BILL ANALYSIS                                                                                                                                                                                                    �




                   Senate Appropriations Committee Fiscal Summary
                           Senator Christine Kehoe, Chair

                                          SB 472 (Correa)
          
          Hearing Date: 5/26/2011         Amended: 5/2/2011
          Consultant: Katie Johnson       Policy Vote: Human Services 7-0
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          BILL SUMMARY: SB 472 would require the Secretary of California 
          Health and Human Services and the Superintendent of Public 
          Instruction to develop an integrated assessment or a process to 
          coordinate multiple assessments to assess the needs of children 
          receiving special education and related services.
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                            Fiscal Impact (in thousands)

           Major Provisions         2011-12      2012-13       2013-14     Fund
           SPI assessment      over $1 million in FY 2011-12 and FY 
          2012-13General
          development process

          CHHS assessment                          potentially hundreds of 
          thousands of dollars                         General
          development process                     in FY 2011-12 and FY 
          2012-13                                      
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          ____

          STAFF COMMENTS: SUSPENSE FILE.
          
          This bill would require the Secretary of the California Health 
          and Human Services Agency (CHHS) and the Superintendent of 
          Public Instruction (SPI) to develop an integrated assessment and 
          process, by January 1, 2013, in consultation with 
          representatives of county mental health services and the 
          California Children's Services program (CCS) to assess the needs 
          of children receiving special education and related services. 
          The integrated assessment would be required to initially focus 
          on infants and toddlers, but it would be flexible enough to 
          continue to service the needs of children as they age. CHHS and 
          the SPI would be required to report their findings to the 
          Legislature by January 1, 2013. Although unclear, this reporting 
          requirement implies that further Legislative action would need 
          to be taken to require and implement utilization of the 








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          assessment. 

          This bill would require that CHHS and the SPI develop the 
          integrated assessment in one of two ways:
             1)   An integrated assessment instrument that could be 
               performed in one place at one time each year and that would 
               serve the assessment needs of all service agencies.
             2)   A process whereby the several required assessments could 
               be conducted in one place at one time.

          This bill would codify findings and declarations that state:
             1)   Children receiving special education and related 
               services are often clients of a regional center, of CCS, 
               and recipients of county mental health services;
             2)   Each organization may require separate, multiple 
               assessments annually and may require parents to provide the 
               same information multiple times and travel to multiple 
               locations each year for the assessments.

          Staff recommends amending the bill to make the findings and 
          declarations uncodified.

          Development of the Assessment(s)
          In order to develop an integrated assessment or a process to 
          coordinate multiple assessments, several different state 
          departments, including the California Department of Education 
          (CDE), the DDS, and the Department of Health Care Services 
          (DHCS), and representatives of county mental health services 
          would need to come together to provide an accurate picture of 
          all of the aspects and goals of each of the assessments. In 
          addition, representatives of the 21 regional centers that 
          contract with DDS to provide assessments and coordinate services 
          for approximately 240,000 consumers, county health department 
          representatives that determine CCS eligibility, and local 
          education agencies (LEAs) would likely want and need to be part 
          of the assessment development process.

          It is not known how many children utilize services provided by 
          all of these agencies or by a combination of some of these 
          agencies. In some cases, there could be significant overlap and, 
          in others, none at all. The assessments currently required for 
          each child would depend on their needs, age, and county of 
          residence. Additionally, each separate assessment has a 
          different purpose. For example, the assessment for the 








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          development of an individual education plan (IEP) has the goal 
          of determining the supports that a child would need to have a 
          free and appropriate education; the assessment for the 
          development of an individual program plan (IPP) by a regional 
          center would be to determine the supports a child would need to 
          reside in the least restrictive environment; the assessment 
          conducted by a county medical director would be to determine a 
          child's eligibility based on a specified health condition for 
          CCS. The FY 2011-12 Department of Developmental Services' (DDS) 
          November 2010 Budget Estimate assumes 3,885 children would be 
          served in its Prevention Program and 28,209 children in the 
          Early Start program, a program for young children aged birth 
          through 2 years with disabilities. As of December 1, 2009, there 
          were 6,309 children aged 0-2 years and 18,034 3-year-olds in 
          special education.

          The development of the integrated assessment or process would 
          likely involve both a public agency and department stakeholder 
          group as well as input from stakeholders in the community 
          including families, county mental health providers, and regional 
          centers. With one year to complete the development of this 
          assessment tool, which would likely consist of a complicated 
          stakeholder and tool development process and need to ensure that 
          federal and state requirements were being met, costs to both the 
          SPI and CHHS would likely be in the hundreds of thousands to low 
          millions of dollars General Fund.

          This bill would require CDE and CHHS to report their findings to 
          the Legislature by January 1, 2013. If the Legislature chose to 
          implement this assessment or a process by which all assessments 
          were conducted at the same place and time, there would be 
          ongoing costs in the millions of dollars; it is unclear if 
          existing funds used to currently conduct assessments could be 
          redirected for this purpose.