BILL ANALYSIS                                                                                                                                                                                                    



                                                                  AB 861
                                                                  Page  1

          Date of Hearing:   May 20, 2009 

                        ASSEMBLY COMMITTEE ON APPROPRIATIONS
                                Kevin De Leon, Chair

                     AB 861 (Ruskin) - As Amended:  May 5, 2009  

          Policy Committee:                              Health Vote:18-0

          Urgency:     No                   State Mandated Local Program:  
          No     Reimbursable:              

           SUMMARY  

          This bill requires the California Department of Public Health  
          (DPH) to develop consolidated contracts between DPH and county  
          health departments administering programs under the DPH Center  
          for Infectious Diseases (CID) and Center for Family Health  
          (CFH). This bill requires CID and CFH to develop a model  
          contract with specified characteristics by July 1, 2011.

           FISCAL EFFECT  

          Unknown one-time GF costs of less than $50,000 more than offset  
          by on-going reductions in accounting, reporting, and contracting  
          costs, according to the LAO Analysis of the 2008-09 Budget Bill.  
           The LAO made recommendations for broad DPH consolidation of  
          contracting. This bill addresses a narrower subset of  
          consolidated contracting. 

           COMMENTS  

           1)Rationale  . This bill is based on recent recommendations  
            contained in the LAO's Analysis of the 2008-09 Budget Bill.  
            The LAO recommended the consolidation of certain public health  
            programs into a block grant and legislation directing DPH to  
            develop a model consolidated contract for public health  
            programs. This bill requires consolidated contracting for two  
            of the DPH five programmatic centers, CID and CFH.  
            Consolidated contracting will provide local jurisdictions with  
            greater program flexibility to meet local needs. 

            The CID addresses infectious disease prevention and assists  
            those living with an infectious disease in accessing  
            healthcare, medications, and associated support services. 








                                                                  AB 861
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            The CFH divisions include the Genetic Disease Screening  
            Program, the Office of Family Planning, the Maternal, Child  
            and Adolescent Health Program, and the Women, Infants and  
            Children Supplemental Nutrition Program.

           2)Background  . The state provides state and federal funds to  
            local health jurisdictions (LHJs), including 58 counties and  
            three city health departments, with over 30 categorical  
            programs.  The LAO indicates these programs are typically  
            targeted to specific populations with particular health needs,  
            giving LHJs little discretion over how the categorical funds  
            can be used.  The LHJs receiving these funds must comply with  
            numerous and varied administrative requirements.  For example,  
            some programs require annual status reports, while others must  
            submit data on a monthly basis.  

           3)Related Legislation  . AB 1881 (Berg), Chapter 665, Statues of  
            2004, authorized Humboldt, Mendocino, and Alameda counties to  
            implement a pilot program for the funding and delivery of  
            services and benefits through an integrated and comprehensive  
            county health and human services system until January 1, 2009.

           Analysis Prepared by  :    Mary Ader / APPR. / (916) 319-2081