or in combination, for an individual with  
          a disability to enable the individual to maximize  
          opportunities for employment, including career advancement;  
          and, includes, but is not limited to medical, psychiatric,  
          psychological, social, and vocational services that are  
          provided under one management, as well as other additional  
          services. 

          Directs DOR to use any new funds to provide an array of  
          services to adults with traumatic brain injuries, in areas  




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          of the state with the greatest need. 

          Requires DOR, by January 1, 2012, to determine requirements  
          related to service delivery, data collection, and other  
          aspects of program administration that service providers  
          must meet.

          Requires DOR, by January 1, 2013, to determine the level of  
          funding necessary for a service provider to serve its  
          designated area, determine the number of sites that current  
          funding can support, and solicit applications to provide  
          services.

          Requires DOR to meet periodically with the Traumatic Brain  
          Injury Program service providers to discuss performance  
          standards and data collection, eligibility requirements,  
          refinement of the continuum of care, and, if approved by  
          the federal government, implementation of a Medicaid  
          waiver.

          Directs DOR to monitor and evaluate the performance of  
          service providers.

          Requires service providers to furnish uniform data to DOR  
          as necessary to monitor and evaluate the program.

          Requires that providers continuing to participate in the  
          program after July 1, 2013, be in compliance with  
          requirements that DOR establishes pursuant to this act.

          Requires grants awarded to service providers to be subject  
          to open competition every three years unless DOR elects to  
          extend a grant up to two additional years.

          Provides a new date of March 15, 2011 for DHCS to submit a  
          Medicaid waiver application for the services of persons  
          with a traumatic brain injury.

          Clarifies that funds deposited in the Traumatic Brain  
          Injury Fund may be matched by federal vocational  
          rehabilitation services funds to the extent the matching  
          funds are consistent with the policies and priorities of  
          the department and permitted by other state and federal  
          laws.





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          Eliminates the sunset date for the program and deletes  
          various sections of code that established the original  
          program for persons with traumatic brain injury.

                                  FISCAL IMPACT  

          According to the Assembly Appropriations Committee analysis  
          of AB 398, DOR can absorb the workload associated with this  
          bill.

                            BACKGROUND AND DISCUSSION
                                         
          According to the author, California is home to 350,000  
          persons with traumatic brain injury, the highest number of  
          cases in the nation; and, men and women in the armed  
          services returning from conflicts in Afghanistan and Iraq  
          with traumatic brain injuries are adding to that number.   
          The author states that traumatic brain injury is primarily  
          physical rather than psychological.  The author further  
          states that, DMH lacks the personnel, issue area expertise,  
          and the core mission to address the myriad physical  
          injuries and symptoms that constitute traumatic brain  
          injury.   The author contends that DOR, which emphasizes  
          rehabilitation and independent living, is better suited to  
          serve these individuals and their families.

          DOR administers the largest vocational rehabilitation  
          program in the country.  It provides services and advocacy  
          to assist people with disabilities to live independently,  
          become employed, and have equality in the communities in  
          which they live and work.  The department provides  
          consultation, counseling and vocational rehabilitation, and  
          works with community partners to assist the consumers they  
          serve.
          
          Traumatic brain injury
          Traumatic brain injury is a cognitive, psychological,  
          neurological, or anatomical change in brain functions  
          caused by an external blunt force trauma to the head.  Each  
          year, 22,000 traumatic brain injuries are on record in  
          California alone. 

          The Brain Injury Association of America reports that  
          traumatic brain injury can cause epilepsy and increases the  
          risk for conditions such as Alzheimer's disease,  




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          Parkinson's disease, and other brain disorders that become  
          more prevalent with age. In April 2008, the RAND Institute  
          reported that 320,000 veterans returning from Afghanistan  
          and Iraq experienced a probable traumatic brain injury  
          during their deployment. 

          According to the federal Centers for Disease Control and  
          Prevention, the leading causes of traumatic brain injury  
          are falls, motor vehicle-traffic crashes, and assaults.   
          Symptoms include post-traumatic stress disorder, chronic  
          fatigue, memory loss, poor attention and concentration,  
          sleep deprivation, loss of balance, confusion, and  
          sensitivity to light and sound.
          
          Traumatic Brain Injury Program 
          The Traumatic Brain Injury Program was originally created  
          in 1988 as a three-year program to demonstrate the  
          effectiveness of a coordinated service approach which  
          furthers the goal of assisting individuals with traumatic  
          brain injury to attain productive, independent lives, which  
          may include paid employment.  DMH administers the program  
          through contracts with community organizations that develop  
          and operate seven hospital and community-based sites  
          throughout California.  There are four sites operating in  
          Northern California and three operating in Southern  
          California. 

          Berkeley Policy Associates conducted an independent  
          evaluation of traumatic brain injury services in California  
          and submitted the report to the Legislature in January,  
          2005.  According to the report, over 100,000 Californians  
          visit emergency rooms each year due to head injuries, and  
          an estimated 25 percent of these individuals never return  
          to work. 

          According to the report, the typical participant included  
          in the evaluation's study sample is a 41-year old, single  
          white male, who has attended some college, receives  
          Supplemental Security Income or Social Security Disability  
          Insurance, and either lives alone or with a family member.   
          Over half of participants were injured in a motor vehicle  
          accident, and 28 percent of participants' injuries were  
          related to use of drugs or alcohol, either by the survivor  
          or another individual. One-quarter of participants had  
          experienced their traumatic brain injury in the year prior  




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          to enrolling in the program.  Overall, however, the average  
          length of time between injury and intake was ten years.  
          Three-quarters of all participants were hospitalized as a  
          result of their traumatic brain injuries, and half  
          experienced a coma. Over a third of all participants  
          experienced amnesia after their traumatic brain injuries.  

          The report also recognized that 610 participants with  
          moderate to severe impairments from traumatic brain injury  
          were served in fiscal year 2003-04.  Evaluation results  
          showed that virtually all participants experienced at least  
          some improvement in community reintegration after enrolling  
          in the program, with participants at some sites  
          experiencing substantial changes in their ability to take  
          care of themselves at home, socialize with friends and  
          family, and participate in community activities.   
          Additionally, the program sites provided information and  
          referral services to 7,000 traumatic brain injury  
          survivors, caregivers/ family, and professionals across the  
          state and nation; and, provided education about traumatic  
          brain injury to more than 2,000 professionals and a similar  
          number of survivors and their family members in their local  
          communities.

          Interagency agreements
          In 1998, DMH and DOR worked together to develop vocational  
          rehabilitation programs specifically focused on the needs  
          of adults with traumatic brain injury.  Currently, three of  
          the seven program sites participate in the interagency  
          agreement between DMH and DOR.  These programs provide a  
          variety of services including vocational assessment;  
          personal, vocational, social and work adjustment;  
          employment preparation; job development and placement; and,  
          job coaching. 
          
          Prior legislation
          AB 1410 (Feuer), Chapter 676, Statutes of 2007, requires  
          DHCS to submit a home and community based federal Medicaid  
          waiver application or state plan amendment by March 15,  
          2009, to serve at least 100 adults with acquired traumatic  
          brain injuries.

          AB 1794 (Dutra), Chapter 414, Statutes of 2004, extends the  
          Traumatic Brain Injury Program sunset to July 1, 2012.
          AB 430 (Cardenas), Chapter 171, Statutes of 2001, extends  




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          the Traumatic Brain Injury Program sunset to July 1, 2007.

          AB 1492 (Thomson), Chapter 1023, Statutes of 1999, extends  
          the Traumatic Brain Injury Program sunset to January 1,  
          2005, and authorizes its expansion from four to seven sites  
          to the extent funds are available.
          
          AB 3483 (Friedman), Chapter 197, Statutes of 1996, extends  
          the Traumatic Brain Injury Program sunset to January 1,  
          2000.

          SB 1457 (Mello), Chapter 508, Statutes of 1992, extends the  
          Traumatic Brain Injury Program sunset to January 1, 1997.

          SB 2232 (Seymour), Chapter 1292, Statutes of 1988,  
          establishes the three-year Traumatic Brain Injury Program  
          within DMH and directs DMH to fund project sites that  
          provide the array of services and assistance to individuals  
          and their families.

          Arguments in support
          The sponsors and proponents of AB 398 argue that DOR has  
          the proven capacity and expertise to administer the  
          existing physical and vocational rehabilitation, peer  
          counseling, job referral, and other specialized programs  
          and services that persons with traumatic brain injury need  
          to achieve independent living.  Sponsors and proponents  
          point out that DOR administers the state's independent  
          living centers, which are designed to maximize options for  
          independence for persons with disabilities.  Several of the  
          current program sites, as well as the Disabled Veterans  
          Business Alliance state that, DOR's focus on rehabilitation  
          makes it a better fit for the needs of persons with  
          traumatic brain injury.

                                  PRIOR ACTIONS

           Senate Human Services:         4-1 
          Assembly Floor:                    77-0
          Assembly Appropriations:    16-0
          Assembly Human Services:    7-0
          Assembly Health:                  19-0  

                                    POSITIONS  
                                        




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          Support:  California Foundation for Independent Living  
          Centers (sponsor)
                  San Francisco Traumatic Brain Injury Network  
                         (sponsor)
                  Traumatic Brain Injury Services of CA (sponsor)
                         American Federation of State, County and  
                    Municipal Employees 
                  Betty Clooney Foundation
                  California Association for Adult Day Services
                         California Brain Injury Association
                         California Disabled Veterans Business  
                    Alliance
                         California Ski and Snowboard Safety  
                    Organization
                  Central Coast Center for Independent Living
                  Disabilities Rights California
                  Making Headway Center for Brain Injury Recovery

          Oppose:  None received




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