BILL ANALYSIS                                                                                                                                                                                                    �




                   Senate Appropriations Committee Fiscal Summary
                           Senator Christine Kehoe, Chair


          AB 2338 (Chesbro) - Developmental services: Employment First 
          Policy.
          
          Amended: July 5, 2012           Policy Vote: Human Services 4-2
          Urgency: No                     Mandate: No
          Hearing Date: August 6, 2012                           
          Consultant: Jolie Onodera       
          
          This bill meets the criteria for referral to the Suspense File.
          
          
          Bill Summary: AB 2338 would require regional center (RC) 
          planning teams under the jurisdiction of the Department of 
          Developmental Services (DDS) to consider an Employment First 
          Policy, as specified, when developing an individual program plan 
          (IPP) for consumers 16 years of age and older. Additionally, 
          this bill:
                 States it is the policy of the state, to be known as the 
               Employment First Policy, that opportunities for integrated, 
               competitive employment shall be given the highest priority 
               for working age individuals with developmental 
               disabilities. 
                 Requires RCs to provide consumers, beginning at 16 years 
               of age, and their parents, legal guardians, or 
               conservators, with information, in a language that the 
               consumer and consumer's representative understand, about 
               the Employment First Policy, about options for integrated 
               competitive employment, and about 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.

          Fiscal Impact: 
                 Potentially significant one-time costs to the extent the 
               translation of written materials into languages that 
               consumers and their representatives can understand is 
               required to comply with the provisions of this bill. 
               Alternatively, potential ongoing costs for training or 
               hiring service coordinators fluent in a number of languages 
               to the extent information is to be provided verbally to 
               consumers.








          AB 2338 (Chesbro)
          Page 1


                 Substantial potential future costs to the extent RC 
               consideration of the Employment First Policy results in 
               increases in supportive and supplemental employment 
               programs and job training programs, and/or the request for 
               dedicated employment specialists or benefits counselors at 
               RCs. One new position at each of the 21 RCs would result in 
               ongoing costs of approximately $1.3 million (General Fund).
                 Potential long-term fiscal benefits to the state 
               including reduced reliance on publicly-funded 
               benefits/services as well as increased tax revenues to the 
               extent more individuals engage in integrated, competitive 
               employment as a result of this policy.

          Background: California provides community-based services to 
          approximately 250,000 persons with developmental disabilities 
          and their families through a statewide system of 21 regional 
          centers. Regional centers are private, nonprofit agencies under 
          contract with DDS for the provision of various services and 
          supports to people with developmental disabilities. As a single 
          point of entry, regional centers provide diagnostic and 
          assessment services to determine eligibility; convene planning 
          teams to develop an individual program plan (IPP) for each 
          eligible consumer; and either provide or obtain from generic 
          agencies appropriate services for each consumer in accordance 
          with the IPP. 

          According to the State Council on Developmental Disabilities 
          (SCDD), data indicates only 13 percent of working age 
          individuals with developmental and intellectual disabilities are 
          engaged in competitive or supported employment. The SCDD 
          released an Employment First Report in August 2011 which 
          outlined goals and objectives to improve integrated employment 
          outcomes, including interagency collaboration, transition 
          planning for students in secondary education, obtaining and 
          maintaining employment, and the impact of employment on public 
          benefits. The recommendations included in the SCDD report are 
          the subject of this measure.
          
          Proposed Law: This bill seeks to pursue a policy of employment 
          first for individuals with developmental disabilities, as 
          follows:
                 Declares it is the policy of the state, to be known as 
               the Employment First Policy, that opportunities for 
               integrated, competitive employment shall be given the 








          AB 2338 (Chesbro)
          Page 2


               highest priority for working age individuals with 
               developmental disabilities, regardless of the severity of 
               their disabilities.
                 Requires implementation of the policy to be consistent 
               with, and not infringe upon, the rights of people with 
               developmental disabilities to make informed choices with 
               respect to services and supports through the IPP process.
                 Provides that integrated competitive employment is 
               intended to be the first option considered by planning 
               teams for working age adults, but individuals may choose 
               goals other than integrated competitive employment.
                 Provides definitions for the following terms: 
               competitive employment integrated employment, 
               self-employment, and microenterprises.  
                 Requires a RC planning team to consider the Employment 
               First Policy, as specified, when developing an IPP for a 
               transition age youth or working age adult.
                 Provides that this chapter shall not be construed to 
               expand the existing entitlement to services for persons 
               with disabilities described in this division.
                 Provides that this chapter shall not alleviate schools 
               of their responsibility to provide transition services to 
               individuals with developmental disabilities.
                 Requires RCs to provide consumers, beginning at 16 years 
               of age, and where appropriate, their parents, legal 
               guardians, or conservators, with information in a language 
               that the consumer and the consumer's representative 
               understand, about the Employment First Policy, about 
               options for integrated competitive employment, and about 
               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.
                 Authorizes the DDS to request information from RCs on 
               current and planned activities related to the Employment 
               First Policy.

          Related Legislation: AB 254 (Beall) 2011 was substantially 
          similar to this measure and was held on the Suspense File of the 
          Assembly Committee on Appropriations.

          AB 287 (Beall) Chapter 231/2009 established the Employment First 
          Committee as a standing committee of SCDD to identify strategies 
          and best practices for significantly increasing the numbers of 








          AB 2338 (Chesbro)
          Page 3


          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 and made significant changes to the IPP process and 
          imposed responsibilities on RCs and DDS related to the 
          development of materials, the provision of information, and the 
          conduct of IPP meetings. This bill was held on the Suspense File 
          of this Committee.

          SB 1270 (Chesbro) Chapter 397/2006 established a process to 
          receive public input on way to expand opportunities for 
          individuals with developmental disabilities in the areas of 
          employment and community participation. 
          
          Staff Comments: This bill requires RCs to provide consumers, 
          beginning at 16 years of age, and where appropriate, their 
          parents, legal guardians, or conservators, with information in a 
          language that the consumer and the consumer's representative 
          understand, about the Employment First Policy, about options for 
          integrated competitive employment, and about 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. 

          In previous bills regarding this issue, the provisions specified 
          that when the consumer's primary language is not English, that 
          RCs take appropriate steps to ensure the consumer was able to 
          understand the information. Although not specifically stated in 
          this bill, there could be a similar presumption of a requirement 
          for translation, in writing, verbally, or potentially both, in 
          order for the information to be provided "in a language that the 
          consumer and the consumer's representative understand." This 
          could result in significant new costs for translation of written 
          materials, and/or the training and hiring of service 
          coordinators fluent in a number of languages in order to provide 
          the specified information verbally.

          This bill states it is the policy of the state that 
          opportunities for integrated, competitive employment be given 
          the highest priority for working age individuals with 
          developmental disabilities in furtherance of the intent to make 








          AB 2338 (Chesbro)
          Page 4


          services and supports available to these individuals. The 
          provision in the bill stating that "This chapter shall not be 
          construed to expand the existing entitlement to services?" 
          notwithstanding, the DDS could incur significant future costs in 
          order to adhere to the principles established under the 
          provisions of this bill to the extent RC consideration of the 
          Employment First Policy results in increases in the provision 
          of, or information related to the availability of, supportive 
          and supplemental employment programs and job training programs.

          In order to realize the goal of providing adequate supports to 
          individuals with developmental disabilities, the SCDD Employment 
          First Report (August 2011) included strategies including but not 
          limited to the following:

             Provide RC service coordinators with employment training 
             from experts to instruct them on the available supports to 
             individuals with developmental disabilities in obtaining and 
             maintaining employment.
             Request funding to add a dedicated employment specialist at 
             each RC, to enhance the level of information about employment 
             and related issues available to individuals with 
             developmental disabilities, families, service coordinators, 
             and employers.
             Provide funding to each RC to employ a designated benefits 
             counselor to assist individuals with developmental 
             disabilities and their families understand the desirability 
             of employment even if benefits change, assist them to access 
             benefits such as Social Security impairment related work 
             expenses for transportation and other needs, etc.

          While statewide cost information is unavailable, the changes 
          proposed by this bill could result in significant costs to the 
          DDS associated with increases in service coordinator time for 
          training on the new policy, IPP development and implementation, 
          and the development and distribution of additional educational 
          materials. Additional workload could also be incurred for 
          examining the existing allocation of resources to determine if a 
          shift from non-work related activities to supports for 
          employment and work would be possible, or if additional 
          resources would be required in order to further the goals of the 
          Employment First Policy. 

          By prioritizing the principles of the Employment First Policy, 








          AB 2338 (Chesbro)
          Page 5


          there could be future costs to the DDS to the extent the 
          strategies referenced above are pursued. Costs to fund dedicated 
          employment specialists or benefits counselors as recommended by 
          the SCDD could result in ongoing costs of approximately $1.3 
          million (based on a minimum of one new position at each of the 
          21 RCs).

          With regard to the potential impact on services, if one percent 
          of the individuals served by RCs received additional 
          employment-related services at an average of $1,000 per person 
          as the result of this bill, the provisions of this bill could 
          result in new costs of $2.5 million annually. Total costs could 
          be offset in part by a corresponding shift away from 
          participation in day programs to employment-related programs.

          The DDS has indicated this measure could have a minor, 
          absorbable fiscal impact for DDS to compile outcome data, as 
          authorized but not mandated under the provisions of this bill. 
          To the extent the implementation of the Employment First Policy 
          assists individuals with developmental disabilities engage in 
          integrated, competitive employment, this measure could result in 
          long-term fiscal benefits to the state including reduced 
          reliance on publicly-funded benefits/services as well as 
          increased tax revenues.