AB 2125, as amended, Ridley-Thomas. Child care: standard reimbursement rates.
Existing law establishes a system of child care and development services for children from infancy to 13 years of age and provides certain requirements for the payment by the state for these child care and development services. Existing law requires the Superintendent of Public Instruction to implement a plan that establishes reasonable standards and assigned reimbursement rates, as provided, and requires the standard reimbursement rate to be $3,523 per unit of average daily enrollment for a 250-day year, increased by the cost-of-living adjustment granted by the Legislature. Existing law requires the plan to require agencies having an assigned reimbursement rate above the current year standard reimbursement rate to reduce costs on an incremental basis to achieve the standard rate and requires the plan to provide for adjusting reimbursements on a case-by-case basis, as provided.
This bill would delete these requirements relating to assigned reimbursement rates and reimbursement adjustments. The bill would delete references to the standard reimbursement rate and instead would requirebegin insert, among other things,end insert the reimbursement rate tobegin delete reflect the actual current cost of careend deletebegin insert be based on the most recent regional market rate survey with the ceiling established at the 100th percentileend insert in each region per unit of average daily enrollment for a 250-day year. The bill would make conforming changes.
Existing law applies various adjustment factors to specified programsbegin insert, including programs for infants and toddlers,end insert for which reimbursement rates are at or below the standard reimbursement rate, as provided.
This bill would delete the requirement that the adjustment factors apply to those specified programs.begin insert The bill would also delete the adjustment factors for infants and toddlers.end insert
Existing law authorizes programs above the standard reimbursement rate to be considered on a case-by-case basis for rate adjustments due to documented increases in insurance costs.
This bill would delete this provision.
Existing law requires the cost of child care services provided to CalWORKs recipients to be governed by regional market rates. Existing law requires regional market rate ceilings to be established at the 85th percentile of the 2005 regional market rate survey for that region.
This bill would instead establish the market rate ceiling at the 85th percentile of thebegin delete currentend deletebegin insert most recentend insert regional market rate survey for that region.
Vote: majority. Appropriation: no. Fiscal committee: yes. State-mandated local program: no.
The people of the State of California do enact as follows:
Section 8265 of the Education Code is amended
2to read:
(a) The Superintendent shall implement a plan that
4establishes reasonable standards and assigned reimbursement rates,
5through a single reimbursement system, which vary with the length
6of the program year and the hours of service.
7(1) Parent fees shall be used to pay reasonable and necessary
8costs for providing additional services.
9(2) When establishing standards and assigned reimbursement
10rates, the Superintendent shall confer with applicant agencies.
11(3) The reimbursement system, including standards and rates,
12shall be submitted to the
Joint Legislative Budget Committee.
P3 1(4) The Superintendent may establish any regulations he or she
2deems advisable concerning conditions of service and hours of
3enrollment for children in the programs.
4(b) begin insert(1)end insertbegin insert end insert The reimbursement rate shallbegin delete reflect the actual current begin insert be based on the most recent regional market rate
5cost of careend delete
6survey with the ceiling established at the 100th percentileend insert in each
7region
per unit of average daily enrollment for a 250-day
year.
8begin insert The department may divide the weekly regional market rate by
9five to obtain a daily rate.end insert
10(2) Beginning with the year of the most recent market rate survey
11established pursuant to paragraph (1), as amended by this act in
12the 2013-14 Regular Session of the Legislature, contractors that
13are expected to receive less under the most recent regional market
14rate survey than what they previously received shall instead receive
15the reimbursement rate that was in effect on July 1, 2014, until the
16reimbursement rate specified in paragraph (1) exceeds that rate.
17(c) The plan shall provide for expansion of child development
18programs at no more
than the reimbursement rate for that fiscal
19year.
20(d) The Superintendent may reduce the percentage of reduction
21for a public agency that satisfies any of the following:
22(1) Serves more than 400 children.
23(2) Has in effect a collective bargaining agreement.
24(3) Has other extenuating circumstances that apply, as
25determined by the Superintendent.
Section 8265.5 of the Education Code is amended to
27read:
(a) In order to reflect the additional expense of serving
29children who meet any of the criteria outlined in paragraphs (1)
30tobegin delete (7),end deletebegin insert (4),end insert inclusive, of subdivision (b) the provider agency’s
31reported child days of enrollment for these children shall be
32multiplied by the adjustment factors listed below.
33(b) Pursuant to subdivision (a), the following adjustment factors
34shall
apply:
35(1) For infants who are 0 to 18 months of age and are served in
36a child day care center, the adjustment factor shall be 1.7.
37(2) For toddlers who are 18 to 36 months of age and are served
38in a child day care center, the adjustment factor shall be 1.4.
P4 1(3) For infants and toddlers who are 0 to 36 months of age and
2are served in a family child care home, the adjustment factor shall
3be 1.4.
4(4)
end delete
5begin insert(1)end insert For children with exceptional needs who are 0 to 21 years
6of age, the adjustment factor shall be 1.2.
7(5)
end delete
8begin insert(2)end insert For severely disabled children who are 0 to 21 years of age,
9the adjustment factor shall be 1.5.
10(6)
end delete
11begin insert(3)end insert For a child at risk of neglect, abuse, or exploitation who are
120 to 14 years of age, the adjustment factor shall be 1.1.
13(7)
end delete
14begin insert(4)end insert For limited-English-speaking and non-English-speaking
15children who arebegin delete 2end deletebegin insert twoend insert years of age through kindergarten age, the
16adjustment factor shall be 1.1.
17(c) Use of the adjustment factors shall not increase the provider
18agency’s
total annual allocation.
19(d) Days of enrollment for children having more than one of
20the criteria outlined in paragraphs (1) tobegin delete (7),end deletebegin insert (4),end insert inclusive, of
21subdivision (b) shall not be reported under more than one of the
22above categories.
23(e) The difference between the reimbursement resulting from
24the use of the adjustment factors outlined in paragraphs (1) tobegin delete (7),end delete
25begin insert (4),end insert inclusive, of subdivision (b) and the reimbursement that would
26otherwise
be received by a provider in the absence of the
27adjustment factors shall be used for special and appropriate services
28for each child for whom an adjustment factor is claimed.
Section 8265.7 of the Education Code is repealed.
Section 8266 of the Education Code is amended to
31read:
(a) Notwithstanding Section 8265, the assigned
33reimbursement rate of a center-based child care agency (1)
34contracting with the department, (2) operating under licensing
35standards for child care and development facilities specified by
36Section 1500 et seq. of the Health and Safety Code and by Title
3722 of the California Code of Regulations, and (3) with less than a
38majority of subsidized children enrolled in the facility, shall be
39equivalent to the fee paid for the same service by families of
40nonsubsidized children.
P5 1(b) (1) It is not the intent of the Legislature to preclude an
2agency with a contract with the department
from adjusting the fees
3charged to nonsubsidized children during the contract year.
4(2) These agencies shall provide documentation to the
5department that subsidized children, as necessary and appropriate,
6shall receive supportive services through county welfare
7departments, resource and referral programs, or other existing
8community resources, or all of them.
Section 8266.1 of the Education Code is amended to
10read:
Commencing with the 1995-96 fiscal year and each
12fiscal year thereafter, for the purposes of this chapter,
13reimbursement rates shall be adjusted by the following
14reimbursement factors for child care and development programs
15but shall not apply to the Resource and Referral Programs set forth
16in Article 2 (commencing with Section 8210), the Alternative
17Payment Programs set forth in Article 3 (commencing with Section
188220), the part-day California state preschool programs set forth
19in Article 7 (commencing with Section 8235),
or to the schoolage
20parent and infant development programs:
21(a) For child care and development providers serving children
22for less than four hours per day, the reimbursement factor is 55
23percent of the reimbursement rate.
24(b) For child care and development program providers serving
25children for not less than four hours per day, and less than six and
26one-half hours per day, the reimbursement factor is 75 percent of
27the reimbursement rate. For providers operating under the At Risk
28Child Care Program set forth in Article 15.5 (commencing with
29Section 8350) and serving children for not less than four hours per
30day, and less than seven hours per day, the reimbursement factor
31is 75 percent of the reimbursement rate.
32(c) For child care and development program providers serving
33children for not less than six and one-half hours per day, and less
34than 10 and one-half hours per day, the reimbursement factor is
35100 percent of the reimbursement rate. For providers operating
36under the At Risk Child Care Program set forth in Article 15.5
37(commencing with Section 8350) and serving children for not less
38than seven hours per day, and less than 10 hours per day, the
39reimbursement factor is 100 percent of the reimbursement rate.
P6 1(d) For child care and development program providers serving
2children forbegin delete 10end deletebegin delete1⁄2end deletebegin delete end deletebegin insert
10 and one-halfend insert hours or more per day, the
3reimbursement factor is 118 percent of the reimbursement rate.
Section 8357 of the Education Code is amended to
5read:
(a) The cost of child care services provided under this
7article shall be governed by regional market rates. Recipients of
8child care services provided pursuant to this article shall be allowed
9to choose the child care services of licensed child care providers
10or child care providers who are, by law, not required to be licensed,
11and the cost of that child care shall be reimbursed by counties or
12agencies that contract with the State Department of Education if
13the cost is within the regional market rate. For purposes of this
14section, “regional market rate” means care costing no more than
151.5 market standard deviations above the mean cost of care for
16that region. The regional market rate ceilings shall be established
17at the 85th percentile of thebegin delete currentend deletebegin insert
most recentend insert regional market
18rate survey for that region.
19(b) Reimbursement to license-exempt child care providers shall
20not exceed 60 percent of the family child care home rate established
21pursuant to subdivision (a), effective July 1, 2011.
22(c) Reimbursement to child care providers shall not exceed the
23fee charged to private clients for the same service.
24(d) Reimbursement shall not be made for child care services
25when care is provided by parents, legal guardians, or members of
26the assistance unit.
27(e) A child care provider located on an Indian reservation or
28rancheria and exempted from state licensing requirements shall
29meet
applicable tribal standards.
30(f) For purposes of this section, “reimbursement” means a direct
31payment to the provider of child care services, including
32license-exempt providers. If care is provided in the home of the
33recipient, payment may be made to the parent as the employer,
34and the parent shall be informed of his or her concomitant legal
35and financial reporting requirements. To allow time for the
36development of the administrative systems necessary to issue direct
37payments to providers, for a period not to exceed six months from
38the effective date of this article, a county or an alternative payment
39agency contracting with the State Department of Education may
P7 1reimburse the cost of child care services through a direct payment
2to a recipient of aid rather than to the child care provider.
3(g) Counties and alternative payment programs shall not be
4bound by the rate limits described in subdivision (a) when there
5are, in the region, no more than two child care providers of the
6type needed by the recipient of child care services provided under
7this article.
8(h) Notwithstanding any other law, reimbursements to child
9care providers based upon a daily rate shall only be authorized
10under either of the following circumstances:
11(1) A family has an unscheduled but documented need of six
12hours or more per occurrence, such as the parent’s need to work
13on a regularly scheduled day off, that exceeds the certified need
14for child care.
15(2) A family has a documented need of six hours or more per
16day
that exceeds no more than 14 days per month. In no event shall
17reimbursements to a provider based on the daily rate over one
18month’s time exceed the provider’s equivalent full-time monthly
19rate or applicable monthly ceiling.
20(3) This subdivision shall not limit providers from being
21reimbursed for services using a weekly or monthly rate, pursuant
22to subdivision (c) of Section 8222.
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