BILL NUMBER: SB 1129	AMENDED
	BILL TEXT

	AMENDED IN SENATE  APRIL 6, 2010

INTRODUCED BY   Senator Wiggins

                        FEBRUARY 18, 2010

   An act to add Section 4510.5 to the Welfare and Institutions Code,
relating to developmental disabilities.


	LEGISLATIVE COUNSEL'S DIGEST


   SB 1129, as amended, Wiggins. Health services: Sonoma
Developmental Center.
   Existing law vests in the State Department of Developmental
Services jurisdiction over various state  hospitals referred
to as  developmental centers, including the Sonoma
Developmental Center, for the medical and nursing care of patients
with developmental disabilities.  Existing law imposes various
functions and duties on the Director of Developmental Services with
respect to the provision of services for the care and protection of
persons with developmental disabilities. 
   This bill would require the  Director of Developmental
Services   director  to provide  medical,
dental, wheelchair repair and modification, orthopedic shoe, and
other health-related services   , prior to an
unspecified date, intensive behavioral treatment services  at
the Sonoma Developmental Center, through the center's operation of an
outpatient clinic, to persons with developmental disabilities who
reside at the center, and also to individuals  who reside in
the surrounding community   residing in community
settings in the surrounding area  .
   This bill would authorize the department to obtain status as a
Medi-Cal provider in order to receive reimbursement for services
provided to nondevelopmental center patients, and would require the
department to pursue other funding sources. The bill would make the
provision of services to nondevelopmental patients contingent upon
obtaining appropriate status as a Medi-Cal provider or otherwise
obtaining sufficient funds through other funding sources.
   This bill would require the costs of administering the program to
be funded through existing resources of the department.
   This bill would make legislative findings and declarations as to
the necessity of a special statute for the County of Sonoma.
   Vote: majority. Appropriation: no. Fiscal committee: yes.
State-mandated local program: no.


THE PEOPLE OF THE STATE OF CALIFORNIA DO ENACT AS FOLLOWS:

   SECTION 1.    The Legislature finds and declares all
of the following:  
   (a) State developmental centers are an integral part of the system
of care provided to consumers of services for the developmentally
disabled.  
   (b) As a part of that system of care, state developmental centers
have developed and maintained intensive behavioral treatment services
of the highest quality.  
   (c) Consumers of services for the developmentally disabled who do
not choose to live in a state developmental center experience
difficulty accessing intensive behavioral treatment services. 

   (d) California has an enduring commitment to meeting the intensive
behavioral treatment service needs of all consumers of services for
the developmentally disabled, and should find ways to make these
high-quality developmental center services available to the broader
disabled community. 
   SECTION 1.   SEC.2.   Section 4510.5 is
added to the Welfare and Institutions Code, to read:
   4510.5.  (a) Notwithstanding any other provision of law, 
prior to ____,  the Director of Developmental Services shall
provide  medical, dental, wheelchair repair and modification,
orthopedic shoe services, and other health-related services that are
provided for persons with developmental disabilities at Sonoma
Developmental Center to individuals residing in the surrounding
community through the center's operation of an outpatient clinic.
  intensive behavioral treatment services at Sonoma
Developmental Center   to residents of the center and to
individuals residing in community settings in the surrounding area
through the center's operation of an outpatient clinic. 
   (b) The department may obtain appropriate status as a Medi-Cal
provider in order to be reimbursed for services provided to
nondevelopmental center patients. The department shall pursue other
funding sources to minimize the fiscal impact of the program on the
General Fund. Other sources may include the establishment of a
certified public expenditure program or procurement of a waiver under
federal Medicaid provisions.  The department may contract with a
billing service to ensure accurate and timely billing of, and
reimbursement by, the State Department of Health Care Services
through the Medi-Cal program. 
   (c) Provision of services to nondevelopmental center patients
required pursuant to subdivision (a) shall be contingent on the
department obtaining appropriate status as a Medi-Cal provider or
otherwise obtaining sufficient funds through other sources as
provided in subdivision (b).
   (d) Administration of this program shall be funded through
existing resources of the department. No additional General Fund
moneys shall be appropriated to the department for the administration
of the program.
   SEC. 2.   SEC. 3.   The Legislature
finds and declares that a special law is necessary and that a general
law cannot be made applicable within the meaning of Section 16 of
Article IV of the California Constitution because of the unique
circumstances concerning the County of Sonoma.