BILL ANALYSIS                                                                                                                                                                                                    Ó






                                  SENATE HUMAN
                               SERVICES COMMITTEE
                            Senator Carol Liu, Chair


          BILL NO:       AB 2538                                     
          A
          AUTHOR:        J. Perez                                    
          B
          VERSION:       February 24, 2012
          HEARING DATE:  June 26, 2012                               
          2
          FISCAL:        Yes                                         
          5
          URGENCY:       Yes                                         
          3
                                                                     
          8
          CONSULTANT:Sara Rogers
                                         
                                    SUBJECT

                In-home supportive services:  criminal exclusions

                                     SUMMARY  

          Clarifies that an In-Home Supportive Services local public 
          authority shall share results of a Department of Justice 
          background check with the Department of Social Service in 
          order to complete the background check process for provider 
          applications.

                                     ABSTRACT  

           Current law


           1.Establishes the In-Home Supportive Services (IHSS) 
            program to provide in-home domestic and personal care 
            services for aged, blind or disabled individuals living 
            at or below the poverty level for the purpose of enabling 
            IHSS consumers to avoid institutionalization and remain 
            safely in their homes with supportive services.  


           2.Establishes the Department of Social Services (DSS) as 
                                                         Continued---



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            the state agency with regulatory authority over the IHSS 
            program and delegates administration of the program to 
            counties and county public authorities.   


           3.Permits counties to contract with a nonprofit consortium 
            or establish a local public authority through ordinance, 
            for the purpose of providing for the delivery of in-home 
            supportive services.  


           4.Provides that a public authority or contracted non-profit 
            consortium established to provide for the delivery of 
            IHSS services shall serve as the employer of record for 
            the purposes of collective bargaining over wages, hours 
            and other terms of employment, except for purposes of 
            liability for provider negligence, and shall:  


                i.     Establish a registry to assist residents in 
                 finding in-home supportive services personnel.  
                ii.    Investigate the qualifications and background 
                 of potential personnel which must include a DOJ 
                 conducted criminal offender record investigation 
                 (CORI).  
                iii.   Deny a request to be placed on the registry if 
                 a prospective provider has been convicted of 
                 specified criminal offenses unless waived or 
                 exempted, as specified.  


           5.Requires prospective providers to undergo a criminal 
            background check and establishes two tiers of 
            exclusionary crimes. The first tier excludes, without 
            exception, any provider applicant convicted within the 
            last 10 years for:
               i.     Specified abuse of a child (Penal Code section 
                 273a)
               ii.    Abuse of an elder or dependent adult (PC 
                 section 368)
               iii.   Fraud against a government health care or 
                 supportive services program 


          1.Establishes a second tier of exclusionary crimes, which 




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            may be waived or exempted, including:
               i.     A violent or serious felony, as specified in PC 
                 section 667.5(c), and PC section 1192.7(c)
               ii.    A felony offense for which a person is required 
                 to register as a sex offender pursuant to PC section 
                 290(c)
               iii.   A felony offense for fraud against a public 
                 social services program, as defined in WIC sections 
                 10980(c)(2) and (g)(2)


          1.Provides that prospective providers excluded due to a 
            Tier 2 conviction who receive a certificate of 
            rehabilitation or an expungement (dismissal pursuant to 
            PC section 1203.4) shall not be excluded.


          2.Provides that an IHSS recipient may submit an individual 
            waiver of the exclusion for a Tier 2 crime, signed by the 
            recipient or the recipient's authorized representative, 
            if applicable.  Requires the service recipient or his or 
            her authorized representative to be informed of any 
            relevant criminal convictions.


          3.Permits DSS to provide a general exclusion exemption to 
            prospective providers convicted of a Tier 2 crime and 
            establishes specified considerations DSS may use in 
            making a determination.


          4.Requires DSS to request a copy of an applicant's criminal 
            offender record investigation (CORI) from a county 
            welfare department and requires the county to provide 
            this information in a manner which protects the 
            confidentiality and privacy of the CORI response.


           This bill


           1.In addition to county welfare departments, also requires 
            a public authority to provide DSS with a copy of an 
            applicant's CORI and provides that DSS shall request a 
            copy of an applicant's CORI from the public authority or 




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            the county.  

                                 FISCAL IMPACT  

          The Assembly Appropriations committee determined that there 
          are no significant costs associated with this legislation. 


                            BACKGROUND AND DISCUSSION  

          According to the author, this bill enacts a technical and 
          clarifying revision to current law to ensure that the 
          employee background check process provided for under 
          current law can be completed.  The author states that this 
          bill enacts further clean-up to SB 930 (Evans, 2011) which 
          inadvertently omitted "public authorities" from the list of 
          organizations permitted to share CORI's with DSS.  DSS uses 
          CORI's for the purpose of processing general exception 
          requests on behalf of providers who have been excluded from 
          becoming an IHSS provider due to a prior criminal 
          conviction.

          The California Association of Public Authorities writes in 
          support that this bill corrects a drafting error in current 
          law, and that in order for DSS to process general exemption 
          requests as is required under the law they must be able to 
          receive a copy of the CORI from a public authority or 
          county.

           In-Home Supportive Services
           
          In Home Supportive Services began as a social services 
          program funded through Title XX of the Social Security Act 
          but has since become an optional federal Medicaid benefit, 
          which is currently its primary funding source.  
          Historically, the goal of the program was to assist seniors 
          and disabled individuals with activities of daily living in 
          order to enable them to live at home safely, but it was 
          limited in its scope due to long waiting lists for waiver 
          slots that provided funding for the services.

          On June 19, 1999, the United States Supreme Court issued 
          the landmark Olmstead decision which held that the American 
          with Disabilities Act (ADA) and the Rehabilitation Act 
          requires public entities to administer services "in the 




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          most integrated setting appropriate" and to "make 
          reasonable modifications in policies, practices, or 
          procedures?to avoid discrimination on the basis of 
          disability?"

          Following this decision, California has dramatically 
          increased its use of the program to enable IHSS consumers 
          to avoid institutionalization and remain safely in their 
          homes with proper supportive services.
           
          Provider Background checks and Exclusionary Crimes

           Facing significant budget shortfalls, as part of the 2009 
          Budget Act, the legislature adopted sweeping changes to the 
          IHSS program intended to address and prevent fraud and 
          abuse of the program.  AB X4 19 (Evans, Chapter 17, 
          Statutes of 2009) among other changes, required all 
          prospective IHSS providers to submit to Department of 
          Justice criminal background checks at the providers 
          expense.  Prior to this change, a public authority was 
          authorized but not required to perform a criminal 
          background check on prospective providers.  Additionally, 
          AB 1612 (Committee on Budget, Chapter 725, Statutes of 
          2009) added a new tier of exclusionary convictions for new 
          providers, which may be waived or exempted upon request of 
          the recipient or following a determination by the 
          Department of Social Services (see current law section of 
          this analysis for the list of Tier 2 offenses).


          Importantly, federally mandated Tier 1 exclusions currently 
          prevent individuals convicted of Penal Code 368 violations 
          which include actions of embezzlement, forgery, or fraud, 
          or identity theft against elders or dependent adults from 
          being or becoming providers in the program.


          SB 930 requires the county to provide DSS with the CORI if 
          an IHSS provider or provider applicant has requested an 
          appeal of a denial of placement on the IHSS provider 
          registry as a result of a DOJ criminal background check.   
          This bill implements a technical clean up measure to this 
          legislation.






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                                   PRIOR VOTES
                     
           Assembly Floor 75 - 0 
          Assembly Appropriations17 - 0
          Assembly Human Services  6 - 0
           
          Related Legislation
          
          AB 1714 (Halderman) adds felony forgery, felony 
          embezzlement, felony extortion and felony identify theft to 
          the list of Tier 2 offenses that require a waiver. This 
          bill is being considered by this committee on June 26, 
          2012.

          SB 930 (Evans, Chapter 649, Statutes of 2011) - Repeals the 
          requirement that IHSS recipients provide fingerprint images 
          at the time of assessment or reassessment and on 
          standardized timesheets.  Requires the county to provide 
          DSS with the DOJ criminal offender record information 
          search response (CORI) if an IHSS provider or provider 
          applicant has requested an appeal of a denial of placement 
          on the IHSS provider registry as a result of a DOJ criminal 
          background check. 



                                    POSITIONS  

          Support:                                California 
          Association of Public Authorities            
                    California Welfare Directors Association
                    Los Angeles County District Attorney's Office
                    The Arc and United Cerebral Palsy in California

          Oppose:        None received






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