BILL ANALYSIS                                                                                                                                                                                                    



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          Date of Hearing:   April 13, 2010

                        ASSEMBLY COMMITTEE ON HUMAN SERVICES
                                Jim Beall, Jr., Chair
                     AB 1763 (Lieu) - As Amended:  April 8, 2010
           
          SUBJECT  :  In-home supportive services

           SUMMARY  :  Requires a county to accept the criminal background  
          clearance pertaining to an In-Home Supportive Services (IHSS)  
          provider obtained by the provider's prior county of residence  
          and authorizes the new county of residence to request notice of  
          any subsequent arrests.   Specifically,  this bill  :  

          1)Requires a county, or an IHSS nonprofit consortium or public  
            authority, to accept a clearance of an individual for whom a  
            criminal background check is required as a condition of being  
            eligible to provide IHSS services issued to the individual in  
            another county.

          2)Requires the Department of Justice (DOJ) to process a request  
            from a county, an IHSS nonprofit consortium or a public  
            authority having criminal record authority to receive  
            notifications of subsequent arrests when a criminal record  
            clearance for a provider was originally processed by another  
            county, nonprofit consortium or public authority only if:

             a)   The request is submitted by the county, nonprofit  
               consortium, or public authority that is to be substituted  
               to receive notification;

             b)   The request is for the same applicant type as for the  
               original clearance; and,

             c)   The request meets the data and format requirements of  
               the written agreement between the Department of Social  
               Services (DSS) and DOJ.

          3)Makes legislative findings and declarations, including:  that  
            the IHSS program has undergone substantial changes over the  
            past five years, that mechanisms have been put in place to  
            improve IHSS program integrity, that it is important that  
            counties have sufficient direction from the state to implement  
            these changes consistently, and that it is important to  
            minimize the need for IHSS providers and recipients to provide  








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            the same information multiple times.

          4)Requires that DSS, in consultation and coordination with  
            county welfare departments and other designated stakeholders,  
            establish guidelines to provide counties with instructions to  
            consistently and accurately comply with the statutory  
            requirements for the IHSS program.

           EXISTING LAW  

          1)Establishes the IHSS program to provide personal services and  
            home care for about 448,000 eligible poor, aged, blind and  
            disabled individuals by approximately 365,000 providers  
            throughout the state to enable recipients to remain in their  
            own homes and avoid institutionalization.

          2)Permits counties to contract with a nonprofit consortium or  
            establish a public authority to perform various duties in the  
            employment of persons providing IHSS services.

          3)Directs the public authority or nonprofit consortium to assist  
            recipients in finding IHSS providers through the establishment  
            of a provider registry.

          4)Requires criminal background checks of potential IHSS  
            providers as of October 1, 2009, and requires criminal  
            background checks no later than July 1, 2010 for any provider  
            who is already on the registry as of October 1, 2009 for whom  
            a background check has not previously been provided, as a  
            condition of the provider's continued enrollment in the IHSS  
            program.

          5)Provides that criminal background checks shall be conducted at  
            the provider's expense.

          6)Authorizes DOJ to assess a fee to cover the cost of furnishing  
            criminal history information.

          7)Requires DSS to convene periodic meetings in which supportive  
            services recipients, providers, advocates, IHSS provider  
            representatives, organizations representing recipients,  
            counties, public authorities, nonprofit consortia, and other  
            interested stakeholders may receive information and have the  
            opportunity to provide input to DSS regarding required quality  
            assurance, program integrity, and program consistency efforts.








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           FISCAL EFFECT  :  Unknown

           COMMENTS  :  In July 2009, ABX4 19 (Evans), Chapter 17, Statutes  
          of 2009 4th Extraordinary Session, was enacted in conjunction  
          with the 2009-10 Budget.  Among its provisions to enhance  
          integrity and prevent fraud in the IHSS program, as a condition  
          of being placed or maintained on a county's IHSS provider  
          registry, ABX4 19 required criminal background checks to be  
          completed for all prospective IHSS providers as of October 1,  
          2009, and to be completed by July 2, 2010 for anyone already a  
          provider on October 1, 2009.  ABX4 19 did not, however, address  
          whether a provider who moves from one county to another, or who  
          has clients in more than one county, must undergo multiple  
          background checks.

           Need for this bill  :  The author states that, "[s]ince IHSS  
          background checks are run through a single statewide  
          system, it is unnecessary for an individual to provide  
          multiple criminal background checks to different counties  
          when a single background check would provide the same  
          information that is necessary for eligibility.  Multiple  
          criminal background checks are not only excessive and  
          unnecessary, but they also impose an extreme hardship on  
          already low income workers.  ... The cost of a single  
          background check can range from $75 to $100.  Requiring  
          multiple background checks could simply be unaffordable for  
          many homecare workers."

          This bill provides that when an IHSS provider who has been  
          cleared after a criminal background check moves to another  
          county and seeks to be an IHSS provider in his or her new  
          county of residence, the new county, nonprofit consortium,  
          or public authority must accept the criminal background  
          clearance from the former county of residence.  This bill  
          also authorizes the new county, nonprofit consortium, or  
          public authority to request notification of a subsequent  
          arrest of an individual who was cleared in another county.   


          In a letter supporting this bill in concept, the County  
          Welfare Directors Association of California (CWDA) says  
          that "it makes sense to allow a person who is cleared in  
          one county to transfer that clearance to a new county,  
          without requiring an entirely new background check and  








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          incurring a second set of fees that the provider would have  
          to pay."  CWDA points out that there is a parallel in the  
          foster care licensing statutes, which explicitly provide  
          that a foster parent or approved relative may transfer  
          their criminal background clearance from one county to  
          another.  The foster care statutes also authorize a county  
          to request to receive notification when a person who was  
          cleared in another county is subsequently arrested.   
          Although supporting this bill in concept, CWDA indicates  
          that they are comfortable with the bill moving forward as  
          discussions continue to work out any remaining details.

           Outstanding issue  :  This bill currently addresses the issue  
          of multiple background checks in the case of an IHSS  
          provider who moves from one county to another.  It does not  
          yet, however, address the circumstance of a provider who  
          has clients in more than one county and would, therefore,  
          also be required to undergo multiple background checks.   
          Requiring multiple background checks for such providers is  
          likewise inefficient, costly, and unwarranted.  The process  
          for follow-up notification of subsequent arrests is a bit  
          more complicated in this situation, since notices would  
          have to go to more than one county.  As CWDA notes, this  
          situation would not likely arise for a provider in the  
          child welfare context; so, there is no parallel model in  
          that system.  The author and sponsor of this bill intend to  
          continue to work with CWDA, DOJ and other stakeholders to  
          address this remaining issue.

           REGISTERED SUPPORT / OPPOSITION  :   

           Support 
           
          United Domestic Workers of America/AFSCME (sponsor)
          Aging Services of California
          American Civil Liberties Union
          Coalition of California Welfare Rights Organizations, Inc.  
          (CCWRO)
          Service Employees International Union (SEIU)

           Opposition 
           
          None on file.
           
          Analysis Prepared by  :    Eric Gelber / HUM. S. / (916) 319-2089 








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