BILL ANALYSIS                                                                                                                                                                                                    �




                   Senate Appropriations Committee Fiscal Summary
                            Senator Kevin de Le�n, Chair


          AB 1626 (Maienschein) - Developmental services: habilitation.
          
          Amended: As introduced.         Policy Vote: Human Services 4-0
          Urgency: No                     Mandate: No
          Hearing Date: June 30, 2014                             
          Consultant: Brendan McCarthy    
          
          This bill meets the criteria for referral to the Suspense File.
          
          
          Bill Summary: AB 1626 would increase the rates paid by the  
          Department of Developmental Services for supported employment  
          services by specified amounts.

          Fiscal Impact: 
              Annual costs of $8.1 million per year for increased rates  
              paid for group supported employment services by regional  
              centers under the Department of Developmental Services (65%  
              General Fund, 35% federal funds).

              Annual costs of $2 million per year for increased rates  
              paid for individualized supported employment services by  
              regional centers under the Department of Developmental  
              Disabilities (65% General Fund, 35% federal funds).

              Potential annual costs of $1.8 million per year for  
              increased rates paid for supported employment services by  
              the Department of Rehabilitation (20% General Fund, 80%  
              federal funds). The bill does not directly raise the rates  
              paid by the Department of Rehabilitation for supported  
              employment services. However,  through regulation, the  
              Department of Rehabilitation has set the rates it pays for  
              supported employment services equal to those paid by the  
              regional centers under the Department of Developmental  
              Services. In order to ensure that providers of supported  
              employment services continue to provide services to  
              consumers through the Department of Rehabilitation, the  
              Department may need to raise its rates to match those  
              provided by the Department of Developmental Services.

              No significant fiscal impact is anticipated by requiring  
              the regional centers to pay for employment preparation  








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              services in cases where regional center consumers are placed  
              on a waiting list for services from the Department of  
              Rehabilitation (General Fund and federal funds).

          Background: California provides community-based services to  
          approximately 250,000 persons with developmental disabilities  
          and their families through a statewide system of 21 regional  
          centers. Regional centers are private, nonprofit agencies under  
          contract with the Department of Developmental Services for the  
          provision of various services and supports to people with  
          developmental disabilities. As a single point of entry, regional  
          centers provide diagnostic and assessment services to determine  
          eligibility; convene planning teams to develop an Individual  
          Program Plan for each eligible consumer; and either provide or  
          obtain from generic agencies appropriate services for each  
          consumer in accordance with the Individual Program Plan. 

          Regional centers provide a variety of employment-related  
          services and supports to consumers. For example, work activity  
          programs (sometimes referred to as sheltered workshops) provide  
          opportunities for consumers to work in groups in a structured  
          environment under the supervision of a regional center vendor.  
          Consumers may also make use of supported employment services,  
          which are designed to assist consumers in achieving employment  
          in a traditional workplace. Typically, supported employment  
          services include various types of job coaching to assist  
          consumers in performing their duties and working with coworkers,  
          supervisors, and the public. Supported employment services are  
          available in groups of three to eight consumers or individually,  
          depending on the specific consumer's needs. Individualized  
          supported employment services must decrease over time until  
          stabilization of the consumer's needs is achieved.

          Under current law, when regional center consumers require  
          habilitation services to prepare for employment, they are  
          referred to the Department of Rehabilitation for habilitation  
          services. (Regional center consumers can receive supported  
          employment services from both a regional center and the  
          Department of Rehabilitation, depending on the individual  
          consumer's needs.)  If a regional center consumer is placed on a  
          waiting list for services by the Department of Rehabilitation  
          (due to budget constraints), current law requires certain  
          habilitation services to be provided by regional centers (via  
          vendors). 








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          As part of the 2008-09 Budget Act, rates paid to regional center  
          vendors for a variety of services, including supported  
          employment services, were reduced by 10% in order to achieve  
          budget savings.

          Proposed Law: AB 1626 would increase the rates paid by the  
          Department of Developmental Services for supported employment  
          services by specified amounts.

          Specific provisions of the bill would:
              Increase the hourly rate for both individualized and group  
              supported employment services provided by regional centers  
              from $30.82 to $34.24 per hour;
              Increase the fees that regional centers pay interim program  
              providers to complete the intake process from $360 to $400;
              Increase the fees that regional centers pay program  
              providers for both placement in a job and after 90 days of  
              retention in a job from $720 to $800 when a regional center  
              consumer has been placed on a Department of Rehabilitation  
              waitlist.

          The rate increases proposed in this bill would restore the rate  
          reductions imposed as part of the 2008-09 Budget Act.

          Related Legislation: 
              AB 954 (Maienschein, 2013) was identical to this bill. That  
              bill was held on the Assembly Appropriations Committee's  
              Suspense File.
              AB 1112 (Ammiano, 2013) would have required certain  
              employment support services provided by regional centers to  
              be paid at the same rates that the Department of  
              Rehabilitation pays for those services. That bill was held  
              on this committee's Suspense File and subsequently amended  
              to address a different subject.

          Staff Comments: In the last 25 years, the Department or  
          Rehabilitation has only placed regional center consumers on a  
          waiting list for one brief period. Under current practice,  
          regional center consumers are given priority for habilitation  
          services. Therefore, it is unlikely that this bill will result  
          in any significant increase in costs to the regional centers by  
          requiring the regional centers to pay for employment preparation  
          services, if regional center consumers are placed on a waiting  








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          list by the Department of Rehabilitation.