BILL ANALYSIS                                                                                                                                                                                                    �






           SENATE TRANSPORTATION & HOUSING COMMITTEE       BILL NO: ab 683
          SENATOR MARK DESAULNIER, CHAIRMAN              AUTHOR:  ammiano
                                                         VERSION: 6/13/11
          Analysis by:  Mark Stivers                     FISCAL:  yes 
          Hearing date:  June 21, 2011



          SUBJECT:

          Homeless data

          DESCRIPTION:

          This bill requires the Department of Housing and Community 
          Development to create a statewide data warehouse on 
          homelessness.

          ANALYSIS:

          Under existing federal law, known as the McKinney-Vento Homeless 
          Assistance Act, the United States Department of Housing and 
          Urban Development (HUD) administers various programs relating to 
          homelessness, including the Continuum of Care Program, which is 
          a competitive award program designed to encourage cities and 
          counties to address the problems of housing and homelessness in 
          a coordinated and strategic fashion.  The fundamental components 
          of a continuum of care include prevention, outreach, emergency 
          shelter, transitional housing, permanent housing, permanent 
          supportive housing, and supportive services.  

          In order to receive funding through the McKinney-Vento Homeless 
          Assistance Act, a state or local jurisdiction must develop a 
          continuum of care.  Among other requirements, a continuum of 
          care must collect anonymous data on the homeless clients served 
          within the continuum and maintain the data in a homeless 
          management information system ((HMIS).  Currently, there are 42 
          continua of care in California, covering all of the state except 
          for a few small, rural counties.  Each one has an HMIS, though 
          the systems are not uniform.  HUD collects HMIS data nationwide 
          and compiles it in the Annual Homeless Assessment Report to 
          Congress, but the report contains very little state-specific 
          data.

          In February 2010, the Schwarzenegger administration adopted the 
          California Ten Year Chronic Homelessness Action Plan.  The plan 




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          includes a strategy to collect and analyze data on chronic 
          homelessness and client outcomes in order to monitor 
          implementation of the plan and guide ongoing policy and program 
          development.  In describing the strategy, the plan states:

               In order to be most effective, the State's efforts to 
               address chronic homelessness should be grounded in data 
               about the characteristics and needs of this population and 
               about the effectiveness of the policy and program 
               interventions being used.  Statewide data collection will 
               allow tracking of overall progress in substantially 
               reducing chronic homelessness and monitoring of client 
               outcomes and program effectiveness. Based on data analysis, 
               best practices can be identified and disseminated, policy 
               and programs can be adapted to facilitate improved 
               outcomes, cost savings can be redirected to support 
               effective interventions, and data can be used to lobby for 
               changes in policy, programs and funding.  

           This bill  requires the Department of Housing and Community 
          Development (HCD), only if it receives sufficient federal and 
          private funds for this purpose, to create a state homeless 
          integrated data warehouse to compile data from HMISs in 
          California.  Specifically, the bill:

           Requires HCD to collaborate and coordinate with the Department 
            of Corrections and Rehabilitation, the Department of Health 
            Care Services, the Department of Mental Health, the Department 
            of Social Services, the Department of Veterans Affairs, and 
            the Department of Alcohol and Drug Programs to create the data 
            warehouse in a manner consistent with federal HMIS privacy 
            guidelines.
           Encourages local agencies that use an HMIS to collaborate with 
            HCD in developing the data warehouse and requires 
            participating agencies to contribute data quarterly.
           Establishes the purpose of the database to develop a composite 
            portrayal of the homeless population in the state and of the 
            services currently provided to people who are homeless or who 
            are at risk of becoming homeless and are receiving prevention 
            services.
           Requires that the database include, at a minimum:

                 Basic demographic information about people experiencing 
               homelessness or at risk of homelessness including, if 
               available, ethnic, racial, and gender identity and sexual 
               orientation.




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                 The number of individuals with disabilities and the 
               number of families with a head of household experiencing a 
               disability who have been homeless for at least one year or 
               at least four times in the last three years.
                 Homeless individuals' access to benefits.
                 The number of individuals and families experiencing 
               homelessness.
                 The number and entry/exit dates of individuals and 
               families living in emergency housing.
                 The number and entry/exit dates of homeless individuals 
               and families living in transitional housing.
                 The number and entry/exit dates of homeless individuals 
               and families living in permanent housing.
                 Last known location or zip code when housed.
                 Stated reasons for homelessness. 
                 Disability status of people experiencing homelessness. 
                 Veteran status of people experiencing homelessness. 
                 If available, the number of unaccompanied youth 
               experiencing homelessness.

           Requires HCD use the data warehouse to provide longitudinal, 
            cost-based studies to determine all of the following:

                 The number of people imprisoned each year who were 
               homeless upon arrest and the costs of their imprisonment.
                 The number of parolees experiencing homelessness each 
               year and the costs of their parole.
                 Claims for Medi-Cal emergency department, hospital, and 
               nursing home services among people experiencing 
               homelessness and the costs of those claims each year.
                 The number of children receiving foster care services 
               whose family members are homeless and the costs of the 
               foster care provided to those children each year.
                 Relevant information regarding the number of people who 
               are homeless receiving services, the costs of those 
               services, and the outcomes of those services through the 
               State Department of Mental Health, State Department of 
               Social Services, Department of Veterans Affairs, and State 
               Department of Alcohol and Drug Programs.
                 The number of people living in housing funded through 
               programs administered by HCD who were homeless upon 
               admission. 

           Requires HCD to create a users' group to ensure quality, 
            relevance, and appropriate access to the database.
          




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          COMMENTS:

           1.Purpose of the bill  .  California has the highest number of 
            people experiencing homelessness in the country, and because 
            some of these homeless persons do not have access to 
            appropriate services, they become frequent users of costly 
            emergency services, such as hospital emergency rooms, detox 
            facilities, and jails.  In order to both reduce homeless and 
            public costs associated with such emergency services, 
            California needs to understand the nature of its homeless 
            population and be able to evaluate what strategies work best.  
            According to the author, a statewide data warehouse on 
            homelessness would improve collaboration among state agencies, 
            allow efficient assessment of the costs of homelessness to the 
            state, provide greater transparency in state agency and 
            grantees' operations, help determine what interventions work 
            best to prevent or end homelessness, identify gaps in 
            services, discover how patterns of service use relate to 
            patterns of homelessness, analyze trends in homelessness, 
            allow use of mainstream systems among people experiencing 
            homelessness, and enhance planning and policy efforts to 
            reduce homelessness.  The state could use the database to 
            determine costs of services it now provides to homeless 
            persons and how it could more effectively deliver these 
            services to decrease administrative and program costs.

           2.Hoped for data not yet available .  The bill requires HCD, if 
            funding is available, to undertake various studies using data 
            from the state database.  The HMISs that feed into this 
            database, however, do not in most cases currently collect 
            these data.  The bill proponents hope to start up the database 
            with currently available information and expand the database 
            later to add information related to homeless clients' use of 
            other public systems, such as prisons, jails, health care, 
            etc.  None of the state departments named in the bill have an 
            HMIS or a system that tracks homelessness.  These state 
            departments, however, do have data on their clients, and the 
            proponents hope to add a question relating to housing status 
            to these existing databases so that data and trends on 
            homeless persons can be incorporated into the state homeless 
            integrated data warehouse.

          Assembly Votes:
               Floor:                            54-23
               Appr:     12-5
               B&P:        7-2




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               HCD:        7-0




          POSITIONS:  (Communicated to the Committee before noon on 
          Wednesday,                                             June 15, 
          2011)

               SUPPORT:  Corporation for Supportive Housing (sponsor)
                         The ARC of California
                         Bay Area Counties Homeless Information 
          Collaborative
                         County of Santa Clara 
                         EveryOne Home
                         Housing California
                         National Alliance on Mental Illness, California
                         United Cerebral Palsey
                         United Homeless Healthcare Partners

               OPPOSED:  None received.