BILL ANALYSIS                                                                                                                                                                                                    



                                                                  AB 1758
                                                                  Page  1

          Date of Hearing:   March 23, 2010

                        ASSEMBLY COMMITTEE ON HUMAN SERVICES
                                Jim Beall, Jr., Chair
                   AB 1758 (Ammiano) - As Amended:  March 10, 2010
           
          SUBJECT  :  County wraparound services program

           SUMMARY  :  Deletes the pilot program designation for county  
          wraparound services programs designed to keep children in their  
          homes with family-based support services as an alternative to  
          group home placement.  Specifically,  this bill  :  

             1)   Removes "pilot project" references for county  
               wrap-around services authorized and administered by the  
               Department of Social Services (DSS).  

             2)   Adds nonrelative extended family members to the list of  
               family members and guardians eligible for wraparound  
               services.

             3)   Deletes the requirement that each participating county  
               complete interim and final evaluations of the pilot project  
               which they must submit to DSS and the Legislature.

             4)   Establishes that a dependent or ward categorically  
               eligible for Medi-Cal without a share of cost based on  
               receipt of Aid to Families with Dependent Children-Foster  
               Care (AFDC-FC) shall remain eligible for Medi-Cal  
               regardless of their placement during the wraparound  
               services program.

             5)   Requires DSS, with assistance from the County Welfare  
               Directors Association of California (CWDA), to determine  
               how to appropriately track the impact of wraparound  
               services programs in accordance with California Child and  
               Family Services Review System outcomes.

           EXISTING LAW  

             1)   Establishes the wrap-around services pilot project  
               administered by DSS in authorized counties that elect to  
               provide tailored community based support services to  
               families of children who would otherwise be placed in a  
               group home.  WIC 18250.








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             2)   Defines eligible children as dependents or wards of the  
               juvenile court or a child who would be voluntarily placed  
               in a group home.  WIC 18251.

             3)   Defines "wrap-around services" as community-based  
               interventions designed to emphasize the strengths of the  
               child and family through coordinated and individualized  
               services to address their needs and achieve positive  
               outcomes.  WIC 18251.

             4)   Requires participating counties to evaluate cost and  
               treatment effectiveness including whether more restrictive  
               placements were avoided and the impact on academic  
               performance for eligible children.  WIC 18253.

             5)   Requires reimbursement for wraparound services not to  
               exceed the cost of placement in a group home.  WIC 18253.

             6)   Requires counties to establish and meet outcome measures  
               in the delivery of Child Welfare Services on behalf of  
               abused and neglected children pursuant to the federal Child  
               and Family Services Review (CFSR).  WIC 10601.2.

           FISCAL EFFECT  :  Unknown

           COMMENTS  :  The state first administratively authorized foster  
          care funding for wraparound program services in Santa Clara  
          County in 1994.  Several years later, California expanded the  
          use of wraparound services through participation in a federal  
          demonstration project which authorized use of non-federal Aid to  
          Families with Dependent Children-Foster Care (AFDC-FC) payments.  
           The purpose of the wraparound services pilots in California was  
          to allow counties to provide family-centered service  
          alternatives to group homes with tailored social and other  
          support services designed to meet each individual family's  
          needs.

          To be eligible for wraparound services, children must be a  
          dependent or ward at risk of placement in a group home with a  
          Rate Classification Level (RCL) of 10 to 14, or they must be  
          voluntarily placed in out-of-home care.  Use of the wraparound  
          services approach has increased since it started as a one county  
          pilot and, according to DSS, as of October 2009, 43 counties  
          across California operated wraparound services programs.   








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          Wraparound services must be cost-neutral to the state by law.

          According to one of the co-sponsors, the City and County of San  
          Francisco, "Establishing permanency for children in foster care  
          through reunification, adoption or legal guardianship is one of  
          the federally mandated outcomes measures for the child welfare  
          system.  An appropriate intermediate goal for some children is  
          to step down from a high-level institutional placement to a more  
          home-like placement setting?state and county funds that would  
          otherwise have been used to pay for the more costly group home  
          placement are redirected to fund comprehensive and intensive  
          social, therapeutic, behavioral and health services."

           Prior Legislation:

           AB 2297 (Cuneen) Chapter 274, Statutes of 1996 established a  
          five-year wraparound services pilot project in Santa Clara  
          County.

          SB 163 (Solis) Chapter 795, Statutes of 1997 expanded the  
          wraparound services pilot to any county with DSS approval, and  
          extended the sunset to 2003, for children who otherwise would be  
          placed in a group home with an RCL of 12-14.

          AB 2706 (Cuneen) Chapter 259, Statutes of 2000 extended  
          wraparound to children in, or at risk of placement in,  
          lower-level group homes with an RCL of 10-11.

          AB 429 (Aroner), Chapter 111, Statutes of 2001 was an omnibus  
          social services budget trailer bill wherein the sunset date for  
          county wraparound pilot projects was repealed.

          AB 295 (Ammiano) Chapter 427, Statutes of 2009 included  
          provisions later amended out that were substantially similar to  
          those included in this bill.

           Author's Amendment:   The author has agreed to take the following  
          amendment to ensure that services are not disrupted to children  
          participating in a wraparound services program should a county  
          decide to discontinue its wraparound services program:

                Section 18256.5 is added to the Welfare and Institutions  
               Code to read:

               In order to prevent disruption to a child participating in  








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               a wraparound services program, any county that terminates  
               its wraparound services program shall ensure the  
               participating child's service needs are met without a  
               disruption until his or her case is closed.
           
           REGISTERED SUPPORT / OPPOSITION  :   

           Support 
           
          California Alliance of Child and Family Services (co-sponsor)
          City and County of San Francisco (co-sponsor)
          County Welfare Directors Association of CA (CWDA) (co-sponsor)
          California Mental Health Directors Association (CMHDA)
          California State Association of Counties (CSAC)
          Chief Probation Officers of California
          Los Angeles County Board of Supervisors

           Opposition 
           
          None on file
           
          Analysis Prepared by  :    Michelle Doty Cabrera / HUM. S. / (916)  
          319-2089