BILL ANALYSIS                                                                                                                                                                                                    �



                                                                  AB 2268
                                                                  Page  1

          Date of Hearing:   April 24, 2012

                        ASSEMBLY COMMITTEE ON HUMAN SERVICES
                                Jim Beall Jr., Chair
                     AB 2268 (Eng) - As Amended:  March 29, 2012
           
          SUBJECT  :  Services for underserved populations:  funding models

           SUMMARY  :  Requires state and local agencies to create mechanism 
          to supplement place-based and regional funding strategies for 
          health and human services, and educational services.  
          Specifically,  this bill :  

          1)States legislative findings and declarations, as follows:

             a)   Place-based and regional funding strategies define 
               specific geographic areas of moderate size and focus 
               resources to those places, typically through the funding of 
               community-based providers, to achieve measurable outcomes 
               over time.

             b)   State and local agencies using place-based or regional 
               funding strategies represent billions of dollars for 
               California communities, and shortcomings in the approach 
               have profound effects on community groups that are outside 
               of, or are underrepresented within, targeted neighborhoods.

             c)   Place-based and regional funding strategies have had 
               mixed results in terms of, for example, reduction of 
               poverty and economic revitalization of targeted 
               neighborhoods, yet these strategies remain attractive to 
               state and local agencies and are experiencing a new wave of 
               popularity.

             d)   Community-based organizations are impacted by limited 
               access to resources, which results in inequitable capacity 
               and infrastructure, which, in turn, perpetuates the limited 
               access to resources.

          2)Declares the intent of the Legislature to require state and 
            local agencies to create and implement new mechanisms to 
            improve the equitable distribution of public resources to 
            traditionally underserved communities.

          3)Defines terms, as follows:







                                                                  AB 2268
                                                                  Page  2


             a)   "Community-based organization" (CBO) means a private 
               nonprofit organization that is representative of a 
               community group or a significant segment of a community 
               group that directly provides health and human services or 
               educational services to meet community needs.

             b)   "Community group" means a population that is defined by 
               affinity, not geography, which may include, but is not 
               limited to, ethnic populations; persons with disabilities; 
               veterans; the lesbian, gay, bisexual, and transgender 
               community; and underserved communities that have 
               demonstrated barriers to access to health and human 
               services or educational services, or both.

             c)   "Place-based funding" means the utilization of a 
               framework that includes building upon local infrastructure 
               and saturating an area with resources with the goal of 
               achieving measurable outcomes and facilitating a 
               community-driven investment in the regional plan and the 
               identification of corresponding services.

             d)   "Regional funding" means the utilization of specific 
               geographic boundaries for the allocation of resources.

          4)Requires state and local agencies to do both of the following 
            in relation to funding CBOs for the provision of health and 
            human services and educational services:

             a)   Create a mechanism to allow CBOs outside targeted 
               boundaries under place-based or regional funding strategies 
               to work with service-eligible community groups within the 
               targeted boundaries; and,

             b)   Create a mechanism to allow service-eligible community 
               groups outside of targeted boundaries under place-based or 
               regional funding strategies to access services from CBOs 
               within the targeted boundaries.

          5)States legislative intent that these mechanisms supplement 
            place-based and regional funding strategies used by state and 
            local agencies.

          6)Requires state and local agencies to do all of the following 
            in creating the mechanisms described in paragraph 4) above:







                                                                  AB 2268
                                                                  Page  3


             a)   Ensure that culturally competent CBOs serving 
               geographically dispersed cultural or language community 
               groups can receive sufficient resources to meet community 
               needs;

             b)   Base needs analysis on disaggregated data that identify 
               disparities in health care and other services, taking into 
               consideration that communities are not always tied to a 
               specific neighborhood;

             c)   Engage community leaders and community members for their 
               expertise and recommendations when developing these types 
               of funding initiatives;

             d)   Invest in community capacity and infrastructure building 
               through supporting the development of community-based 
               organizations serving underrepresented or high-need 
               community groups;
              
             e)   Ensure that language access and cultural considerations 
               are at the forefront of program development and not an 
               afterthought; and,

             f)   Ensure that community-based organizations being funded 
               demonstrate linguistic and cultural competency to serve and 
               work with all service-eligible residents and communities 
               within the targeted place or region.

          7)Authorizes CBOs seeking funding to form partnerships to ensure 
            capacity to serve segments of the community that a particular 
            CBO may not have the capacity to serve.

           EXISTING LAW  authorizes various state and local agencies to fund 
          or administer programs to provide services, such as public 
          health information, social services, and education and child 
          care resources, to eligible persons.

           FISCAL EFFECT  :  Unknown

           COMMENTS  :  According to the author, 

               For over ten years, publicly supported government and 
               philanthropic funding organizations have been moving 
               toward "regional" and/or "place-based" approaches for 







                                                                  AB 2268
                                                                  Page  4

               education, health, and human services planning and 
               resource allocation.  Place-based and regional funding 
               strategies share the similarity of defining specific 
               geographic areas of moderate size and focusing 
               resources to those places, typically through the 
               funding of community-based providers, to achieve 
               measurable outcomes over time.

               However, these strategies have had mixed results in 
               terms of desired outcomes such as reduction of poverty 
               and economic revitalization of targeted neighborhoods. 
                Community groups such as ethnic populations, the 
               disabled, veterans, and LGBTs, often do not register 
               as statistically significant within a pre-defined 
               place based area or service planning boundary.  Ethnic 
               populations such as Asian Americans, Native Hawaiian, 
               and Other Pacific Islanders problems are often hidden 
               within aggregated data which does not reflect an 
               accurate picture of a specific community's need. 


          The genesis of this bill was, in part, input provided at an 
          October 2011 public hearing of the California Commission on 
          Asian Pacific Islander American Affairs, and the findings and 
          recommendations described in a follow-up report issued in 
          January 2012 by the National Center for the Preservation of 
          Democracy, Addressing the Gaps of Place-Based and Regional 
          Approaches.  Among the report's findings are the following:


                 Asian American (AA) and Native Hawaiian and Pacific 
               Islander (NHPI) communities are defined by cultural 
               affinity, not geography. 
                 Aggregated statistical data mask needs of AA and NHPI 
               communities. 
                 Cultural competency is not simply language skills, but 
               requires community knowledge and trust. 
                 Building community capacity and infrastructure is 
               critical for effective service delivery to AA and NHPIs. 
                 Place-based funding threatens the sustainability of 
               culturally competent organizations already effectively 
               serving AA and NHPIs. 


          Recommendations from community presenters at the hearing 







                                                                  AB 2268
                                                                  Page  5

          included the following:


                 Create mechanisms for community organizations outside of 
               targeted boundaries to work with service-eligible 
               populations within the targeted place or region. 
                 Provide population-based, as well as place-based, 
               funding to ensure culturally competent organizations 
               serving geographically dispersed cultural/language 
               communities can receive sufficient resources to meet 
               critical community needs. 
                 Base needs analysis on disaggregated data that identify 
               disparities in healthcare and other services, taking into 
               consideration that communities are not always tied to a 
               specific neighborhood. 
                 Enable community-based organizations that work with 
               specific populations to define "high-need" for their 
               communities, as that definition may go beyond the 
               traditional criteria of annual household income and similar 
               socio-economic indicators. 
                 Include AA and NHPI community leaders and community 
               members when developing these types of funding initiatives. 

                 Invest in community capacity and infrastructure building 
               through supporting the development of community 
               organizations serving AA and NHPIs. 
                 Ensure that place-based initiatives include a process 
               where language access and cultural considerations are at 
               the forefront of program development and not an 
               afterthought. 
                 Ensure that organizations being funded demonstrate 
               linguistic and cultural competency to serve and work with 
               all eligible residents and communities within the place or 
               region. 
                 Encourage organizations that do not have the capacity to 
               serve a segment of the population, to partner with the 
               organizations that have that demonstrated competence.


          The author provides the following example to illustrate the 
          problem with a solely place-based or regional model:

               The Samoan community in Carson continues to contend 
               with low educational attainment, a high rate of gang 
               violence, and low income to poverty level living 







                                                                  AB 2268
                                                                  Page  6

               conditions.  Yet, the City of Carson is not viewed as 
               a high need region by some funding institutions.  As a 
               result of place based and regional funding models, 
               these communities will continue to face a disparate 
               effect on access to resources.  This results in 
               inequitable capacity and infrastructure funding which 
               further perpetuates the limited access to resources.  
               Despite the mixed outcomes, place-based/regional 
               strategies remain attractive to funders and are 
               experiencing a new wave of popularity.



          This bill, the author says, would improve the equitable 
          distribution of public resources to traditionally under-served 
          communities by requiring state and local agencies that fund 
          community based organizations for health and human services and 
          educational services to establish additional mechanisms to 
          address high need communities that do not live or work in the 
          prescribed boundaries of a regional or place based model of 
          funding.

          This bill would address the concerns with solely place-based and 
          regional funding strategies by requiring state and local 
          agencies that fund community based organizations (CBO) for 
          health and human services and educational services to create and 
          implement mechanisms that do the following:  Ensure that 
          culturally competent CBOs serving geographically dispersed 
          cultural or language community groups can receive sufficient 
          resources to meet critical community needs; base needs analyses 
          on disaggregated data that identify disparities in health care 
          and other services; take into consideration that communities are 
          not always tied to a specific neighborhood; engage community 
          leaders and community members for their expertise and 
          recommendations when developing these types of funding 
          initiatives; invest in community capacity and infrastructure 
          building through supporting the development of CBOs serving 
          underrepresented or high need community groups; and ensure that 
          CBOs being funded demonstrate linguistic and cultural competency 
          to serve and work with all service-eligible residents and 
          communities within the targeted place or region.

          This bill would help to ensure greater access to funding for 
          health and human services and educational programs by groups 
          that are often excluded when funding eligibility is determined 







                                                                  AB 2268
                                                                  Page  7

          by geography.  Implementation and determining compliance may be 
          complicated, however.  It is not clear, for example, how broad 
          or inclusive the alternative strategies must be in specific 
          instances, and in what circumstances they must be employed.  In 
          addition, funding eligibility is often determined by the funding 
          source, rather than local agencies, which may be incompatible 
          with the requirements of this bill.

           DOUBLE REFERRAL  .  This bill has been double-referred.  Should 
          this bill pass out of this committee, it will be referred to the 
          Assembly Local Government Committee.

           REGISTERED SUPPORT / OPPOSITION  :   

           Support 
           
          Asian and Pacific Islander California Action Network (APIsCAN) 
          (sponsor)
          Asian Pacific Policy and Planning Council 
          Asian Pacific Community Fund
          EndOil
          Equality California 
          Guam Communication Network (GCN)

           Opposition 
           
          None on file
           
          Analysis Prepared by  :    Eric Gelber / HUM. S. / (916) 319-2089