BILL ANALYSIS                                                                                                                                                                                                    �




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          Date of Hearing:   January 10, 2012

                        ASSEMBLY COMMITTEE ON HUMAN SERVICES
                                Jim Beall Jr., Chair
                     AB 254 (Beall) - As Amended: January 4, 2012
           
          SUBJECT  :  Developmental services:  Employment First Policy

           SUMMARY  :  Establishes a state Employment First Policy.  
          Specifically,  this bill  :  

          1)Declares that it is the policy of the state that integrated 
            competitive employment is the priority outcome for working age 
            individuals with developmental disabilities and refers to this 
            policy as the Employment First Policy.

          2)States the following with respect to the Employment First 
            Policy:

             a)   The policy is in furtherance of the intent of the 
               Lanterman Developmental Disabilities Services Act 
               (Lanterman Act) that services and supports be available to 
               enable people with developmental disabilities to 
               approximate the pattern of everyday living available to 
               people without disabilities of the same age and that 
               support their integration into the mainstream life of the 
               community, and that such services and supports result in 
               more independent, productive, and normal lives for the 
               persons served.

             b)   Implementation of the policy is to be consistent with 
               rights established under the Lanterman Act, including the 
               right of people with developmental disabilities to make 
               informed choices with respect to individual program 
               planning and implementation.

             c)   Integrated competitive employment is intended to be the 
               first option considered for working age individuals; 
               however, individuals may choose goals other than integrated 
               competitive employment.

          3)Defines terms as follows:

             a)   "Competitive employment" is work:










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               i)     That is in the competitive labor market that is 
                 performed on a full-time or part-time basis in an 
                 integrated setting; and,

               ii)    For which an individual is compensated at or above 
                 the minimum wage, but not less than the customary wage 
                 and level of and level of benefits paid by the employer 
                 for the same or similar work performed by individuals who 
                 are not disabled.

             b)   "Integrated employment" includes integrated work and 
               supported employment, as defined in existing law, as well 
               as microenterprises and self-employment.

             c)   "Microenterprises" are integrated competitive employment 
               consisting of small businesses owned by individuals with 
               developmental disabilities who control and oversee the 
               business and who have appropriate business licenses, 
               taxpayer identification numbers, and business bank 
               accounts.

             d)   "Self-employment" is an employment setting in which an 
               individual works in a chosen occupation, for profit or fee, 
               in his or her own small business, with control and 
               responsibility for decisions affecting the conduct of the 
               business.

          4)Requires regional centers to ensure that, beginning at age 14, 
            consumers and, where appropriate, their parents, legal 
            guardians, or conservators, be provided with information, in a 
            language they understand, about:

             a)   The Employment First Policy;

             b)   Options for integrated competitive employment; and,

             c)   Services and supports, including post-secondary 
               education, available to enable the consumer to transition 
               from school to work and to achieve the outcomes of 
               obtaining and maintaining integrated competitive 
               employment.

          5)Authorizes the Department of Developmental Services (DDS) to 
            request information from regional centers on current and 
            planned activities related to the Employment First Policy, 









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            including data on the numbers of consumers engaged in 
            integrative competitive employment, and, as appropriate, to 
            post information on its Internet Web site related to the 
            policy.

           EXISTING LAW  

          1)Establishes the Lanterman Act, under which DDS contracts with 
            21 private non-profit regional centers to provide case 
            management services and arrange for, or purchase, services 
            that meet the needs and choices of individuals with 
            developmental disabilities.

          2)Requires that regional centers secure needed services and 
            supports that meet the needs of each individual, as determined 
            in his or her individual program plan (IPP).

          3)Provides that regional center planning teams give the highest 
            priority to services and supports that allow adults with 
            developmental disabilities to live as independently as 
            possible in the community, and states that services and 
            supports should be available to enable persons with 
            developmental disabilities to approximate the pattern of 
            everyday living available to people without disabilities of 
            the same age, that support their integration into the 
            mainstream life of the community, and that result in more 
            independent, productive, and normal lives for the persons 
            served.

          4)Requires the California State Council on Developmental 
            Disabilities (SCDD) to form a standing Employment First 
            Committee and provides that the responsibilities of the 
            committee include recommending legislative, regulatory, and 
            policy changes for increasing the number of individuals with 
            developmental disabilities in integrated employment, 
            self-employment and microenterprises, and who earn wages at or 
            above minimum wage.  

               i)     Requires that this shall include the development of 
                 a proposed policy, the intended outcome of which is a 
                 significant increase in the number of individuals with 
                 developmental disabilities who engage in integrated 
                 employment, self-employment and microenterprises, and in 
                 the number of individuals who earn wages at or above 
                 minimum wage.









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               ii)    Specifies that the proposed policy not limit service 
                 and support options otherwise available under the 
                 Lanterman Act.

          5)Requires the Employment First Committee, by July 1, 2011, and 
            annually thereafter, to provide a report to legislative policy 
            committees and the Governor describing its work and 
            recommendations.  Requires the initial report to include the 
            proposed policy.

           FISCAL EFFECT  :  Unknown

           COMMENTS  :  Reducing unemployment and creating jobs to enable 
          people to earn a living wage is a state and a national priority. 
           This bill, according to the author, would establish these goals 
          as state priorities for people with developmental disabilities 
          as well.  

          California and national employment rates for people with 
          disabilities, generally, and for people with intellectual and 
          developmental disabilities, particularly, are far worse than for 
          the general public.  The most recent report on state-by-state 
          employment data from the Institute for Community Inclusion notes 
          that "there remains a significant gap in employment rates 
          between people with and without disabilities"<1>  Nationally, 
          the StateData Report indicates that, in 2009, 68.2% of 
          working-age people (ages 16-64) were employed, compared to 34.9% 
          of people with any disability and 23.9% of people with a 
          cognitive disability.<2>  Comparable figures for California 
          were:  66% of all people employed, compared to 33% of people 
          with any disability and 21.3% of people with a cognitive 
          disability.<3>  Nationally, moreover, the percentage of people 
          served by state intellectual/developmental disabilities agencies 
          (DDS in California), who are in integrated employment has gone 
          down, from a high of 25% in 2001 to only 20% in 2009.<4>  In 
          California, the percentage decreased from 24% in 2001 to only 
          ---------------------------
          <1> Butterworth, J., Hall, A.C., Smith, F.A., Migliore, A., & 
          Winsor, J. (2011) StateData:  The National Report on Employment 
          Services and Outcomes.  Boston, MA: Institute for community 
          Inclusion, University of Massachusetts Boston, p. 9; "StateData 
          Report."
          <2> Id. at 51.
          <3> Id. at 81.
          <4> Id. at 53.








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          15% in 2009.<5>

           Employment First  :  In response to this state of affairs, a 
          growing number of states are adopting "Employment First" 
          policies-either through statute or administrative policies and 
          practices.<6>  There are currently over 25 states that are 
          focused at some level on the concept of Employment First-in some 
          cases with a focus specifically on people with intellectual 
          and/or developmental disabilities, and in others a 
          cross-disability focus.<7>  Approximately 10 states have clear 
          public policies in place.<8>  

          Employment First recognizes that providing services and supports 
          to enable people with disabilities to earn a living wage is a 
          legitimate state priority.  Employment First embodies the notion 
          that employment should be the first option offered to 
          working-age adults with disabilities, including developmental 
          disabilities.

          In October 2008, the U.S. Department of Labor, Office of 
          Disability Employment Policy, held a Roundtable on Employment 
          for People with Intellectual and Other Developmental 
          Disabilities.  The executive summary made the following points 
          related to employment of people with disabilities and the 
          establishment of Employment First policies:


               The majority of individuals with intellectual and 
               other significant, complex disabilities who have high 
               support needs are unable to achieve the American dream 
               of a job, a family and financial security.  Instead, 
               they are caught in a cycle of poverty by the laws, 
               regulations and policies of the public and private 
               ----------------------


          <5> Id. at 83.
          <6> See, e.g., Q&A's on State Employment First Policies (March 
          2008), State Employment Leadership Network (SELN) 
          (  http://www.seln.org/images/stories/site_documents/dmr%20request%
          20employment%20policy%203-08rev.pdf  ); Establishing a National 
          Employment First Agenda,  (October 2009) APSE 
          (  http://www.apse.org/docs/FINAL%20Employment%20First%20Paper%2010
          1.pdf  ). 
          <7> Kiernan, E., Hoff, D., Freeze, S., and Mank, D. (2011).  
          Employment First:  A beginning not an end.  Intellectual and 
          Developmental Disabilities, 49(4), 300.
          <8> Id.






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               programs providing their supports and services.  
               Individuals with significant disabilities and high 
               support needs continue to be considered "nonfeasible" 
               for typical employment, often relegated to 
               institutions, day programs or sheltered work 
               environments at sub-minimum wages. ...  Fortunately, 
               innovative strategies have emerged over the last few 
               years that, if fully implemented, would remove most of 
               the existing barriers to employment and 
               self-sufficiency for individuals with intellectual and 
               other significant, complex disabilities. ... �A] 
               handful of states have adopted policies that require 
               employment to be a prime consideration for Medicaid 
               Waiver dollars.  These "Employment First" initiatives 
               can significantly increase employment opportunities 
               for individuals with intellectual and other 
               developmental disabilities and high support needs.


           AB 287  :  AB 287 (Beall), Chapter 231, Statutes of 2009, included 
          findings and declarations stating, among other things, that:

                 Working age people with disabilities are among the most 
               unemployed and underemployed members of society;
                 People with developmental disabilities are an important 
               and largely untapped employment resource; 
                 Recent data indicate that California ranks 41st among 
               the states in the percentage of working age individuals 
               with developmental disabilities in competitive or supported 
               employment.
                 Regional center planning teams are encouraged to discuss 
               school-to-work opportunities during IPP meetings beginning 
               when a consumer reaches 14 years of age, and regional 
               center representatives are encouraged to inform consumers 
               and their representatives that the regional center is 
               available, upon request, to participate in the consumer's 
               individualized education plan meetings to discuss 
               transition planning.

          AB 287 put in place a process for examining issues concerning 
          employment of people with developmental disabilities, centered 
          on the concept of employment first.  AB 287 required that SCDD 
          establish a standing Employment First Committee.  The Employment 
          First Committee includes designees of specified entities that 
          are members of SCDD:  DDS, the Department of Rehabilitation, the 









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          Superintendent of Public Instruction, the university centers for 
          excellence in developmental disabilities, and the state 
          protection and advocacy agency.  It also includes a member of 
          SCDD's consumer advisory committee.  The Employment First 
          Committee is also required to meet and consult, as appropriate, 
          with other state and local agencies and organizations, 
          including, but not limited to, the Employment Development 
          Department, the Association of Regional Center Agencies, 
          supported employment provider organizations, an organized labor 
          organization representing service coordination staff, and 
          consumer family member organizations.

          Under AB 287, the Employment First Committee's responsibilities 
          include identifying strategies and best practices, and making 
          recommendations for legislative, regulatory, and policy changes, 
          the intended outcome of which is "a significant increase in the 
          number of people with developmental disabilities who engage in 
          integrated employment, self-employment, and microenterprises, 
          and the number of individuals who earn wages at or above minimum 
          wage."

          By July 1, 2011, and annually thereafter, the Employment First 
          Committee is required by AB 287 to provide a report to the 
          appropriate policy committees of the Legislature and the 
          Governor describing its work and recommendations.  The 2011 
          Employment First Report (Report)<9> notes that "Employment First 
          is about focusing on real jobs, real wages, and real business 
          settings for individuals with developmental disabilities to have 
          the ability to increase their income and benefits, accrue assets 
          and build wealth."  (p. 4.)  The Report delineates goals and 
          objectives for improving integrated employment outcomes.  
          Recommendations address such issues as interagency collaboration 
          and coordination; transition planning for students in secondary 
          education; obtaining and maintaining employment; and the impact 
          of employment on public benefits.

          As directed by AB 287, among its recommendations, the July 2011 
          Report proposes an Employment First Policy.  Report, pp. 4, 
          ---------------------------
          <9> Employment First:  A vision of Californians with 
          developmental disabilities working in competitive integrated 
          employment. (2011), State Council on Developmental Disabilities; 
          available at 
           http://www.scdd.ca.gov/HQ-%20Employment%20First%20Report%208-9-11
          .pdf  









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          45-46.  That proposed policy is the subject of this bill.

          For people with developmental disabilities, the author says, "a 
          job provides a structure to the day, a paycheck that can be used 
          for purchasing goods and services, an identity as a contributing 
          member of the community, and an increase in personal 
          self-esteem."  The Legislature's adoption of the policy proposed 
          by the Employment First Committee will demonstrate the state's 
          commitment to increasing the number of Californians with 
          developmental disabilities who are productive, pay taxes, and 
          are more self-sufficient and involved in their communities.  The 
          author further states that the Employment First Policy 
          "establishes a high priority on providing supported employment 
          and other integrated employment opportunities for people with 
          developmental disabilities."  Competitive integrated employment 
          is also cost-effective.  Supported employment services are less 
          costly on average than alternative day and work programs.  
          Moreover, people in integrated competitive employment pay taxes 
          and are less reliant on public services.

          The author intends that the Employment First Policy will 
          establish a goal to guide future efforts, and will provide the 
          impetus and set the groundwork for activities and initiatives to 
          expand opportunities for people with developmental disabilities 
          to engage in integrated gainful employment and postsecondary 
          education.

          In support of this bill, SCDD says that focusing the state on 
          integrated competitive employment for people with developmental 
          disabilities "is critical to enhancing the productivity, 
          independence and inclusion of these individuals into society."  
          It will reduce their dependence on segregated services and 
          thereby reduce costs to the State.  SCDD notes that this bill 
          "recognizes and retains an individual's right to make informed 
          choices about their future and that there are a variety of paths 
          to employment including post-secondary education and other 
          vocational training options."  However, "the outcome is real 
          work side-by-side �with] others with and without disabilities."  
          SCDD concludes that this bill "is good for the economy, good for 
          business and good for individuals with disabilities as they 
          become productive members of society and give back as 
          contributing/taxpaying members of the community."

           Concerns  :  When the Employment First Report, including the 
          proposed Employment First Policy, was being considered for 









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          adoption by SCDD, concerns were expressed by some individuals 
          that the proposed Employment First Policy would mandate that 
          employment be a priority for every individual and, therefore, 
          would be inconsistent with the Lanterman Act's emphasis on 
          individual choice.  The same concern is expressed by Educate. 
          Advocate., which opposes this bill unless amended.

          The wording of the proposed policy was considered and approved 
          by the Employment First Committee, established pursuant to AB 
          287 and comprised of a broad spectrum of stakeholders, including 
          consumers, with expertise in the Lanterman Act and employment of 
          people with developmental disabilities.  It was also approved by 
          SCDD as part of the Employment First Report.  The statement of 
          the Employment First Policy, itself, specifically says that it 
          is the policy of  the state  "that integrated, competitive 
          employment is the priority outcome for working age individuals 
          with developmental disabilities."  It neither states that this 
          is a priority nor mandates that this be the outcome for any 
          individual.  In addition, the explicit language of this bill 
          includes a clear statement of the intent of the policy.  AB 254 
          explicitly says that "�i]mplementation of the policy shall be 
          consistent with the rights established under �the Lanterman 
          Act], including the right of individuals to make informed 
          choices" and, further, that "�i]ntegrated competitive employment 
          is intended to be the first option considered for working age 
          individuals, "  but individuals may choose goals other than 
          integrated competitive employment  . " 

          Related to this issue, East Bay Innovations (EBI), a service 
          provider of multiple services to people with developmental 
          disabilities, including employment services and supports, states 
          in support of this bill, "we clearly see AB 254 as a bill that 
          will push our service system forward to generate more quality 
          employment opportunities for people with developmental 
          disabilities."   EBI further says, "�w]e do not see AB 254 as a 
          barrier to people with developmental disabilities directing 
          their own future and services through the IPP process or somehow 
          limiting the menu of service options currently available."  The 
          Service Employees International Union - California (SEIU), also 
          in support, similarly notes that "traditional day and employment 
          services have played and will continue to play an important role 
          as part of the web of community supports.  AB 254 preserves the 
          ability of regional center clients to make their own choices on 
          their preferred options for day services, and these traditional 
          services will continue to offer them those supports when they 









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          choose."  "However," SEIU says, "regional center clients have 
          generally NOT been given a real choice that involves integrated 
          competitive employment, since those necessary employment 
          supports are largely not available.  By creating an 'Employment 
          First' policy, AB 254 seeks to redirect state resources to give 
          people that choice."

          The Association of Regional Center Agencies (ARCA) has a 
          "support if amended" position on this bill.  ARCA expresses 
          support for the "opportunity to have a comprehensive Employment 
          First policy" but has concerns with asserted workload issues 
          resulting from specific provisions of the bill, particularly the 
          requirement that regional centers discuss school-to-work 
          opportunities at IPP meetings beginning when a consumer is 14 
          years of age, and offering to participate in special education 
          individualized education planning meetings to discuss and 
          coordinate transition planning with the school district.  In 
          light of regional centers' overall case management 
          responsibilities under current law, however-even for school-age 
          consumers-and the inarguable benefit of providing continuity as 
                                                                                     consumers move from school to work, it is not clear that this 
          provision places any significant new responsibilities on 
          regional centers.

          ARCA is also concerned with the requirement that information 
          about the Employment First Policy, about options for integrated 
          and competitive employment, and about services and supports, 
          including post-secondary education, be provided "in a language 
          that the consumer and, as appropriate, the consumer's 
          representative understand."  This requirement is characterized 
          as "onerous" and "beyond the capacity of any regional center."  
          It is not obvious what ARCA proposes as an alternative:  E.g., 
          not providing information about employment and post-secondary 
          education options, etc. to non-English-speaking consumers?  Or, 
          providing such information but in a language the consumer and 
          consumer representative do not understand?  Neither alternative 
          would be consistent with existing regional center obligations 
          under the Lanterman Act.  Moreover, this bill does not require 
          the development of materials, as ARCA suggests, and certainly 
          not separately by each regional center.

          Finally, ARCA is concerned with the provision of this bill 
          authorizing DDS to request information, as appropriate, from 
          regional centers on current and planned activities related to 
          the Employment First Policy.  This bill authorizes DDS to 









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          request input from regional centers on their activities related 
          to the Employment First Policy and data on the numbers of 
          consumers engaged in integrated competitive employment.  These 
          provisions will assist in, for example, identifying best 
          practices and in tracking progress from implementation of the 
          policy.  While recognizing the importance of ongoing data 
          tracking to assist in measuring the success of the policy, ARCA 
          is concerned with the additional workload on regional center 
          staff.

           Prior bills  :

           AB 287 (Beall), Chapter 231, Statutes of 2009  , established the 
          Employment First Committee as a standing committee of the State 
          Council on Developmental Disabilities to identify strategies and 
          best practices for significantly increasing the numbers of 
          people with developmental disabilities in competitive integrated 
          employment and the number who earn wages at or above minimum 
          wage.

           AB 2424 (Beall 2008)  would have established an employment first 
          policy.  Unlike this bill, AB 2424 also made significant changes 
          to the IPP process and imposed responsibilities on regional 
          centers and DDS related to the development of materials, the 
          provision of information, and the conduct of IPP meetings.  AB 
          2424 also addressed non-employment-related integrated 
          activities.  AB 2424 was held in the Senate Appropriations 
          Committee.

           SB 1270 (Chesbro), Chapter 397, Statutes of 2006  , established a 
          process to receive public input on ways to expand opportunities 
          for people with developmental disabilities in the areas of 
          employment and community participation.  A resulting May 2007 
          Report to the Legislature and the Governor, prepared by the 
          State Council on Developmental Disabilities, included 
          recommendations for improvements to the transition services 
          planning process for students and recommended policies and 
          initiatives to expand employment opportunities for people with 
          developmental disabilities.  SB 1270 Report on expanding 
          opportunities and choice in California's day program services 
          for individuals with developmental disabilities," (May 2007), 
          State Council on Developmental Disabilities.

           REGISTERED SUPPORT / OPPOSITION  :   










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           Support 
           
          State Council on Developmental Disabilities (SCDD) (sponsor)
          Area 4 Board on Developmental Disabilities
          Disability Rights California
          East Bay Innovations (EBI)
          Service Employees International Union - California (SEIU)

           Opposition 
           
          Educate. Advocate. (unless amended)
           
          Analysis Prepared by  :    Eric Gelber / HUM. S. / (916) 319-2089