BILL ANALYSIS                                                                                                                                                                                                    







                      SENATE COMMITTEE ON PUBLIC SAFETY
                             Senator Mark Leno, Chair                A
                             2009-2010 Regular Session               B

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          AB 1270 (Torrico) 
          As Introduced February 27, 2009 
          Hearing date:  June 9, 2009
          Government Code
          JM:mc

                                 VICTIM COMPENSATION:

                    PROCEDURES FOR TIMELY APPLICATION PROCESSING  


                                       HISTORY

          Source:  Author

          Prior Legislation: AB 2413 (Spitzer) - Ch. 571, Stats. 2006
                       AB 105 (Cohn) - Ch. 539, Stats. 2006
                       SB 972 (Poochigian) - Ch. 238, Stats. 2005
                       SB 631 (McPherson) - Ch. 223, Stats. 2004
                       SB 1423 (Chesbro) - Ch. 1141, Stats. 2002
                       AB 2898 (Bowler) - Ch. 1077, Stats. 1996

          Support: Crime Victims United of California

          Opposition:None known

          Assembly Floor Vote:  Ayes 73 - Noes 0



                                         KEY ISSUE
           




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          SHOULD THE VICTIMS COMPENSATION AND GOVERNMENT CLAIMS BOARD BE  
          REQUIRED TO ADOPT WRITTEN PROCEDURES AND TIMEFRAMES FOR  
          APPROVING OR DENYING APPLICATIONS AND SPECIFIED PROCEDURES TO  
          COMMUNICATE WITH ENTITIES WHEN VERIFYING THE VALIDITY OF CLAIMS?


                                       PURPOSE

          The purposes of this bill are to require the Victims  
          Compensation and Government Claims Board to 1) adopt written  
          procedures and timeframes for approving or denying applications  
          for reimbursement; and 2) institute specified procedures for  
          communicating with specified entities, such as law enforcement  
          and medical providers, when verifying claims for reimbursement.   


           Existing law  creates the Victims of Crime Program, administered  
          by the California Victim Compensation and Government Claims  
          Board<1>, to reimburse victims of crime for the pecuniary losses  
          they suffer as a direct result of criminal acts.   
          Indemnification is made from the Restitution Fund, which is  
          continuously appropriated to the California Victim Compensation  
          and Government Claims Board for these purposes.  (Gov. Code   
          13950-13968; note that  13969 and .2, .5, and .7 related to a  
          one-time 9/11/01 payment and are repealed effective 1/1/04.)

           Existing law  authorizes reimbursement to a victim for "[t]he  
          medical or medical related expenses incurred by the victim ?"  
          (Gov. Code  13957, subd. (a)(1).)

           Existing law  provides that the total award to or on behalf of  
          each victim or derivative victim may not exceed $35,000, except  
          that this amount may be increased to $70,000 if federal funds  
          for that increase are available.  (Gov. Code  13957, subd.  
          (b).)
           
           Existing law (Gov. Code  13957, subd. (a)) provides that the  
          ---------------------------
          <1>  This entity was formerly known as the State Board of  
          Control.  (Govt. Code  13900 amended by AB 2491 - Ch. 1016,  
          Stats. 2000.)



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          Victims Compensation and Government Claims Board ("VCGCB") may  
          grant a crime victim's claim for pecuniary loss for the  
          following purposes: 

           Reimbursement for the amount of medical or medical-related  
            expenses incurred by the victim including, but not limited to,  
            eyeglasses, hearing aids, dentures, or any prosthetic device  
            taken, lost, or destroyed during the commission of the crime,  
            or the use of which became necessary as a direct result of the  
            crime.
           Reimbursement for the amount of out-patient psychiatric,  
            psychological or other mental health counseling-related  
            expenses incurred by the victim or derivative victim, as  
            specified.  The victim or derivative victim, as specified, may  
            be reimbursed for the expense of his or her out-patient mental  
            health counseling in an amount not to exceed $10,000.  Victims  
            and derivative victims, as specified, who are not eligible for  
            up to $10,000 of reimbursement may be eligible to be  
            reimbursed for the expense of their out-patient mental health  
            counseling in an amount not to exceed $3,000.
           Reimbursement for the expenses of non-medical remedial care  
            and treatment rendered in accordance with a religious method  
            of healing recognized by state law.
           Compensation equal to the loss of income or loss of support,  
            or both, that a victim or derivative victim incurs as a direct  
            result of the victim's or derivative victim's injury or the  
            victim's death.
           Cash payment to, or on behalf of, the victim for job  
            retraining or similar employment-oriented services.  
            Reimbursement for the expense of installing or increasing  
            residential security, not to exceed $1,000, with respect to a  
            crime that occurred in the victim's residence, upon  
            verification by law enforcement to be necessary for the  
            personal safety of the victim or by a mental health  treatment  
            provider to be necessary for the emotional well being of the  
            victim.
           Reimbursement for the expense of renovating or retrofitting a  
            victim's residence or a vehicle, or both, to make the  
            residence, the vehicle, or both, accessible or the vehicle  
            operational by a victim upon verification that the expense is  




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            medically necessary for a victim who is permanently disabled  
            as a direct result of the crime, whether the disability is  
            partial or total.
           Cash payment or reimbursement not to exceed $2,000 to a victim  
            for expenses incurred in relocating if the expenses are  
            determined by law enforcement to be necessary for the personal  
            safety of the victim, or by a mental health treatment provider  
            to be necessary for the emotional well being of the victim.
           The board, under compelling circumstances, may reimbursement  
            for moving expenses to the same victim for a second crime if  
            both of the following conditions are met:

             1)   The crime occurs more than three years from the date of  
               the crime giving rise to the initial relocation cash  
               payment or reimbursement; and,
                       2)             The crime does not involve the same  
                         offender.

           Existing law  authorizes the board to "establish maximum rates  
          and service limitations for medical and medical-related  
          services, and for mental health and counseling services ?" (Gov.  
          Code  13957.2.)
           
          Existing law  provides that the VCGCB shall approve or deny  
          applications, based on recommendations of the VCGCB staff,  
          within an average of 90 calendar days and no later than 180  
          calendar days of acceptance by the VCGCB or victim center.   
          (Gov. Code  13958.)  The following requirements and standards  
          also apply in this regard:

           If the VCGCB does not meet the 90-day average standard  
            prescribed in this subdivision, the VCGCB shall, thereafter,  
            report to the Legislature, on a quarterly basis, its progress  
            and its current average time of processing applications.   
            These quarterly reports shall continue until the VCGCB meets  
            the 90-day average standard for two consecutive quarters.   
            (Gov. Code  13958, subd. (a).)
           If the VCGCB fails to approve or deny an individual  
            application within 180 days of the date it is accepted,  
            pursuant to this subdivision, the VCGCB shall advise the  




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            applicant and his or her representative, in writing, of the  
            reason for the failure to approve or deny the application.   
            (Gov. Code  13958, subd. (b).)

           Existing law  states the Legislature finds and declares that it  
          is in the public interest to assist residents of the State of  
          California in obtaining compensation for the pecuniary losses  
          they suffer as a direct result of criminal acts.  (Gov. Code   
          13950.)

           Existing law  defines the following:

           "Crime" is a crime or public offense, wherever it occurs,  
            which would be a misdemeanor or a felony if the crime had been  
            committed in California by a competent adult.
           "Crime" includes an act of terrorism, committed against a  
            resident of the state, whether or not the act occurs within  
            California.
           "Derivative victim" is one who suffers pecuniary loss as a  
            result of injury or death to a victim.
           "Pecuniary loss" is an economic loss or expense resulting from  
            an injury or death to a victim of crime that has not been and  
            will not be reimbursed from any other source.
           "Victim" is a person who sustains injury or death as a direct  
            result of a crime.  (Gov. Code  13951.)

           Existing law  provides than an application for compensation shall  
          be filed with the VCGCB in the manner determined by the VCGCB.   
          (Gov. Code  13952(a).)

           Existing law  provides that the application for compensation  
          shall be verified under penalty of perjury by the individual who  
          is seeking compensation, who may be the victim or derivative  
          victim, or an individual seeking reimbursement for burial,  
          funeral, or crime scene clean-up expenses pursuant specified  
          sections of the Government Code.  (Gov. Code  13952, subd.  
          (b)(1).)

           Existing law  , with specified exceptions, provides that persons  
          eligible for compensation include a victim, a derivative victim,  




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          or a person entitled to reimbursement for funeral, burial or  
          crime scene clean-up expenses, as specified.  (Gov. Code   
          13955.) 

           Existing law  states that except as provided by specified  
          sections of the Government Code, a person shall be eligible for  
          compensation when all of the following requirements are met  
          (Gov. Code  13955):

           The person for whom compensation is being sought is a  
            victim, a derivative victim or a person who is entitled to  
            reimbursement for funeral, burial or crime scene cleanup  
            expenses, as specified.  (Gov. Code  13955, subd.  
            (a)(1)-(3).) 

           The following conditions also apply (Gov. Code  13955,  
            subd. (b)):

                 The crime occurred within California whether or not  
               the victim is a resident of California.  Such  
               compensation can be made only when the Board determines  
               that there are federal funds available to the state for  
               the compensation of crime victims.  (Gov. Code  13955,  
               subd. (b)(1).)

                 Whether or not the crime occurred within the State of  
               California, the victim was any of the following (Gov.  
               Code  13955, subd. (b)(2)):

               1)     a resident of the state  (Gov. Code  13955, subd.  
                 (b)(2)(A)); 
               2)     a member of the military stationed in California  
                 (Gov. Code  13955, subd. (b)(2)(B)); or
               3)     a family member living with a member of the  
                 military station in California.  (Gov. Code  13955,  
                 subd. (b)(2)(C).)

           If compensation is being sought for a derivative  
            victim, the derivative victim is a resident of  
            California or the resident of another state who is any  




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            of the following (Gov. Code  13955, subd. (c)):

                 at the time of the crimes was the parent,  
               grandparent, sibling, spouse, child or grandchild of  
               the victim.  (Gov. Code  13955, subd. (c)(1);
                 at the time of the crime was living in the  
               household of the victim.  (Gov. Code  13955, subd.  
               (c)(2);
                 at the time of the crime was a person who had  
               previously lived in the house of the victim for a  
               person of not less than two years in relationship  
               substantially similar to a previously listed  
               relationship.  (Gov. Code  13955, subd. (c)(3);
                 another family member of the victim  
               including, but not limited to, the victim's  
               fianc? or fianc?e, and who witnessed the crime.   
               (Gov. Code  13955, subd. (c)(4); or
                 is the primary caretaker of a minor victim, but  
               was not the primary caretaker at the time of the  
               crime.  (Gov. Code  13955, subd. (c)(5).)

           Existing law  allows the following victims may be reimbursed for  
          outpatient mental health counseling in an amount not to exceed  
          $5,000.  (Gov. Code  13957, subd. (a)(2)(B)):

           a derivative victim not eligible for  reimbursement in the  
            category allowing up to  $10,000;
           a direct victim of the crime of unlawful sexual intercourse,  
            where the victim is under 16 years old and the defendant is  
            over 21 years old; and
           a minor who suffers emotional injury as a direct result of  
            witnessing a violent crime and who is not eligible for  
            reimbursement of the costs of outpatient mental health  
            counseling.  To be eligible for reimbursement under this  
            clause, the minor must have been in close proximity to the  
            victim when he or she witnessed the crime.   

           Existing law  provides that when a victim dies as a result of  
          crime, the VCGCB may reimburse any individual who voluntarily,  
          and without anticipation of personal gain, pay or assumes the  




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          obligation to pay any of the following expenses.  (Gov. Code   
          13957, subd. (a)(9).):

           the medical expenses incurred as a direct result of the crime  
            in an amount not to exceed the rates or limitations  
            established by the VCGCB;
           when the crime occurs in a residence, the reasonable costs to  
            clean the scene of the crime in an amount not to exceed  
            $1,000; or
           the funeral and burial expenses incurred as a direct result of  
            the crimes, not to exceed $7,500.

           Existing law  provides that the total award to or on behalf of  
          each victim or derivative victim may not exceed $35,000, except  
          that this amount may be increased to $70,000, if federal funds  
          for that increase are available.  (Gov. Code  13957, subd.  
          (b).)

           Existing law  provides that the VCGCB shall grant a hearing to an  
          applicant who believes he or she is entitled to compensation to  
          contest a staff recommendation to deny compensation.  (Gov. Code  
           13959. subd. (a).)

           Existing law  authorizes the VCGCB to order reconsideration of  
          its decision on its own motion or on the written request of the  
          applicant.  The VCGCB may not consider any request for  
          consideration more than 30 days after personal delivery, or 60  
          calendar days after the mailing of the original decision.  (Gov.  
          Code  13959, subd. (i).)

           Existing law  provides that no reimbursement may be made for any  
          expense that is submitted more than three years after it is  
          incurred by the victim or derivative victim.  However,  
          reimbursement may be made for an expense submitted more than  
          three years after the date it is incurred if the victim or  
          derivative victim has affirmed the debt and is liable for the  
          debt at the time the expense is submitted for reimbursement, or  
          has paid the expense as a direct result of a crime for which a  
          timely application has been filed.  (Gov. Code  13957.7, subd.  
          (a).)




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           Existing law  provides that compensation made pursuant to this  
          chapter may be on a one-time or periodic basis.  If periodic,  
          the VCGCB may increase, reduce, or terminate the amount of  
          compensation according to the applicant's need, subject to the  
          maximum limits provided in this chapter.  (Gov. Code  13957.7,  
          subd. (b).)
           
          This bill  requires the VCGCB, for the purposes of meeting the  
          requirement for the timely processing of applications, to adopt  
          written procedures and timeframes for approving or denying  
          applications and specified procedures for use in communicating  
          with entities when verifying the required information.
          
                    RECEIVERSHIP/OVERCROWDING CRISIS AGGRAVATION
          
          California continues to face a severe prison overcrowding  
          crisis.  The Department of Corrections and Rehabilitation (CDCR)  
          currently has about 170,000 inmates under its jurisdiction.  Due  
          to a lack of traditional housing space available, the department  
          houses roughly 15,000 inmates in gyms and dayrooms.   
          California's prison population has increased by 125% (an average  
          of 4% annually) over the past 20 years, growing from 76,000  
          inmates to 171,000 inmates, far outpacing the state's population  
          growth rate for the age cohort with the highest risk of  
          incarceration.<2>

          In December of 2006 plaintiffs in two federal lawsuits against  
          CDCR sought a court-ordered limit on the prison population  
          pursuant to the federal Prison Litigation Reform Act.  On  
          February 9, 2009, the three-judge federal court panel issued a  
          tentative ruling that included the following conclusions with  
          respect to overcrowding:
          ---------------------------
          <2>  "Between 1987 and 2007, California's population of ages 15  
          through 44 - the age cohort with the highest risk for  
          incarceration - grew by an average of less than 1% annually,  
          which is a pace much slower than the growth in prison  
          admissions."  (2009-2010 Budget Analysis Series, Judicial and  
          Criminal Justice, Legislative Analyst's Office (January 30,  
          2009).)



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               No party contests that California's prisons are  
               overcrowded, however measured, and whether considered  
               in comparison to prisons in other states or jails  
               within this state.  There are simply too many  
               prisoners for the existing capacity.  The Governor,  
               the principal defendant, declared a state of emergency  
               in 2006 because of the "severe overcrowding" in  
               California's prisons, which has caused "substantial  
               risk to the health and safety of the men and women who  
               work inside these prisons and the inmates housed in  
               them."  . . .  A state appellate court upheld the  
               Governor's proclamation, holding that the evidence  
               supported the existence of conditions of "extreme  
               peril to the safety of persons and property."  
               (Citation omitted)  The Governor's declaration of the  
               state of emergency remains in effect to this day.

               . . .  the evidence is compelling that there is no  
               relief other than a prisoner release order that will  
               remedy the unconstitutional prison conditions.

               . . .

               Although the evidence may be less than perfectly  
               clear, it appears to the Court that in order to  
               alleviate the constitutional violations California's  
               inmate population must be reduced to at most 120% to  
               145% of design capacity, with some institutions or  
               clinical programs at or below 100%.  We caution the  
               parties, however, that these are not firm figures and  
               that the Court reserves the right - until its final  
               ruling - to determine that a higher or lower figure is  
               appropriate in general or in particular types of  
               facilities.

               . . .

               Under the PLRA, any prisoner release order that we  
               issue will be narrowly drawn, extend no further than  




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               necessary to correct the violation of constitutional  
               rights, and be the least intrusive means necessary to  
               correct the violation of those rights.  For this  
               reason, it is our present intention to adopt an order  
               requiring the State to develop a plan to reduce the  
               prison population to 120% or 145% of the prison's  
               design capacity (or somewhere in between) within a  
               period of two or three years.<3>

          The final outcome of the panel's tentative decision, as well as  
          any appeal that may be in response to the panel's final  
          decision, is unknown at the time of this writing.

           This bill does not appear to aggravate the prison overcrowding  
          crisis outlined above.

                                      COMMENTS

          1.  Need for This Bill  

          According to the author:

               In December 2008, the State Auditor listed several  
               recommendations to improve the Victims Compensation  
               and Governmental Claims Program.  One recommendation  
               was to develop written procedures for managing the  
               workload at the VCGCB as well as to develop a  
               comprehensive plan for priorities.  

               In June 2008, the VCGCB began processing claims  
               exclusively through a new system, the Compensation and  
               Restitution System (CaRES).  

               This bill will make it easier for victim's to file and  
               ----------------------
          <3>  Three Judge Court Tentative Ruling, Coleman v.  
          Schwarzenegger, Plata v. Schwarzenegger, in the United States  
          District Courts for the Eastern District of California and the  
          Northern District of California United States District Court  
          composed of three judges pursuant to Section 2284, Title 28  
          United States Code (Feb. 9, 2009).



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               receive claims with the VCGCB by requiring for the  
                                                                                         VCGCB to have written procedures and time frames in  
               place.

           2.  Recent Audit of the Victims Compensation Program -  
            Inefficiencies and Delays in Processing Claims and Paying  
            Reimbursement  

          Victims Compensation Program Audit
           
          In December 2008, the California State Auditor released a report  
          on the Victim Compensation Program.  The report noted:

               Program compensation payments sustained a 50% decrease  
               from Fiscal Years 2001-02 through 2004-05 as a result  
               of the VCGCB members' attempts to maintain the fiscal  
               viability of the Restitution Fund.  Compensation  
               payments have increased since Fiscal Year 2004-05, but  
               not to the level they reached in Fiscal Year 2001-02.   
               Despite the significant decline in payments, the costs  
               the VCGCB incurs to support the program have  
               increased.  These costs - ranging from 26% to 42%  
               annually - account for a significant portion of  
               Restitution Fund disbursements.  In addition, although  
               the VCGCB generally complied with state laws and  
               regulations for determining whether applicants are  
               eligible for program benefits, it did not always  
               process applications and bills as promptly or  
               efficiently as it could have.  The VCGCB's procedures  
               for following up with outside entities to obtain  
               necessary information to verify applications and bills  
               are not sufficiently detailed and contribute to  
               inconsistencies in staff efforts to obtain the  
               information promptly.

               In late June 2006, the VCGCB began transitioning to  
               its current application and bill processing system.   
               Although the VCGCB expects to gain efficiencies and  
               benefits from the use of the new system, it generally  
               has not developed benchmarks or measured results.   




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               Further, the VCGCB has experienced numerous problems  
               with the transition.  Most troubling was our  
               identification of payments that appeared to be  
               erroneous.  Although VCGCB staff provided  
               explanations, asserting that the payments were  
               appropriate and the data were flawed, the fact that  
               they were unaware of these items indicates the absence  
               of controls that would prevent erroneous payments from  
               being made.  In addition, the VCGCB's current process  
               for managing its workload is informal: it has not  
               established benchmarks, performance measures, or  
               formal written procedures for workload management.   
               Finally, the VCGCB has not established a comprehensive  
               outreach plan to assist it in appropriately  
               prioritizing its efforts and focusing on those in need  
               of program services.  [Victim Compensation and  
               Government Claims Board:  It has begun Improving the  
               Victim Compensation Program, but More Remains to Be  
               Done.  California State Auditor Report 2008-113  
               (December 2008).]

          Victim Compensation and Government Claims Board Response to the  
          Audit





















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           In a response letter to the audit report by the California State  
          Auditor, the VCGCB stated:

               The audit finds, and we agree, the VCGCB can make  
               improvements in processing time for applications and  
               payments, developing specific verification procedures,  
               and maintaining documentation.

               The VCGCB concurs with the recommendation to develop  
               written procedures and time frames for the appeals  
               process.  A new procedure manual, as discussed below,  
               will include this subject.

               The VCGCB's ability to process applications and pay  
               bills in a timely manner is dependent upon the timely  
               submittal of key information from verifying entities.   
               To improve the VCGCB's success at obtaining such  
               information, the VCGCB plans to develop a new  
               procedure manual, which will provide specific  
               direction to staff for processing applications and  
               bills in CaRES.  The manual will include specific time  
               frames for follow up with non-responsive verifying  
               entities.  Through our statewide provider forums, the  
               VCGCB has been communicating to service providers the  
               importance of prompt submittal of requested  
               information to the board so that we can process their  
               payment requests in a timely manner.  Similarly, we  
               are reaching out to law enforcement during our  
               numerous law enforcement outreach seminars.  (Victim  
               Compensation and Government Claims Board:  It Has  
               Begun Improving the Victim Compensation Program, but  
               More Remains to Be Done.  California State Auditor  
               Report 2008-113 at 70, 71 (December 2008).)

          SHOULD THE VICTIMS COMPENSATION AND GOVERNMENT CLAIMS BOARD  
          BE REQUIRED TO ADOPT WRITTEN PROCEDURES AND TIMELINES FOR  
          PROCESSING CLAIMS FOR REIMBURSEMENT?

          SHOULD THE BOARD BE REQUIRED TO ADOPT AND FOLLOW PROCEDURES  




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          FOR COMMUNICATING WITH ENTITIES THAT CAN VERIFY THE  
          VALIDITY OF CLAIMS FOR REIMBURSEMENT?

          3.  Related Pending Legislation  

          There are two bills that have passed this Committee that  
          address payments to victims and collection of restitution  
          fines and orders.  SB 432 (Runner) directs probation  
          departments to forward victim contact information to the  
          California Department of Corrections (CDCR) so that CDCR  
          can pay victims from funds taken from inmate accounts.  SB  
          314 (Calderon) directs the State Controller to deduct  
          delinquent restitution fines from the income tax refunds of  
          former defendants who owe such fines.  SB 314 also  
          authorizes the VCGCB to pay more than the maximum $2,000  
          for victim relocation in an extraordinary case. 

          4.  Suggested Technical Amendment to Correct Grammatical  
          Error in Text of the Bill  

          This bill, in part, requires the VCGCB to adopt written  
          procedures and timelines for approving or denying claims  
          for reimbursement.  The text does not clearly state this  
          requirement in the singular (an application) or plural  
          (applications).  

          The text reads as follows:  "a)  [The board] shall [a]dopt  
          written procedures and timeframes for approving or denying  
          application."

          It is suggested that this provision be amended to provide  
          that the board shall adopt procedures and timeframes to  
          approving or denying applications.

          SHOULD A GRAMMATICAL ERROR ON AMBIGUITY IN THE TEXT OF THE  
          BILL BE CORRECTED?


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