BILL NUMBER: AB 861	AMENDED
	BILL TEXT

	AMENDED IN ASSEMBLY  MAY 5, 2009
	AMENDED IN ASSEMBLY  MARCH 31, 2009

INTRODUCED BY   Assembly Member Ruskin

                        FEBRUARY 26, 2009

   An act to add Section 100571 to the Health and Safety Code,
relating to public health.


	LEGISLATIVE COUNSEL'S DIGEST


   AB 861, as amended, Ruskin. Public health services: consolidated
contracts.
   Under existing law, the State Department of Public Health is
authorized, within its authority to contract with a provider for the
provision of health services, to enter into a single contractual
instrument encompassing services in any number of specified health
services subject areas.
   This bill, in addition, would require the department, within
existing resources, to  develop and  implement  , in
consultation with local health jurisdiction representatives,  a
 model  consolidated and streamlined administration and
contracting process with  the counties   local
health jurisdictions  for the department's  center of
infectious diseases and the center for family health  
Center for Infectious Diseases and Center for Family Health  ,
and the programs administered by the respective centers. The bill
would require the 2 designated program centers within the department
to develop  a consolidated and streamlined administration of
its programs by developing, at a minimum, uniform program
requirements and unified contracts across multiple related program
areas. The bill would require each program center to develop
 a single  model  allocation contract between the
department and  each county   local health
jurisdictions  that incorporates the programs administered by
the  program  center, including, but not limited to,
specified elements.
   Vote: majority. Appropriation: no. Fiscal committee: yes.
State-mandated local program: no.


THE PEOPLE OF THE STATE OF CALIFORNIA DO ENACT AS FOLLOWS:

  SECTION 1.  Section 100571 is added to the Health and Safety Code,
to read:
   100571.  (a) In order to unify overlapping programs that address
community public health needs administered by the program centers
within the State Department of Public Health, and to reduce
administrative costs to counties so that more resources are available
to directly serve the families and the communities  towards
  toward  whom the programs are directed, the State
Department of Public Health, within existing resources, shall
 implement a   develop and implement, in 
 consultation with local health jurisdiction representatives, a
model  consolidated and streamlined administration and
contracting process with  counties   local
health jurisdictions  for the department's  center for
infectious diseases and the center for family health  
Center for Infectious Diseases and the Center for Family Health 
, and the programs administered by the respective centers.
    (b)     Each program
center specified in subdivision (a) shall develop a consolidated and
streamlined administration of its programs by developing, at a
minimum, uniform program requirements and unified contracts across
multiple related program areas. Each program center shall develop a
single allocation 
    (b)    Prior to July 1, 2011, the Center
for Infectious Diseases and the Center for Family Health shall each
develop a single model allocation  contract between the
department and  each county   local health
jurisdictions  that incorporates the programs administered by
the  program  center, which shall include, but need not be
limited to, all of the following elements:
   (1) Consistent budget regulations, including format, indirect
costs rate, and allowable costs.
   (2) A single invoice format.
   (3) Uniform reporting requirements and outcome measures.
   (4) Uniform staff time surveys.
   (c) This section shall not authorize a  county 
 local health jurisdiction  to discontinue meeting its
obligations under existing law to provide services or to reduce its
accountability for the provision of these services.
   (d) The  public health  program centers subject
to this section may waive regulations regarding the method of
providing services and the method of reporting and accountability, as
may be required to meet the goals set forth in subdivision (b).
However, the program centers shall not waive a regulation pertaining
to privacy and confidentiality of records, civil service merit
systems, or collective bargaining. The program centers shall not
waive a regulation if the waiver results in a diminished amount or
level of services or benefits to an eligible recipient, as compared
to the benefits and services that would have been provided to a
recipient absent the waiver.
   (e) For purposes of this section,"program center" means an
administrative subdivision of the State Department of Public Health,
whether created by statute or by administrative regulation, that
oversees and administers multiple public health programs relating to
a specified public health subject area.