BILL ANALYSIS                                                                                                                                                                                                    �



                                                                  AB 784
                                                                  Page  1

          Date of Hearing:   May 15, 2013

                        ASSEMBLY COMMITTEE ON APPROPRIATIONS
                                  Mike Gatto, Chair

                      AB 784 (Weber) - As Amended:  May 7, 2013 

          Policy Committee:                              HealthVote:13-5
                        Human Services                          4-1

          Urgency:     No                   State Mandated Local Program:  
          No     Reimbursable:              No

           SUMMARY  

          This bill establishes a 13-member advisory committee to assess  
          the impact of federal health reform on health care benefits for  
          in-home supportive services (IHSS) providers and issue a report  
          by March 4, 2014 on the appropriate employer under IHSS to  
          provide health care benefits to IHSS providers under health  
          reform.  Specifies qualifications for committee members, and  
          requires the Governor to appoint seven members and the Speaker  
          of the Assembly and Senate Committee on Rules to each appoint  
          three members.
           
           FISCAL EFFECT  

          Costs to the Department of Social Services of approximately  
          $100,000, with potentially greater costs if the advisory  
          committee's work cannot be completed within the short time-frame  
          allotted by this bill.

           COMMENTS  

           1)Rationale  .  IHSS providers assist seniors and people with  
            disabilities who need help with daily activities, such as  
            bathing and cooking, in order to remain safe in their own  
            homes.  According to the American Federation of State, County  
            and Municipal Employees (AFSCME), co-sponsor of this measure,  
            proper access to health benefits under the federal Affordable  
            Care Act (ACA) is critical so that those who take care of  
            other people for a living are able to help themselves as well.  
             

           2)Background:  IHSS employer issues  .  Under IHSS law, three  








                                                                  AB 784
                                                                  Page  2

            parties serve as the employer, each for a different purpose.   
            The IHSS recipient hires and supervises the IHSS provider.   
            The state and a local public authority serve functions related  
            to wages, payroll, taxes, and benefits.  

           Analysis Prepared by  :    Debra Roth / APPR. / (916) 319-2081