Amended in Senate August 14, 2014

Amended in Senate June 18, 2014

Amended in Assembly April 21, 2014

Amended in Assembly March 28, 2014

California Legislature—2013–14 Regular Session

Assembly Bill No. 1595

Introduced by Assembly Member Chesbro

February 3, 2014

An act to amend Sections 4433, 4433.5, 4474.1, 4478, 4520, 4521, 4525, 4530, 4535, 4540, 4544, 4550, 4552, 4561, 4562, 4564, 4565, 4626, 4628, 4629, 4635, 4640.6, 4646, 4646.5, 4648, 4649, 4650, 4659, 4662, 4669.2, 4677, 4685.8, 4701, 4702.6, 4705, 4775, 4830, 4831, 4832, and 4835 of, to amend the heading of Article 3 (commencing with Section 4530) of, to amend the heading of Article 6 (commencing with Section 4543) of, to amend the heading of Article 7 (commencing with Section 4550) of, Chapter 2 of Division 4.5 of, to add begin delete Section end delete begin insert Sections 4520.5 and end insert 4541 to, to repeal Sections 4543, 4547, 4560, and 4566 of, and to repeal and add Sections begin delete 4545,4546, end delete begin insert 4545, 4546, end insert 4548, 4551, 4553, and 4563 of, the Welfare and Institutions Code, relating to developmental services.

LEGISLATIVE COUNSEL’S DIGEST

AB 1595, as amended, Chesbro. State Council on Developmental Disabilities.

Existing federal law, the Developmental Disabilities Assistance and Bill of Rights Act of 2000, provides federal funds to assist the state in planning, coordinating, monitoring, and evaluating services for persons with developmental disabilities and in establishing a system to protect and advocate the legal and civil rights of persons with developmental disabilities.

Existing law establishes the State Council on Developmental Disabilities to, among other things, serve as the state planning council responsible for developing the California Developmental Disabilities State Plan and monitoring and evaluating the implementation of the plan. Existing law requires the council to conduct activities related to meeting the objectives of the state plan. Existing law requires these activities to include, among other things, supporting and conducting technical assistance activities to assist public and private entities to contribute to the objectives of the state plan, and authorizes the activities to include, among other things, supporting and conducting activities to assist neighborhoods and communities to respond positively to individuals with disabilities and their families.

This bill would revise the activities the council is authorized to conduct to include, among other things, encouraging and assisting in the establishment or strengthening of self-advocacy organizations led by individuals with developmental disabilities and appoint an authorized representative for persons with developmental disabilities, as specified. The bill would make additional changes relating to the activities of the council.

Existing law requires the Governor to appoint 31 voting members to the council, including 13 members from the area boards and 7 members at large. Existing law requires the Governor, prior to appointing specified council members, to request and consider recommendations from organizations representing, or providing services to, or both, persons with developmental disabilities. Existing law also limits the term of those members to 3 years.

This bill would instead require 20 members of the council to be nonagency members who reflect the socioeconomic, geographic, disability, racial, ethnic, and language diversity of the state, and who shall be persons with a developmental disability, or their parents, immediate relatives, guardians, or conservators residing in California, as specified. The bill would additionally require the Governor to consult with the current members, including the nonagency members, of the council prior to appointing specified members and would require those members to serve no more than 2 terms.

Existing law also establishes the area boards on developmental disabilities to, among other things, conduct the local advocacy, capacity building, and systemic change activities required by the federal Developmental Disabilities Assistance and Bill of Rights Act of 2000, and to assist the council on implementing provisions of the act. Existing law requires area boards to locally assist the state council with the implementation of specified federal provisions and provides for the composition of area boards.

This bill would revise and recast the area boards as regional offices or as regional advisory committees and would make the establishment of the regional offices and the regional advisory committees discretionary. The bill would require any regional officers and regional advisory committees established to be constituted and operated according to policies and procedures set by the state council. The bill would require the regional advisory begin insert committees end insert to, upon the request of the state council, among other things, advise the state council and its regional office on local issues and to identify and provide input regarding local systemic needs within its community. The bill would make conforming changes.

Existing law requires the state council chairperson to appoint an executive director and to appoint an executive director for each area board, as specified. Existing law requires the state council to have responsibility for the selection, hiring, and supervision of all state council personnel.

This bill would instead require the state council to appoint an executive director and would instead require the state council, through its executive director, to have responsibility for the selection, hiring, and supervision of all state council personnel.

Existing law establishes the State Department of Developmental Services and sets forth its powers and duties, including, but not limited to, the administration of state developmental centers and the administration and oversight of community programs providing services to consumers with developmental disabilities and their families. Existing law authorizes the department to contract with the council for the purpose of utilizing area boards to provide clients’ rights advocacy services to individuals with developmental disabilities who reside in begin insert state end insert developmental centers and state hospitals.

This bill would instead authorize the department to contract with the council to provide clients’ rights advocacy services to individuals with developmental disabilities who reside in developmental centers. The bill would make other conforming changes.

Vote: majority. Appropriation: no. Fiscal committee: yes. State-mandated local program: no.

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

SECTION 1.  

Section 4433 of the Welfare and Institutions Code
is amended to read:

4433.  

(a) The Legislature finds and declares all of the
following:

(1) The State of California accepts its responsibility to ensure
and uphold the rights of persons with developmental disabilities
and an obligation to ensure that laws, regulations, and policies on
the rights of persons with developmental disabilities are observed
and protected.

(2) Persons with developmental disabilities are vulnerable to
abuse, neglect, and deprivations of their rights.

(3) Clients’ rights advocacy services provided by the regional
centers, the advocacy services currently provided by the department
at the state developmental centers, and the services provided by
the department’s Office of Human Rights may have conflicts of
interest or the appearance of a conflict of interest.

(4) The services provided to individuals with developmental
disabilities and their families are of such a special and unique
nature that they cannot satisfactorily be provided by state agencies
or regional centers and must be contracted out pursuant to
paragraph (3) of subdivision (b) of Section 19130 of the
Government Code.

(b) (1) To avoid the potential for a conflict of interest or the
appearance of a conflict of interest, beginning January 1, 1998,
the department shall contract for clients’ rights advocacy services.
The department shall solicit a single statewide contract with a
nonprofit agency that results in at least three responsive bids that
meet all of the criteria specified in paragraph (2) to perform the
services specified in subdivision (d). If three responsive bids are
not received, the department may rebid the contract on a regional
basis, not to exceed three regional contracts and one contract for
developmental centers and headquarters.

(2) Any contractor selected shall meet the following
requirements:

(A) The contractor can demonstrate the capability to provide
statewide advocacy services to individuals with developmental
disabilities living in developmental centers and in the community.

(B) The contractor does not directly or indirectly provide
services to individuals with developmental disabilities, except
advocacy services.

(C) The contractor has knowledge of the service system,
entitlements, and service rights of persons receiving services from
regional centers and in state hospitals.

(D) The contractor can demonstrate the capability of
coordinating services with the protection and advocacy agency
specified in Division 4.7 (commencing with Section 4900).

(E) The contractor has not provided any services, except
advocacy services, to, or been employed by, any regional center
or the Association of Regional Center Agencies during the two-year
period prior to the effective date of the contract.

(c) For the purposes of this section, the Legislature further finds
and declares that because of a potential conflict of interest or the
appearance of a conflict of interest, the goals and purposes of the
regional center clients’ rights advocacy services, the state hospitals,
and the services of the Office of Human Rights, cannot be
accomplished through the utilization of persons selected pursuant
to the regular civil service system, nor can the services be provided
through the department’s contracts with regional centers.
Accordingly, contracts into which the department enters pursuant
to this section are permitted and authorized by paragraphs (3) and
(5) of subdivision (b) of Section 19130 of the Government Code.

(d) The contractor shall do all of the following:

(1) Provide clients’ rights advocacy services to persons with
developmental disabilities who are consumers of regional centers
and to individuals who reside in the state developmental centers
and hospitals, including ensuring the rights of persons with
developmental disabilities, and assisting persons with
developmental disabilities in pursuing administrative and legal
remedies.

(2) Investigate and take action as appropriate and necessary to
resolve complaints begin delete from, end delete begin insert from end insert or concerning persons with
developmental disabilities residing in licensed health and
community care facilities regarding abuse, and unreasonable denial,
or punitive withholding, of rights guaranteed under this division.

(3) Provide consultation, technical assistance, supervision and
training, and support services for clients’ rights advocates that
were previously the responsibility of the Office of Human Rights.

(4) Coordinate the provision of clients’ rights advocacy services
in consultation with the department, stakeholder organizations,
and persons with developmental disabilities and their families
representing California’s multicultural diversity.

(5) Provide at least two self-advocacy trainings for consumers
and family members.

(e) In order to ensure that individuals with developmental
disabilities have access to high quality advocacy services, the
contractor shall establish a grievance procedure and shall advise
persons receiving services under the contract of the availability of
other advocacy services, including the services provided by the
protection and advocacy agency specified in Division 4.7
(commencing with Section 4900).

(f) The department shall contract on a multiyear basis for a
contract term of up to five years, subject to the annual appropriation
of funds by the Legislature.

(g) This section shall not prohibit the department and the
regional centers from advocating for the rights, including the right
to generic services, of persons with developmental disabilities.

SEC. 2.  

Section 4433.5 of the Welfare and Institutions Code
is amended to read:

4433.5.  

Notwithstanding Section 4433, the department may
contract with the State Council on Developmental Disabilities for
the purpose of providing clients’ rights advocacy services to
individuals with developmental disabilities who reside in
developmental centers.

SEC. 3.  

Section 4474.1 of the Welfare and Institutions Code
is amended to read:

4474.1.  

(a) Whenever the State Department of Developmental
Services proposes the closure of a state developmental center, the
department shall be required to submit a detailed plan to the
Legislature not later than April 1 immediately prior to the fiscal
year in which the plan is to be implemented, and as a part of the
Governor’s proposed budget. A plan submitted to the Legislature
pursuant to this section, including any modifications made pursuant
to subdivision (b), shall not be implemented without the approval
of the Legislature.

(b) A plan submitted on or before April 1 immediately prior to
the fiscal year in which the plan is to be implemented may be
subsequently modified during the legislative review process.

(c) Prior to submission of the plan to the Legislature, the
department shall solicit input from the State Council on
Developmental Disabilities, the Association of Regional Center
Agencies, the protection and advocacy agency specified in Section
4901, the local regional center, consumers living in the
developmental center, parents, family members, guardians, and
conservators of persons living in the developmental centers or their
representative organizations, persons with developmental
disabilities living in the community, developmental center
employees and employee organizations, community care providers,
the affected city and county governments, and business and civic
organizations, as may be recommended by local state Senate and
Assembly representatives.

(d) Prior to the submission of the plan to the Legislature, the
department shall confer with the county in which the developmental
center is located, the regional centers served by the developmental
center, and other state departments using similar occupational
classifications, to develop a program for the placement of staff of
the developmental center planned for closure in other
developmental centers, as positions become vacant, or in similar
positions in programs operated by, or through contract with, the
county, regional centers, or other state departments.

(e) Prior to the submission of the plan to the Legislature, the
department shall hold at least one public hearing in the community
in which the developmental center is located, with public comment
from that hearing summarized in the plan.

(f) The plan submitted to the Legislature pursuant to this section
shall include all of the following:

(1) A description of the land and buildings affected.

(2) A description of existing lease arrangements at the
developmental center.

(3) The impact on residents and their families.

(4) Anticipated alternative placements for residents.

(5) The impact on regional center services.

(6) Where services will be obtained that, upon closure of the
developmental center, will no longer be provided by that facility.

(7) Potential job opportunities for developmental center
employees and other efforts made to mitigate the effect of the
closure on employees.

(8) The fiscal impact of the closure.

(9) The timeframe in which closure will be accomplished.

SEC. 4.  

Section 4478 of the Welfare and Institutions Code is
amended to read:

4478.  

(a) The chairperson of an advisory board advising a
developmental center shall meet annually with the developmental
center director, the regional center directors, and a representative
of the State Council on Developmental Disabilities.

(b) The chairpersons shall be allowed necessary expenses
incurred in attending these meetings.

(c) It is the intent of the Legislature that the department assist
the development of annual regional meetings required by this
section.

SEC. 5.  

Section 4520 of the Welfare and Institutions Code is
amended to read:

4520.  

(a) A State Council on Developmental Disabilities with
authority independent of any single state service agency is hereby
created.

(b) The Legislature finds that in each of the 56 states and
territories, the federal Developmental Disabilities Assistance and
Bill of Rights Act of 2000 (Public Law 106-402 (42 U.S.C. 15001
et seq.)) establishes State Councils on Developmental Disabilities
that work to promote the core values of the act, including
self-determination, independence, productivity, integration, and
inclusion in all aspects of community life.

(c) The Legislature finds that California’s State Council on
Developmental Disabilities was established pursuant to the federal
Developmental Disabilities Assistance and Bill of Rights Act of
2000 to engage in advocacy, capacity building, and systemic
change activities that are consistent with the policy contained in
federal law and contribute to a coordinated, consumer- and
family-centered, consumer- and family-directed, comprehensive
system that includes the provision of needed community services,
individualized supports, and other forms of assistance that promote
self-determination for individuals with developmental disabilities
and their families. It is the intent of the Legislature that the state
council independently exercise its authority and responsibilities
under federal law, expend its federal funding allocation, and
exercise all powers and duties that may be necessary to carry out
the purposes contained in applicable federal law.

(d) The Legislature finds that the federal Developmental
Disabilities Assistance and Bill of Rights Act of 2000 requires the
council to promote certain principles that include all of the
following:

(1) Individuals with developmental disabilities, including those
with the most severe developmental disabilities, are capable of
self-determination, independence, productivity, and integration
and inclusion in all facets of community life, but often require the
provision of community services, individualized supports, and
other forms of assistance.

(2) Individuals with developmental disabilities and their families
have competencies, capabilities, and personal goals that should be
recognized, supported, and encouraged, and any assistance to these
individuals should be provided in an individualized manner,
consistent with the unique strengths, resources, priorities, concerns,
abilities, and capabilities of these individuals.

(3) Individuals with developmental disabilities and their families
are the primary decisionmakers regarding the services and supports
these individuals and their families receive, including choosing
where an individual lives from available options, and have
decisionmaking roles in policies and programs that affect the lives
of these individuals and their families.

(e) (1) The Legislature finds that the begin insert state end insert council faces unique
challenges in ensuring access and furthering these principles due
to the state’s size, diversity, and a service delivery system that
promotes significant local control.

(2) Therefore, it is the intent of the Legislature that the state
council, consistent with its authority and responsibilities under
federal law, ensure that the council is accessible and responsive
to the begin delete diverse, end delete begin insert diverse end insert geographic, racial, ethnic, and language
needs of begin delete persons end delete begin insert individuals end insert with developmental disabilities and
their families throughout California, which in part may, as
determined by the begin insert state end insert council, be achieved through the
establishment of regional offices, the number and location of which
may be determined by the begin insert state end insert council.

(f) This chapter, Chapter 3 (commencing with Section 4561),
and Division 4.7 (commencing with Section 4900), are intended
by the Legislature to secure full compliance with the requirements
of the federal Developmental Disabilities Assistance and Bill of
Rights Act of 2000 as amended and extended, which provides
federal funds to assist the state in planning, coordinating,
monitoring, and evaluating services for persons with developmental
disabilities and in establishing a system to protect and advocate
the legal and civil rights of persons with developmental disabilities.

(g) The state council may use funds and other moneys allocated
to the begin insert state end insert council in accordance with the purposes of the federal
Developmental Disabilities Assistance and Bill of Rights Act of
2000. This section does not preclude the state council from using
moneys other than moneys provided through the federal
Developmental Disabilities Assistance and Bill of Rights Act of
2000 in any manner consistent with applicable federal and state
law.

begin insert

begin insert SEC. 6. end insert   

end insert

begin insert Section 4520.5 is added to the end insert begin insert Welfare and Institutions
Code end insert begin insert , to read: end insert

begin insert

begin insert 4520.5. end insert   

Notwithstanding any other law, the state council shall
determine the structure of its organization, as required by the
federal Developmental Disabilities Assistance and Bill of Rights
Act of 2000 (Public Law 106-402 (42 U.S.C. 15001 et seq.)).

end insert

begin delete SEC. 6. end delete
begin insert SEC. 7. end insert   

Section 4521 of the Welfare and Institutions Code is
amended to read:

4521.  

(a) (1) All references to “council” or “state council” in
this division shall be a reference to the State Council on
Developmental Disabilities.

(2) “Developmental disability,” as used in this chapter, means
a developmental disability as defined in Section 15002(8) of Title
42 of the United State Code.

(b) There shall be 31 voting members on the state council
appointed by the Governor from among the residents of the state,
as follows:

(1) (A) Twenty members of the council shall be nonagency
members who reflect the socioeconomic, geographic, disability,
racial, ethnic, and language diversity of the state, and who shall
be persons with a developmental disability or their parents,
immediate relatives, guardians, or conservators residing in
California. Of the 20 members:

(i) At least seven members shall be persons with developmental
disabilities.

(ii) At least seven members shall be a person who is a parent,
immediate relative, guardian, or conservator of a person with a
developmental disability.

(iii) At least one of the members shall be a person with a
developmental disability who is a current or former resident of an
institution or his or her immediate relative, guardian, or
conservator.

(B) To ensure that begin insert state end insert council membership is geographically
representative, as required by federal law, the Governor shall
appoint the members described in clauses (i) and (ii) of
subparagraph (A) from the geographical area of each regional
office, if regional offices have been established by the council.
Each member described in clauses (i) and (ii) of subparagraph (A)
may, in the discretion of the begin insert state end insert council, serve as a liaison from
the begin insert state end insert council to consumers and family members in the
geographical area that he or she is from.

(2)  Eleven members of the council shall include the following:

(A) The Secretary of California Health and Human Services,
or his or her designee, who shall represent the agency and the state
agency that administers funds under Title XIX of the Social
Security Act for people with developmental disabilities.

(B) The Director of Developmental Services or his or her
designee.

(C) The Director of Rehabilitation or his or her designee.

(D) The Superintendent of Public Instruction or his or her
designee.

(E) A representative from a nongovernmental agency or group
concerned with the provision of services to persons with
developmental disabilities.

(F) One representative from each of the three university centers
for excellence in the state, pursuant to Section 15061 et seq. of
Title 42 of the United States Code, providing training in the field
of developmental services, or his or her designee. These individuals
shall have expertise in the field of developmental disabilities.

(G) The Director of Health Care Services or his or her designee.

(H) The executive director of the agency established in
California to fulfill the requirements and assurance of Title I,
Subtitle C, of the federal Developmental Disabilities Assistance
and Bill of Rights Act of 2000 for a system to protect and advocate
the rights of persons with developmental disabilities, or his or her
designee.

(I) The Director of the California Department of Aging or his
or her designee.

(c) Prior to appointing the members described in paragraph (1)
of, and subparagraph (E) of paragraph (2) of, subdivision (b), the
Governor shall consult with the current members of the council,
including nonagency members of the council, and consider
recommendations from organizations representing persons with a
broad range of developmental disabilities, or persons interested
in, or providing services to, or both, persons with developmental
disabilities.

(d) The term of each member described in paragraph (1) of, and
subparagraph (E) of paragraph (2) of, subdivision (b) shall be for
three years. The term of these members shall begin on the date of
appointment by the Governor and these members shall serve no
more than two terms.

(e) A member may continue to serve following the expiration
of his or her term until the Governor appoints that member’s
successor. The state council shall notify the Governor regarding
membership requirements of the council and shall notify the
Governor, in writing, immediately when a vacancy occurs prior
to the expiration of a member’s term, at least six months before a
member’s term expires, and when a vacancy on the council remains
unfilled for more than 60 days.

begin delete SEC. 7. end delete
begin insert SEC. 8. end insert   

Section 4525 of the Welfare and Institutions Code is
amended to read:

4525.  

(a) In order to prevent any potential conflicts of interest,
members of the state council may not be employees of a state,
local, or private agency or facility that provides services to persons
with a developmental disability, or be members of the governing
board of any entity providing the service, when the service is
funded in whole or in part with state funds.

(b) For purposes of this section, “employees of a state, local, or
private agency or facility that provides services to persons with a
developmental disability” shall not be deemed to include any of
the following:

(1) A parent, relative, guardian or conservator, who receives
public funds expressly for the purpose of providing direct services
to his or her child, relative, ward or conservatee, respectively, who
is a person with a developmental disability.

(2) A person with a developmental disability who receives
employment services through a provider receiving state or federal
funds, or who receives funds directly to pay for his or her own
services and supports.

(3) A person who serves as a member of a regional advisory
committee of the state council, established pursuant to Article 6.

(c) This section shall not apply to the appointments made
pursuant to subparagraphs (A), (B), (C), (D), (F), (G), (H), and (I)
of paragraph (2) of subdivision (b) of Section 4521.

begin delete SEC. 8. end delete
begin insert SEC. 9. end insert   

The heading of Article 3 (commencing with Section
4530) of Chapter 2 of Division 4.5 of the Welfare and Institutions
Code is amended to read:

 

Article 3.  Designated State Agency

 

begin delete SEC. 9. end delete
begin insert SEC. 10. end insert   

Section 4530 of the Welfare and Institutions Code is
amended to read:

4530.  

(a) The California Health and Human Services Agency
shall be the designated state agency for support to the state council.
The agency secretary shall ensure the state council is provided
efficient accounting, financial management, personnel, and other
reasonable support services when requested by the council in the
performance of its mandated responsibilities.

(b) The designation of the California Health and Human Services
Agency shall not limit the council’s scope of concern to health
programs or limit the council’s responsibilities or functions
regarding all other pertinent state and local programs, as defined
in Article 5 (commencing with Section 4540) of this chapter.

(c) The designation of the California Health and Human Services
Agency shall not interfere in any way with the provisions of
Section 4552 requiring all personnel employed by the council to
be solely responsible, organizationally and administratively, to the
council.

begin delete SEC. 10. end delete
begin insert SEC. 11. end insert   

Section 4535 of the Welfare and Institutions Code is
amended to read:

4535.  

(a) The state council shall meet at least six times per
year, and, upon call of its chairperson, as often as necessary to
fulfill its duties. All meetings and records of the state council shall
be open to the public.

(b) The state council shall, by majority vote of the voting
members, elect its own chairperson and vice chairperson who shall
have full voting rights on all state council actions, from among the
appointed members, described in paragraph (1) begin delete of, and
subparagraph (E) of paragraph (2) of, end delete begin insert of end insert subdivision (b) of Section
4521. The council shall establish any committees it deems
necessary or desirable. The chairperson shall appoint all members
of committees of the state council. The chairs and vice chairs of
the state council and its standing committees shall be individuals
with a developmental disability, or the parent, sibling, guardian,
or conservator of an individual with a developmental disability.

(c) The state council may appoint technical advisory consultants
and may establish committees composed of professional persons
serving persons with developmental disabilities as necessary for
technical assistance. The state council may call upon
representatives of all agencies receiving state or federal funds for
assistance and information, and shall invite persons with
developmental disabilities, their parents, guardians, or conservators,
professionals, or members of the general public to participate on
state council committees, when appropriate.

(d) When convening any task force or advisory group, the state
council shall make its best effort to ensure representation by
consumers and family members representing the state’s
multicultural diversity.

begin delete SEC. 11. end delete
begin insert SEC. 12. end insert   

Section 4540 of the Welfare and Institutions Code is
amended to read:

4540.  

The state council, established pursuant to the federal
Developmental Disabilities Assistance and Bill of Rights Act of
2000 (Public Law 106-402 (42 U.S.C. 15001 et seq.)), shall do all
of the following:

(a) Serve as an advocate for individuals with developmental
disabilities and, through council members, staff, consultants, and
contractors and grantees, conduct advocacy, capacity building,
and systemic change activities.

(b) Develop and implement the state plan in accordance with
requirements issued by the United States Secretary of Health and
Human Services, monitor and evaluate the implementation of this
plan, and submit reports as the United States Secretary of Health
and Human Services may reasonably request. The begin insert state end insert council
may review and comment on other plans and programs in the state
affecting individuals with developmental disabilities.

(c) Serve as the official agency responsible for planning the
provision of the federal funds allotted to the state under Public
Law 106-402 (42 U.S.C. Sec. 15001 et seq.), by conducting and
supporting advocacy, capacity building, and systemic change
activities. The council may itself conduct these activities and may
provide grant funding to local agencies in compliance with
applicable state and federal law, for those same purposes.

(d) Prepare and approve a budget, for the use of amounts paid
to the state to hire any staff and to obtain the services of any
professional, technical, or clerical personnel consistent with state
and federal law, as the council determines to be necessary to carry
out its functions.

(e) To the extent that resources are available, implement the
state plan by conducting activities including, but not limited to,
all of the activities specified in paragraphs (1) to (11), inclusive.

(1) Encouraging and assisting in the establishment or
strengthening of self-advocacy organizations led by individuals
with developmental disabilities.

(2) Supporting and conducting geographically based outreach
activities to identify individuals with developmental disabilities
and their families who otherwise might not come to the attention
of the council and assist and enable the individuals and families
to obtain services, individualized supports, and other forms of
assistance, including access to special adaptation of generic
community services or specialized services.

(3) Supporting and conducting training for persons who are
individuals with developmental disabilities, their families, and
personnel, including professionals, paraprofessionals, students,
volunteers, and other community members, to enable those persons
to obtain access to, or to provide, community services,
individualized supports, and other forms of assistance, including
special adaptation of generic community services or specialized
services for individuals with developmental disabilities and their
families.

(4) Supporting and conducting technical assistance activities to
assist public and private entities to contribute to the objectives of
the state plan.

(5) Supporting and conducting activities to assist neighborhoods
and communities to respond positively to individuals with
developmental disabilities and their families.

(6) Supporting and conducting activities to promote interagency
collaboration and coordination at the state and local levels to better
serve, support, assist, or advocate for individuals with
developmental disabilities and their families.

(7) Coordinating with related councils, committees, and
programs to enhance coordination of services.

(8) Supporting and conducting activities to eliminate barriers
to access and use of community services by individuals with
disabilities, enhance systems design and redesign, and enhance
citizen participation to address issues identified in the state plan.

(9) Supporting and conducting activities to educate the public
about the capabilities, preferences, and needs of individuals with
developmental disabilities and their families, and to develop and
support coalitions that support the policy agenda of the council,
including training in self-advocacy, education of policymakers,
and citizen leadership roles.

(10) Supporting and conducting activities to provide information
to policymakers by supporting and conducting studies and analyses,
gathering information, and developing and disseminating model
policies and procedures, information, approaches, strategies,
findings, conclusions, and recommendations. The council may
provide the information directly to federal, state, and local
policymakers, including the Congress of the United States, the
federal executive branch, the Governor, the Legislature, and state
agencies in order to increase the abilities of those policymakers to
offer opportunities and enhance or adapt generic services to meet
the needs of, or provide specialized services to, individuals with
developmental disabilities and their families.

(11) Supporting, on a time-limited basis, activities to
demonstrate new approaches to serving individuals with
developmental disabilities that are a part of an overall strategy for
systemic change.

(f) Prepare an annual written report of its activities, its
recommendations, and an evaluation of the efficiency of the
administration of this division to the Governor and the Legislature.
This report shall include both the statewide and regional activities
of the state council. This report shall be submitted to the Legislature
in accordance with Section 9795 of the Government Code.

(g) Except as otherwise provided in this division, the state
council shall not engage in the administration of the day-to-day
operation of service programs identified in the state plan, nor in
the financial management and accounting of funds.

begin delete SEC. 12. end delete
begin insert SEC. 13. end insert   

Section 4541 is added to the Welfare and Institutions
Code, immediately following Section 4540, to read:

4541.  

The state council may, in its discretion, and in addition
to the activities specified in subdivision (e) of Section 4540,
implement the state plan by conducting activities that may include,
but are not limited to, the following:

(a) Appointing an authorized representative for persons with
developmental disabilities according to all of the following:

(1) To ensure the protection of civil and service rights of persons
with developmental disabilities, the state council may appoint a
representative to assist the person in expressing his or her desires
and in making decisions and advocating his or her needs,
preferences, and choices, when the person with developmental
disabilities has no parent, guardian, or conservator legally
authorized to represent him or her and the person has either
requested the appointment of a representative or the rights or
interests of the person, as determined by the state council, will not
be properly protected or advocated without the appointment of a
representative.

(2) When there is no guardian or conservator, the individual’s
choice, if expressed, including the right to reject the assistance of
a representative, shall be honored. If the person does not express
a preference, the order of preference for selection of the
representative shall be the person’s parent, involved family
members, or a volunteer selected by the state council. In
establishing these preferences, it is the intent of the Legislature
that parents or involved family members shall not be required to
be appointed guardian or conservator in order to be selected. Unless
the person with developmental disabilities expresses otherwise,
or good cause otherwise exists, the request of the parents or
involved family members to be appointed the representative shall
be honored.

(3) Pursuant to this section, the state council shall appoint a
representative to advocate the rights and protect the interest of a
person residing in a developmental center for whom community
placement is proposed pursuant to Section 4803. The representative
may obtain the advocacy assistance of the regional center clients’
rights advocate.

(b) Conducting public hearings and forums and the evaluation
and issuance of public reports on the programs identified in the
state plan, as may be necessary to carry out the duties of the state
council.

(c) Identifying the denial of rights of persons with disabilities
and informing the appropriate local, state, or federal officials of
their findings, and assisting these officials in eliminating all forms
of discrimination against persons with developmental disabilities
in housing, recreation, education, health and mental health care,
employment, and other service programs available to the general
population.

(d) Reviewing and commenting on pertinent portions of the
proposed plans and budgets of all state agencies serving persons
with developmental disabilities begin delete to include, end delete begin insert including, end insert but not be
limited to, the State Department of Education, the Department of
Rehabilitation, and the State Department of Developmental
Services, and local agencies to the extent resources allow.

(e) (1) Promoting systems change and implementation by
reviewing the policies and practices of publicly funded agencies
that serve or may serve persons with developmental disabilities to
determine if the programs are meeting their obligations, under
local, state, and federal laws. If the state council finds that the
agency is not meeting its obligations, the state council may inform
the director and the governing board of the noncomplying agency,
in writing, of its findings.

(2) Within 15 days, the agency shall respond, in writing, to the
state council’s findings. Following receipt of the agency’s response,
if the state council continues to find that the agency is not meeting
its obligations, the state council may pursue informal efforts to
resolve the issue.

(3) If, within 30 days of implementing informal efforts to resolve
the issue, the state council continues to find that the agency is not
meeting its obligations under local, state, or federal statutes, the
state council may conduct a public hearing to receive testimony
on its findings.

(4) The state council may take any action it deems necessary to
resolve the problem.

(f) Reviewing and publicly commenting on significant
regulations proposed to be promulgated by any state agency in the
implementation of this division.

(g) Monitoring and evaluating the effectiveness of appeals
procedures established in this division.

(h) Providing testimony to legislative committees reviewing
fiscal or policy matters pertaining to persons with developmental
disabilities.

(i) Conducting, or causing to be conducted, investigations or
public hearings to resolve disagreements between state agencies,
or between state and regional or local agencies, or between persons
with developmental disabilities and agencies receiving state funds.
These investigations or public hearings shall be conducted at the
discretion of the state council only after all other appropriate
administrative procedures for appeal, as established in state and
federal law, have been fully utilized.

(j) Any other activities prescribed in statute that are consistent
with the purposes of the federal Developmental Disabilities
Assistance and Bill of Rights Act of 2000 (Public Law 106-402
(42 U.S.C. Sec. 15001 et seq.)) and the state plan developed
pursuant to subdivision (b) of Section 4540.

begin delete SEC. 13. end delete
begin insert SEC. 14. end insert   

The heading of Article 6 (commencing with Section
4543) of Chapter 2 of Division 4.5 of the Welfare and Institutions
Code is amended to read:

 

Article 6.  State Council Regional Offices and Advisory
Committees

 

begin delete SEC. 14. end delete
begin insert SEC. 15. end insert   

Section 4543 of the Welfare and Institutions Code is
repealed.

begin delete SEC. 15. end delete
begin insert SEC. 16. end insert   

Section 4544 of the Welfare and Institutions Code is
amended to read:

4544.  

(a)  begin insert (1) end insert begin insert   end insert The state council may establish regional offices
that are accessible to and responsive to the diverse geographic,
ethnic, and language needs of consumers and families throughout
the state. As of January 1, 2015, regional offices of the state
begin delete council, end delete begin insert council end insert in existence as of December 31, 2014, shall
continue to exist, within the same geographic regions of the state.

begin insert

(2) Effective January 1, 2015, the state council shall have full
authority to establish, maintain, and operate regional offices,
including the number and location of those offices.

end insert

(b) To ensure involvement of persons with developmental
disabilities, their families, and other members of the public at the
regional level and to ensure the responsiveness of the state council
to the geographic, ethnic, and language diversity of the state, any
regional office established by the begin insert state end insert council may be advised by
a regional advisory committee. As of January 1, 2015, advisory
boards of the regional offices, known as area boards on
developmental disabilities, in existence on December 31, 2014,
shall thereafter be known as state council regional advisory
committees.

(c) All references to “regional office” in this chapter shall be a
reference to state council regional offices. All references to
“regional advisory committees” in this chapter shall be a reference
to state council regional advisory committees.

(d) Any state council regional offices and advisory committees
established by the state council shall be constituted and shall
operate according to policies and procedures that may be
established by the council.

begin delete SEC. 16. end delete
begin insert SEC. 17. end insert   

Section 4545 of the Welfare and Institutions Code is
repealed.

begin delete SEC. 17. end delete
begin insert SEC. 18. end insert   

Section 4545 is added to the Welfare and Institutions
Code, to read:

4545.  

The state council may periodically review the number
and geographic boundaries of regional offices needed to effectively
implement this division, by methods including, but not limited to,
conducting public hearings in affected regions and seeking input
from regional advisory committees, persons with developmental
disabilities, family members, service providers, advocates, and
other interested parties. Public notice shall be provided at least
120 days before any changes in the number of or boundaries of
regional offices.

begin delete SEC. 18. end delete
begin insert SEC. 19. end insert   

Section 4546 of the Welfare and Institutions Code is
repealed.

begin delete SEC. 19. end delete
begin insert SEC. 20. end insert   

Section 4546 is added to the Welfare and Institutions
Code, to read:

4546.  

The membership of any regional advisory committees
established or continued by the state council prior to January 1,
2015, shall, upon expiration of the terms of individuals who are
members of those committees on January 1, 2015, be determined
through policies and procedures established by the council.

begin delete SEC. 20. end delete
begin insert SEC. 21. end insert   

Section 4547 of the Welfare and Institutions Code is
repealed.

begin delete SEC. 21. end delete
begin insert SEC. 22. end insert   

Section 4548 of the Welfare and Institutions Code is
repealed.

begin delete SEC. 22. end delete
begin insert SEC. 23. end insert   

Section 4548 is added to the Welfare and Institutions
Code, to read:

4548.  

Any regional advisory committee established shall, at
the request of the begin insert state end insert council, do all of the following:

(a) Advise the begin insert state end insert council and its regional office on local issues
and identify and provide input regarding local systemic needs
within its community.

(b) Provide input and be a source of data for the begin insert state end insert council
to consider in the formulation of the state plan.

(c) Provide public information programs for consumers, families,
professional groups, and for the general public to increase
professional and public awareness of areas identified in the state
plan.

(d) Engage in other activities as requested by the begin insert state end insert council.

begin delete SEC. 23. end delete
begin insert SEC. 24. end insert   

The heading of Article 7 (commencing with Section
4550) of Chapter 2 of Division 4.5 of the Welfare and Institutions
Code is amended to read:

 

Article 7.  State Council Costs and Support Services

 

begin delete SEC. 24. end delete
begin insert SEC. 25. end insert   

Section 4550 of the Welfare and Institutions Code is
amended to read:

4550.  

The state council’s operating costs may include honoraria
for state council members and actual and necessary expenses for
state council members and regional advisory committee members,
as described in this article, and other administrative, professional,
and secretarial support services necessary to the operation of the
state council. Federal developmental disability funds received by
the state under Public Law 106-402 (42 U.S.C. Sec. 15001 et seq.),
shall be allotted in any one year for these operating costs. Each
member of the state council shall receive one hundred dollars
($100) per day for each full day of work performed directly related
to council business, not to exceed 50 days in any fiscal year, and
shall be reimbursed for any actual and necessary expenses incurred
in connection with the performance of their duties under this
division.

begin delete SEC. 25. end delete
begin insert SEC. 26. end insert   

Section 4551 of the Welfare and Institutions Code is
repealed.

begin delete SEC. 26. end delete
begin insert SEC. 27. end insert   

Section 4551 is added to the Welfare and Institutions
Code, to read:

4551.  

(a) Within the limit of funds allotted for these purposes,
the state council shall appoint an executive director. All state
council employees that the state council may require shall be
appointed by the executive director.

(b) The executive director of the state council shall be exempt
from civil service. All begin insert state end insert council staff positions exempt from
civil service on December 31, 2014, shall remain exempt on
January 1, 2015 and begin delete thereafter. end delete begin insert thereafter, until the position
becomes vacant or is transitioned to a civil service position. end insert

(c) Each begin insert person who is a member of the state end insert council begin delete staff
appointed by the Governor end delete begin insert staff, is exempt from civil service, end insert and
begin insert is end insert employed by the state begin insert council end insert on December 31, 2014, shall
continue to be employed in a job classification at the same or higher
salary by the begin insert state end insert council on January 1, 2015, and thereafter,
unless he or she resigns or is terminated from employment.

begin insert

(d) The state council may transition staff positions that were
exempt from civil service on December 31, 2014, to civil service
positions. Civil service positions shall be established for any
positions that are transitioned pursuant to this subdivision.

end insert begin insert

(e) Notwithstanding any other law, a person who was a state
council employee exempt from civil service on December 31, 2014,
shall be eligible to apply for civil service examinations, including
promotional civil service examinations described in Section 18992
of the Government Code. A person receiving a passing score shall
have his or her name placed on lists resulting from these
examinations, or otherwise gain eligibility for appointment. In
evaluating minimum qualifications, experience in state council
exempt positions shall be considered state civil service experience
in a class deemed comparable by the State Personnel Board, based
on the duties and responsibilities assigned.

end insert

begin delete SEC. 27. end delete
begin insert SEC. 28. end insert   

Section 4552 of the Welfare and Institutions Code is
amended to read:

4552.  

The state council may contract for additional assistance
with any public or private agency or individual to carry out
planning, monitoring, evaluation, and other responsibilities under
this division. In order to comply with Public Law 106-402 (42
U.S.C. Sec. 15001 et seq.) regulations, all personnel employed by
the state council shall be solely responsible, organizationally and
administratively, to the state council. The state council, through
its executive director, shall have responsibility for the selection,
hiring, and supervision of all begin delete this end delete begin insert its end insert personnel.

begin delete SEC. 28. end delete
begin insert SEC. 29. end insert   

Section 4553 of the Welfare and Institutions Code is
repealed.

begin delete SEC. 29. end delete
begin insert SEC. 30. end insert   

Section 4553 is added to the Welfare and Institutions
Code, to read:

4553.  

To the extent provided in Public Law 106-402 (42 U.S.C.
Sec. 15001 et seq.), the state council shall have full authority on
how it uses its funds for implementation of the state plan, including
establishing, maintaining, and operating any regional offices.

begin delete SEC. 30. end delete
begin insert SEC. 31. end insert   

Section 4560 of the Welfare and Institutions Code is
repealed.

begin delete SEC. 31. end delete
begin insert SEC. 32. end insert   

Section 4561 of the Welfare and Institutions Code is
amended to read:

4561.  

(a) A state plan shall be prepared by the state council
not less often than once every five years, and shall be reviewed
and revised, as necessary, on an annual basis. All references in
this part to “state plan” shall be references to the state plan
described by Public Law 106-402 (42 U.S.C. Sec. 15001 et seq.).

(b) The state plan shall include, but not be limited to, all state
plan requirements contained in subtitles A and B of Title I of Public
Law 106-402 (42 U.S.C. Sec. 15001 et seq.), or requirements
established by the United States Secretary of Health and Human
Services.

begin delete SEC. 32. end delete
begin insert SEC. 33. end insert   

Section 4562 of the Welfare and Institutions Code is
amended to read:

4562.  

(a) The state council shall conduct activities necessary
to develop and implement the state plan in the various regions of
the state.

(b) The state plan and its implementation shall be responsive
to the needs of the state’s diverse geographic, racial, ethnic, and
language communities.

(c) In preparing this plan, the council may utilize information
provided by any regional offices and regional advisory committees
of the state council, statewide and local entities, individuals with
developmental disabilities, family members, and other interested
parties, to help identify and prioritize actions needed to improve
California’s system of services and supports for persons with
developmental disabilities.

(d)  The purpose of the plan shall be to ensure a coordinated
and comprehensive system of community services and supports
that is consumer and family centered and consumer and family
directed, and to enable individuals with developmental disabilities
to exercise self-determination, independence, productivity, and to
be integrated and included in all facets of community life.

begin delete SEC. 33. end delete
begin insert SEC. 34. end insert   

Section 4563 of the Welfare and Institutions Code is
repealed.

begin delete SEC. 34. end delete
begin insert SEC. 35. end insert   

Section 4563 is added to the Welfare and Institutions
Code, to read:

4563.  

The state council shall assess the extent to which services,
supports, and other forms of assistance are available to individuals
with developmental disabilities and their families throughout the
state and for the diverse populations of the state. The begin insert state end insert council
shall develop goals and objectives, based on the identified needs
and priorities, to be included in the state plan.

begin delete SEC. 35. end delete
begin insert SEC. 36. end insert   

Section 4564 of the Welfare and Institutions Code is
amended to read:

4564.  

The state council shall conduct public hearings on the
state plan and related budgetary issues prior to submission of the
plan pursuant to Section 4565.

begin delete SEC. 36. end delete
begin insert SEC. 37. end insert   

Section 4565 of the Welfare and Institutions Code is
amended to read:

4565.  

(a) The state plan shall be given to the Governor, the
Secretary of the California Health and Human Services Agency,
the University Centers for Excellence in Developmental Disabilities
established pursuant to the federal Developmental Disabilities
Assistance and Bill of Rights Act of 2000, the protection and
advocacy agency designated by the Governor to fulfill the
requirements and assurances of the federal Developmental
Disabilities Assistance and Bill of Rights Act of 2000, and the
Superintendent of Public Instruction for review and comment prior
to its submission by the chairperson of the state council to the
United States Secretary of Health and Human Services.

(b) Copies of the state plan shall be provided, no later than
November 1 of each year, to the Director of Finance and to the
Legislature for guidance in the development of the Governor’s
Budget and legislative review of the budget, and for guidance in
other legislation pertaining to programs for persons with
developmental disabilities.

begin delete SEC. 37. end delete
begin insert SEC. 38. end insert   

Section 4566 of the Welfare and Institutions Code is
repealed.

begin delete SEC. 38. end delete
begin insert SEC. 39. end insert   

Section 4626 of the Welfare and Institutions Code is
amended to read:

4626.  

(a) The department shall give a very high priority to
ensuring that regional center board members and employees act
in the course of their duties solely in the best interest of the regional
center consumers and their families without regard to the interests
of any other organization with which they are associated or persons
to whom they are related. Board members, employees, and others
acting on the regional center’s behalf, as defined in regulations
issued by the department, shall be free from conflicts of interest
that could adversely influence their judgment, objectivity, or loyalty
to the regional center, its consumers, or its mission.

(b) In order to prevent potential conflicts of interest, a member
of the governing board or member of the program policy committee
of a regional center shall not be any of the following:

(1) An employee of the State Department of Developmental
Services or any state or local agency that provides services to a
regional center consumer, if employed in a capacity which includes
administrative or policymaking responsibility, or responsibility
for the regulation of the regional center.

(2) An employee or a member of the state council or a state
council regional advisory committee.

(3) Except as otherwise provided in subdivision (h) of Section
4622, an employee or member of the governing board of any entity
from which the regional center purchases consumer services.

(4) Any person who has a financial interest, as defined in Section
87103 of the Government Code, in regional center operations,
except as a consumer of regional center services.

(c) A person with a developmental disability who receives
employment services through a regional center provider shall not
be precluded from serving on the governing board of a regional
center based solely upon receipt of these employment services.

(d) The department shall ensure that no regional center employee
or board member has a conflict of interest with an entity that
receives regional center funding, including, but not limited to, a
nonprofit housing organization and an organization qualified under
Section 501(c)(3) of the Internal Revenue Code, that actively
functions in a supporting relationship to the regional center.

(e) The department shall develop and publish a standard
conflict-of-interest reporting statement. The conflict-of-interest
statement shall be completed by each regional center governing
board member and each regional center employee specified in
regulations, including, at a minimum, the executive director, every
administrator, every program director, every service coordinator,
and every employee who has decisionmaking or policymaking
authority or authority to obligate the regional center’s resources.

(f) Every new regional center governing board member and
regional center executive director shall complete and file the
conflict-of-interest statement described in subdivision (e) with his
or her respective governing board within 30 days of being selected,
appointed, or elected. Every new regional center employee
referenced in subdivision (e) and every current regional center
employee referenced in subdivision (e) accepting a new position
within the regional center shall complete and file the
conflict-of-interest statement with his or her respective regional
center within 30 days of assuming the position.

(g) Every regional center board member and regional center
employee referenced in subdivision (e) shall complete and file the
conflict-of-interest statement by August 1 of each year.

(h) Every regional center board member and regional center
employee referenced in subdivision (e) shall complete and file a
subsequent conflict-of-interest statement upon any change in status
that creates a potential or present conflict of interest. For the
purposes of this subdivision, a change in status includes, but is not
limited to, a change in financial interests, legal commitment,
regional center or board position or duties, or both, or outside
position or duties, or both, whether compensated or not.

(i) The governing board shall submit a copy of the completed
conflict-of-interest statements of the governing board members
and the regional center executive director to the department within
10 days of receipt of the statements.

(j) A person who knowingly provides false information on a
conflict-of-interest statement required by this section shall be
subject to a civil penalty in an amount up to fifty thousand dollars
($50,000), in addition to any civil remedies available to the
department. An action for a civil penalty under this provision may
be brought by the department or any public prosecutor in the name
of the people of the State of California.

(k) The director of the regional center shall review the
conflict-of-interest statement of each regional center employee
referenced in subdivision (e) within 10 days of receipt of the
statement. If a potential or present conflict of interest is identified
for a regional center employee that cannot be eliminated, the
regional center shall, within 30 days of receipt of the statement,
submit to the department a copy of the conflict-of-interest statement
and a plan that proposes mitigation measures, including timeframes
and actions the regional center or the employee, or both, will take
to mitigate the conflict of interest.

(l) The department and the regional center governing board shall
review the conflict-of-interest statement of the regional center
executive director and each regional center board member to ensure
that no conflicts of interest exist. If a present or potential conflict
of interest is identified for a regional center director or a board
member that cannot be eliminated, the regional center governing
board shall, within 30 days of receipt of the statement, submit to
the department and the state council a copy of the
conflict-of-interest statement and a plan that proposes mitigation
measures, including timeframes and actions the regional center
governing board or the individual, or both, will take to mitigate
the conflict of interest.

begin delete SEC. 39. end delete
begin insert SEC. 40. end insert   

Section 4628 of the Welfare and Institutions Code is
amended to read:

4628.  

If, for good reason, a contracting agency is unable to
meet all the criteria for a governing board established in this
chapter, the director may waive those criteria for a period of time,
not to exceed one year, with the approval of the state council.

begin delete SEC. 40. end delete
begin insert SEC. 41. end insert   

Section 4629 of the Welfare and Institutions Code is
amended to read:

4629.  

(a) The state shall enter into five-year contracts with
regional centers, subject to the annual appropriation of funds by
the Legislature.

(b) The contracts shall include a provision requiring each
regional center to render services in accordance with applicable
provision of state laws and regulations.

(c) (1) The contracts shall include annual performance
objectives that shall do both of the following:

(A) Be specific, measurable, and designed to do all of the
following:

(i) Assist consumers to achieve life quality outcomes.

(ii) Achieve meaningful progress above the current baselines.

(iii) Develop services and supports identified as necessary to
meet identified needs.

(B) Be developed through a public process as described in the
department’s guidelines that includes, but is not limited to, all of
the following:

(i) Providing information, in an understandable form, to the
community about regional center services and supports, including
budget information and baseline data on services and supports and
regional center operations.

(ii) Conducting a public meeting where participants can provide
input on performance objectives and using focus groups or surveys
to collect information from the community.

(iii) Circulating a draft of the performance objectives to the
community for input prior to presentation at a regional center board
meeting where additional public input will be taken and considered
before adoption of the objectives.

(2) In addition to the performance objectives developed pursuant
to this section, the department may specify in the performance
contract additional areas of service and support that require
development or enhancement by the regional center. In determining
those areas, the department shall consider public comments from
individuals and organizations within the regional center catchment
area, the distribution of services and supports within the regional
center catchment area, and review how the availability of services
and supports in the regional area catchment area compares with
other regional center catchment areas.

(d) Each contract with a regional center shall specify steps to
be taken to ensure contract compliance, including, but not limited
to, all of the following:

(1) Incentives that encourage regional centers to meet or exceed
performance standards.

(2) Levels of probationary status for regional centers that do
not meet, or are at risk of not meeting, performance standards. The
department shall require that corrective action be taken by any
regional center which is placed on probation. Corrective action
may include, but is not limited to, mandated consultation with
designated representatives of the Association of Regional Center
Agencies or a management team designated by the department, or
both. The department shall establish the specific timeline for the
implementation of corrective action and monitor its
implementation. When a regional center is placed on probation,
the department shall provide the state council with a copy of the
correction plan, timeline, and any other action taken by the
department relating to the probationary status of the regional center.

(e) In order to evaluate the regional center’s compliance with
its contract performance objectives and legal obligations related
to those objectives, the department shall do both of the following:

(1) Annually assess each regional center’s achievement of its
previous year’s objectives and make the assessment, including
baseline data and performance objectives of the individual regional
centers, available to the public. The department may make a special
commendation of the regional centers that have best engaged the
community in the development of contract performance objectives
and have made the most meaningful progress in meeting or
exceeding contract performance objectives.

(2) Monitor the activities of the regional center to ensure
compliance with the provisions of its contracts, including, but not
limited to, reviewing all of the following:

(A) The regional center’s public process for compliance with
the procedures begin delete sets end delete begin insert set end insert forth in paragraph (2) of subdivision (c).

(B) Each regional center’s performance objectives for
compliance with the criteria set forth in paragraph (1) of
subdivision (c).

(C) Any public comments on regional center performance
objectives sent to the department or to the regional centers, and
soliciting public input on the public process and final performance
standards.

(f) The renewal of each contract shall be contingent upon
compliance with the contract including, but not limited to, the
performance objectives, as determined through the department’s
evaluation.

begin delete SEC. 41. end delete
begin insert SEC. 42. end insert   

Section 4635 of the Welfare and Institutions Code is
amended to read:

4635.  

(a) If any regional center finds that it is unable to comply
with the requirements of this division or its contract with the state,
the regional center shall be responsible for informing the
department immediately that it does not expect to fulfill its
contractual obligations. Failure to provide the notification to the
department in a timely manner shall constitute grounds for possible
revocation or nonrenewal of the contract. If any regional center
makes a decision to cancel or not renew its contract with the
department, the regional center shall give a minimum of 90 days’
written notice of its decision.

(b) (1) If the department finds that any regional center is not
fulfilling its contractual obligations, the department shall make
reasonable efforts to resolve the problem within a reasonable period
of time with the cooperation of the regional center, including the
action described in paragraph (2) of subdivision (b) of Section
4629 or renegotiation of the contract.

(2) If the department’s efforts to resolve the problem are not
successful, the department shall issue a letter of noncompliance.
The letter of noncompliance shall state the noncompliant activities
and establish a specific timeline for the development and
implementation of a corrective action plan. The department shall
approve the plan and monitor its implementation. Letters of
noncompliance shall be made available to the public upon request.
The letter of noncompliance shall not include privileged or
confidential consumer information or information that would
violate the privacy rights of regional center board members or
employees. The department shall notify the state council and shall
provide the state council with a copy of the corrective action plan,
the timeline, and any other action taken by the department relating
to the requirements for corrective action.

(c) If the department finds that any regional center continues to
fail in fulfilling its contractual obligations after reasonable efforts
have been made, and finds that other regional centers are able to
fulfill similar obligations under similar contracts, and finds that it
will be in the best interest of the persons being served by the
regional center, the department shall take steps to terminate the
contract and to negotiate with another governing board to provide
regional center services in the area. These findings may also
constitute grounds for possible nonrenewal of the contract in
addition to, or in lieu of, other grounds.

(d) If the department makes a decision to cancel or not renew
its contract with the regional center, the department shall give a
minimum of 90 days’ written notice of its decision, unless it has
determined that the 90 days’ notice would jeopardize the health
or safety of the regional center’s consumers, or constitutes willful
misuse of state funds, as determined by the Attorney General.
Within 14 days after receipt of the notice, the regional center may
make a written protest to the department of the decision to
terminate or not renew the contract. In that case, the department
shall: (1) arrange to meet with the regional center and the state
council within 30 days after receipt of the protest to discuss the
decision and to provide its rationale for the termination or
nonrenewal of the contract, and to discuss any feasible alternatives
to termination or nonrenewal, including the possibility of offering
a limited term contract of less than one fiscal year; and (2) initiate
the procedures for resolving disputes contained in Section 4632.
To the extent allowable under state and federal law, any
outstanding audit exceptions or other deficiency reports, appeals,
or protests shall be made available and subject to discussion at the
meeting arranged under clause (1).

(e) When terminating or not renewing a regional center contract
and negotiating with another governing board for a regional center
contract, the department shall do all of the following:

(1) Notify the State Council on Developmental Disabilities, all
personnel employed by the regional center, all service providers
to the regional center, and all consumers of the regional center
informing them that it proposes to terminate or not renew the
contract with the regional center, and that the state will continue
to fulfill its obligations to ensure a continuity of services, as
required by state law, through a contract with a new governing
board.

(2) Issue a request for proposals prior to selecting and
negotiating with another governing board for a regional center
contract. The state council shall review all proposals and make
recommendations to the department.

(3) Request the state council and any other community agencies
to assist the state by locating or organizing a new governing board
to contract with the department to operate the regional center in
the area. The state council shall cooperate with the department
when that assistance is requested.

(4) Provide any assistance that may be required to ensure that
the transfer of responsibility to a new regional center will be
accomplished with minimum disruption to the clients of the service
program.

(f) In no event shall the procedures for termination or
nonrenewal of a regional center contract limit or abridge the state’s
authority to contract with any duly authorized organization for the
purpose of service delivery, nor shall these procedures be
interpreted to represent a continued contractual obligation beyond
the limits of any fiscal year contract.

begin delete SEC. 42. end delete
begin insert SEC. 43. end insert   

Section 4640.6 of the Welfare and Institutions Code
is amended to read:

4640.6.  

(a) In approving regional center contracts, the
department shall ensure that regional center staffing patterns
demonstrate that direct service coordination are the highest priority.

(b) Contracts between the department and regional centers shall
require that regional centers implement an emergency response
system that ensures that a regional center staff person will respond
to a consumer, or individual acting on behalf of a consumer, within
two hours of the time an emergency call is placed. This emergency
response system shall be operational 24 hours per day, 365 days
per year.

(c) Contracts between the department and regional centers shall
require regional centers to have service coordinator-to-consumer
ratios, as follows:

(1) An average service coordinator-to-consumer ratio of 1 to
62 for all consumers who have not moved from the developmental
centers to the community since April 14, 1993. In no case shall a
service coordinator for these consumers have an assigned caseload
in excess of 79 consumers for more than 60 days.

(2) An average service coordinator-to-consumer ratio of 1 to
45 for all consumers who have moved from a developmental center
to the community since April 14, 1993. In no case shall a service
coordinator for these consumers have an assigned caseload in
excess of 59 consumers for more than 60 days.

(3) Commencing January 1, 2004, the following
coordinator-to-consumer ratios shall apply:

(A) All consumers three years of age and younger and for
consumers enrolled in the Home and Community-based Services
Waiver program for persons with developmental disabilities, an
average service coordinator-to-consumer ratio of 1 to 62.

(B) All consumers who have moved from a developmental
center to the community since April 14, 1993, and have lived
continuously in the community for at least 12 months, an average
service coordinator-to-consumer ratio of 1 to 62.

(C) All consumers who have not moved from the developmental
centers to the community since April 14, 1993, and who are not
described in subparagraph (A), an average service
coordinator-to-consumer ratio of 1 to 66.

(4) For purposes of paragraph (3), service coordinators may
have a mixed caseload of consumers three years of age and
younger, consumers enrolled in the Home and Community-based
Services Waiver program for persons with developmental
disabilities, and other consumers if the overall average caseload
is weighted proportionately to ensure that overall regional center
average service coordinator-to-consumer ratios as specified in
paragraph (3) are met. For purposes of paragraph (3), in no case
shall a service coordinator have an assigned caseload in excess of
84 for more than 60 days.

(d) For purposes of this section, “service coordinator” means a
regional center employee whose primary responsibility includes
preparing, implementing, and monitoring consumers’ individual
program plans, securing and coordinating consumer services and
supports, and providing placement and monitoring activities.

(e) In order to ensure that caseload ratios are maintained
pursuant to this section, each regional center shall provide service
coordinator caseload data to the department, annually for each
fiscal year. The data shall be submitted in the format, including
the content, prescribed by the department. Within 30 days of receipt
of data submitted pursuant to this subdivision, the department shall
make a summary of the data available to the public upon request.
The department shall verify the accuracy of the data when
conducting regional center fiscal audits. Data submitted by regional
centers pursuant to this subdivision shall:

(1) Only include data on service coordinator positions as defined
in subdivision (d). Regional centers shall identify the number of
positions that perform service coordinator duties on less than a
full-time basis. Staffing ratios reported pursuant to this subdivision
shall reflect the appropriate proportionality of these staff to
consumers served.

(2) Be reported separately for service coordinators whose
caseload includes any of the following:

(A) Consumers who are three years of age and older and who
have not moved from the developmental center to the community
since April 14, 1993.

(B) Consumers who have moved from a developmental center
to the community since April 14, 1993.

(C) Consumers who are younger than three years of age.

(D) Consumers enrolled in the Home and Community-based
Services Waiver program.

(3) Not include positions that are vacant for more than 60 days
or new positions established within 60 days of the reporting month
that are still vacant.

(4) For purposes of calculating caseload ratios for consumers
enrolled in the Home and Community-based Services Waiver
program, vacancies shall not be included in the calculations.

(f) The department shall provide technical assistance and require
a plan of correction for any regional center that, for two consecutive
reporting periods, fails to maintain service coordinator caseload
ratios required by this section or otherwise demonstrates an
inability to maintain appropriate staffing patterns pursuant to this
section. Plans of correction shall be developed following input
from the state council, local organizations representing consumers,
family members, regional center employees, including recognized
labor organizations, and service providers, and other interested
parties.

(g) Contracts between the department and regional center shall
require the regional center to have, or contract for, all of the
following areas:

(1) Criminal justice expertise to assist the regional center in
providing services and support to consumers involved in the
criminal justice system as a victim, defendant, inmate, or parolee.

(2) Special education expertise to assist the regional center in
providing advocacy and support to families seeking appropriate
educational services from a school district.

(3) Family support expertise to assist the regional center in
maximizing the effectiveness of support and services provided to
families.

(4) Housing expertise to assist the regional center in accessing
affordable housing for consumers in independent or supportive
living arrangements.

(5) Community integration expertise to assist consumers and
families in accessing integrated services and supports and improved
opportunities to participate in community life.

(6) Quality assurance expertise, to assist the regional center to
provide the necessary coordination and cooperation with the state
council, in conducting quality-of-life assessments and coordinating
the regional center quality assurance efforts.

(7) Each regional center shall employ at least one consumer
advocate who is a person with developmental disabilities.

(8) Other staffing arrangements related to the delivery of
services that the department determines are necessary to ensure
maximum cost-effectiveness and to ensure that the service needs
of consumers and families are met.

(h) Any regional center proposing a staffing arrangement that
substantially deviates from the requirements of this section shall
request a waiver from the department. Prior to granting a waiver,
the department shall require a detailed staffing proposal, including,
but not limited to, how the proposed staffing arrangement will
benefit consumers and families served, and shall demonstrate clear
and convincing support for the proposed staffing arrangement from
constituencies served and impacted, that include, but are not limited
to, consumers, families, providers, advocates, and recognized labor
organizations. In addition, the regional center shall submit to the
department any written opposition to the proposal from
organizations or individuals, including, but not limited to,
consumers, families, providers, and advocates, including
recognized labor organizations. The department may grant waivers
to regional centers that sufficiently demonstrate that the proposed
staffing arrangement is in the best interest of consumers and
families served, complies with the requirements of this chapter,
and does not violate any contractual requirements. A waiver shall
be approved by the department for up to 12 months, at which time
a regional center may submit a new request pursuant to this
subdivision.

(i) From February 1, 2009, to June 30, 2010, inclusive, the
following shall not apply:

(1) The service coordinator-to-consumer ratio requirements of
paragraph (1), and subparagraph (C) of paragraph (3), of
subdivision (c).

(2) The requirements of subdivision (e). The regional centers
shall, instead, maintain sufficient service coordinator caseload data
to document compliance with the service coordinator-to-consumer
ratio requirements in effect pursuant to this section.

(3) The requirements of paragraphs (1) to (6), inclusive, of
subdivision (g).

(j) From July 1, 2010, until June 30, 2013, the following shall
not apply:

(1) The service coordinator-to-consumer ratio requirements of
paragraph (1), and subparagraph (C) of paragraph (3), of
subdivision (c).

(2) The requirements of paragraphs (1) to (6), inclusive, of
subdivision (g).

(k) (1) Any contract between the department and a regional
center entered into on and after January 1, 2003, shall require that
all employment contracts entered into with regional center staff
or contractors be available to the public for review, upon request.
For purposes of this subdivision, an employment contract or portion
thereof may not be deemed confidential nor unavailable for public
review.

(2) Notwithstanding paragraph (1), the social security number
of the contracting party may not be disclosed.

(3) The term of the employment contract between the regional
center and an employee or contractor shall not exceed the term of
the state’s contract with the regional center.

begin delete SEC. 43. end delete
begin insert SEC. 44. end insert   

Section 4646 of the Welfare and Institutions Code is
amended to read:

4646.  

(a) It is the intent of the Legislature to ensure that the
individual program plan and provision of services and supports
by the regional center system is centered on the individual and the
family of the individual with developmental disabilities and takes
into account the needs and preferences of the individual and the
family, where appropriate, as well as promoting community
integration, independent, productive, and normal lives, and stable
and healthy environments. It is the further intent of the Legislature
to ensure that the provision of services to consumers and their
families be effective in meeting the goals stated in the individual
program plan, reflect the preferences and choices of the consumer,
and reflect the cost-effective use of public resources.

(b) The individual program plan is developed through a process
of individualized needs determination. The individual with
developmental disabilities and, where appropriate, his or her
parents, legal guardian or conservator, or authorized representative,
shall have the opportunity to actively participate in the development
of the plan.

(c) An individual program plan shall be developed for any
person who, following intake and assessment, is found to be
eligible for regional center services. These plans shall be completed
within 60 days of the completion of the assessment. At the time
of intake, the regional center shall inform the consumer and, where
appropriate, his or her parents, legal guardian or conservator, or
authorized representative, of the services available through the
state council and the protection and advocacy agency designated
by the Governor pursuant to federal law, and shall provide the
address and telephone numbers of those agencies.

(d) Individual program plans shall be prepared jointly by the
planning team. Decisions concerning the consumer’s goals,
objectives, and services and supports that will be included in the
consumer’s individual program plan and purchased by the regional
center or obtained from generic agencies shall be made by
agreement between the regional center representative and the
consumer or, where appropriate, the parents, legal guardian,
conservator, or authorized representative at the program plan
meeting.

(e) Regional centers shall comply with the request of a
consumer, or when appropriate, the request of his or her parents,
legal guardian, conservator, or authorized representative, that a
designated representative receive written notice of all meetings to
develop or revise his or her individual program plan and of all
notices sent to the consumer pursuant to Section 4710. The
designated representative may be a parent or family member.

(f) If a final agreement regarding the services and supports to
be provided to the consumer cannot be reached at a program plan
meeting, then a subsequent program plan meeting shall be
convened within 15 days, or later at the request of the consumer
or, when appropriate, the parents, legal guardian, conservator, or
authorized representative or when agreed to by the planning team.
Additional program plan meetings may be held with the agreement
of the regional center representative and the consumer or, where
appropriate, the parents, legal guardian, conservator, or authorized
representative.

(g) An authorized representative of the regional center and the
consumer or, when appropriate, his or her parent, legal guardian,
conservator, or authorized representative shall sign the individual
program plan prior to its implementation. If the consumer or, when
appropriate, his or her parent, legal guardian, conservator, or
authorized representative, does not agree with all components of
the plan, he or she may indicate that disagreement on the plan.
Disagreement with specific plan components shall not prohibit the
implementation of services and supports agreed to by the consumer
or, when appropriate, his or her parent, legal guardian, conservator,
or authorized representative. If the consumer or, when appropriate,
his or her parent, legal guardian, conservator, or authorized
representative, does not agree with the plan in whole or in part, he
or she shall be sent written notice of the fair hearing rights, as
required by Section 4701.

(h) (1) A regional center shall communicate in the consumer’s
native language, or, when appropriate, the native language of his
or her family, legal guardian, conservator, or authorized
representative, during the planning process for the individual
program plan, including during the program plan meeting, and
including providing alternative communication services, as required
by Sections 11135 to 11139.7, inclusive, of the Government Code
and implementing regulations.

(2) A regional center shall provide alternative communication
services, including providing a copy of the individual program
plan in the native language of the consumer or his or her family,
legal guardian, conservator, or authorized representative, or both,
as required by Sections 11135 to 11139.7, inclusive, of the
Government Code and implementing regulations.

(3) The native language of the consumer or his or her family,
legal guardian, conservator, or authorized representative, or both,
shall be documented in the individual program plan.

begin delete SEC. 44. end delete
begin insert SEC. 45. end insert   

Section 4646.5 of the Welfare and Institutions Code
is amended to read:

4646.5.  

(a) The planning process for the individual program
plan described in Section 4646 shall include all of the following:

(1) Gathering information and conducting assessments to
determine the life goals, capabilities and strengths, preferences,
barriers, and concerns or problems of the person with
developmental disabilities. For children with developmental
disabilities, this process should include a review of the strengths,
preferences, and needs of the child and the family unit as a whole.
Assessments shall be conducted by qualified individuals and
performed in natural environments whenever possible. Information
shall be taken from the consumer, his or her parents and other
family members, his or her friends, advocates, authorized
representative, if applicable, providers of services and supports,
and other agencies. The assessment process shall reflect awareness
of, and sensitivity to, the lifestyle and cultural background of the
consumer and the family.

(2) A statement of goals, based on the needs, preferences, and
life choices of the individual with developmental disabilities, and
a statement of specific, time-limited objectives for implementing
the person’s goals and addressing his or her needs. These objectives
shall be stated in terms that allow measurement of progress or
monitoring of service delivery. These goals and objectives should
maximize opportunities for the consumer to develop relationships,
be part of community life in the areas of community participation,
housing, work, school, and leisure, increase control over his or her
life, acquire increasingly positive roles in community life, and
develop competencies to help accomplish these goals.

(3) When developing individual program plans for children,
regional centers shall be guided by the principles, process, and
services and support parameters set forth in Section 4685.

(4) When developing an individual program plan for a transition
age youth or working age adult, the planning team shall consider
the Employment First Policy described in Chapter 14 (commencing
with Section 4868).

(5) A schedule of the type and amount of services and supports
to be purchased by the regional center or obtained from generic
agencies or other resources in order to achieve the individual
program plan goals and objectives, and identification of the
provider or providers of service responsible for attaining each
objective, including, but not limited to, vendors, contracted
providers, generic service agencies, and natural supports. The
individual program plan shall specify the approximate scheduled
start date for services and supports and shall contain timelines for
actions necessary to begin services and supports, including generic
services.

(6) When agreed to by the consumer, the parents, legally
appointed guardian, or authorized representative of a minor
consumer, or the legally appointed conservator of an adult
consumer or the authorized representative, including those
appointed pursuant to subdivision (a) of Section 4541, subdivision
(b) of Section 4701.6, and subdivision (e) of Section 4705, a review
of the general health status of the adult or child, including medical,
dental, and mental health needs, shall be conducted. This review
shall include a discussion of current medications, any observed
side effects, and the date of the last review of the medication.
Service providers shall cooperate with the planning team to provide
any information necessary to complete the health status review. If
any concerns are noted during the review, referrals shall be made
to regional center clinicians or to the consumer’s physician, as
appropriate. Documentation of health status and referrals shall be
made in the consumer’s record by the service coordinator.

(7) (A) The development of a transportation access plan for a
consumer when all of the following conditions are met:

(i) The regional center is purchasing private, specialized
transportation services or services from a residential, day, or other
provider, excluding vouchered service providers, to transport the
consumer to and from day or work services.

(ii) The planning team has determined that a consumer’s
community integration and participation could be safe and
enhanced through the use of public transportation services.

(iii) The planning team has determined that generic
transportation services are available and accessible.

(B) To maximize independence and community integration and
participation, the transportation access plan shall identify the
services and supports necessary to assist the consumer in accessing
public transportation and shall comply with Section 4648.35. These
services and supports may include, but are not limited to, mobility
training services and the use of transportation aides. Regional
centers are encouraged to coordinate with local public
transportation agencies.

(8) A schedule of regular periodic review and reevaluation to
ascertain that planned services have been provided, that objectives
have been fulfilled within the times specified, and that consumers
and families are satisfied with the individual program plan and its
implementation.

(b) For all active cases, individual program plans shall be
reviewed and modified by the planning team, through the process
described in Section 4646, as necessary, in response to the person’s
achievement or changing needs, and no less often than once every
three years. If the consumer or, where appropriate, the consumer’s
parents, legal guardian, authorized representative, or conservator
requests an individual program plan review, the individual program
shall be reviewed within 30 days after the request is submitted.

(c) (1) The department, with the participation of representatives
of a statewide consumer organization, the Association of Regional
Center Agencies, an organized labor organization representing
service coordination staff, and the state council shall prepare
training material and a standard format and instructions for the
preparation of individual program plans, which embody an
approach centered on the person and family.

(2) Each regional center shall use the training materials and
format prepared by the department pursuant to paragraph (1).

(3) The department shall biennially review a random sample of
individual program plans at each regional center to ensure that
these plans are being developed and modified in compliance with
Section 4646 and this section.

begin delete

SEC. 45.  

Section 4648 of the Welfare and Institutions Code is
amended to read:

4648.  

In order to achieve the stated objectives of a consumer’s
individual program plan, the regional center shall conduct activities,
including, but not limited to, all of the following:

(a) Securing needed services and supports.

(1) It is the intent of the Legislature that services and supports
assist individuals with developmental disabilities in achieving the
greatest self-sufficiency possible and in exercising personal
choices. The regional center shall secure services and supports
that meet the needs of the consumer, as determined in the
consumer’s individual program plan, and within the context of the
individual program plan, the planning team shall give highest
preference to those services and supports which would allow
minors with developmental disabilities to live with their families,
adult persons with developmental disabilities to live as
independently as possible in the community, and that allow all
consumers to interact with persons without disabilities in positive,
meaningful ways.

(2) In implementing individual program plans, regional centers,
through the planning team, shall first consider services and supports
in natural community, home, work, and recreational settings.
Services and supports shall be flexible and individually tailored
to the consumer and, where appropriate, his or her family.

(3) A regional center may, pursuant to vendorization or a
contract, purchase services or supports for a consumer from any
individual or agency that the regional center and consumer or,
when appropriate, his or her parents, legal guardian, or conservator,
or authorized representatives, determines will best accomplish all
or any part of that consumer’s program plan.

(A) Vendorization or contracting is the process for identification,
selection, and utilization of service vendors or contractors, based
on the qualifications and other requirements necessary in order to
provide the service.

(B) A regional center may reimburse an individual or agency
for services or supports provided to a regional center consumer if
the individual or agency has a rate of payment for vendored or
contracted services established by the department, pursuant to this
division, and is providing services pursuant to an emergency
vendorization or has completed the vendorization procedures or
has entered into a contract with the regional center and continues
to comply with the vendorization or contracting requirements. The
director shall adopt regulations governing the vendorization process
to be utilized by the department, regional centers, vendors and the
individual or agency requesting vendorization.

(C) Regulations shall include, but not be limited to: the vendor
application process, and the basis for accepting or denying an
application; the qualification and requirements for each category
of services that may be provided to a regional center consumer
through a vendor; requirements for emergency vendorization;
procedures for termination of vendorization; the procedure for an
individual or an agency to appeal any vendorization decision made
by the department or regional center.

(D) A regional center may vendorize a licensed facility for
exclusive services to persons with developmental disabilities at a
capacity equal to or less than the facility’s licensed capacity. A
facility already licensed on January 1, 1999, shall continue to be
vendorized at their full licensed capacity until the facility agrees
to vendorization at a reduced capacity.

(E) Effective July 1, 2009, notwithstanding any other law or
regulation to the contrary, a regional center shall not newly vendor
a State Department of Social Services licensed 24-hour residential
care facility with a licensed capacity of 16 or more beds, unless
the facility qualifies for receipt of federal funds under the Medicaid
Program.

(4) Notwithstanding subparagraph (B) of paragraph (3), a
regional center may contract or issue a voucher for services and
supports provided to a consumer or family at a cost not to exceed
the maximum rate of payment for that service or support
established by the department. If a rate has not been established
by the department, the regional center may, for an interim period,
contract for a specified service or support with, and establish a
rate of payment for, any provider of the service or support
necessary to implement a consumer’s individual program plan.
Contracts may be negotiated for a period of up to three years, with
annual review and subject to the availability of funds.

(5) In order to ensure the maximum flexibility and availability
of appropriate services and supports for persons with
developmental disabilities, the department shall establish and
maintain an equitable system of payment to providers of services
and supports identified as necessary to the implementation of a
consumers’ individual program plan. The system of payment shall
include provision for a rate to ensure that the provider can meet
the special needs of consumers and provide quality services and
supports in the least restrictive setting as required by law.

(6) The regional center and the consumer, or when appropriate,
his or her parents, legal guardian, conservator, or authorized
representative, including those appointed pursuant to subdivision
(a) of Section 4541, subdivision (b) of Section 4701.6, or
subdivision (e) of Section 4705, shall, pursuant to the individual
program plan, consider all of the following when selecting a
provider of consumer services and supports:

(A) A provider’s ability to deliver quality services or supports
that can accomplish all or part of the consumer’s individual
program plan.

(B) A provider’s success in achieving the objectives set forth
in the individual program plan.

(C) When appropriate, the existence of licensing, accreditation,
or professional certification.

(D) The cost of providing services or supports of comparable
quality by different providers, if available, shall be reviewed, and
the least costly available provider of comparable service, including
the cost of transportation, who is able to accomplish all or part of
the consumer’s individual program plan, consistent with the
particular needs of the consumer and family as identified in the
individual program plan, shall be selected. In determining the least
costly provider, the availability of federal financial participation
shall be considered. The consumer shall not be required to use the
least costly provider if it will result in the consumer moving from
an existing provider of services or supports to more restrictive or
less integrated services or supports.

(E) The consumer’s choice of providers, or, when appropriate,
the consumer’s parent’s, legal guardian’s, authorized
representative’s, or conservator’s choice of providers.

(7) No service or support provided by any agency or individual
shall be continued unless the consumer or, when appropriate, his
or her parents, legal guardian, or conservator, or authorized
representative, including those appointed pursuant to subdivision
(a) of Section 4541, subdivision (b) of Section 4701.6, or
subdivision (e) of Section 4705, is satisfied and the regional center
and the consumer or, when appropriate, the person’s parents or
legal guardian or conservator agree that planned services and
supports have been provided, and reasonable progress toward
objectives have been made.

(8) Regional center funds shall not be used to supplant the
budget of any agency that has a legal responsibility to serve all
members of the general public and is receiving public funds for
providing those services.

(9) (A) A regional center may, directly or through an agency
acting on behalf of the center, provide placement in, purchase of,
or follow-along services to persons with developmental disabilities
in, appropriate community living arrangements, including, but not
limited to, support service for consumers in homes they own or
lease, foster family placements, health care facilities, and licensed
community care facilities. In considering appropriate placement
alternatives for children with developmental disabilities, approval
by the child’s parent or guardian shall be obtained before placement
is made.

(B) Effective July 1, 2012, notwithstanding any other law or
regulation, a regional center shall not purchase residential services
from a State Department of Social Services licensed 24-hour
residential care facility with a licensed capacity of 16 or more
beds. This prohibition on regional center purchase of residential
services shall not apply to any of the following:

(i) A residential facility with a licensed capacity of 16 or more
beds that has been approved to participate in the department’s
Home and Community Based Services Waiver or another existing
waiver program or certified to participate in the Medi-Cal program.

(ii) A residential facility service provider that has a written
agreement and specific plan prior to July 1, 2012, with the
vendoring regional center to downsize the existing facility by
transitioning its residential services to living arrangements of 15
beds or less or restructure the large facility to meet federal
Medicaid eligibility requirements on or before June 30, 2013.

(iii) A residential facility licensed as a mental health
rehabilitation center by the State Department of Mental Health or
successor agency under any of the following circumstances:

(I) The facility is eligible for Medicaid reimbursement.

(II) The facility has a department-approved plan in place by
June 30, 2013, to transition to a program structure eligible for
federal Medicaid funding, and this transition will be completed by
June 30, 2014. The department may grant an extension for the date
by which the transition will be completed if the facility
demonstrates that it has made significant progress toward transition,
and states with specificity the timeframe by which the transition
will be completed and the specified steps that will be taken to
accomplish the transition. A regional center may pay for the costs
of care and treatment of a consumer residing in the facility on June
30, 2012, until June 30, 2013, inclusive, and, if the facility has a
department-approved plan in place by June 30, 2013, may continue
to pay the costs under this subparagraph until June 30, 2014, or
until the end of any period during which the department has granted
an extension.

(III) There is an emergency circumstance in which the regional
center determines that it cannot locate alternate federally eligible
services to meet the consumer’s needs. Under such an emergency
circumstance, an assessment shall be completed by the regional
center as soon as possible and within 30 days of admission. An
individual program plan meeting shall be convened immediately
following the assessment to determine the services and supports
needed for stabilization and to develop a plan to transition the
consumer from the facility into the community. If transition is not
expected within 90 days of admission, an individual program plan
meeting shall be held to discuss the status of transition and to
determine if the consumer is still in need of placement in the
facility. Commencing October 1, 2012, this determination shall
be made after also considering resource options identified by the
statewide specialized resource service. If it is determined that
emergency services continue to be necessary, the regional center
shall submit an updated transition plan that can cover a period of
up to 90 days. In no event shall placements under these emergency
circumstances exceed 180 days.

(C) (i) Effective July 1, 2012, notwithstanding any other law
or regulation, a regional center shall not purchase new residential
services from, or place a consumer in, institutions for mental
disease, as described in Part 5 (commencing with Section 5900)
of Division 5, for which federal Medicaid funding is not available.
Effective July 1, 2013, this prohibition applies regardless of the
availability of federal funding.

(ii) The prohibition described in clause (i) shall not apply to
emergencies, as determined by the regional center, when a regional
center cannot locate alternate services to meet the consumer’s
needs. As soon as possible within 30 days of admission due to an
emergency, an assessment shall be completed by the regional
center. An individual program plan meeting shall be convened
immediately following the assessment, to determine the services
and supports needed for stabilization and to develop a plan to
transition the consumer from the facility to the community. If
transition is not expected within 90 days of admission, an
emergency program plan meeting shall be held to discuss the status
of the transition and to determine if the consumer is still in need
of placement in the facility. If emergency services continue to be
necessary, the regional center shall submit an updated transition
plan to the department for an extension of up to 90 days. Placement
shall not exceed 180 days.

(iii) To the extent feasible, prior to any admission, the regional
center shall consider resource options identified by the statewide
specialized resource service established pursuant to subdivision
(b) of Section 4418.25.

(iv) The clients’ rights advocate shall be notified of each
admission and individual program planning meeting pursuant to
this subparagraph and may participate in all individual program
planning meetings unless the consumer objects on his or her own
behalf.

(v) Regional centers shall complete a comprehensive assessment
of any consumer residing in an institution for mental disease as of
July 1, 2012, for which federal Medicaid funding is not available,
and for any consumer residing in an institution for mental disease
as of July 1, 2013, without regard to federal funding. The
comprehensive assessment shall be completed prior to the
consumer’s next scheduled individual program plan meeting and
shall include identification of the services and supports needed
and the timeline for identifying or developing those services needed
to transition the consumer back to the community. Effective
October 1, 2012, the regional center shall also consider resource
options identified by the statewide specialized resource service.
For each individual program plan meeting convened pursuant to
this subparagraph, the clients’ rights advocate for the regional
center shall be notified of the meeting and may participate in the
meeting unless the consumer objects on his or her own behalf.

(D) A person with developmental disabilities placed by the
regional center in a community living arrangement shall have the
rights specified in this division. These rights shall be brought to
the person’s attention by any means necessary to reasonably
communicate these rights to each resident, provided that, at a
minimum, the Director of Developmental Services prepare,
provide, and require to be clearly posted in all residential facilities
and day programs a poster using simplified language and pictures
that is designed to be more understandable by persons with
intellectual disabilities and that the rights information shall also
be available through the regional center to each residential facility
and day program in alternative formats, including, but not limited
to, other languages, braille, and audio tapes, when necessary to
meet the communication needs of consumers.

(E) Consumers are eligible to receive supplemental services
including, but not limited to, additional staffing, pursuant to the
process described in subdivision (d) of Section 4646. Necessary
additional staffing that is not specifically included in the rates paid
to the service provider may be purchased by the regional center if
the additional staff are in excess of the amount required by
regulation and the individual’s planning team determines the
additional services are consistent with the provisions of the
individual program plan. Additional staff should be periodically
reviewed by the planning team for consistency with the individual
program plan objectives in order to determine if continued use of
the additional staff is necessary and appropriate and if the service
is producing outcomes consistent with the individual program plan.
Regional centers shall monitor programs to ensure that the
additional staff is being provided and utilized appropriately.

(10) Emergency and crisis intervention services including, but
not limited to, mental health services and behavior modification
services, may be provided, as needed, to maintain persons with
developmental disabilities in the living arrangement of their own
choice. Crisis services shall first be provided without disrupting a
person’s living arrangement. If crisis intervention services are
unsuccessful, emergency housing shall be available in the person’s
home community. If dislocation cannot be avoided, every effort
shall be made to return the person to his or her living arrangement
of choice, with all necessary supports, as soon as possible.

(11) Among other service and support options, planning teams
shall consider the use of paid roommates or neighbors, personal
assistance, technical and financial assistance, and all other service
and support options which would result in greater self-sufficiency
for the consumer and cost-effectiveness to the state.

(12) When facilitation as specified in an individual program
plan requires the services of an individual, the facilitator shall be
of the consumer’s choosing.

(13) The community support may be provided to assist
individuals with developmental disabilities to fully participate in
community and civic life, including, but not limited to, programs,
services, work opportunities, business, and activities available to
persons without disabilities. This facilitation shall include, but not
be limited to, any of the following:

(A) Outreach and education to programs and services within
the community.

(B) Direct support to individuals that would enable them to
more fully participate in their community.

(C) Developing unpaid natural supports when possible.

(14) When feasible and recommended by the individual program
planning team, for purposes of facilitating better and cost-effective
services for consumers or family members, technology, including
telecommunication technology, may be used in conjunction with
other services and supports. Technology in lieu of a consumer’s
in-person appearances at judicial proceedings or administrative
due process hearings may be used only if the consumer or, when
appropriate, the consumer’s parent, legal guardian, conservator,
or authorized representative, gives informed consent. Technology
may be used in lieu of, or in conjunction with, in-person training
for providers, as appropriate.

(15) Other services and supports may be provided as set forth
in Sections 4685, 4686, 4687, 4688, and 4689, when necessary.

(16) Notwithstanding any other law or regulation, effective July
1, 2009, regional centers shall not purchase experimental
treatments, therapeutic services, or devices that have not been
clinically determined or scientifically proven to be effective or
safe or for which risks and complications are unknown.
Experimental treatments or therapeutic services include
experimental medical or nutritional therapy when the use of the
product for that purpose is not a general physician practice. For
regional center consumers receiving these services as part of their
individual program plan (IPP) or individualized family service
plan (IFSP) on July 1, 2009, this prohibition shall apply on August
1, 2009.

(b) (1) Advocacy for, and protection of, the civil, legal, and
service rights of persons with developmental disabilities as
established in this division.

(2) Whenever the advocacy efforts of a regional center to secure
or protect the civil, legal, or service rights of any of its consumers
prove ineffective, the regional center or the person with
developmental disabilities or his or her parents, legal guardian, or
other representative may request advocacy assistance from the
state council.

(c) The regional center may assist consumers and families
directly, or through a provider, in identifying and building circles
of support within the community.

(d) In order to increase the quality of community services and
protect consumers, the regional center shall, when appropriate,
take either of the following actions:

(1) Identify services and supports that are ineffective or of poor
quality and provide or secure consultation, training, or technical
assistance services for any agency or individual provider to assist
that agency or individual provider in upgrading the quality of
services or supports.

(2) Identify providers of services or supports that may not be
in compliance with local, state, and federal statutes and regulations
and notify the appropriate licensing or regulatory authority to
investigate the possible noncompliance.

(e) When necessary to expand the availability of needed services
of good quality, a regional center may take actions that include,
but are not limited to, the following:

(1) Soliciting an individual or agency by requests for proposals
or other means, to provide needed services or supports not presently
available.

(2) Requesting funds from the Program Development Fund,
pursuant to Section 4677, or community placement plan funds
designated from that fund, to reimburse the startup costs needed
to initiate a new program of services and supports.

(3) Using creative and innovative service delivery models,
including, but not limited to, natural supports.

(f) Except in emergency situations, a regional center shall not
provide direct treatment and therapeutic services, but shall utilize
appropriate public and private community agencies and service
providers to obtain those services for its consumers.

(g) When there are identified gaps in the system of services and
supports or when there are identified consumers for whom no
provider will provide services and supports contained in his or her
individual program plan, the department may provide the services
and supports directly.

(h) At least annually, regional centers shall provide the
consumer, his or her parents, legal guardian, conservator, or
authorized representative a statement of services and supports the
regional center purchased for the purpose of ensuring that they are
delivered. The statement shall include the type, unit, month, and
cost of services and supports purchased.

end delete

begin insert

begin insert SEC. 46. end insert   

end insert

begin insert Section 4648 of the end insert begin insert Welfare and Institutions Code end insert begin insert is
amended to read: end insert

4648.  

In order to achieve the stated objectives of a consumer’s
individual program plan, the regional center shall conduct activities,
including, but not limited to, all of the following:

(a) Securing needed services and supports.

(1) It is the intent of the Legislature that services and supports
assist individuals with developmental disabilities in achieving the
greatest self-sufficiency possible and in exercising personal
choices. The regional center shall secure services and supports
that meet the needs of the consumer, as determined in the
consumer’s individual program plan, and within the context of the
individual program plan, the planning team shall give highest
preference to those services and supports which would allow
minors with developmental disabilities to live with their families,
adult persons with developmental disabilities to live as
independently as possible in the community, and that allow all
consumers to interact with persons without disabilities in positive,
meaningful ways.

(2) In implementing individual program plans, regional centers,
through the planning team, shall first consider services and supports
in natural community, home, work, and recreational settings.
Services and supports shall be flexible and individually tailored
to the consumer and, where appropriate, his or her family.

(3) A regional center may, pursuant to vendorization or a
contract, purchase services or supports for a consumer from any
individual or agency begin delete which end delete begin insert that end insert the regional center and consumer
or, begin delete where end delete begin insert when end insert appropriate, his or her parents, legal guardian, or
conservator, or authorized representatives, determines will best
accomplish all or any part of that consumer’s program plan.

(A) Vendorization or contracting is the process for identification,
selection, and utilization of service vendors or contractors, based
on the qualifications and other requirements necessary in order to
provide the service.

(B) A regional center may reimburse an individual or agency
for services or supports provided to a regional center consumer if
the individual or agency has a rate of payment for vendored or
contracted services established by the department, pursuant to this
division, and is providing services pursuant to an emergency
vendorization or has completed the vendorization procedures or
has entered into a contract with the regional center and continues
to comply with the vendorization or contracting requirements. The
director shall adopt regulations governing the vendorization process
to be utilized by the department, regional centers, begin delete vendors end delete begin insert vendors, end insert
and the individual or agency requesting vendorization.

(C) Regulations shall include, but not be limited to: the vendor
application process, and the basis for accepting or denying an
application; the qualification and requirements for each category
of services that may be provided to a regional center consumer
through a vendor; requirements for emergency vendorization;
procedures for termination of vendorization; the procedure for an
individual or an agency to appeal any vendorization decision made
by the department or regional center.

(D) A regional center may vendorize a licensed facility for
exclusive services to persons with developmental disabilities at a
capacity equal to or less than the facility’s licensed capacity. A
facility already licensed on January 1, 1999, shall continue to be
vendorized at their full licensed capacity until the facility agrees
to vendorization at a reduced capacity.

(E) Effective July 1, 2009, notwithstanding any other begin delete provision
of end delete law or begin delete regulation to the contrary, end delete begin insert regulation, end insert a regional center
shall not newly vendor a State Department of Social Services
licensed 24-hour residential care facility with a licensed capacity
of 16 or more beds, unless the facility qualifies for receipt of federal
funds under the Medicaid Program.

(4) Notwithstanding subparagraph (B) of paragraph (3), a
regional center may contract or issue a voucher for services and
supports provided to a consumer or family at a cost not to exceed
the maximum rate of payment for that service or support
established by the department. If a rate has not been established
by the department, the regional center may, for an interim period,
contract for a specified service or support with, and establish a
rate of payment for, any provider of the service or support
necessary to implement a consumer’s individual program plan.
Contracts may be negotiated for a period of up to three years, with
annual review and subject to the availability of funds.

(5) In order to ensure the maximum flexibility and availability
of appropriate services and supports for persons with
developmental disabilities, the department shall establish and
maintain an equitable system of payment to providers of services
and supports identified as necessary to the implementation of a
consumers’ individual program plan. The system of payment shall
include begin insert a end insert provision for a rate to ensure that the provider can meet
the special needs of consumers and provide quality services and
supports in the least restrictive setting as required by law.

(6) The regional center and the consumer, or begin delete where end delete begin insert when end insert
appropriate, his or her parents, legal guardian, conservator, or
authorized representative, including those appointed pursuant to
subdivision begin delete (d) end delete begin insert (a) end insert of Section begin delete 4548, end delete begin insert 4541, end insert subdivision (b) of
Section 4701.6, or subdivision (e) of Section 4705, shall, pursuant
to the individual program plan, consider all of the following when
selecting a provider of consumer services and supports:

(A) A provider’s ability to deliver quality services or supports
begin delete which end delete begin insert that end insert can accomplish all or part of the consumer’s individual
program plan.

(B) A provider’s success in achieving the objectives set forth
in the individual program plan.

(C) Where appropriate, the existence of licensing, accreditation,
or professional certification.

(D) The cost of providing services or supports of comparable
quality by different providers, if available, shall be reviewed, and
the least costly available provider of comparable service, including
the cost of transportation, who is able to accomplish all or part of
the consumer’s individual program plan, consistent with the
particular needs of the consumer and family as identified in the
individual program plan, shall be selected. In determining the least
costly provider, the availability of federal financial participation
shall be considered. The consumer shall not be required to use the
least costly provider if it will result in the consumer moving from
an existing provider of services or supports to more restrictive or
less integrated services or supports.

(E) The consumer’s choice of providers, or, begin delete where end delete begin insert when end insert
appropriate, the consumer’s parent’s, legal guardian’s, authorized
representative’s, or conservator’s choice of providers.

(7) No service or support provided by any agency or individual
shall be continued unless the consumer or, begin delete where end delete begin insert when end insert appropriate,
his or her parents, legal guardian, or conservator, or authorized
representative, including those appointed pursuant to subdivision
begin delete (d) end delete begin insert (a) end insert of Section begin delete 4548, end delete begin insert 4541, end insert subdivision (b) of Section 4701.6,
or subdivision (e) of Section 4705, is satisfied and the regional
center and the consumer or, when appropriate, the person’s parents
or legal guardian or conservator agree that planned services and
supports have been provided, and reasonable progress toward
objectives have been made.

(8) Regional center funds shall not be used to supplant the
budget of any agency that has a legal responsibility to serve all
members of the general public and is receiving public funds for
providing those services.

(9) (A) A regional center may, directly or through an agency
acting on behalf of the center, provide placement in, purchase of,
or follow-along services to persons with developmental disabilities
in, appropriate community living arrangements, including, but not
limited to, support service for consumers in homes they own or
lease, foster family placements, health care facilities, and licensed
community care facilities. In considering appropriate placement
alternatives for children with developmental disabilities, approval
by the child’s parent or guardian shall be obtained before placement
is made.

(B) Effective July 1, 2012, notwithstanding any other law or
begin delete regulation to the contrary, end delete begin insert regulation, end insert a regional center shall not
purchase residential services from a State Department of Social
Services licensed 24-hour residential care facility with a licensed
capacity of 16 or more beds. This prohibition on regional center
purchase of residential services shall not apply to any of the
following:

(i) A residential facility with a licensed capacity of 16 or more
beds that has been approved to participate in the department’s
Home and Community Based Services Waiver or another existing
waiver program or certified to participate in the Medi-Cal program.

(ii) A residential facility service provider that has a written
agreement and specific plan prior to July 1, 2012, with the
vendoring regional center to downsize the existing facility by
transitioning its residential services to living arrangements of 15
beds or less or restructure the large facility to meet federal
Medicaid eligibility requirements on or before June 30, 2013.

(iii) A residential facility licensed as a mental health
rehabilitation center by the State Department of Mental Health or
successor agency under any of the following circumstances:

(I) The facility is eligible for Medicaid reimbursement.

(II) The facility has a department-approved plan in place by
June 30, 2013, to transition to a program structure eligible for
federal Medicaid funding, and this transition will be completed by
June 30, 2014. The department may grant an extension for the date
by which the transition will be completed if the facility
demonstrates that it has made significant progress toward transition,
and states with specificity the timeframe by which the transition
will be completed and the specified steps that will be taken to
accomplish the transition. A regional center may pay for the costs
of care and treatment of a consumer residing in the facility on June
30, 2012, until June 30, 2013, inclusive, and, if the facility has a
department-approved plan in place by June 30, 2013, may continue
to pay the costs under this subparagraph until June 30, 2014, or
until the end of any period during which the department has granted
an extension.

(III) There is an emergency circumstance in which the regional
center determines that it cannot locate alternate federally eligible
services to meet the consumer’s needs. Under such an emergency
circumstance, an assessment shall be completed by the regional
center as soon as possible and within 30 days of admission. An
individual program plan meeting shall be convened immediately
following the assessment to determine the services and supports
needed for stabilization and to develop a plan to transition the
consumer from the facility into the community. If transition is not
expected within 90 days of admission, an individual program plan
meeting shall be held to discuss the status of transition and to
determine if the consumer is still in need of placement in the
facility. Commencing October 1, 2012, this determination shall
be made after also considering resource options identified by the
statewide specialized resource service. If it is determined that
emergency services continue to be necessary, the regional center
shall submit an updated transition plan that can cover a period of
up to 90 days. In no event shall placements under these emergency
circumstances exceed 180 days.

(C) (i) Effective July 1, 2012, notwithstanding any other law
or begin delete regulation to the contrary, end delete begin insert regulation, end insert a regional center shall
not purchase new residential services from, or place a consumer
in, institutions for mental disease, as described in Part 5
(commencing with Section 5900) of Division 5, for which federal
Medicaid funding is not available. Effective July 1, 2013, this
prohibition applies regardless of the availability of federal funding.

(ii) The prohibition described in clause (i) shall not apply to
emergencies, as determined by the regional center, when a regional
center cannot locate alternate services to meet the consumer’s
needs. As soon as possible within 30 days of admission due to an
emergency, an assessment shall be completed by the regional
center. An individual program plan meeting shall be convened
immediately following the assessment, to determine the services
and supports needed for stabilization and to develop a plan to
transition the consumer from the facility to the community. If
transition is not expected within 90 days of admission, an
emergency program plan meeting shall be held to discuss the status
of the transition and to determine if the consumer is still in need
of placement in the facility. If emergency services continue to be
necessary, the regional center shall submit an updated transition
plan to the department for an extension of up to 90 days. Placement
shall not exceed 180 days.

(iii) To the extent feasible, prior to any admission, the regional
center shall consider resource options identified by the statewide
specialized resource service established pursuant to subdivision
(b) of Section 4418.25.

(iv) The clients’ rights advocate shall be notified of each
admission and individual program planning meeting pursuant to
this subparagraph and may participate in all individual program
planning meetings unless the consumer objects on his or her own
behalf. For purposes of this clause, notification to the clients’ rights
advocate shall include a copy of the most recent comprehensive
assessment or updated assessment and the time, date, and location
of the meeting, and shall be provided as soon as practicable, but
not less than seven calendar days prior to the meeting.

(v) Regional centers shall complete a comprehensive assessment
of any consumer residing in an institution for mental disease as of
July 1, 2012, for which federal Medicaid funding is not available,
and for any consumer residing in an institution for mental disease
as of July 1, 2013, without regard to federal funding. The
comprehensive assessment shall be completed prior to the
consumer’s next scheduled individual program plan meeting and
shall include identification of the services and supports needed
and the timeline for identifying or developing those services needed
to transition the consumer back to the community. Effective
October 1, 2012, the regional center shall also consider resource
options identified by the statewide specialized resource service.
For each individual program plan meeting convened pursuant to
this subparagraph, the clients’ rights advocate for the regional
center shall be notified of the meeting and may participate in the
meeting unless the consumer objects on his or her own behalf. For
purposes of this clause, notification to the clients’ rights advocate
shall include the time, date, and location of the meeting, and shall
be provided as soon as practicable, but not less than seven calendar
days prior to the meeting.

(D)  begin delete Each end delete begin insert A end insert person with developmental disabilities placed by
the regional center in a community living arrangement shall have
the rights specified in this division. These rights shall be brought
to the person’s attention by any means necessary to reasonably
communicate these rights to each resident, provided that, at a
minimum, the Director of Developmental Services prepare,
provide, and require to be clearly posted in all residential facilities
and day programs a poster using simplified language and pictures
that is designed to be more understandable by persons with
begin delete cognitive end delete begin insert intellectual end insert disabilities and that the rights information
shall also be available through the regional center to each
residential facility and day program in alternative formats,
including, but not limited to, other languages, braille, and
audiotapes, when necessary to meet the communication needs of
consumers.

(E) Consumers are eligible to receive supplemental services
including, but not limited to, additional staffing, pursuant to the
process described in subdivision (d) of Section 4646. Necessary
additional staffing that is not specifically included in the rates paid
to the service provider may be purchased by the regional center if
the additional staff are in excess of the amount required by
regulation and the individual’s planning team determines the
additional services are consistent with the provisions of the
individual program plan. Additional staff should be periodically
reviewed by the planning team for consistency with the individual
program plan objectives in order to determine if continued use of
the additional staff is necessary and appropriate and if the service
is producing outcomes consistent with the individual program plan.
Regional centers shall monitor programs to ensure that the
additional staff is being provided and utilized appropriately.

(10) Emergency and crisis intervention services including, but
not limited to, mental health services and behavior modification
services, may be provided, as needed, to maintain persons with
developmental disabilities in the living arrangement of their own
choice. Crisis services shall first be provided without disrupting a
person’s living arrangement. If crisis intervention services are
unsuccessful, emergency housing shall be available in the person’s
home community. If dislocation cannot be avoided, every effort
shall be made to return the person to his or her living arrangement
of choice, with all necessary supports, as soon as possible.

(11) Among other service and support options, planning teams
shall consider the use of paid roommates or neighbors, personal
assistance, technical and financial assistance, and all other service
and support options which would result in greater self-sufficiency
for the consumer and cost-effectiveness to the state.

(12) When facilitation as specified in an individual program
plan requires the services of an individual, the facilitator shall be
of the consumer’s choosing.

(13) The community support may be provided to assist
individuals with developmental disabilities to fully participate in
community and civic life, including, but not limited to, programs,
services, work opportunities, business, and activities available to
persons without disabilities. This facilitation shall include, but not
be limited to, any of the following:

(A) Outreach and education to programs and services within
the community.

(B) Direct support to individuals begin delete which end delete begin insert that end insert would enable them
to more fully participate in their community.

(C) Developing unpaid natural supports when possible.

(14) When feasible and recommended by the individual program
planning team, for purposes of facilitating better and cost-effective
services for consumers or family members, technology, including
telecommunication technology, may be used in conjunction with
other services and supports. Technology in lieu of a consumer’s
in-person appearances at judicial proceedings or administrative
due process hearings may be used only if the consumer or, when
appropriate, the consumer’s parent, legal guardian, conservator,
or authorized representative, gives informed consent. Technology
may be used in lieu of, or in conjunction with, in-person training
for providers, as appropriate.

(15) Other services and supports may be provided as set forth
in Sections 4685, 4686, 4687, 4688, and 4689, when necessary.

(16) Notwithstanding any other begin delete provision of end delete law or begin delete regulation
to the contrary, end delete begin insert regulation, end insert effective July 1, 2009, regional centers
shall not purchase experimental treatments, therapeutic services,
or devices that have not been clinically determined or scientifically
proven to be effective or safe or for which risks and complications
are unknown. Experimental treatments or therapeutic services
include experimental medical or nutritional therapy when the use
of the product for that purpose is not a general physician practice.
For regional center consumers receiving these services as part of
their individual program plan (IPP) or individualized family service
plan (IFSP) on July 1, 2009, this prohibition shall apply on August
1, 2009.

(b) (1) Advocacy for, and protection of, the civil, legal, and
service rights of persons with developmental disabilities as
established in this division.

(2) Whenever the advocacy efforts of a regional center to secure
or protect the civil, legal, or service rights of any of its consumers
prove ineffective, the regional center or the person with
developmental disabilities or his or her parents, legal guardian, or
other representative may request begin delete the area board to initiate action
under the provisions defining area board advocacy functions
established in this division. end delete begin insert advocacy assistance from the state
council. end insert

(c) The regional center may assist consumers and families
directly, or through a provider, in identifying and building circles
of support within the community.

(d) In order to increase the quality of community services and
protect consumers, the regional center shall, when appropriate,
take either of the following actions:

(1) Identify services and supports that are ineffective or of poor
quality and provide or secure consultation, training, or technical
assistance services for any agency or individual provider to assist
that agency or individual provider in upgrading the quality of
services or supports.

(2) Identify providers of services or supports that may not be
in compliance with local, state, and federal statutes and regulations
and notify the appropriate licensing or regulatory begin delete authority, or
request the area board end delete begin insert authority end insert to investigate the possible
noncompliance.

(e) When necessary to expand the availability of needed services
of good quality, a regional center may take actions that include,
but are not limited to, the following:

(1) Soliciting an individual or agency by requests for proposals
or other means, to provide needed services or supports not presently
available.

(2) Requesting funds from the Program Development Fund,
pursuant to Section 4677, or community placement plan funds
designated from that fund, to reimburse the startup costs needed
to initiate a new program of services and supports.

(3) Using creative and innovative service delivery models,
including, but not limited to, natural supports.

(f) Except in emergency situations, a regional center shall not
provide direct treatment and therapeutic services, but shall utilize
appropriate public and private community agencies and service
providers to obtain those services for its consumers.

(g)  begin delete Where end delete begin insert When end insert there are identified gaps in the system of
services and supports or begin delete where end delete begin insert when end insert there are identified consumers
for whom no provider will provide services and supports contained
in his or her individual program plan, the department may provide
the services and supports directly.

(h) At least annually, regional centers shall provide the
consumer, his or her parents, legal guardian, conservator, or
authorized representative a statement of services and supports the
regional center purchased for the purpose of ensuring that they are
delivered. The statement shall include the type, unit, month, and
cost of services and supports purchased.

begin delete SEC. 46. end delete
begin insert SEC. 47. end insert   

Section 4649 of the Welfare and Institutions Code is
amended to read:

4649.  

Regional centers shall cooperate with the state council
in joint efforts to inform the public of services available to persons
with developmental disabilities and of their unmet needs, provide
materials and education programs to community groups and
agencies with interest in, or responsibility for, persons with
developmental disabilities, and develop resource materials, if
necessary, containing information about local agencies, facilities,
and service providers offering services to persons with
developmental disabilities.

begin delete SEC. 47. end delete
begin insert SEC. 48. end insert   

Section 4650 of the Welfare and Institutions Code is
amended to read:

4650.  

Regional centers shall be responsible for developing an
annual plan and program budget to be submitted to the director no
later than September 1 of each fiscal year. An information copy
shall be submitted to the state council by the same date.

begin delete SEC. 48. end delete
begin insert SEC. 49. end insert   

Section 4659 of the Welfare and Institutions Code is
amended to read:

4659.  

(a) Except as otherwise provided in subdivision (b) or
(e), the regional center shall identify and pursue all possible sources
of funding for consumers receiving regional center services. These
sources shall include, but not be limited to, both of the following:

(1) Governmental or other entities or programs required to
provide or pay the cost of providing services, including Medi-Cal,
Medicare, the Civilian Health and Medical Program for Uniform
Services, school districts, and federal supplemental security income
and the state supplementary program.

(2) Private entities, to the maximum extent they are liable for
the cost of services, aid, insurance, or medical assistance to the
consumer.

(b) Any revenues collected by a regional center pursuant to this
section shall be applied against the cost of services prior to use of
regional center funds for those services. This revenue shall not
result in a reduction in the regional center’s purchase of services
budget, except as it relates to federal supplemental security income
and the state supplementary program.

(c) Effective July 1, 2009, notwithstanding any other law or
regulation, regional centers shall not purchase any service that
would otherwise be available from Medi-Cal, Medicare, the
Civilian Health and Medical Program for Uniform Services,
In-Home Support Services, California Children’s Services, private
insurance, or a health care service plan when a consumer or a
family meets the criteria of this coverage but chooses not to pursue
that coverage. If, on July 1, 2009, a regional center is purchasing
that service as part of a consumer’s individual program plan (IPP),
the prohibition shall take effect on October 1, 2009.

(d) (1) Effective July 1, 2009, notwithstanding any other law
or regulation, a regional center shall not purchase medical or dental
services for a consumer three years of age or older unless the
regional center is provided with documentation of a Medi-Cal,
private insurance, or a health care service plan denial and the
regional center determines that an appeal by the consumer or family
of the denial does not have merit. If, on July 1, 2009, a regional
center is purchasing the service as part of a consumer’s IPP, this
provision shall take effect on August 1, 2009. Regional centers
may pay for medical or dental services during the following
periods:

(A) While coverage is being pursued, but before a denial is
made.

(B) Pending a final administrative decision on the administrative
appeal if the family has provided to the regional center a
verification that an administrative appeal is being pursued.

(C) Until the commencement of services by Medi-Cal, private
insurance, or a health care service plan.

(2) When necessary, the consumer or family may receive
assistance from the regional center, the Clients’ Rights Advocate
funded by the department, or the state council in pursuing these
appeals.

(e) This section shall not impose any additional liability on the
parents of children with developmental disabilities, or to restrict
eligibility for, or deny services to, any individual who qualifies
for regional center services but is unable to pay.

(f) In order to best utilize generic resources, federally funded
programs, and private insurance programs for individuals with
developmental disabilities, the department and regional centers
shall engage in the following activities:

(1) Within existing resources, the department shall provide
training to regional centers, no less than once every two years, in
the availability and requirements of generic, federally funded and
private programs available to persons with developmental
disabilities, including, but not limited to, eligibility requirements,
the application process and covered services, and the appeal
process.

(2) Regional centers shall disseminate information and training
to all service coordinators regarding the availability and
requirements of generic, federally begin delete funded end delete begin insert funded, end insert and private
insurance programs on the local level.

begin delete SEC. 49. end delete
begin insert SEC. 50. end insert   

Section 4662 of the Welfare and Institutions Code is
amended to read:

4662.  

In the case of an emergency situation involving matters
upon which prompt action is necessary due to the disruption or
threatened disruption of regional center services, an emergency
meeting may be called without complying with the advanced notice
requirement of Section 4661. For the purposes of this article,
“emergency situation” means any activity which severely impairs
public health, safety, or both, as determined by a majority of the
members of the regional center board. In these situations, advance
notice shall be provided if practicable. In addition, the state council
shall be notified by telephone of each emergency meeting. The
minutes of an emergency meeting, including a description of any
actions taken at the meeting, shall be mailed immediately to those
persons described in Section 4661.

begin delete SEC. 50. end delete
begin insert SEC. 51. end insert   

Section 4669.2 of the Welfare and Institutions Code
is amended to read:

4669.2.  

(a) Notwithstanding any other law, and provided that
there shall be no reduction in direct service to persons eligible for
services under this article, a regional center, with the approval of
the State Department of Developmental Services, and in
consultation with the state council, consumer and vendor advisory
committees, and local advocacy organizations, may explore and
implement any regional center service delivery alternative included
in this section for consumers living in the community, as follows:

(1) Alternative service coordination for consumers.

(2) Technical and financial support to consumers, and where
appropriate, their families, to provide or secure their own services
in lieu of services that regional centers would otherwise provide,
purchase, or secure. These programs shall be cost-effective in the
aggregate, and shall be limited to consumers who are at imminent
risk of moving to a more restrictive setting.

(3) Procedures whereby regional centers may negotiate levels
of payment with providers for delivery of specific services to a
group of consumers through a mutually agreed upon contract with
a specific term and a guaranteed reimbursement amount. Contracted
services may be for any specific service or combination of services
across vendor categories.

(4) Procedures whereby consumers, regional center
representatives, the state council, and local service providers may
jointly examine and make recommendations to the department for
reduced reporting and recording requirements of regional centers.
The recommendations shall be made available upon request.

(5) Proposals to reduce reporting and recordkeeping
requirements at a regional center.

(6) Procedures whereby a regional center may lease a facility
and contract for the provision of services in that facility for regional
center clients.

(7) Procedures that encourage innovative approaches to the
sharing of administrative resources between regional centers and
other public and private agencies serving persons with
developmental disabilities.

(8) Proposals for a regional center to purchase a facility for its
own office space if it can be shown to be cost-effective. Funds
from a regional center’s purchase of services budget shall not be
used for this purchase.

(b) Consultation pursuant to subdivision (a) shall occur during
the development of the proposal prior to the public hearing
conducted in accordance with Section 4669.75 and after the
completion of the public hearing.

(c) The regional center shall annually submit to the State
Department of Developmental Services a report on the
implementation of the service delivery options approved by the
department under this section. The report shall review the effects
of the proposal, if applicable, upon the regional center purchase
of service budget and the state budget, the impact on other regional
center services, and the impact on consumers served under the
proposal. This report shall be completed within 90 days of the end
of each fiscal year.

begin delete SEC. 51. end delete
begin insert SEC. 52. end insert   

Section 4677 of the Welfare and Institutions Code is
amended to read:

4677.  

(a) (1) All parental fees collected by or for regional
centers shall be remitted to the State Treasury to be deposited in
the Developmental Disabilities Program Development Fund, which
is hereby created and hereinafter called the Program Development
Fund. The purpose of the Program Development Fund shall be to
provide resources needed to initiate new programs, and to expand
or convert existing programs. Within the context of, and consistent
with, approved priorities for program development in the state
plan, program development funds shall promote integrated
residential, work, instructional, social, civic, volunteer, and
recreational services and supports that increase opportunities for
self-determination and maximum independence of persons with
developmental disabilities. Notwithstanding any other law or
regulation, commencing July 1, 2009, parental fees remitted to the
State Treasury shall be deposited in accordance with Section 4784.

(2) In no event shall an allocation from the Program
Development Fund be granted for more than 24 months.

(b) (1) The State Council on Developmental Disabilities shall,
at least once every five years, request from all regional centers
information on the types and amounts of services and supports
needed, but currently unavailable.

(2) The state council shall work collaboratively with the
department and the Association of Regional Center Agencies to
develop standardized forms and protocols that shall be used by all
regional centers and the state council in collecting and reporting
this information. In addition to identifying services and supports
that are needed, but currently unavailable, the forms and protocols
shall also solicit input and suggestions on alternative and innovative
service delivery models that would address consumer needs.

(3) In addition to the information provided pursuant to paragraph
(2), the state council may utilize information from other sources,
including, but not limited to, public hearings, quality assurance
assessments conducted pursuant to Section 4571, regional center
reports on alternative service delivery submitted to the department
pursuant to Section 4669.2, and the annual report on self-directed
services produced pursuant to Section 4685.7.

(4) The department shall provide additional information, as
requested by the state council.

(5) Based on the information provided by the regional centers
and other agencies, the state council shall develop an assessment
of the need for new, expanded, or converted community services
and support, and make that assessment available to the public. The
assessment shall include a discussion of the type and amount of
services and supports necessary but currently unavailable including
the impact on consumers with common characteristics, including,
but not limited to, disability, specified geographic regions, age,
and ethnicity, face distinct challenges. The assessment shall
highlight alternative and innovative service delivery models
identified through their assessment process.

(6) This needs assessment shall be conducted at least once every
five years and updated annually. The assessment shall be included
in the state plan and shall be provided to the department and to the
appropriate committees of the Legislature. The assessment and
annual updates shall be made available to the public. The State
Council on Developmental Disabilities, in consultation with the
department, shall make a recommendation to the Department of
Finance as to the level of funding for program development to be
included in the Governor’s Budget, based upon this needs
assessment.

(c) Parental fee schedules shall be evaluated pursuant to Section
4784 and adjusted annually, as needed, by the department, with
the approval of the state council. The July 1, 2009, parental fee
adjustment shall be exempt from this approval requirement. Fees
for out-of-home care shall bear an equitable relationship to the
cost of the care and the ability of the family to pay.

(d) In addition to parental fees and General Fund appropriations,
the Program Development Fund may be augmented by federal
funds available to the state for program development purposes,
when these funds are allotted to the Program Development Fund
in the state plan. The Program Development Fund is hereby
appropriated to the department, and subject to any allocations that
may be made in the annual Budget Act. In no event shall any of
these funds revert to the General Fund.

(e) The department may allocate funds from the Program
Development Fund for any legal purpose, provided that requests
for proposals and allocations are approved by the state council in
consultation with the department, and are consistent with the
priorities for program development in the state plan. Allocations
from the Program Development Fund shall take into consideration
the following factors:

(1) The future fiscal impact of the allocations on other state
supported services and supports for persons with developmental
disabilities.

(2) (A) The information on priority services and supports
needed, but currently unavailable, submitted by the regional
centers.

(B) Consistent with the level of need as determined in the state
plan, excess parental fees may be used for purposes other than
programs specified in subdivision (a) only when specifically
appropriated to the State Department of Developmental Services
for those purposes.

(f) Under no circumstances shall the deposit of federal moneys
into the Program Development Fund be construed as requiring the
State Department of Developmental Services to comply with a
definition of “developmental disabilities” and “services for persons
with developmental disabilities” other than as specified in
subdivisions (a) and (b) of Section 4512 for the purposes of
determining eligibility for developmental services or for allocating
parental fees and state general funds deposited in the Program
Development Fund.

begin delete SEC. 52. end delete
begin insert SEC. 53. end insert   

Section 4685.8 of the Welfare and Institutions Code
is amended to read:

4685.8.  

(a) The department shall implement a statewide
Self-Determination Program. The Self-Determination Program
shall be available in every regional center catchment area to provide
participants and their families, within an individual budget,
increased flexibility and choice, and greater control over decisions,
resources, and needed and desired services and supports to
implement their IPP. The statewide Self-Determination Program
shall be phased in over three years, and during this phase-in period,
shall serve up to 2,500 regional center consumers, inclusive of the
remaining participants in the self-determination pilot projects
authorized pursuant to Section 13 of Chapter 1043 of the Statutes
of 1998, as amended, and Article 4 (commencing with Section
4669.2) of Chapter 5. Following the phase-in period, the program
shall be available on a voluntary basis to all regional center
consumers who are eligible for the Self-Determination Program.
The program shall be available to individuals who reflect the
disability, ethnic, and geographic diversity of the state.

(b) The department in establishing the statewide program shall
do both of the following:

(1) For the first three years of the Self-Determination Program,
determine, as part of the contracting process described in Sections
4620 and 4629, the number of participants each regional center
shall serve in its Self-Determination Program. To ensure that the
program is available on an equitable basis to participants in all
regional center catchment areas, the number of Self-Determination
Program participants in each regional center shall be based on the
relative percentage of total consumers served by the regional
centers minus any remaining participants in the self-determination
pilot projects authorized pursuant to Section 13 of Chapter 1043
of the Statutes of 1998, as amended, and Article 4 (commencing
with Section 4669.2) of Chapter 5 or another equitable basis.

(2) Ensure all of the following:

(A) Oversight of expenditure of self-determined funds and the
achievement of participant outcomes over time.

(B) Increased participant control over which services and
supports best meet begin delete their end delete begin insert his or her end insert needs and the IPP objectives.
A participant’s unique support system may include the purchase
of existing service offerings from service providers or local
businesses, hiring his or her own support workers, or negotiating
unique service arrangements with local community resources.

(C) Comprehensive person-centered planning, including an
individual budget and services that are outcome based.

(D) Consumer and family training to ensure understanding of
the principles of self-determination, the planning process, and the
management of budgets, services, and staff.

(E) Choice of independent facilitators who can assist with the
person-centered planning process and choice of financial
management services providers vendored by regional centers who
can assist with payments and provide employee-related services.

(F) Innovation that will more effectively allow participants to
achieve their goals.

(c) For purposes of this section, the following definitions begin delete shall end delete
apply:

(1) “Financial management services” means services or
functions that assist the participant to manage and direct the
distribution of funds contained in the individual budget, and ensure
that the participant has the financial resources to implement his or
her IPP throughout the year. These may include bill paying services
and activities that facilitate the employment of service and support
workers by the participant, including, but not limited to, fiscal
accounting, tax withholding, compliance with relevant state and
federal employment laws, assisting the participant in verifying
provider qualifications, including criminal background checks,
and expenditure reports. The financial management services
provider shall meet the requirements of Sections 58884, 58886,
and 58887 of Title 17 of the California Code of Regulations and
other specific qualifications established by the department. The
costs of financial management services shall be paid by the
participant out of his or her individual budget, except for the cost
of obtaining the criminal background check specified in subdivision
(w).

(2) “Independent facilitator” means a person, selected and
directed by the participant, who is not otherwise providing services
to the participant pursuant to his or her IPP and is not employed
by a person providing services to the participant. The independent
facilitator may assist the participant in making informed decisions
about the individual budget, and in locating, accessing, and
coordinating services and supports consistent with the participant’s
IPP. He or she is available to assist in identifying immediate and
long-term needs, developing options to meet those needs, leading,
participating, or advocating on behalf of the participant in the
person-centered planning process and development of the IPP, and
obtaining identified services and supports. The cost of the
independent facilitator, if any, shall be paid by the participant out
of his or her individual budget. An independent facilitator shall
receive training in the principles of self-determination, the
person-centered planning process, and the other responsibilities
described in this paragraph at his or her own cost.

(3) “Individual budget” means the amount of regional center
purchase of service funding available to the participant for the
purchase of services and supports necessary to implement the IPP.
The individual budget shall be determined using a fair, equitable,
and transparent methodology.

(4) “IPP” means individual program plan, as described in Section
4646.

(5) “Participant” means an individual, and when appropriate,
his or her parents, legal guardian or conservator, or authorized
representative, who has been deemed eligible for, and has
voluntarily agreed to participate in, the Self-Determination
Program.

(6) “Self-determination” means a voluntary delivery system
consisting of a defined and comprehensive mix of services and
supports, selected and directed by a participant through
person-centered planning, in order to meet the objectives in his or
her IPP. Self-determination services and supports are designed to
assist the participant to achieve personally defined outcomes in
community settings that promote inclusion. The Self-Determination
Program shall only fund services and supports provided pursuant
to this division that the federal Centers for Medicare and Medicaid
Services determines are eligible for federal financial participation.

(d) Participation in the Self-Determination Program is fully
voluntary. A participant may choose to participate in, and may
choose to leave, the Self-Determination Program at any time. A
regional center shall not require or prohibit participation in the
Self-Determination Program as a condition of eligibility for, or
the delivery of, services and supports otherwise available under
this division. Participation in the Self-Determination Program shall
be available to any regional center consumer who meets the
following eligibility requirements:

(1) The participant has a developmental disability, as defined
in Section 4512, and is receiving services pursuant to this division.

(2) The consumer does not live in a licensed long-term health
care facility, as defined in paragraph (44) of subdivision (a) of
Section 54302 of Title 17 of the California Code of Regulations.
An individual, and when appropriate his or her parent, legal
guardian or conservator, or authorized representative, who is not
eligible to participate in the Self-Determination Program pursuant
to this paragraph may request that the regional center provide
person-centered planning services in order to make arrangements
for transition to the Self-Determination Program, provided that he
or she is reasonably expected to transition to the community within
90 days. In that case, the regional center shall initiate
person-centered planning services within 60 days of that request.

(3) The participant agrees to all of the following terms and
conditions:

(A) The participant shall receive an orientation to the
Self-Determination Program prior to enrollment, which includes
the principles of self-determination, the role of the independent
facilitator and the financial management services provider,
person-centered planning, and development of a budget.

(B) The participant shall utilize the services and supports
available within the Self-Determination Program only when generic
services and supports are not available.

(C) The participant shall only purchase services and supports
necessary to implement his or her IPP and shall comply with any
and all other terms and conditions for participation in the
Self-Determination Program described in this section.

(D) The participant shall manage Self-Determination Program
services and supports within his or her individual budget.

(E) The participant shall utilize the services of a financial
management services provider of his or her own choosing and who
is vendored by a regional center.

(F) The participant may utilize the services of an independent
facilitator of his or her own choosing for the purpose of providing
services and functions as described in paragraph (2) of subdivision
(c). If the participant elects not to use an independent facilitator,
he or she may use his or her regional center service coordinator to
provide the services and functions described in paragraph (2) of
subdivision (c).

(e) A participant who is not Medi-Cal eligible may participate
in the Self-Determination Program and receive self-determination
services and supports if all other program eligibility requirements
are met and the services and supports are otherwise eligible for
federal financial participation.

(f) An individual receiving services and supports under a
self-determination pilot project authorized pursuant to Section 13
of Chapter 1043 of the Statutes of 1998, as amended, or pursuant
to Article 4 (commencing with Section 4669.2) of Chapter 5, may
elect to continue to receive self-determination services and supports
pursuant to this section or the regional center shall provide for the
participant’s transition from the self-determination pilot program
to other services and supports. This transition shall include the
development of a new IPP that reflects the services and supports
necessary to meet the individual’s needs. The regional center shall
ensure that there is no gap in services and supports during the
transition period.

(g) The additional federal financial participation funds generated
by the former participants of the self-determination pilot projects
authorized pursuant to Section 13 of Chapter 1043 of the Statutes
of 1998, as amended, or pursuant to Article 4 (commencing with
Section 4669.2) of Chapter 5, shall be used as follows:

(1) First, to offset the cost to the department for the criminal
background check conducted pursuant to subdivision (w), and
other administrative costs incurred by the department in
implementing the Self-Determination Program.

(2) With the remaining funds, to offset the costs to the regional
centers in implementing the Self-Determination Program,
including, but not limited to, operations costs for caseload ratio
enhancement, training for regional center staff, costs associated
with the participant’s initial person-centered planning meeting,
the development of the participant’s initial individual budget, and
the costs associated with training consumers and family members.

(h) If at any time during participation in the Self-Determination
Program a regional center determines that a participant is no longer
eligible to continue in, or a participant voluntarily chooses to exit,
the Self-Determination Program, the regional center shall provide
for the participant’s transition from the Self-Determination Program
to other services and supports. This transition shall include the
development of a new IPP that reflects the services and supports
necessary to meet the individual’s needs. The regional center shall
ensure that there is no gap in services and supports during the
transition period.

(i) An individual determined to be ineligible for or who
voluntarily exits the Self-Determination Program shall be permitted
to return to the Self-Determination Program upon meeting all
applicable eligibility criteria and upon approval of the participant’s
planning team, as described in subdivision (j) of Section 4512. An
individual who has voluntarily exited the Self-Determination
Program shall not return to the program for at least 12 months.
During the first three years of the program, the individual’s right
to return to the program is conditioned on his or her regional center
not having reached the participant cap imposed by paragraph (1)
of subdivision (b).

(j) An individual who participates in the Self-Determination
Program may elect to continue to receive self-determination
services and supports if he or she transfers to another regional
center catchment area, provided that he or she remains eligible for
the Self-Determination Program pursuant to subdivision (d). The
balance of the participant’s individual budget shall be reallocated
to the regional center to which he or she transfers.

(k) The IPP team shall utilize the person-centered planning
process to develop the IPP for a participant. The IPP shall detail
the goals and objectives of the participant that are to be met through
the purchase of participant-selected services and supports. The
IPP team shall determine the individual budget to ensure the budget
assists the participant to achieve the outcomes set forth in his or
her IPP and ensures his or her health and safety. The completed
individual budget shall be attached to the IPP.

(l) The participant shall implement his or her IPP, including
choosing and purchasing the services and supports allowable under
this section necessary to implement the plan. A participant is
exempt from the cost control restrictions regarding the purchases
of services and supports pursuant to Sections 4648.5 and 4686.5.
A regional center shall not prohibit the purchase of any service or
support that is otherwise allowable under this section.

(m) A participant shall have all the rights established in Sections
4646 to 4646.6, inclusive, and Chapter 7 (commencing with Section
4700).

(n) (1) Except as provided in paragraph (4), the IPP team shall
determine the initial and any revised individual budget for the
participant using the following methodology:

(A) (i) Except as specified in clause (ii), for a participant who
is a current consumer of the regional center, his or her individual
budget shall be the total amount of the most recently available 12
months of purchase of service expenditures for the participant.

(ii) An adjustment may be made to the amount specified in
clause (i) if both of the following occur:

(I) The IPP team determines that an adjustment to this amount
is necessary due to a change in the participant’s circumstances,
needs, or resources that would result in an increase or decrease in
purchase of service expenditures, or the IPP team identifies prior
needs or resources that were unaddressed in the IPP, which would
have resulted in an increase or decrease in purchase of service
expenditures.

(II) The regional center certifies on the individual budget
document that regional center expenditures for the individual
budget, including any adjustment, would have occurred regardless
of the individual’s participation in the Self-Determination Program.

(iii) For purposes of clauses (i) and (ii), the amount of the
individual budget shall not be increased to cover the cost of the
independent facilitator or the financial management services.

(B) For a participant who is either newly eligible for regional
center services or who does not have 12 months of purchase service
expenditures, his or her individual budget shall be calculated as
follows:

(i) The IPP team shall identify the services and supports needed
by the participant and available resources, as required by Section
4646.

(ii) The regional center shall calculate the cost of providing the
services and supports to be purchased by the regional center by
using the average cost paid by the regional center for each service
or support unless the regional center determines that the consumer
has a unique need that requires a higher or lower cost. The regional
center shall certify on the individual budget document that this
amount would have been expended using regional center purchase
of service funds regardless of the individual’s participation in the
Self-Determination Program.

(iii) For purposes of clauses (i) and (ii), the amount of the
individual budget shall not be increased to cover the cost of the
independent facilitator or the financial management services.

(2) The amount of the individual budget shall be available to
the participant each year for the purchase of program services and
supports. An individual budget shall be calculated no more than
once in a 12-month period, unless revised to reflect a change in
circumstances, needs, or resources of the participant using the
process specified in clause (ii) of subparagraph (A) of paragraph
(1).

(3) The individual budget shall be assigned to uniform budget
categories developed by the department in consultation with
stakeholders and distributed according to the timing of the
anticipated expenditures in the IPP and in a manner that ensures
that the participant has the financial resources to implement his or
her IPP throughout the year.

(4) The department, in consultation with stakeholders, may
develop alternative methodologies for individual budgets that are
computed in a fair, transparent, and equitable manner and are based
on consumer characteristics and needs, and that include a method
for adjusting individual budgets to address a participant’s change
in circumstances or needs.

(o) Annually, participants may transfer up to 10 percent of the
funds originally distributed to any budget category set forth in
paragraph (3) of subdivision (n) to another budget category or
categories. Transfers in excess of 10 percent of the original amount
allocated to any budget category may be made upon the approval
of the regional center or the participant’s IPP team.

(p) Consistent with the implementation date of the IPP, the IPP
team shall annually ascertain from the participant whether there
are any circumstances or needs that require a change to the annual
individual budget. Based on that review, the IPP team shall
calculate a new individual budget consistent with the methodology
identified in subdivision (n).

(q) (1) On or before December 31, 2014, the department shall
apply for federal Medicaid funding for the Self-Determination
Program by doing one or more of the following:

(A) Applying for a state plan amendment.

(B) Applying for an amendment to a current home- and
community-based waiver for individuals with developmental
disabilities.

(C) Applying for a new waiver.

(D) Seeking to maximize federal financial participation through
other means.

(2) To the extent feasible, the state plan amendment, waiver, or
other federal request described in paragraph (1) shall incorporate
the eligibility requirements, benefits, and operational requirements
set forth in this section. Except for the provisions of subdivisions
(k), (m), (p), and this subdivision, the department may modify
eligibility requirements, benefits, and operational requirements as
needed to secure approval of federal funding.

(3) Contingent upon approval of federal funding, the
Self-Determination Program shall be established.

(r) (1) The department, as it determines necessary, may adopt
regulations to implement the procedures set forth in this section.
Any regulations shall be adopted in accordance with the
requirements of Chapter 3.5 (commencing with Section 11340) of
Part 1 of Division 3 of Title 2 of the Government Code.

(2) Notwithstanding paragraph (1) and Chapter 3.5 (commencing
with Section 11340) of Part 1 of Division 3 of Title 2 of the
Government Code, and only to the extent that all necessary federal
approvals are obtained, the department, without taking any further
regulatory action, shall implement, interpret, or make specific this
section by means of program directives or similar instructions until
the time regulations are adopted. It is the intent of the Legislature
that the department be allowed this temporary authority as
necessary to implement program changes only until completion
of the regulatory process.

(s) The department, in consultation with stakeholders, shall
develop informational materials about the Self-Determination
Program. The department shall ensure that regional centers are
trained in the principles of self-determination, the mechanics of
the Self-Determination Program, and the rights of consumers and
families as candidates for, and participants in, the
Self-Determination Program.

(t) Each regional center shall be responsible for implementing
the Self-Determination Program as a term of its contract under
Section 4629. As part of implementing the program, the regional
center shall do both of the following:

(1) Contract with local consumer or family-run organizations
to conduct outreach through local meetings or forums to consumers
and their families to provide information about the
Self-Determination Program and to help ensure that the program
is available to a diverse group of participants, with special outreach
to underserved communities.

(2) Collaborate with the local consumer or family-run
organizations identified in paragraph (1) to jointly conduct training
about the Self-Determination Program.

(u) The financial management services provider shall provide
the participant and the regional center service coordinator with a
monthly individual budget statement that describes the amount of
funds allocated by budget category, the amount spent in the
previous 30-day period, and the amount of funding that remains
available under the participant’s individual budget.

(v) Only the financial management services provider is required
to apply for vendorization in accordance with Subchapter 2
(commencing with Section 54300) of Chapter 3 of Division 2 of
Title 17 of the California Code of Regulations, for the
Self-Determination Program. All other service and support
providers shall not be on the federal debarment list and shall have
applicable state licenses, certifications, or other state required
documentation, including documentation of any other qualifications
required by the department, but are exempt from the vendorization
requirements set forth in Title 17 of the California Code of
Regulations when serving participants in the Self-Determination
Program.

(w) To protect the health and safety of participants in the
Self-Determination Program, the department shall require a
criminal background check in accordance with all of the following:

(1) The department shall issue a program directive that identifies
nonvendored providers of services and supports who shall obtain
a criminal background check pursuant to this subdivision. At a
minimum, these staff shall include both of the following:

(A) Individuals who provide direct personal care services to a
participant.

(B) Other nonvendored providers of services and supports for
whom a criminal background check is requested by a participant
or the participant’s financial management service.

(2) Subject to the procedures and requirements of this
subdivision, the department shall administer criminal background
checks consistent with the department’s authority and the process
described in Sections 4689.2 to 4689.6, inclusive.

(3) The department shall electronically submit to the Department
of Justice fingerprint images and related information required by
the Department of Justice of nonvendored providers of services
and supports, as specified in paragraph (1), for begin delete the end delete purposes of
obtaining information as to the existence and content of a record
of state or federal convictions and state or federal arrests and also
information as to the existence and content of a record of state or
federal arrests for which the Department of Justice establishes that
the person is free on bail or on his or her recognizance pending
trial or appeal.

(4) When received, the Department of Justice shall forward to
the Federal Bureau of Investigation requests for federal summary
criminal history information received pursuant to this section. The
Department of Justice shall review the information returned from
the Federal Bureau of Investigation and compile and disseminate
a response to the department.

(5) The Department of Justice shall provide a state or federal
response to the department pursuant to paragraph (1) of subdivision
(p) of Section 11105 of the Penal Code.

(6) The department shall request from the Department of Justice
subsequent notification service, as provided pursuant to Section
11105.2 of the Penal Code, for persons described in paragraph (1).

(7) The Department of Justice shall charge a fee sufficient to
cover the cost of processing the request described in this
subdivision.

(8) The fingerprints of any provider of services and supports
who is required to obtain a criminal background check shall be
submitted to the Department of Justice prior to employment. The
costs of the fingerprints and the financial management service’s
administrative cost authorized by the department shall be paid by
the services and supports provider or his or her employing agency.
Any administrative costs incurred by the department pursuant to
this subdivision shall be offset by the funds specified in subdivision
(g).

(9) If the criminal record information report shows a criminal
history, the department shall take the steps specified in Section
4689.2. The department may prohibit a provider of services and
supports from becoming employed, or continuing to be employed,
based on the criminal background check, as authorized in Section
4689.6. The provider of services and supports who has been denied
employment shall have the rights set forth in Section 4689.6.

(10) The department may utilize a current department-issued
criminal record clearance to enable a provider to serve more than
one participant, as long as the criminal record clearance has been
processed through the department and no subsequent arrest
notifications have been received relative to the cleared applicant.

(11) Consistent with subdivision (h) of Section 4689.2, the
participant or financial management service that denies or
terminates employment based on written notification from the
department shall not incur civil liability or unemployment insurance
liability.

(x) To ensure the effective implementation of the
Self-Determination Program and facilitate the sharing of best
practices and training materials commencing with the
implementation of the Self-Determination Program, local and
statewide advisory committees shall be established as follows:

(1) Each regional center shall establish a local volunteer advisory
committee to provide oversight of the Self-Determination Program.
The regional center and the State Council on Developmental
Disabilities shall each appoint one-half of the membership of the
committee. The committee shall consist of the regional center
clients’ rights advocate, consumers, family members, and other
advocates, and community leaders. A majority of the committee
shall be consumers and their family members. The committee shall
reflect the multicultural diversity and geographic profile of the
catchment area. The committee shall review the development and
ongoing progress of the Self-Determination Program, including
whether the program advances the principles of self-determination
and is operating consistent with the requirements of this section,
and may make ongoing recommendations for improvement to the
regional center and the department.

(2) The State Council on Developmental Disabilities shall form
a volunteer committee, to be known as the Statewide
Self-Determination Advisory Committee, comprised of the chairs
of the 21 local advisory committees or their designees. The council
shall convene the Statewide Self-Determination Advisory
Committee twice annually, or more frequently in the sole discretion
of the council. The Statewide Self-Determination Advisory
Committee shall meet by teleconference or other means established
by the council, to identify self-determination best practices,
effective consumer and family training materials, implementation
concerns, systemic issues, ways to enhance the program, and
recommendations regarding the most effective method for
participants to learn of individuals who are available to provide
services and supports. The council shall synthesize information
received from the Statewide Self-Determination Advisory
Committee, local advisory committees, and other sources, shall
share the information with consumers, families, regional centers,
and the department, and shall make recommendations, as
appropriate, to increase the program’s effectiveness in furthering
the principles of self-determination.

(y) Commencing January 10, 2017, the department shall
annually provide the following information to the appropriate
policy and fiscal committees of the Legislature:

(1) Number and characteristics of participants, by regional
center.

(2) Types and amount of services and supports purchased under
the Self-Determination Program, by regional center.

(3) Range and average of individual budgets, by regional center,
including adjustments to the budget to address the adjustments
permitted in clause (ii) of subparagraph (A) of paragraph (1) of
subdivision (n).

(4) The number and outcome of appeals concerning individual
budgets, by regional center.

(5) The number and outcome of fair hearing appeals, by regional
center.

(6) The number of participants who voluntarily withdraw from
the Self-Determination Program and a summary of the reasons
why, by regional center.

(7) The number of participants who are subsequently determined
to no longer be eligible for the Self-Determination Program and a
summary of the reasons why, by regional center.

(z) (1) The State Council on Developmental Disabilities, in
collaboration with the protection and advocacy agency identified
in Section 4900 and the federally funded University Centers for
Excellence in Developmental Disabilities Education, Research,
and Service, may work with regional centers to survey participants
regarding participant satisfaction under the Self-Determination
begin delete Program, end delete begin insert Program end insert and, when data is available, the traditional
service delivery system, including the proportion of participants
who report that their choices and decisions are respected and
supported and who report that they are able to recruit and hire
qualified service providers, and to identify barriers to participation
and recommendations for improvement.

(2) The council, in collaboration with the protection and
advocacy agency identified in Section 4900 and the federally
funded University Centers for Excellence in Developmental
Disabilities Education, Research, and Service, shall issue a report
to the Legislature, in compliance with Section 9795 of the
Government Code, no later than three years following the approval
of the federal funding on the status of the Self-Determination
Program authorized by this section, and provide recommendations
to enhance the effectiveness of the program. This review shall
include the program’s effectiveness in furthering the principles of
self-determination, including all of the following:

(A) Freedom, which includes the ability of adults with
developmental disabilities to exercise the same rights as all begin delete citizens; end delete
begin insert citizens end insert to establish, with freely chosen supporters, family and
friends, where they want to live, with whom they want to live, how
their time will be occupied, and who supports them; begin delete and, for
families, end delete begin insert and for families end insert to have the freedom to receive unbiased
assistance of their own choosing when developing a plan and to
select all personnel and supports to further the life goals of a minor
child.

(B) Authority, which includes the ability of a person with a
disability, or family, to control a certain sum of dollars in order to
purchase services and supports of their choosing.

(C) Support, which includes the ability to arrange resources and
personnel, both formal and informal, that will assist a person with
a disability to live a life in his or her community that is rich in
community participation and contributions.

(D) Responsibility, which includes the ability of participants to
take responsibility for decisions in their own lives and to be
accountable for the use of public dollars, and to accept a valued
role in their community through, for example, competitive
employment, organizational affiliations, spiritual development,
and general caring of others in their community.

(E) Confirmation, which includes confirmation of the critical
role of participants and their families in making decisions in their
own lives and designing and operating the system that they rely
on.

begin delete SEC. 53. end delete
begin insert SEC. 54. end insert   

Section 4701 of the Welfare and Institutions Code is
amended to read:

4701.  

“Adequate notice” means a written notice informing the
applicant, recipient, and authorized representative of at least all of
the following:

(a) The action that the service agency proposes to take, including
a statement of the basic facts upon which the service agency is
relying.

(b) The reason or reasons for that action.

(c) The effective date of that action.

(d) The specific law, regulation, or policy supporting the action.

(e) The responsible state agency with whom a state appeal may
be filed, including the address of the state agency director.

(f) That if a fair hearing is requested, the claimant has the
following rights:

(1) The opportunity to be present in all proceedings and to
present written and oral evidence.

(2) The opportunity to confront and cross-examine witnesses.

(3) The right to appear in person with counsel or other
representatives of his or her own choosing.

(4) The right to access to records pursuant to Article 5
(commencing with Section 4725).

(5) The right to an interpreter.

(g) Information on availability of advocacy assistance, including
referral to the developmental center or regional center clients’
rights advocate, the State Council on Developmental Disabilities,
publicly funded legal services corporations, and other publicly or
privately funded advocacy organizations, including the protection
and advocacy system required under federal Public Law 95-602,
the Developmental Disabilities Assistance and Bill of Rights Act
(42 U.S.C.A. Sec. 6000 et seq.).

(h) The fair hearing procedure, including deadlines, access to
service agency records under Article 5 (commencing with Section
4725), the opportunity to request an informal meeting to resolve
the issue or issues, and the opportunity to request mediation which
shall be voluntary for both the claimant and the service agency.

(i) If the claimant has requested an informal meeting,
information that it shall be held within 10 days of the date the
hearing request form is received by the service agency.

(j) The option of requesting mediation prior to a fair hearing,
as provided in Section 4711.5. This section shall not preclude the
claimant or his or her authorized representative from proceeding
directly to a fair hearing in the event that mediation is unsuccessful.

(k) The fair hearing shall be completed and a final administrative
decision rendered within 90 days of the date the hearing request
form is received by the service agency, unless the fair hearing
request has been withdrawn or the time period has been extended
in accordance with this chapter.

(l) Prior to a voluntary informal meeting, voluntary mediation
or a fair hearing, the claimant or his or her authorized representative
shall have the right to examine any or all documents contained in
the individual’s service agency file. Access to records shall be
provided pursuant to Article 5 (commencing with Section 4725).

(m) An explanation that a request for mediation may constitute
a waiver of the rights of a medicaid home and community-based
waiver participant to receive a fair hearing decision within 90 days
of the date the hearing request form is received by the service
agency, as specified in subdivision (c) of Section 4711.5.

(n) That if a request for a fair hearing by a recipient is
postmarked or received by a service agency no later than 10 days
after receipt of the notice of the proposed action mailed pursuant
to subdivision (a) of Section 4710, current services shall continue
as provided in Section 4715. The notice shall be in clear,
nontechnical begin delete language in end delete English. If the claimant or authorized
representative does not comprehend English, the notice shall be
provided in any other language as the claimant or authorized
representative comprehends.

(o) A statement indicating whether the recipient is a participant
in the home and community-based services waiver.

begin delete SEC. 54. end delete
begin insert SEC. 55. end insert   

Section 4702.6 of the Welfare and Institutions Code
is amended to read:

4702.6.  

“Hearing request form” means a document that shall
include the name, address, and birth date of the claimant, date of
request, reason for the request, and name, address, and relationship
to the claimant of the authorized representative, if any, and whether
the claimant is a participant in the medicaid home and
community-based waiver. The hearing request form shall also
indicate whether the claimant or his or her authorized representative
is requesting mediation. A copy of the appointment of the
authorized representative, by the claimant or the State Council on
Developmental Disabilities if any, shall also be included.

begin delete SEC. 55. end delete
begin insert SEC. 56. end insert   

Section 4705 of the Welfare and Institutions Code is
amended to read:

4705.  

(a) (1) Every service agency shall, as a condition of
continued receipt of state funds, have an agency fair hearing
procedure for resolving conflicts between the service agency and
recipients of, or applicants for, service. The State Department of
Developmental Services shall promulgate regulations to implement
this chapter by July 1, 1999, which shall be binding on every
service agency.

(2) Any public or private agency receiving state funds for the
purpose of serving persons with developmental disabilities not
otherwise subject to the provisions of this chapter shall, as a
condition of continued receipt of state funds, adopt and periodically
review a written internal grievance procedure.

(b) An agency that employs a fair hearing procedure mandated
by any other statute shall be considered to have an approved
procedure for purposes of this chapter.

(c) The service agency’s mediation and fair hearing procedure
shall be stated in writing, in English and any other language that
may be appropriate to the needs of the consumers of the agency’s
service. A copy of the procedure and a copy of the provisions of
this chapter shall be prominently displayed on the premises of the
service agency.

(d) All recipients and applicants, and persons having legal
responsibility for recipients or applicants, shall be informed
verbally of, and shall be notified in writing in a language which
they comprehend of, the service agency’s mediation and fair
hearing procedure when they apply for service, when they are
denied service, when notice of service modification is given
pursuant to Section 4710, and upon request.

(e) If, in the opinion of any person, the rights or interests of a
claimant who has not personally authorized a representative will
not be properly protected or advocated, the State Council on
Developmental Disabilities and the clients’ right advocate assigned
to the regional center or developmental center shall be notified,
and the State Council on Developmental Disabilities may appoint
a person or agency as representative, pursuant to subparagraph
(A) of paragraph (2) of subdivision (e) of Section 4540, to assist
the claimant in the mediation and fair hearing procedure. The
appointment shall be in writing to the authorized representative
and a copy of the appointment shall be immediately mailed to the
service agency director.

begin delete SEC. 56. end delete
begin insert SEC. 57. end insert   

Section 4775 of the Welfare and Institutions Code is
amended to read:

4775.  

The Legislature finds that the method of appropriating
funds for numerous programs for the developmentally disabled
affects the availability and distribution of services and must be
related to statewide planning. Therefore, the process for
determining levels of funding of programs must involve
consideration of the state plan established pursuant to Chapter 3
(commencing with Section 4561) of this division and the
participation of citizens who may be directly affected by funding
decisions.

begin delete SEC. 57. end delete
begin insert SEC. 58. end insert   

Section 4830 of the Welfare and Institutions Code is
amended to read:

4830.  

As used in this chapter:

(a) “Continuum” means a coordinated multicomponent services
system within geographic regions of the state whose design shall
support the sequential developmental needs of persons so that the
pattern of these services provides an unbroken chain of experience,
maximum personal begin delete growth end delete begin insert growth, end insert and liberty.

(b) “Normalization” means making available programs, methods,
and titles that are culturally normative, and patterns and conditions
of everyday life that are as close as possible to the norms and
patterns of the mainstream of society.

(c) “Designated agency” means the legal entity selected by the
State Department of Developmental Services to be responsible for
organizing or providing services within each continuum or both.

begin delete SEC. 58. end delete
begin insert SEC. 59. end insert   

Section 4831 of the Welfare and Institutions Code is
amended to read:

4831.  

The State Department of Developmental Services may
develop the design and phase-in plan for continuums and may
designate one or more designated agencies to implement
community living continuums throughout the state, after
consideration of a recommendation from the State Council on
Developmental Disabilities in conjunction with recommendations
from the appropriate regional center.

begin delete SEC. 59. end delete
begin insert SEC. 60. end insert   

Section 4832 of the Welfare and Institutions Code is
amended to read:

4832.  

(a) The State Council on Developmental Disabilities
may review and evaluate existing and proposed community living
arrangement programs within the various regions of the state and
may make a recommendation to the Director of Developmental
Services concerning programs that should be considered as the
most appropriate agency to be designated as responsible for the
implementation of the community living continuum within their
area. These programs shall include, but not be limited to, those
that have been funded through the issuance of Mental Retardation
Private Institutions’ Fund grants, state council program
development grants, and model state hospital programs.
Consideration shall be given to all of the following:

(1) Private nonprofit corporations.

(2) Public agencies.

(3) A joint powers agreement agency.

(b) At least one-third of the board of directors, public or begin delete private end delete
begin insert private, end insert or an advisory committee in the event a public agency is
selected, shall be composed of consumer representatives, including
members of the immediate family of the consumer.

(c) A person shall not serve as a director or advisory committee
member who has a financial interest, as defined in Section 87103
of the Government Code, in designated agency operations, except
with respect to any interest as a consumer of a designated agency
or regional center services.

begin delete SEC. 60. end delete
begin insert SEC. 61. end insert   

Section 4835 of the Welfare and Institutions Code is
amended to read:

4835.  

(a) The Director of Developmental Services may
establish uniform operational procedures, performance and
evaluation begin delete standards end delete begin insert standards, end insert and utilization criteria for
designated agencies pursuant to this chapter.

(b) These standards and criteria shall be developed with
participation by consumer organizations, the State Council on
Developmental Disabilities, the Association of Regional Center
Agencies, the State Department of Social Services, the State
Department of Health Care Services, the State Department of
Education, and the Department of Rehabilitation, and consultations
with individuals with experience in developmental services
programming.