BILL ANALYSIS                                                                                                                                                                                                    �






                                  SENATE HUMAN
                               SERVICES COMMITTEE
                            Senator Carol Liu, Chair


          BILL NO:       AB 2338                                     
          A
          AUTHOR:        Chesbro                                     
          B
          VERSION:       May 17, 2012
          HEARING DATE:  June 26, 2012                               
          2
          FISCAL:        Yes                                         
          3
                                                                     
          3
          CONSULTANT:    Mareva Brown                                
          8

                                        

                                     SUBJECT
                                         
                Developmental services: Employment First Policy

                                     SUMMARY  

          Requires each regional center planning team to consider a 
          specified Employment First Policy when developing an 
          individual program plan (IPP), and defines the terms 
          competitive employment, microenterprises and 
          self-employment for those purposes. Declares the intent of 
          the state that Employment First not infringe upon the 
          rights of individuals to make other choices, and requires 
          that this policy not be construed to expand the existing 
          entitlement. Makes other related changes.

                                     ABSTRACT  

           Existing law

              1.   Establishes an entitlement to services for 
               individuals with developmental disabilities under the 
               Lanterman Developmental Disabilities Service Act and 
               authorizes the Department of Developmental Services to 
               contract with 21 nonprofit regional centers to provide 
                                                         Continued---



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               appropriate supports and services.

             2.   Defines the requirements for developing an IPP for 
               each consumer served by a regional center.
           
             3.   Requires the State Council on Developmental 
               Disabilities to form a standing Employment First 
               Committee to identify strategies and recommend 
               legislative, regulatory and policy changes to increase 
               integrated employment, self-employment and 
               microenterprises for individuals with developmental 
               disabilities, as specified.

           


          This bill

              1.   Requires a regional center planning team to 
               consider the Employment First Policy, as specified, 
               when developing an individual program plan for a 
               transition age youth or working adult.

             2.   Defines competitive employment to mean work in the 
               competitive labor market that is performed on a 
               full-time or part-time basis in an integrated setting 
               and for which an individual is compensated at or above 
               the minimum wage, as specified.

             3.   Defines microenterprises to mean small businesses 
               owned by individuals with developmental disabilities 
               who have control and responsibility for decision 
               making and overseeing of the business, as specified, 
               and instructs that they may be considered integrated 
               competitive employment.

             4.   Defines self-employment to mean 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.

             5.   Declares that the intent of the state is that 
               opportunities for integrated, competitive employment 
               shall be given the highest priority for working age 




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               individuals with development disabilities, regardless 
               of the severity of their disabilities, and defines 
               this policy as the Employment First Policy. 

             6.   Requires that implementation of the Employment 
               First Policy not infringe upon rights for individuals 
               with developmental disabilities, including the right 
               to make informed choices with respect to services and 
               supports through the IPP process.

             7.   Identifies integrated competitive employment as the 
               intended first option to be considered by planning 
               teams for working age individuals, but declares that 
               individuals may choose goals other than integrated 
               competitive employment.

             8.   Requires that this policy not be construed to 
               expand the existing entitlement to services for 
               individuals with developmental disabilities.

             9.   Requires that regional centers ensure that 
               consumers, beginning at 16 years of age, and, where 
               appropriate, their parents, legal guardians, or 
               conservators, are provided with information, in a 
               language that the consumer and, as appropriate, the 
               consumer's representative understand, to inform them 
               about:
                  a.        The Employment First Policy
                  b.        Options for integrated competitive 
                    employment
                  c.        Services and supports, including 
                    postsecondary education, available to enable the 
                    consumer to transition from school to work, and 
                    to achieve the outcomes of obtaining and 
                    maintaining integrated competitive employment.

             10.  Permits the Department of Developmental Services to 
               request information from regional centers on current 
               and planned activities related to the Employment First 
               Policy.

                                     FISCAL IMPACT
           
          The Assembly Appropriations Committee estimates that costs 
          should be minor and absorbable within existing resources. 




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                            BACKGROUND AND DISCUSSION

          Purpose of the bill

           The author states that employment rates for people with 
          disabilities are far below the rate of the general public 
          and the employment rate for people with developmental 
          disabilities is even lower.  According to the author, 
          "People with developmental disabilities are a greatly 
          under-utilized resource. Most people with developmental 
          disabilities are placed in segregated day programs or work 
          programs, including sheltered workshops. They typically 
          earn less than minimum wage and rarely learn job skills to 
          enable them to work in the competitive job market." 

          Pursuing a policy of employment first has been the subject 
          of prior state legislation and a required report by the 
          State Council on Developmental Disabilities, released in 
          2011. This bill adopts the language in that report which 
          proposes to define the state's Employment First Policy as 
          "integrated, competitive employment is the priority outcome 
          for working age individuals with developmental 
          disabilities." It defines certain key terms and requires 
          regional center planning teams to consider employment first 
          as they create IPP plans with consumers of working age. 
           
          Regional Center system

           In California, approximately 250,000 individuals with 
          developmental disabilities are served by the state's 21 
          nonprofit regional centers which provide local services and 
          supports to meet the needs of each client. Another 1,700 
          receive services in one of the state's four Developmental 
          Centers, which typically provide services for individuals 
          with more significant physical or behavioral needs. One 
          tenant of the system is to provide services in the least 
          restrictive setting. 

           Employment 

           Employment of individuals with developmental disabilities 
          is a state and national priority. Historically in 
          California, DDS consumers have worked in a range of 




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          settings. Those requiring supported employment settings may 
          participate in the Work Activity Program, where services 
          are provided in a sheltered work environment and reimbursed 
          at a daily per capita rate. Consumers also may participate 
          in supported employment work in the community with support 
          services provided by on the job by community rehabilitation 
          programs. 

          However, people with developmental disabilities remain 
          significantly under-represented in the workforce. According 
          to the State Council on Developmental Disabilities, data 
          indicates that just 13% of working age individuals with 
          developmental and intellectual disabilities are in 
          competitive or supported employment. 

               This equates to an unemployment rate of 87% for people 
               with developmental and intellectual disabilities in 
               California, ranking California 41st in the nation for 
               the employment of this portion of our population.  
               (Policy 2010-02, SCDD)

          In recent years, efforts have been made to move more 
          consumers into competitive or supported employment. AB 287 
          (Beall) 2009 required that the state establish an 
          Employment First" committee in the State Council on 
          Developmental Disabilities to identify strategies to 
          increase the number of people with developmental 
          disabilities who are employed and earning at least minimum 
          wage. 

          In August 2011, the council released an Employment First 
          Report outlining goals and objectives to improve integrated 
          employment outcomes. It includes interagency collaboration, 
          transition planning for students in secondary education, 
          obtaining and maintain employment and the impact of 
          employment on public benefits. The report 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.)  

          Recommendations in the report are the subject of this bill. 
          Other attempts to mandate an employment first policy have 




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          been held in Appropriations committees. This bill attempts 
          to fix those issues by being less prescriptive of regional 
          center case manager duties and of the data DDS may request 
          from regional centers about the program.

           Related legislation
          
           AB 254 (Beall 2011) was substantially similar to this bill 
          but was held in the Assembly Appropriations Committee.  
          This bill attempts to address the cost issues as well as 
          other concerns with AB 2548.

          AB 287 (Beall), Chapter 231, Statutes of 2009, established 
          the Employment First Committee as a standing committee of 
          SCDD 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 SCDD, 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.  

           Comments
           This bill is silent on the responsibility of educational 
          institutions in preparing transition age youth for adult 
          activities. Staff suggests adding the following language to 
          ensure that this bill does not unintentionally alleviate 




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          schools of their share of responsibility:

          4869. (a)

          (5) Nothing in this chapter shall alleviate schools of 
          their responsibility to provide transition services to 
          individuals with developmental disabilities. 
           

                                  PRIOR VOTES
           
          Assembly Floor:     49 - 27
          Assembly Appropriations:12 - 4
          Assembly Human Services:  4 - 2 


                                    POSITIONS  

          Support:       The Arc and United Cerebral Palsy in 
          California
                         Developmental Disabilities Area Board 10
                         State Council on Developmental Disabilities 

          Oppose:   None received






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