BILL ANALYSIS                                                                                                                                                                                                    �



                                                                  AB 1089
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          CONCURRENCE IN SENATE AMENDMENTS
          AB 1089 (Ian Calderon)
          As Amended  August 4, 2014
          Majority vote
           
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          |ASSEMBLY:  |72-0 |(May 24, 2013)  |SENATE: |34-0 |(August 19,    |
          |           |     |                |        |     |2014)          |
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           Original Committee Reference:    HUM. S.  

           SUMMARY  :  Establishes procedures for the transfer of a regional  
          center consumer who also is placed in foster care from one  
          regional center's catchment area to another.  Specifically,  this  
          bill  :  

          1)Makes the following legislative findings and declarations:

             a)   Children in foster care are at increased risk for  
               serious developmental delays and disabilities as a result  
               of abuse, neglect, and prenatal exposure to drugs.

             b)   Timely and consistent provision of quality remediation  
               and therapeutic services for children with developmental  
               delays and disabilities, such as those provided by  
               California's regional centers, have been shown to greatly  
               improve outcomes for these children.  Unfortunately,  
               children in foster care are at increased risk for a  
               disruption in services due to frequent placement changes.  
               These disruptions cause dramatic setbacks in a child's  
               development and well-being.

             c)   It is imperative that children in foster care experience  
               minimal interruptions in developmental services.  If  
               circumstances do not allow for advance planning during the  
               transfer from one regional center's catchment area to  
               another's, it is critical to facilitate continuity of  
               services with a minimum of interruption.

             d)   Therefore, regional centers shall put a high priority on  
               minimizing delays in providing developmental services to  
               children in the foster care system.

          1)Establishes requirements and procedures related to the  








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            transfer of a consumer from one regional center to another if  
            the consumer has an order for foster care placement, is  
            awaiting foster care placement, or is placed in out-of-home  
            care through voluntary placement, as specified, including the  
            following: 

             a)   Requires a social worker or county probation officer to  
               immediately send a notice of relocation to the consumer's  
               regional center of origin.  Requires the regional center of  
               origin to, upon receipt of the notice of relocation,  
               immediately send a notice of transfer, and records needed  
               for the planning process, as specified, to the regional  
               center to which the child is transferring.

             b)   Requires the receiving regional center to provide the  
               regional center of origin with information regarding  
               appropriate vendors and services within 14 days of the  
               notice of transfer and sets forth other procedures to be  
               completed prior to the transfer of case management for the  
               consumer, as specified.

             c)   Requires the regional center of origin, in advance of an  
               individual program plan (IPP) or Individualized Family  
               Services Plan (IFSP) meeting, to make every reasonable  
               effort to initiate services, as provided for in the  
               consumer's current IPP or IFSP, as soon as possible  
               following the notice of transfer to a new catchment area,  
               but no later than 30 days from the date of notice of  
               transfer.  Requires the regional center to report to the  
               court of jurisdiction, as specified, the county social  
               worker or probation officer, as applicable, and the  
               developmental services decisionmaker or educational rights  
               holder, as applicable, all services that are being provided  
               to the consumer, and the process to secure any additional  
               services that have been identified in the consumer's IPP or  
               IFSP but not yet initiated. 

             d)   Additionally requires that if all services identified in  
               the consumer's IPP or IFSP have not been initiated within  
               30 days, the regional center shall report in writing to the  
               court, county social worker, probation officer, as  
               applicable, and the developmental services decisionmaker or  
               educational rights holder, as applicable, at 30-day  
               intervals until all services are initiated.









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           The Senate amendments  :

          1)Delete provisions related to the transfer of children between  
            local education agencies who are receiving developmental  
            services and are also dependents.

          2)Delete the requirement to provide consumers and specified  
            representatives access to a consumer's regional center records  
            for purposes of securing eligibility for a public benefits  
            program.  

          3)Establish new requirements for the regional center of origin  
            and the regional center to which a consumer receiving foster  
            care services is transferring to ensure continuity of services  
            for the consumer.

           EXISTING LAW  :

          1)Establishes the Lanterman Act, under which the Department of  
            Developmental Services (DDS) is authorized to contract with  
            private non-profit regional centers to provide case management  
            services and arrange for, or purchase, services that meet the  
            needs of individuals with developmental disabilities, as  
            defined.  (Welfare and Institutions Code (WIC) Section 4500 et  
            seq.)

          2)Establishes the Early Intervention program, based on federal  
            statute, for infants and toddlers with a developmental delay,  
            as specified, and defines the responsibilities of DDS and the  
            California Department of Education (CDE) to care for these  
            children. (Government Code Section 95014)

          1)Establishes a system of 21 nonprofit regional centers  
            throughout the state to identify needs and coordinate services  
            for eligible individuals with developmental disabilities and  
            requires DDS to contract with regional centers to provide case  
            management services and arrange for or purchase services that  
            meet the needs of individuals with developmental disabilities,  
            as defined.  (WIC Section 4620 et seq.)

          2)Requires the development of an IPP for each regional center  
            consumer, which specifies services to be provided to the  
            consumer, based on his or her individualized needs  
            determination and preferences, and defines that planning  
            process as the vehicle to ensure that services and supports  








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            are customized to meet the needs of consumers who are served  
            by regional centers.  (WIC Section 4512)

          3)Requires the IPP planning processes to include:

             a)   A statement of the individual's goals and objectives, a  
               schedule of the type and nature of services to be provided  
               and other information and considerations, as specified;

             b)   Review and modification, as necessary, by the regional  
               center's planning team no less frequently than every three  
               years; and

             c)   Statewide training and review of the IPP plan creation,  
               as specified.  (WIC Section 4646.5)

          1)Provides that a consumer who is or has been determined to be  
            eligible for services by a regional center shall also be  
            considered eligible by any other regional center if he or she  
            has moved to another location within the state.  (WIC Section  
            4643.5 (a))

          2)Requires the level and types of services and supports  
            specified in a consumer's IPP to be authorized and secured, if  
            available, pending the development of a new IPP, whenever a  
            consumer transfers from one regional center catchment area to  
            another.  Requires a regional center in a catchment area to  
            which a consumer has transferred to convene a meeting to  
            develop a new IPP within 30 days if the services and supports  
            in the consumer's existing IPP are not available, and prior to  
            approval of a new IPP, requires the regional center to provide  
            alternative services and supports to the consumer that best  
            meet his or her IPP objectives in the least restrictive  
            setting.  (WIC Section 4643.5 (c))

          3)Establishes that a child shall be within the jurisdiction of  
            the juvenile court, in foster care, when the child has  
            suffered, or is of substantial risk of suffering, serious  
            physical harm or illness as a result of the following: 

             a)   A failure or inability of the parent or guardian to  
               adequately supervise or protect the minor;

             b)   A failure or inability of the parent or guardian to  
               adequately supervise or protect the minor from the conduct  








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               of a custodian with whom the child has been left;

             c)   A willful or negligent failure of the parent or guardian  
               to provide the minor with adequate food, clothing, shelter,  
               or medical treatment; or

             d)   The inability of the parent or guardian to provide  
               regular care for the minor due to the parent's or  
               guardian's mental illness, developmental disability or  
               substance abuse.  (WIC Section 300 (b))

          1)Establishes that, in all cases in which a minor is adjudged a  
            dependent child of the court as specified, the court may limit  
            parental control over a foster child and requires the court to  
            clearly and specifically set forth those limitations. Provides  
            that such limitations may not exceed those necessary to  
            protect the child.  (WIC Section 361)

           FISCAL EFFECT  :  According to the Senate Appropriations Committee  
          this bill will likely result in increased administrative costs  
          to the regional centers up to $200,000 per year for increased  
          coordination between regional centers and with vendors (General  
          Fund and federal funds); minor additional costs for services  
          provided to foster youth (General Fund and federal funds); and  
          minor administrative costs for county welfare agencies to  
          provide notifications to regional centers when a foster child  
          will move between catchment areas (local funds or General Fund).

           COMMENTS  :  This bill establishes procedures for the provision of  
          regional center services to children in foster care who transfer  
          from one regional center catchment area to another.  The author  
          seeks to ensure timely access to needed interventions and  
          services for vulnerable foster youth who move from one placement  
          to another. 

          Developmental services:  The Lanterman Act guides the provision  
          of services and supports for Californians with developmental  
          disabilities.  Each individual under the Lanterman Act,  
          typically referred to as a "consumer," is legally entitled to  
          treatment and habilitation services and supports in the least  
          restrictive environment.  Lanterman Act services are designed to  
          enable all consumers to live more independent and productive  
          lives in the community. 

          Direct responsibility for implementation of the Lanterman Act  








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          service system is shared by the DDS and 21 regional centers,  
          which are private nonprofit entities, established pursuant to  
          the Lanterman Act, that contract with DDS to carry out many of  
          the state's responsibilities under the Lanterman Act.  The  
          principal roles of regional centers include intake and  
          assessment, individualized program plan development, case  
          management, and securing services through generic agencies or  
          purchasing services provided by vendors.  Regional centers also  
          share primary responsibility with local education agencies for  
          provision of early intervention services under the California  
          Early Intervention Services Act.  

          The 21 regional centers throughout the state serve over 260,000  
          consumers who receive services such as residential placements,  
          supported living services, respite care, transportation, day  
          treatment programs, work support programs, and various social  
          and therapeutic activities.  Approximately 1,300 consumers  
          reside at one of California's four Developmental Centers - and  
          one state-operated, specialized community facility - which  
          provide 24-hour habilitation and medical and social treatment  
          services.  

          Services provided to people with developmental disabilities are  
          determined through an individual planning process.  Under this  
          process, planning teams - which include, among others, the  
          consumer, his or her parent(s) or other legally authorized  
          representative, and one or more regional center representatives  
          - jointly prepare an IPP based on the consumer's needs and  
          choices.  For infants and toddlers under three years of age, the  
          plan generated is an individualized family service plan (IFSP),  
          which similarly dictates the services to be provided to a child  
          to meet his or her developmental and early intervention needs.   
          The Lanterman Act requires that the IPP promote community  
          integration and maximize opportunities for each consumer to  
          develop relationships, be part of community life, increase  
          control over his or her life, and acquire increasingly positive  
          roles in the community.  The IPP must give the highest  
          preference to those services and supports that allow minors to  
          live with their families and adults to live as independently as  
          possible in the community. 

          Transfers of regional center consumers:  Current law requires a  
          regional center that receives a consumer from another catchment  
          area to authorize and pay for the same supports and services or  
          supports and services that are comparable to those that the  








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          consumer was receiving under his or her IPP through the previous  
          regional center, if they are available.  This occurs while a new  
          IPP meeting is pending, which is required to occur within 30  
          days if the services and supports provided for in the consumer's  
          IPP do not exist in the new catchment area.  Statute also  
          requires the regional center to provide alternative services and  
          supports to meet the consumer's needs pending the development of  
          a new IPP.  This same process is also referenced in DDS  
          regulations (California Code of Regulations Title 17, Div. 2,  
          Section 52111), with respect to the provision of services in an  
          IFSP for babies and toddlers 0-3 years old.

          Need for the bill:  According to DSS data from 2011, there were  
          1,650 children in foster care who received regional center  
          services, also referred to as "dual agency" children.  Because  
          these children and youth are more likely to move than children  
          who are not in foster care, and are more likely to move without  
          warning, supporters of the bill contend that having a seamless  
          process for transfer of the case file and continuity of services  
          is especially important.

          Although current law and regulations outline the duties of the  
          receiving regional center when a consumer transfers to ensure  
          continuity of services to the extent possible, there are not any  
          timelines provided in current law mandating a specific timeframe  
          for the transfer of the case file or the actual initiation of  
          services for that consumer.  According to sponsors of the bill,  
          this lack of specificity results in some foster youth waiting  
          for services for up to six or nine months, if not longer.  They  
          additionally contend that this delay can be particularly  
          detrimental for very young children whose services may mitigate  
          further developmental delay, as well as older foster youth for  
          whom continuity of services, especially if they are receiving  
          behavioral intervention services, can play a major role in  
          whether their new placement is successful.  

          To provide for a more standardized process and avoid delays in  
          service delivery, this bill sets forth more detailed  
          requirements surrounding the transfer of a foster child  
          receiving regional center services, including the requirement  
          that the consumer's regional center of origin authorizes and  
          secures services in the consumer's new catchment area until the  
          receiving regional center can complete an IPP meeting and take  
          over the case file for the consumer.









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           Analysis Prepared by  :    Myesha Jackson / HUM. S. / (916)  
          319-2089 


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