BILL ANALYSIS                                                                                                                                                                                                    �






                                  SENATE HUMAN
                               SERVICES COMMITTEE
                            Senator Carol Liu, Chair


          BILL NO:       SB 1259                                     
          S
          AUTHOR:        Emmerson                                    
          B
          VERSION:       March 29, 2012
          HEARING DATE:  April 24, 2012                              
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          FISCAL:        Yes                                         
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          CONSULTANT:    Mareva Brown                                
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                                     SUBJECT
                                         
                  Developmental disabilities: regional centers

                                     SUMMARY  

          Increases the payment threshold at which vendors of 
          regional centers must obtain independent audits from 
          $500,000 to $2 million and eliminates the requirement for 
          vendors receiving between $250,000 and $500,000 to obtain 
          an independent fiscal review; sets a deadline for 
          submitting the audit to a regional center; requires the 
          Department of Developmental Services to randomly select 
          vendors that fail to meet independent audit requirements 
          for a billing audit; provides an opportunity for vendors to 
          seek a rate adjustment from the department as a result of 
          costs associated with audit findings.

                                     ABSTRACT  

           Current law

              1)   Establishes the Lanterman Developmental 
               Disabilities Services Act, requiring the Department of 
               Developmental Services to enter into five-year 
               contracts with regional centers to provide specified 
               local services. 
                                                         Continued---



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             2)   Requires a vendor under contract with a regional 
               center that receives payments of more than $500,000 
               during that entity's fiscal year to obtain an 
               independent audit by an independent accounting firm 
               for that annual period.

             3)   Requires a vendor receiving payments of between 
               $250,000 and $500,000 during that entity's fiscal year 
               to obtain either an independent audit or an 
               independent review report of its financial statements 
               for that period. This requirement includes work 
               activity program providers.

             4)   Requires vendors to provide a copy to the vendoring 
               regional center within 30 days of completion of the 
               audit or review.

             5)   Defines minimum tasks that must be completed within 
               the independent audit.

             6)   Requires regional centers to forward to the 
               Department of Developmental Disabilities information 
               on all qualified opinion reports or reports noting 
               significant issues that directly or indirectly impact 
               regional center services within 30 days of receipt.

           This bill

              1)   Deletes the requirement that regional center 
               vendors receiving payments of between $250,000 and 
               $500,000 obtain an independent audit or independent 
               review of its financial statements annually.

             2)   Requires that a vendor receiving payments of more 
               than $2 million during the entity's fiscal year obtain 
               an independent audit.

             3)   Requires that the audits be provided to regional 
               centers within nine months of the end of the entity's 
               fiscal year for which the audit is required.

             4)   Deletes the requirement that vendors provide the 
               audit to regional centers within 30 days of the 
               completion of the audit.




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             5)   Adds an implementation date of July 1, 2011.

             6)   Deletes requirements for conducting an independent 
               review.

             7)   Requires that the Department of Developmental 
               Services randomly select vendors that have failed to 
               meet independent audit requirements for a billing 
               audit.

             8)   Revises the prohibition of the Department of 
               Developmental Services to consider a request for rate 
               adjustments resulting from independent audit findings 
               to a prohibition that the department consider a rate 
               adjustment "in the course of its normal audits."

                                  FISCAL IMPACT  

          This bill has not been analyzed by a fiscal committee.

                            BACKGROUND AND DISCUSSION  

           Purpose of the bill

           The requirement for regional center vendors who receive 
          more than $500,000 in funding to conduct an independent 
          audit was established in 2011 trailer bill language. The 
          author states that this bill would make those audit 
          requirements less onerous for smaller vendors that do not 
          have a system in place to successfully comply with the 
          current requirement.  Providers have described hardship for 
          smaller vendors that provide direct services in obtaining 
          an audit at costs of $10,000 or more per audit. The author 
          states this is especially difficult for smaller businesses 
          in light of multiple recent budget cuts to the 
          developmental services system and a 4.25 percent rate 
          reduction. The author argues that it is important for funds 
          to be prioritized for direct service to the population 
          during the budget crisis. 

           Regional Centers

           Regional Centers are part of a system of care overseen by 
          the Department of




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          Developmental Services (DDS). With a proposed budget of 
          $4.7 billion for 2012-2013,
          DDS is responsible for coordinating care and providing 
          services for approximately 250,000 people with 
          developmental disabilities who receive services and 
          supports to live in their communities, as well as 
          approximately 1,800 people who reside in developmental 
          centers. California's 21 regional centers are non-profit 
          organizations that provide local services and supports to 
          individuals through contracts with DDS. 

          Historically, the regional centers have been praised for 
          providing services that are tailored to local needs and 
          responsive to individuals in communities, and criticized 
          for their inconsistency across the state. While DDS sets 
          some common rates, there are variations in services and 
          rates across the state. The regional centers, as 
          nonprofits, also are not subject to the same degree of 
          public disclosure as state agencies, and have faced 
          criticism for a lack of transparency in expenditures and 
          business practices.
           
          Bureau of State Audits

           In August 2010, the Bureau of State Audits released a 
          report entitled "Department of Developmental Services: A 
          More Uniform and Transparent Procurement and RateSetting 
          Process Would Improve the CostEffectiveness of Regional 
          Centers. Among its conclusions was that regional centers 
          were not appropriately monitoring expenditures of vendors. 
          The audit prompted a Senate Human Services hearing as well 
          as discussions in the Senate budget subcommittee about the 
          need for additional oversight of vendor expenditures. 

          Key among the examples of fiscal mismanagement in the state 
          auditor's report was a $950,000 contract between Inland 
          Regional Center and Southwestern Transportation Company. "
                         "A regional center procured $950,000 in 
               services from a transportation provider under a 
               so-called "negotiated rate' that appears to have been 
               calculated to incur a specific level of spending 
               before the end of the fiscal year rather than to 
               obtain the best value for the consumers the regional 
               center serves."





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          This contract and other irregularities in contracting 
          prompted DDS to take the unusual step of placing Inland 
          Regional Center on probation with special contracting 
          language in January 2011, with requirements for reviewing 
          contracts, start-up funding and other programs that were 
          problematic in the audits. 
           
          Audit threshold

           The current threshold of $500,000 was derived, in part, by 
          a budget savings estimate that projected improved 
          accounting procedures and internal controls by vendors at 
          this level would save about 1 percent in annual purchase of 
          service costs. Audits are expected to identify poor billing 
          practices, errors in billings and inappropriate 
          transactions that would otherwise be billed to regional 
          centers, allowing the department to focus on vendors with 
          qualified reports or significant issues raised. 

          This bill's $2 million audit threshold was chosen to mirror 
          audit requirements for non-profit organizations (Government 
          Code section 12586(e)(1), according to the author. 

          For comparison, recipients of federal grants must conduct 
          an annual audit once their funding reaches $500,000. (OMB 
          A133 Circular, Subpart B (a)) 
           
          Audit and Review findings

           The objective of an audit is to provide a reasonable basis 
          for expressing an opinion regarding the financial 
          statements taken as a whole. There are five different 
          auditor opinions:

             a.   Unqualified opinion: The financial statements 
               presented are free of material misstatements and are 
               represented fairly in accordance with the Generally 
               Accepted Accounting Principles (GAAP). This is 
               sometimes called a "clean" audit and means the 
               company's financial condition, position, and 
               operations are fairly presented in the financial 
               statements. 
             b.   Unqualified opinion with explanatory language:  A 
               clean audit, but circumstances may require an auditor 
               to add clarifying language to the report.




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             c.   Qualified opinion: Issues identified in the audit 
               which are significant, but not material as to not be 
               able to issue an opinion of the financial statements. 
               In this case, auditors find one of two types of 
               situations which do not comply with Generally Accepted 
               Accounting Principles, however the rest of the 
               financial statements are fairly presented. These two 
               types of situations are:
                           When one or more areas of the financial 
                    statements do not conform with GAAP (e.g. are 
                    misstated), but do not affect the rest of the 
                    financial statements from being fairly presented 
                    when taken as a whole
                           The auditor could not audit one or more 
                    areas of the financial statements, and although 
                    they could not be verified, the rest of the 
                    financial statements were audited and they 
                    conform to GAAP.
             a.   Adverse opinion:  The financial statements are 
               materially misstated and, when considered as a whole, 
               do not conform with GAAP. In this case, auditors find 
               that the financial information is materially 
               incorrect, unreliable, and inaccurate.
             b.   Disclaimer: No opinion is issued by the auditor due 
               to very significant limitations, so the auditor cannot 
               evaluate the fairness of the statements.

          The objective of a review is to provide a reasonable basis 
          for expressing limited assurance that there are no material 
          modifications that should be made in order for the 
          statements to be in conformity with generally accepted 
          accounting principles. No opinions are associated with an 
          audit review. A Certified Public Accountant will either 
          issue a clean review report or not issue a report due to 
          some material modification that needs to be made.




           Related legislation
           
          SB 74 (Committee on Budget and Fiscal Review, Chapter 9, 
          Statutes of 2011) established the audit requirements.

           Comments




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           Vendors have testified that recent state cuts have strained 
          their budgets and forced some program closures. The author 
          states that providing relief for the costly audits would 
          alleviate fiscal stress on this system. However, given the 
          recent audit findings of the Bureau of State Audits and the 
          Department of Developmental Services, and the assumed 
          budget savings from improved accounting by vendors, raising 
          the threshold at which vendors must perform an audit to $2 
          million seems unwise. 

          An alternative approach could be to allow smaller vendors 
          to receive a two-year waiver from the independent audit or 
          review requirements if they receive an unqualified audit or 
          clean review. Vendors receiving a qualified audit could 
          receive a one-year waiver from the independent audit 
          requirement, if no issues were raised about the provision 
          of regional center services. This would achieve the goal of 
          requiring vendors to have internal systems of control in 
          place, allow regional centers to continue to monitor 
          smaller vendors who don't have them in place, and permit 
          those vendors who are performing well to earn a grace 
          period for good performance. In conversations with the 
          Department of Developmental Services, administrators have 
          advised staff that permitting vendors with clean audits and 
          reviews to receive a two-year reprieve should not erode 
          savings as those savings were tied to improving poor 
          accounting practices. 

          Staff recommends the following amendments, which reinstate 
          current law and add an exemption section:

           The people of the State of California do enact as follows:

          SECTION 1. Section 4652.5 of the Welfare and Institutions 
          Code is amended to read:
            

          4652.5. (a) (1) For fiscal years ending on or after July 1, 
          2011, an entity   that receives payments from one or more 
          regional centers shall contract with an independent 
          accounting firm   to obtain an independent audit or review of 
          its financial statements subject to all of the following:

          (A) When the amount received from the regional center or 




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          regional centers during the entity's fiscal year is at a 
          minimum of   two hundred fifty thousand dollars ($250,000) 
          but less than five hundred thousand dollars ($500,000), the 
          entity shall obtain an independent audit or independent 
          review report of its financial statements for the period. 
          Consistent with Subchapter 21 (commencing with Section 
          5880) of Title 17 of the California Code of Regulations, 
          this subdivision shall also apply to work activity program 
          providers receiving less than two hundred fifty thousand 
          dollars ($250,000). 

          (B)When the amount received from the regional center or 
          regional centers during the entity's fiscal year is equal 
          to or more than five hundred thousand dollars ($500,000), 
          the entity shall obtain an independent audit of its 
          financial statements for the period.

          (2) This requirement does not apply to payments made using 
          usual and customary rates, as defined by Title 17 of the 
          California Code of Regulations, for services provided by 
          regional centers.

          (3) This requirement does not apply to state and local 
          governmental agencies, the University of California, or the 
          California State University.

          (b) An entity subject to subdivision (a) shall provide 
          copies of the independent audit or independent review 
          report required by subdivision (a), and accompanying 
          management letters, to the vendoring regional center within 
          nine months of the end of the entity's fiscal year for 
          which the audit is required.

          (c) Regional centers receiving the audit or review reports 
          required by subdivision (b) shall review and require 
          resolution by the entity for issues identified in the 
          report that have an impact on regional center services. 
          Regional centers shall take appropriate action, up to 
          termination of vendorization, for lack of adequate 
          resolution of issues.

          (d)Vendors receiving between $250,000 and $1 million may 
          seek an exemption from the independent audit requirement or 
          independent review, as defined in sections (A) and (B) of 
          this code, if any of the following conditions are met:




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          1)Vendors receiving an unqualified opinion or unqualified 
            opinion with explanatory language shall receive a 
            two-year exemption from the independent audit 
            requirement.
          2)Vendors receiving a qualified opinion may receive a 
            one-year exemption, as long as the regional center 
            determines that material issues raised in the audit do 
            not have an impact on regional center-funded services. 
            The vendor and regional center shall continue to address 
            issues raised in the qualified opinion, regardless of 
            whether an exemption has been granted.
          3)Vendors receiving a ranking below a qualified opinion 
            shall not receive an exemption.
          4)Vendors receiving a review for which the regional center 
            did not find issues, as defined in section (3)(c) shall 
            receive a two-year exemption from the review requirement. 
             
          5)This section shall remain in effect until July 1, 2016.

           (  d  e)  Regional centers shall notify the department of all 
          qualified opinion reports or reports noting significant 
          issues that directly or indirectly impact regional center 
          services within 30 days after receipt. Notification shall 
          include a plan for resolution of issues.

           (  e  f)  For purposes of this section, an independent audit of 
          financial statements shall be performed by an independent 
          accounting firm and shall cover, at a minimum, all of the 
          following:

          (1) An inquiry as to the entity's accounting principles and 
          practices and methods used in applying them.

          (2) An inquiry as to the entity's procedures for recording, 
          classifying, and summarizing transactions and accumulating 
          information.

          (3) Analytical procedures designed to identify 
          relationships or items that appear to be unusual.

          (4) An inquiry about budgetary actions taken at meetings of 
          the board of directors or other comparable meetings.

          (5) An inquiry about whether the financial statements have 




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          been properly prepared in conformity with generally 
          accepted accounting principles and whether any events 
          subsequent to the date of the financial statements would 
          have a material effect on the statements under review.

          (6) Working papers prepared in connection with a review of 
          financial statements describing the items covered as well 
          as any unusual items, including their disposition.

          (  f  g)For purposes of this section, an independent review 
          report shall cover, at a minimum, all of the following:
           
           (1)Certification that the review was performed in 
          accordance with standards established by the American 
          Institute of Certified Public Accountants.

          (2)Certification that the statements are the 
          representations of management.

          (3)Certification that the review consisted of inquiries and 
          analytical procedures that are lesser in scope than those 
          of an audit.

          (4)Certification that the accountant is not aware of any 
          material modifications that need to be made to the 
          statements for them to be in conformity with generally 
          accepted accounting principles.

            (g  h  ) The department shall, not consider a request for 
          adjustments to rates submitted in accordance with Title 17 
          of the California Code of Regulations by an entity 
          receiving payments from one or more regional centers solely 
          to fund either anticipated or unanticipated changes 
          required to comply with this section.


                                    POSITIONS  

          Support:       The Association of Regional Center Agencies
                         California Disability Services Association

          Oppose:   None received







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