BILL ANALYSIS                                                                                                                                                                                                    �



                                                                      



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          |SENATE RULES COMMITTEE            |                   SB 662|
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                                 THIRD READING


          Bill No:  SB 662
          Author:   DeSaulnier (D)
          Amended:  5/31/11
          Vote:     21

           
           SENATE GOVERNANCE & FINANCE COMMITTEE  :  9-0, 5/4/11
          AYES:  Wolk, Huff, DeSaulnier, Fuller, Hancock, Hernandez, 
            Kehoe, La Malfa, Liu

           SENATE APPROPRIATIONS COMMITTEE  :  9-0, 5/26/11
          AYES:  Kehoe, Walters, Alquist, Emmerson, Lieu, Pavley, 
            Price, Runner, Steinberg


           SUBJECT  :    Public services

           SOURCE  :     Author


           DIGEST  :    This bill authorizes the Department of Finance 
          to enter into contracts with counties to operate and 
          integrate the health and safety programs included in the 
          Governors realignment proposal.  This bill requires 
          contracts between the state and the counties to be 
          cost-neutral to both parties and to last 10 years unless 
          they are extended in the ninth year.

           ANALYSIS  :    The state and local agencies provide a range 
          of services to meet the health and safety needs of 
          Californians.  Generally, these programs are authorized and 
          funded under state or federal law, often with additional 
          authorization and funding from local agencies.  While the 
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          state provides some direct services, such as parole 
          programs, most health and safety programs are operated by 
          local agencies, regional entities, or community-based 
          organizations under agreements with the state.  Those 
          agreements often include cost-sharing ratios that 
          distribute costs between federal, state, and local 
          governments.

          This bill authorizes the Department of Finance to enter 
          into contracts with counties to operate and integrate the 
          health and safety programs included in the Governor's 
          realignment proposal.  Those contracts must do the 
          following:

                 Identify statutes or regulations that must be 
               waived or modified to meet the goals of realignment.  

                 Include benchmarks and outcomes for the programs 
               covered by the contract.

                 Reference agreements with other local agencies that 
               must be adopted to achieve the goals of the contract.

                 Identify strategies to ensure compliance with 
               applicable federal requirements.

          This bill requires contracts between the state and the 
          counties to be cost-neutral to both parties and to last 10 
          years unless they are extended in the ninth year.  

          The bill requires that contracts be approved by the 
          Legislature and Governor in the form of a bill and be 
          ratified by the county Board of Supervisors before they 
          take effect.  The Legislative Analyst's Office must issue a 
          report on the policy and fiscal effects of each contract.  
          After five years, this bill requires counties to submit a 
          report to the Legislature on progress toward the goals 
          included in the contract.  This bill is contingent on 
          enactment of funding for the Governor's realignment plan as 
          determined by the Department of Finance.

           Comments
           
          This bill creates a path to implement the Governor's 

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          realignment proposal.  This bill authorizes each county to 
          tailor its approach to service integration through 
          negotiations with the Department of Finance while ensuring 
          adequate review by the Legislature, the Governor, and the 
          county Board of Supervisors.  This bill builds upon prior 
          legislation that authorized county-specific approaches to 
          service delivery, such as the San Mateo Consolidated Human 
          Services Agency, the Solano County Integrated Health and 
          Human Service Program the Placer County Pilot Project and 
          the County Integrated Health and Human Services Program.  
          This bill extends the approach of those earlier programs 
          and provides broad authority for counties to design their 
          service delivery systems to meet local needs.  This bill 
          requires contracts to include performance and outcome 
          measures, review by the Legislature Analyst's Office, and 
          periodic reporting on performance and outcomes.

           FISCAL EFFECT  :    Appropriation:  No   Fiscal Com.:  Yes   
          Local:  No

          According to the Senate Appropriations Committee analysis:

                          Fiscal Impact (in thousands)

           Major Provisions                     2011-13     2013-14    
           2014-15          Fund  

          DOF contract negotiationunknown costs, likely exceeding     
            General
                                   $200 annually, depending on the
                                   number of contract

          LAO review/report        potentially absorbable staff       
                  General
                                   pressures, depending on the number
                                   of contracts

          Contract costs/savingsUnknown costs and savings related   
          Genera
                                   to realignment of public services 
          to 
                                   counties, attributable to future 
          legislation


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           SUPPORT  :   (Verified  5/31/11)

          California State Association of Counties �support in 
          concept]
          Contra Costa County


          AGB:do  5/31/11   Senate Floor Analyses 

                         SUPPORT/OPPOSITION:  SEE ABOVE

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