BILL ANALYSIS                                                                                                                                                                                                    




                   Senate Appropriations Committee Fiscal Summary
                           Senator Christine Kehoe, Chair

                                           488 (Torres)
          
          Hearing Date:  07/23/2009           Amended: 07/14/2009
          Consultant:  Jacqueline Wong-HernandezPolicy Vote: Human  
          Services 5-0
          _________________________________________________________________ 
          ____

          BILL SUMMARY:  AB 488 authorizes the Department of Social  
          Services (DSS) to renew or extend beyond a three-year time  
          period specified performance agreements with private, nonprofit  
          agencies that provide child welfare services. This bill requires  
          the county or private nonprofit agency to fund an independent  
          evaluation of the agency's performance, with a report of the  
          results due to the department six months prior to the end of the  
          agreement period, as specified.

          _________________________________________________________________ 
          ____
                            Fiscal Impact (in thousands)

           Major Provisions         2009-10      2010-11       2011-12     Fund
           Allows contract extensions                         **Likely  
          substantial savings**      General  
                                                                  
          Requires new report         Unknown, one-time costs               
                                  Private
                                                                   Local    
                         
          _________________________________________________________________ 
          ____

          STAFF COMMENTS: Existing statute gives counties the authority to  
          enter into performance agreements with private, nonprofit  
          agencies to encourage innovation in the delivery of children's  
          services, to develop services not available in the community,  
          and to promote change in the child welfare services system.  
          Statute directs counties entering into these agreements to  
          "pursue services that enhance the ability of children to remain  
          in the least restrictive, most family-like setting possible and  
          promote services that address the needs and strengths of  
          individual children and their families."











          Upon request from a county (or counties), DSS may waive  
          regulations governing foster care payments or the operation of  
          group homes to enable counties to implement the agreements  
          established, if DSS determines that all of the following apply:

           1) The agreement promises to offer a worthwhile test of an  
             innovative approach or to encourage the development of a new  
             service for which there is a recognized need.

           2) The regulatory requirement prevents the implementation of  
             the agreement.

           3) The requesting county proposes to monitor the agreement  
             through performance measures to ensure that the purposes of  
             the waived regulation will be achieved.

           4) DSS will take steps that are necessary to prevent the loss  
             of any substantial amounts of federal funds as a result of  
             the waivers granted under this section. (The waiver may  
             specify the extent to which the requesting county shall share  
             in any cost resulting from any loss of federal funding.)

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          AB 488 (Torres)

           5) DSS will not waive regulations that apply to the health and  
             safety of children served by participating private agencies.

           6) DSS will notify the appropriate policy and fiscal committees  
             of the Legislature whenever waivers are granted and when a  
             waiver of regulations was required for the implementation of  
             the county's proposed agreement. 

          Foster care group home payments are determined by a Rate  
          Classification Level (RCL) payment structure, and foster care  
          facilities are reimbursed for their care of wards based on their  
          DSS-determined RCL. RCLs are determined by a formulaic point  
          system, which takes into account the staffing ratios in a  
          facility, education level of staff, experience of staff,  
          services provided by the facility, etc. Points are totaled and  
          the total equates to a facility RCL designation of 1-14, with 14  
          being the highest level of services and supervision. Typically,  
          the more difficult the population of wards is, the higher the  
          RCL will be because those wards require more supervision and  
          services. 











          DSS currently has the authority to approve waivers of the  
          regulations and point values in the RCL system for the specified  
          private, nonprofit agencies with which counties can enter into  
          performance agreements. One such waiver was approved in 2007,  
          for the Boys Republic facility, which contracts with 8 counties  
          to house and serve approximately 300 adolescent boys. All youth  
          in the Boys Republic main campus program have been placed by a  
          county Probation Department, after adjudication in Juvenile  
          Court for a delinquency offense under Section 602 of the Welfare  
          and Institutions Code.* These youth have committed crimes which,  
          if they were adults, would have been considered felonies, and  
          they are wards of the court (rather than standard foster care  
          dependents of the court).

          Boys Republic employs a staffing model that focuses more on  
          experience and training of staff, rather than its formal  
          post-graduate education and staffing ratios. The existing RCL  
          formula is heavily weighted to value the latter two  
          considerations above the former. Boys Republic received a waiver  
          of regulations and points, which allows it to be reimbursed at  
          RCL Level 10. Without the waiver (and, thus, using the existing  
          RCL rubric), Boys Republic would have been reimbursed at RCL  
          Level 5. It is unclear whether Boys Republic, an established  
          nonprofit in operation for over 100 years, would have been able  
          to provide its services without the waiver. The waiver allows  
          the facility to be reimbursed at RCL Level 10, which is more  
          than $2,000 more per month, per ward than RCL Level 5. 

          While the waiver actually allows the facility to be reimbursed  
          at a higher RCL than it would have otherwise qualified for, it  
          likely saves the state and counties money because it is less  
          expensive than alternative placements. While the Boys Republic  
          program, when scored against the RCL rubric, met the standard of  
          an RCL Level 5, it serves a population that, in the absence of  
          Boys Republic, would have to be placed in comparable or higher  
          RCL facilities. Every ward placed under Section 602 would be  
          served in a facility of RCL Level 10 or above, and most would  
          have to be placed in RCL Level 12 or above. Serving these youth  
          at Boys Republic is comparable to other placements for all  
          wards, and for most is saves more than $800 per month per  
          ward.**
          Page 3
          AB 488 (Torres)
          
          If the waiver is not able to be extended, and Boys Republic did  
          not continue to serve these wards, the alternatives would be  










          more costly, and the state and county would incur additional  
          costs to find the other appropriate placements. The discussion  
          of this bill focuses primarily on Boys Republic because it is  
          the only facility that has been granted the specified waiver  
          that this bill extends.

          This bill specifically allows DSS to extend waivers related to  
          the specified performance agreements. DSS currently has the  
          authority to grant RCL-related waivers for counties entering  
          into performance agreements with private, nonprofit facilities.  
          By doing so, DSS essentially decides the rate at which the  
          facility will be reimbursed by the state and county. While it is  
          possible that DSS can decide to reimburse at a higher rate than  
          is necessary, and thereby cost the state more money, it both  
          does not appear to have occurred and also can occur under  
          existing authority. In the absence of this bill, DSS can  
          continue to approve waivers for counties entering into  
          performance agreements with private agencies. If the Boys  
          Republic waiver lapses, DSS can approve a new agreement with a  
          different agency, in accordance with governing statute.  
          Moreover, DSS can continue to approve additional 3-year waivers  
          now and in the future; statute does not limit the number. This  
          bill would allow those future agreements, should they occur, to  
          be extended for an additional three years, as specified.

          This bill also provides for an additional reporting requirement.  
          The county or private nonprofit agency will have to fund an  
          independent evaluation of the waiver, with a report of the  
          results due to the DSS six months prior to the end of the waiver  
          period of three years. The cost will not be shared by the state.
          

          * Section 602.  (a) Except as provided in subdivision (b), any  
          person who is under the age of 18 years when he or she violates  
          any law of this state or of the United States or any ordinance  
          of any city or county of this state defining crime other than an  
          ordinance establishing a curfew based solely on age, is within  
          the jurisdiction of thejuvenile court, which may adjudge such  
          person to be a ward of the court. (b) Any person who is alleged,  
          when he or she was 14 years of age or older, to have committed  
          one of the following offenses shall be prosecuted under the  
          general law in a court of criminal jurisdiction: (1) Murder, as  
          described in Section 187 of the Penal Code, if one of the  
          circumstances enumerated in subdivision (a) of Section 190.2 of  
          the Penal Code is alleged by the prosecutor, and the prosecutor
          alleges that the minor personally killed the victim. (2) The  










          following sex offenses, if the prosecutor alleges that the
          minor personally committed the offense, and if the prosecutor  
          alleges one of the circumstances enumerated in the One Strike  
          law, subdivision (d) or (e) of Section 667.61 of the Penal Code,  
          applies: (A) Rape, as described in paragraph (2) of subdivision  
          (a) of Section 261 of the Penal Code.  (B) Spousal rape, as  
          described in paragraph (1) of subdivision (a) of Section 262 of  
          the Penal Code. (C) Forcible sex offenses in concert with  
          another, as described in
          Section 264.1 of the Penal Code.  (D) Forcible lewd and  
          lascivious acts on a child under the age of 14 years, as  
          described in subdivision (b) of Section 288 of the Penal Code.  
          (E) Forcible sexual penetration, as described in subdivision (a)  
          of Section 289 of the Penal Code. (F) Sodomy or oral copulation  
          in violation of Section 286 or 288a of the Penal Code, by force,  
          violence, duress, menace, or fear of immediate and unlawful  
          bodily injury on the victim or another person. (G) Lewd and  
          lascivious acts on a child under the age of 14 years, as defined  
          in subdivision (a) of Section 288, unless the defendant  
          qualifies for probation under subdivision (c) of Section  
          1203.066 of the Penal Code.

          **The reimbursement Rate for RCL 10 is $5,092 (per ward, per  
          month) compared to $5,891 for RCL 12, $6,294 for RCL 13, and  
          $6,694 for RCL 14.