BILL ANALYSIS                                                                                                                                                                                                    



                                                                       



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                              UNFINISHED BUSINESS


          Bill No:  SB 19XXXX
          Author:   Ducheny (D)
          Amended:  7/23/09
          Vote:     21

           
           SENATE FLOOR  :  Not relevant

           ASSEMBLY FLOOR  :  Not available


           SUBJECT  :    Budget Act of 2009:  human services

           SOURCE  :     Author


           DIGEST  :    Assembly Amendments delete the prior version of  
          the bill expressing the intent of the Legislature to enact  
          statutory changes relating to the 2009 Budget Act.  

          This bill now makes the statutory changes necessary to  
          implement the human services portion of the 2009-10 Budget.

           ANALYSIS  :    This is a human services budget trailer bill  
          related to the In-Home Supportive Services (IHSS) program.   
          The bill contains provisions necessary to implement the  
          2009-10 Budget, including provisions that:

           1.Effective January 1, 2010, requires the IHSS application  
             to contain a notice to the recipient that his or her  
             provider or providers shall receive a written notice of  
             the recipient's authorized services and full number of  
             service hours allotted to the recipient.  The  
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             application shall inform recipients of the Medi-Cal  
             resources for reporting suspected fraud or abuse in the  
             provision or receipt of services.

           2.Require the Department of Social Services (DSS) to  
             develop, by December 31, 2011, and in consultation with  
             county welfare departments and other stakeholders, a  
             process to ensure that IHSS providers receive a list  
             specifying the approved duties to be performed for  
             recipients under their care, and a complete list of  
             supportive service tasks available under the IHSS  
             program.

           3.After January 1, 2010, require prospective providers to  
             complete a provider orientation at the time of  
             enrollment, as developed by the department, in  
             consultation with the counties, which will include  
             program information and require a signed agreement by  
             the provider, as specified.

           4.Require that standardized provider timesheets used to  
             track the work performed by IHSS providers contain a  
             certification to be signed by the provider and  
             recipient, verifying that the information is true and  
             correct.

           5.Establish a civil penalty of at least $500, but not to  
             exceed $1,000, for each instance of intentional  
             deception or misrepresentation in the provision of  
             timesheet information that results in a fraud  
             conviction.

           6.Effective July 1, 2011, require the standardized  
             provider timesheet to contain designated spaces for the  
             index fingerprint of the provider and recipient.  Minors  
             and individuals who are physically unable to provide a  
             fingerprint on the timesheet are exempt from the  
             equipment to do so.

           7.Require criminal background checks to be completed for  
             all prospective providers within 90 days of the  
             effective date of the Act.  Requires criminal background  
             checks to be performed no later than July 1, 2010, for  
             anyone who is already a provider on the effective date  

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             of the Act.

           8.Require criminal background checks to be completed at  
             the provider's expense.

           9.Require any individual applying to become a provider who  
             is rejected as a result of information contained in the  
             criminal background report to be given a copy of his or  
             her criminal history.

          10.Require DSS to develop a written appeal process for  
             current and prospective providers who are deemed  
             ineligible to receive payment for the provision of  
             services due to information included in their criminal  
             background checks.

          11.Require DSS, to the extent possible, to seek federal  
             financial participation for any costs associated with  
             obtaining criminal background checks for providers.

          12.Require DSS, on or before July 1, 2010, and in  
             consultation with the Department of Health Care Services  
             (DHCS), county welfare departments and other  
             stakeholders, to ensure that a standardized curriculum  
             and training material are developed for county social  
             workers in order to prevent fraud within the IHSS  
             program.

          13.Require DSS, in consultation with county welfare  
             departments, to develop protocols for targeted mailings  
             to providers and recipients.  Require counties to  
             distribute these targeted program integrity mailings to  
             inform providers and recipients of the program rules and  
             requirements and the consequences of failing to adhere  
             to them.

          14.Authorize unannounced visits to a recipient's home in  
             targeted cases where there is cause for concern  
             regarding program integrity.  Require DSS, in  
             consultation with county welfare departments, to develop  
             protocols for follow-up home visits and other actions if  
             the provider and recipient are not present during the  
             initial visit, including, at a minimum, a notice sent to  
             the recipient's home regarding the visit and  

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             consequences of committing fraud, additional attempted  
             visits, and follow-up phone calls to both the recipient  
             and provider.

          15.Require DSS, in consultation with county welfare  
             departments, to develop protocols and procedures for  
             obtaining fingerprint images of recipients of in-home  
             supportive services.  Minors and individuals who are  
             physically unable to provide fingerprints are exempt  
             from the requirement to do so.  Use of recipient  
             fingerprint imaging information is restricted to  
             identification purposes directly connected with the  
             provision of services to the recipient and program  
             integrity.

          16.Authorizes counties to investigate fraud in the  
             provision or receipt of in-home supportive services,  
             only as outlined in protocols to be developed by the  
             department, in consultation with stakeholders, as  
             specified.

          17.Require the department, in consultation with county  
             welfare directors, consumer advocates and legislative  
             staff, to develop uniform statewide protocols outlining  
             the activities that DSS, DHCS, and counties can engage  
             in for purposes of fraud prevention.

          18.Require the county to notify DSS and DHCS if the county  
             concludes that there is reliable evidence that an IHSS  
             provider or recipient has engaged in fraud, as  
             specified.

          19.Establish that the refusal of a provider or recipient to  
             comply with program requirements may result in the  
             termination of his or her participation in the IHSS  
             program.

          20.Require the provider enrollment form to be completed  
             with a provider's residential address and prohibit the  
             use of a post office box as his or her address.

          21.Prohibit provider paychecks from being sent to a post  
             office box unless the county approves a written or oral  
             request from the provider addressing why use of a post  

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             office box is necessary.  Require a county to document a  
             provider's oral request and include the county's  
             approval or disapproval in the provider's file.

          22.Provide for the implementation of certain provisions of  
             the bill through all-county letters or similar  
             instruction, as specified, and provides for the adoption  
             of emergency regulations by an unspecified date.

           FISCAL EFFECT  :    Appropriation:  No   Fiscal Com.:  Yes    
          Local:  No

          DLW:cm  7/23/09   Senate Floor Analyses 

                       SUPPORT/OPPOSITION:  NONE RECEIVED

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