BILL ANALYSIS                                                                                                                                                                                                    �






                                  SENATE HUMAN
                               SERVICES COMMITTEE
                            Senator Carol Liu, Chair


          BILL NO:       SB 1432                                     
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          AUTHOR:        Steinberg                                   
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          VERSION:       April 16, 2012
          HEARING DATE:  April 24, 2012                              
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          FISCAL:        Yes                                         
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          CONSULTANT:    Sara Rogers                                 
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                                     SUBJECT
                                         
                            Child and family welfare
                                         
                                    SUMMARY
                                         
          Requires the California Child and Family Service Review 
          System workgroup to determine whether additional outcome 
          indicators, additional analysis of existing indicators, or 
          both, are necessary to determine the impact of the 
          realignment of child welfare programs and services, as 
          specified.  Requires the California Department of Social 
          Services (DSS) to provide information annually to the 
          legislature regarding the impact of the realignment of 
          child welfare programs on child safety, as specified.  
          Requires DSS to initiate authorized compliance actions if 
          any county child welfare system does not meet established 
          compliance thresholds after receiving technical assistance 
          for at least six months but not more than one year.

                                     ABSTRACT
                                         
           Current law


                                                         Continued---




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           1.Establishes the California Department of Social Services 
            (DSS) as the single state agency required by Title IVB 
            and IVE of the federal Social Security Act to distribute 
            federal funds and supervise Californias 
            county-administered child welfare system which includes 
            child prote2.ctive services, foster care placement 
            services, and adoptions services.

          3.Requires DSS to establish the California Child and Family 
            Service Review System in order to review all county child 
            welfare systems and maximize compliance with federal 
            regulations and state plan requirements. 

          4.Requires the California Health and Human Services Agency 
            to convene an inter-agency, county and stakeholder 
            workgroup to establish a work plan by which child and 
            family service reviews shall be conducted.

          5.Provides that the work plan shall consider federal 
            program improvement plans, outcome indicators to be 
            measured, compliance thresholds for each indicator, 
            timelines for implementation, corrective action 
            processes, and other considerations.

          6.Requires the workgroup to consider whether to establish 
            additional outcome indicators that support the federal 
            outcomes and any program improvement plan as specified.

          7.Realigns funding for Adoption Services, Foster Care, and 
            Child Welfare Services, among other programs from the 
            state to counties and redirected specified tax revenues 
            as a dedicated funding source.

           This bill

           1.Requires the workgroup to determine, by March 1, 2013, 
            whether additional outcome indicators, additional 
            analysis of existing outcome indicators, or both, are 
            necessary to determine the impact, if any, of the 
            realignment of child welfare programs and services on 
            child safety and well-being.

          2.Requires the workgroup to specifically consider outcome 
            indicators related to the incidence of child abuse and 
            neglect and the effectiveness of community based 





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            prevention efforts including nonaccidental injuries to 
            children requiring medical care, infant mortality, rates 
            of low-birthweight infants, rates of births to mothers 
            who received no prenatal care, rates of births to mothers 
            under the age of 18.

          3.Requires DSS to provide information annually to the 
            legislative budget and appropriate policy committees 
            regarding the impact, if any, of the realignment of child 
            welfare programs and services on child safety and 
            well-being, as specified.

          4.Requires DSS to initiate compliance actions authorized in 
            existing law if any county child welfare system does not 
            meet established compliance threshold after receiving 
            technical assistance for at least six months but not more 
            than one year.


                                  FISCAL IMPACT  

          This bill has not been analyzed by a fiscal committee.

                                         
                           BACKGROUND AND DISCUSSION  

           Purpose of the bill
           
          According to the author, this bill seeks to ensure that the 
          state can adequately review and assess the impact of 
          realignment of child welfare services programs to the 
          counties.  The author states that California has a robust 
          system of supports and services for abused and neglected 
          children and that it is crucial for the recently enacted 
          child welfare realignment plan to include strong oversight 
          and accountability provisions, and for the realignment 
          process to be open and transparent.  

          The author points out that the current performance review 
          system has been in place since 2004, however, despite years 
          of outcome measurement and monitoring, performance 
          improvement plans, and technical assistance by DSS, many 
          counties still fail to meet minimum standards on outcome 
          measures directly related to the safety, permanency and 
          well-being of children.  According to the author, the 





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          greater flexibility and autonomy counties will gain through 
          realignment must be balanced with accountability and 
          careful monitoring of outcomes for at-risk children and 
          families, and with timely and effective enforcement action 
          by DSS if other measures fail to ensure that county systems 
          meet minimum standards.

          The sponsors and supporters of the bill state their concern 
          that realignment may create fiscal pressures on county 
          child welfare systems and incentives to de-emphasize 
          investigation of abuse and neglect reports, minimize 
          opening of new cases, close cases too hastily, and 
          eliminate non-mandatory programs, including community-based 
          voluntary and preventive services that help keep children 
          out of the foster care system.  
           
          Children and Family Services Review System (CFSR)
           
          DSS supervises a 58 county-administered Child Welfare 
          Services (CWS) system which investigates approximately 
          31,500 reports of severe injury, death and life threatening 
          neglect of children annually.  According to DSS, as of 
          February 2012, there were nearly 58,000 children currently 
          in foster care placement, with nearly one in three residing 
          in Los Angeles County.  


          Currently, federal law pursuant to title IV-B of the Social 
          Security Act and state law pursuant to AB 636 (Steinberg, 
          Chapter 678, Statutes of 2001) require DSS to enact the 
          CFSR which establishes an outcomes-based review process 
          administered by the Outcomes and Accountability Bureau. 


          At the federal level, the Children's Bureau of the 
          Administration for Children and Families under the U.S. 
          Department of Health and Human Services Agency also 
          conducts Child and Family Services Reviews of the states 
          based on the statewide assessment prepared by DSS, state 
          child welfare data, case reviews and interviews and focus 
          groups conducted on site.  


          California's last CFSR was conducted in 2008, and found 
          that California did not achieve substantial conformity with 





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          any of the seven outcomes reviewed including home 
          permanency, safety from abuse and neglect, timeliness of 
          adoptions, placement stability, educational needs and 
          others.  The report additionally found that California's 
          low performance may be attributed at least in part to the 
          lack of state-wideness for many of the state's innovative 
          best practices, high social worker caseloads and high 
          turnover, insufficient numbers of foster homes and 
          insufficient support and training for caregivers, and an 
          over reliance on group homes and residential treatment 
          facilities.<1>
           The Child Welfare Outcomes and Accountability Workgroup
           
          Current law requiring the California Health and Human 
          Services Agency to convene a workgroup consisting of 
          representatives of various state agencies, counties, and 
          stakeholders led to the Child Welfare Outcomes and 
          Accountability Workgroup.  This workgroup created a 
          framework for accountability called the Child Welfare 
          Outcomes and Accountability System which consists of 
          quarterly management reports, performance standards, 
          improvement goals, a state annual progress report, county 
          system improvement plans, technical assistance and 
          training, and if needed, a formal state compliance action.  
          According to the department, this workgroup has completed 
          their previously mandated obligations and has not met 
          recently.  
           
           Public Safety and Child Welfare Realignment
           
          The 2011-12 Budget Act, AB 118 (Chapter 15, Statutes of 
          2011) and SB 89 (Chapter 35, Statutes of 2011) transferred 
          various state fiscal and program responsibilities to 
          counties in the areas of public safety, health and human 
          services.  The realignment represented $6.3 billion in 
          program funding, and included nearly $1.6 billion in foster 
          care and child welfare services funding.  The realignment 
          legislation created an accounting structure, determined 
          allocations for some of the funding, and dedicated 
          specified sales tax and vehicle license fee revenue to fund 
          -------------------------
          <1> Final Report: California Child and Family Services 
          Review.  July 2008.  
           http://www.childsworld.ca.gov/res/pdf/CFSRFinalReport2008.pd
          f  





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          these local costs in 2011-12.  

          Under this realignment, each county receives a revenue 
          allocation and assumes responsibility for the full 
          non-federal share of most aspects of California's child 
          welfare system in the county.  Specifically, these child 
          welfare functions include Child Welfare Services, foster 
          care, dependency adoptions, Adoptions Assistance Program 
          (AAP), and child abuse prevention.  The dedicated revenues 
          for realignment are ongoing; however, the accounting 
          structure and funding allocations for 2012-13 and beyond 
          are currently under consideration within the 2012-13 Budget 
          Act.

          Under the plan, DSS retains the responsibility to ensure 
          compliance with federal laws and performance measures, 
          monitoring requirements and California's state plan.  DSS 
          also retains programmatic responsibility for the CWS Case 
          Management System, social worker training, and independent 
          adoptions that are handled through private attorneys.

          An LAO evaluation of California's prior experience with 
          realignment included specific recommendations regarding the 
          realignment proposal:<2> 

               For some of the realigned programs, the Legislature 
               will need to make policy decisions regarding how much 
               programmatic flexibility to give counties.  The 
               Legislature will need to decide the degree to which 
               counties will be required to operate programs 
               consistent with past practices versus having the 
               authority to provide higher or lower levels of 
               service...The Legislature may also have concerns that 
               too much flexibility could mean that certain programs 
               are not operated at an adequate level in some 
               counties.  In those cases where a minimum level of 
               service is a priority of the Legislature, it can 
               establish minimum standards or requirements.

          The report further recommended that:

          -------------------------
          <2> Legislative Analyst's Office, "2011 Realignment: 
          Addressing Issues to Promote Its Long-Term Success."  
           http://www.lao.ca.gov/reports/2011/stadm/realignment/realign
          ment_081911.pdf  




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               �T]he Legislature could direct the creation of working 
               groups in each of the major program areas affected by 
               realignment with instruction to meet regularly and 
               report back to the Legislature on its progress 
               periodically.  

           Related Legislation
           
          AB 1611 (Beall, 2012) - Requires California Child and 
          Family Service Review System workgroup to examine outcome 
          indicators for each racial and ethnic population served 
          within a county.  Additionally, requires counties to 
          include specified information in a system improvement plan 
          regarding efforts made to eliminate disparities in services 
          and outcomes for children of color in its child welfare 
          system.  Requires DSS to identify and promote best 
          practices for increasing cultural competency in the 
          provision of services and eliminating inequities in service 
          delivery to racial and ethnic communities.  Authorizes the 
          department to take various actions if a county has failed 
          to comply with the requirements of its system improvement 
          plan, as specified.  This bill is currently in the Assembly 
          Human Services Committee.

          AB 118 (Chapter 15, Statutes of 2011) - Implements as part 
          of the 2011-12 Budget Act the 2011 Public Safety 
          Realignment, transferring various state fiscal 
          responsibilities for public safety, child welfare services 
          and adoption services to counties.  This bill also creates 
          the account structure and allocations for some of the 
          funding, and dedicates specified tax revenue to fund these 
          local costs in 2011-12.


          AB 636 (Steinberg, Chapter 678, Statutes of 2001) - 
          Requires DSS to enact the Children and Family Services 
          Review System which establishes an outcomes-based review 
          process administered by the Outcomes and Accountability 
          Bureau.

           Comments
           
          The current language may not provide the workgroup with 
          sufficient time to complete their responsibilities, the 
          scope of their responsibilities should be clarified to 





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          include development of the needed indicators, and the 
          specific outcome indicators required to be considered may 
          not be the most relevant for the purpose of evaluating 
          realignment.  

          Staff recommends the following amendments.   

          1.Page 4, Lines 7-19 amend to read:

            By  March 1, 2013,  January 15, 2013 the workgroup shall 
            reconvene and by April 1, 2013 shall determine whether 
            additional outcome indicators, additional analysis of 
            existing outcome indicators, or both, are necessary to 
            determine the impact, if any, of the realignment of child 
            welfare programs and services on child safety and 
            well-being and shall develop those indicators and 
            analysis for inclusion in the California Child and Family 
            Service Review System work plan, if needed. The workgroup 
            shall specifically consider outcome indicators related to 
            the incidence of child abuse and neglect,  and  the 
            effectiveness of community-based child abuse prevention 
             efforts  and early intervention efforts, and any changes 
            to outcomes that may be the result of realignment of 
            child welfare programs and services.  including, but not 
            limited to, all of the following:  
             (A) Nonaccidental injuries to children requiring medical 
            care.
            (B) Infant mortality.
            (C) Rates of birth of low-birthweight infants.
            (D) Rates of birth to mothers who received no prenatal 
            care.
            (E) Rates of birth to mothers under 18 years of age.

           2.Page 5, Lines 7-14 amend to read:

            The impact, if any, of the realignment of child welfare 
            programs and services on child safety and well-being, 
            including, but not limited to, outcome indicators 
            determined by the workgroup.  any increase in 
            nonaccidental injuries to children receiving medical 
            care, infant mortality, rates of birth of
            low-birthweight infants, rates of birth to mothers who 
            received no prenatal care, rates of birth to mothers 
            under 18 years of age, or other factors correlated with 
            increased risk of child abuse or neglect  .





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          3.Staff notes that current budget discussions regarding the 
            realignment proposal are ongoing in the context of the 
            2012-13 Budget Act.  These discussions include 
            consideration of the appropriate compliance tools to be 
            used by the Department of Social Services if counties 
            fail to meet federal and state standards.  The author may 
            wish to revisit the provisions of this bill requiring the 
            department to initiate compliance actions authorized by 
            Section 10605, as specified, to ensure consistency with 
            any action taken in this year's Budget Act.  
            Additionally, the specified time frame of six months to 
            one year in triggering a compliance action by the 
            department may be too short for counties to remedy 
            deficiencies.  

          4.The required workgroup membership pertaining to 10601.2 
            (c) (1) does not reflect the current and relevant makeup 
            of the workgroup, and requires updating.  The Department 
            of Mental Health, no longer exists, and the Department of 
            Child Support Services has not worked on this project and 
            should be removed, according to the Department.  


                                    POSITIONS


           Support:       John Burton Foundation (co-sponsor) 
                         Public Counsel (co-sponsor)
                         The Alliance for Children's Rights
                         Children Now
                         California Youth Connection Alliance for 
                    Children's Rights 
                    
          Oppose:        none received





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