BILL ANALYSIS                                                                                                                                                                                                    






                                  SENATE HUMAN
                               SERVICES COMMITTEE
                            Senator Carol Liu, Chair


          BILL NO:       AB 488                                       
          A
          AUTHOR:        Torres                                       
          B
          VERSION:       April 21, 2009
          HEARING DATE:  June 9, 2009                                 
          4
          FISCAL:        To Appropriations                            
          8
                                                                      
          8
          CONSULTANT:                                                
          Hailey
                                        

                                     SUBJECT
                                         
              Children's services programs: performance agreement  
                                   contracts

                                     SUMMARY  

          Authorizes the State Department of Social Services (DSS) to  
          renew or extend beyond a three-year time period specified  
          performance agreements with private, non-profit agencies  
          that serve children.

                                     ABSTRACT  

           Current law
           1)Establishes a system of child welfare services, including  
            foster care, for children who have been or are at risk of  
            being abused or neglected.

          2)Establishes foster care placement options for dependents  
            and wards placed in foster care, including foster homes,  
            relative and non-relative extended family members' homes,  
            Foster Family Agency-supervised homes, and group homes.

          3)Sets rates of financial assistance for varying caregivers  
            and providers.
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          4)Requires documentation that placement is necessary to  
            meet treatment needs of child as condition of eligibility  
            for placement in group home.

          5)Allows counties to enter into performance agreements with  
            private, nonprofit agencies to encourage innovation,  
            develop services for children that are not available in  
            the community and promote change in the child welfare  
            system. 
           
          6)Limits these agreements to a period of up to three years.

          7)Requires counties to provide reports on the agreements to  
            the State Department of Social Services (DSS) within  
            three months of the end of an agreement.

          8)Requires the director of DSS to make those reports  
            available to the Legislature upon request.

          9)Authorizes the director of DSS to waive regulations,  
            except those pertaining to health and safety, which  
            govern foster care payments or the operation of group  
            homes to enable counties to implement the agreements.

          10) Allows waivers under specified circumstances - when the  
            agreement offers a worthwhile test of innovation, the  
            regulatory requirement prevents implementation of the  
            agreement and the county proposes to monitor the waiver  
            regulation via performance measures.

          11) Requires the director of DSS to notify policy and  
            fiscal committees of the Legislature of when and why a  
            waiver of regulations was granted.

           This bill
           1)Allows DSS to extend, for up to three additional years,  
            performance agreements with private, nonprofit agencies.

                                  FISCAL IMPACT  

          The Assembly Appropriations Committee identifies negligible  
          costs associated with the bill.

                            BACKGROUND AND DISCUSSION  




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           Need for the bill  
          According to the author, DSS approved waiver applications  
          from eight counties that place youth at the main campus in  
          Chino of a provider called Boys Republic.  Boys Republic  
          serves 140 youth between the ages of 13 and 17 at this  
          facility.  The author states that "the overall goal of the  
          waiver project is to demonstrate that under a more flexible  
          rate framework," youth with complex needs placed at Boys  
          Republic can satisfy specific performance outcome measures,  
          including measures related to community transition,  
          educational achievement and public safety.  Also, according  
          to the author, a secondary goal is to demonstrate that a  
          cost-effective approach to providing staff is to have fewer  
          staff with longer tenure and higher levels of training.

           Performance agreements and group homes reform  
          Authorization for the performance agreements addressed by  
          this bill was created by SB 933 (Thompson), Chapter 311,  
          Statutes of 1998.  Although the department confirms that  
          Boys Republic is currently the only provider operating  
          under a waiver based on this type of agreement, there are  
          no statutory provisions that limit the agreements to Boys  
          Republic or any narrow group of providers.  Note: SB 933  
          was a comprehensive bill that contained many changes to the  
          licensing, oversight, safety and practice standards, and  
          rates of payment to group homes for children, in addition  
          to creating the option for performance agreements and  
          related regulatory waivers addressed by this bill.

          Pursuant to AB 2876 (Aroner), Chapter 108, Statutes of  
          2000, DSS contracted for a study on the funding of group  
          homes with recommendations for alternative rate settings.   
          That report, completed in February 2002, made several  
          recommendations including refining the existing levels of  
          care, funding based on a rate per child, ability for group  
          homes to negotiate supplemental  funding to base rates for  
          particular services, improved outcomes and accountability,  
          and bundled funding.  There has been no further action on  
          the study, and its recommendations remain unadopted.
           
          Most recently, AB 1453 (Soto), Chapter 466, Statutes of  
          2007, required DSS to develop and share with the  
          Legislature by 2011 a plan to reconfigure the current  
          statewide system of group homes into a system of  




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          "residentially based services," as defined, and to  
          encourage counties and private agencies to develop  
          voluntary agreements to test alternative program design and  
          funding before the plan is finalized.

           Arguments in support  
          Boys Republic states that this bill is a "short-term but  
          necessary solution to a longer-term problem," to allow more  
          time for the adjustment of rate structures under current  
          law.  The organization states that this bill will allow  
          Boys Republic to continue to provide its program and  
          potentially higher-costing placements will be avoided.  Los  
          Angeles County's Probation Department states that it is  
          "extremely pleased with the results of the performance  
          agreement to date" and views Boys Republic as "a valued and  
          successful placement resource."
           
          Arguments in opposition  
          In opposition, the American Federation of State, County and  
          Municipal Employees states that "under the thin veil of  
          innovation, this bill seeks to allow private companies to  
          provide children's services to counties under less  
          regulation than otherwise allowed.  Reducing these  
          regulations will directly affect the quality of care given  
          to this vulnerable population."

           Prior votes
           Assembly Floor 72-0
          Assembly Appropriations16-0
          Assembly Human Services  6-0

                                    POSITIONS  

          Support:       Boys Republic (sponsor) 
                         City of Chino Hills
                         Commonweal
                         County of Los Angeles Probation Department
                         Youth Law Center

          Oppose:   American Federation of State, County and  
          Municipal Employees 



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