BILL ANALYSIS                                                                                                                                                                                                    �






                                  SENATE HUMAN
                               SERVICES COMMITTEE
                            Senator Carol Liu, Chair


          BILL NO:       AB 876                                      
          A
          AUTHOR:        Valadao                                     
          B
          VERSION:       May 16, 2011
          HEARING DATE:  June 14, 2011                               
          8
          FISCAL:        To the floor                                
          7
                                                                     
          6
          CONSULTANT:                                                
          Hailey
                                        

                                     SUBJECT
                                         
                      In-home supportive services program


                                     SUMMARY  

          Narrows the circumstances that allow a provider of in-home 
          supportive services (IHSS) to sign, on the client's behalf, 
          the form that allows the client to hire a provider with a 
          criminal record that includes various felonies. 


                                     ABSTRACT  

           Current law
           1.  Establishes the in-home supportive services (IHSS) 
          program to provide domestic services to qualifying 
          individuals allowing them to remain safely in their homes.

          2.  Precludes from providing IHSS, for ten years from the 
          date of conviction, persons found guilty of specific 
          felonies.

          3.  Exempts from this ten-year ban an individual who has 
          obtained a certificate of rehabilitation. 
                                                         Continued---



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          4.  Allows a recipient of IHSS who wishes to employ a 
          provider who is under the ten-year ban to submit to the 
          county an individual waiver of the exclusion.

          5.  Prescribes that the individual waiver must be signed by 
          the IHSS client or by the client's "authorized 
          representative." 

           This bill
           1.  Redefines "authorized representative" to exclude a 
          provider with the criminal record unless that individual is 
          a parent, guardian, or person having legal custody of a 
          minor recipient, a conservator of an adult recipient, or a 
          spouse or registered domestic partner of a recipient. 


                                  FISCAL IMPACT  

          None.


                            BACKGROUND AND DISCUSSION  

          The 2009 IHSS budget trailer bill �AB19 X4 (Evans), Chapter 
          17, Statutes of 2009 Fourth Extraordinary Session] includes 
          provisions intended to prevent fraud in, and enhance the 
          integrity of the IHSS program.  As a condition of being 
          placed or maintained on a county's IHSS provider registry, 
          AB19 X4 (Evans) requires criminal background checks to be 
          completed for all prospective IHSS providers as of October 
          1, 2009, and to be completed by July 2, 2010 for anyone 
          already a provider on October 1, 2009.

          Under existing state law, consistent with federal Medicaid 
          law, an individual may not serve as a provider of services 
          under the IHSS program for 10 years following conviction 
          for specified crimes involving fraud against a government 
          health care or supportive services program, child 
          endangerment, or elder or dependent adult abuse.  (These 
          are commonly referred to as "Tier 1" offenses.)  The 2010 
          human services budget trailer bill �AB 1612 (Budget 
          Committee), Chapter 725, Statutes of 2010] provides for the 
          additional exclusion, with certain exceptions, of provider 
          applicants for 10 years following a conviction for a 




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          violent or serious felony, as defined in the Penal Code, 
          and other specified felonies.  These exclusions, referred 
          to as "Tier 2" offenses, apply to new provider applicants 
          prospectively, beginning 90 days after the effective date 
          of that bill.

          With respect to Tier 2 exclusions, AB 1612 (2010) provides 
          that a recipient who wishes to employ a provider applicant 
          who has been convicted of such an offense "may submit to 
          the county an individual waiver of the exclusion."  The 
          waiver form must be signed "by the recipient or by the 
          recipient's authorized representative, if applicable."  In 
          signing a waiver, the individual agrees that he or she is 
          "accepting the responsibility for this decision and the 
          risk of any potential actions that may occur as a result of 
          this decision."

          The AB 1612 exclusion for prior convictions of Tier 2 
          offenses was part of a larger budget compromise that was 
          not vetted through legislative policy committees.  The 
          provision of AB 1612 permitting an authorized 
          representative to sign a waiver on behalf of a recipient to 
          enable them to provide IHSS services does give the 
          appearance of a conflict of interest.  In effect, however, 
          what this provision does is to simply create a de facto 
          exception to the Tier 2 exclusions for parents of minors 
          and other authorized representatives.  This bill, with 
          specified exceptions, would eliminate that exception.

           Effect of this bill
           Existing law permits a provider applicant to sign the 
          waiver form if the applicant is also the recipient's 
          authorized representative.  This bill would add the proviso 
          that "Except for a parent, guardian, or person having legal 
          custody of a minor recipient, a conservator of an adult 
          recipient, or a spouse or registered domestic partner of a 
          recipient, a provider applicant shall not sign his or her 
          own individual waiver form as the recipient's authorized 
          representative."  To understand the effect of this bill it 
          is necessary to understand who can be an "authorized 
          representative."  The term is not defined in the statutes 
          or regulations governing the IHSS program.

          By common usage, an authorized representative is an 
          individual authorized by law (e.g., the parent or guardian 




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          of a minor), or designated either by the individual (e.g., 
          through a power of attorney, advance health care directive, 
          contract) or by an entity with authority to appoint someone 
          to act on behalf of the individual (e.g., a court-appointed 
          conservator).  In the health care context, legally 
          recognized surrogate decision-makers include spouses and 
          registered domestic partners, and may also include 
          immediate family members, relatives, significant others, 
          and close friends.

          Under this bill, authorized representatives of recipients 
          who lack capacity to sign a waiver, and who do not meet one 
          of the specified exceptions, would be unable to sign the 
          waiver to provide IHSS services themselves based on a Tier 
          2 felony conviction within the prior 10 years.  As 
          authorized representatives, however, they could still sign 
          a waiver    authorizing someone else who has a Tier 2 
          felony conviction to be a provider for their own child, 
          relative, etc.  Thus, this bill would narrow the waiver 
          exception to the Tier 2 felony exclusion by disqualifying 
          some authorized representatives.  Because "authorized 
          representative" is not defined in applicable statutes or 
          regulations, however, this provision is vague; although, 
          this is true of the current statute, which permits waivers 
          to be signed by any authorized representative. 

          However it is defined, excluding people who are authorized 
          representatives will exclude those who would, in most 
          instances, be the most appropriate providers:  E.g., 
          parents or guardians of minor children; parents of adults, 
          siblings, spouses, registered domestic partners, or adult 
          children-including those who have been court-appointed as 
          conservators; and trusted friends or relatives selected by 
          an IHSS recipient prior to becoming incapacitated to act as 
          his or her health care agent.  Under this bill, 
          non-exempted authorized representatives would have the 
          greatest obstacles to becoming an IHSS provider and would 
          have to go through the far more cumbersome and lengthy    
          state-level general exception process, where the outcome is 
          far less certain.  As a result of the recent amendment 
          exempting parents of minors and other delineated authorized 
             representatives from the prohibition on submitting a 
          waiver on their own behalf, however, these concerns with 
          this bill have been significantly mitigated.
           




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          Number of persons the bill effects
           According to DSS data, as of early May 2011, 162 new 
          provider applicants statewide (out of, perhaps, 30,000 
          applicants) had been deemed ineligible based on Tier 2 
          offenses, and 68 waivers had been submitted in the 
          approximately three months since the effective date of AB 
          1612.  These data dispel the contention that the IHSS 
          program is rampant with felons working as providers for 
          seniors and people with disabilities.  These data also show 
          this bill effects a small number of people: over a 10- to 
          18-month period, an unknown fraction of the 68 waivers 
          submitted were likely signed by an authorized 
          representative seeking to be a provider.



           Assembly votes
           Human Services:  5 - 0
          Floor:         76 - 0


                                    POSITIONS  

          Support:  Kings In-Home Supportive Services Public 
          Authority
                    1 individual

          Oppose:        None received






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