BILL ANALYSIS                                                                                                                                                                                                    



                                                                       



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          |SENATE RULES COMMITTEE            |                   SB 886|
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                                 THIRD READING


          Bill No:  SB 886
          Author:   Florez (D)
          Amended:  3/16/10
          Vote:     21

           
           SENATE HUMAN SERVICES COMMITTEE  :  4-0, 3/23/10
          AYES:  Liu, Romero, Runner, Yee
          NO VOTE RECORDED:  Maldonado

           SENATE APPROPRIATIONS COMMITTEE  :  Senate Rule 28.8 


           SUBJECT  :    In-home supportive services providers:   
          electronic
                      timekeeping

           SOURCE  :     Author


           DIGEST  :    This bill authorizes counties to use electronic  
          timekeeping in record keeping to verify tasks and hours  
          completed by persons providing in-home supportive services  
          (IHSS).

           ANALYSIS  :    Existing law:

          1. Establishes the IHSS program to provide domestic  
             services to persons of low income, who are aged or who  
             have a disability, to enable them to live safely in  
             their homes.

          2. Directs the State Department of Social Services (DSS) to  
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             establish and implement hourly task guidelines as well  
             as a standard tool for consistently and accurately  
             assessing service needs and authorizing service hours to  
             meet those needs.

          3. Provides for ensuring the quality and integrity of the  
             IHSS program through requirements for signed timesheets,  
             verification of receipt of supportive services, a  
             criminal records clearance for providers of services, a  
             standardized curriculum for county social workers in  
             order to prevent fraud, home visits by county social  
             workers, a provider enrollment form signed under penalty  
             of perjury, and data sharing between counties and the  
             state to prevent fraud.

          4. Allows eligible persons to receive home medical care  
             services or other home- and community based Medi-Cal  
             program services.

          This bill:

          1. Allows counties to use electronic timekeeping, as  
             defined, for providers of IHSS services to report their  
             payroll timesheets.

          2. Requires that this electronic timekeeping includes  
             telephone-based interactive voice response or Web-based  
             technology that both identifies a provider and  
             accurately records the time of the provider's visit to  
             the recipient of services.

          3. Defines "recipient" as the recipient of IHSS services,  
             of home medical care services, or of other home- and  
             community-based Medi-Cal program services.

          4. Allows a person who provides services to a recipient, as  
             defined, to use electronic timekeeping to verify hours  
             of work completed.

           Background

           Twice each month under current law and practice, more than  
          400,000 paper time cards from IHSS providers are submitted  
          and manually entered by county workers across California.   







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          The cards require the signature of both IHSS recipient and  
          provider, and they reflect the hours worked in a two-week  
          period.  According to testimony provided to the Senate  
          Human Services Committee in 2009 by representatives of DSS  
          and of county welfare departments, time cards are sometimes  
          illegible or inaccurate, are returned to the IHSS provider  
          and recipient, and are redone.

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

           SUPPORT  :   (Verified  4/8/10)

          Alameda County Board of Supervisors

           ARGUMENTS IN SUPPORT  :    The Alameda County Board of  
          Supervisors believes that this bill will allow the use of  
          technology that will improve accuracy, lower costs, and  
          reduce the number of errors, all of which will allow county  
          staff to spend more of their time performing customer  
          service or program auditing.


          CTW:nl  4/8/10   Senate Floor Analyses 

                         SUPPORT/OPPOSITION:  SEE ABOVE

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