BILL ANALYSIS                                                                                                                                                                                                    �






                         SENATE COMMITTEE ON EDUCATION
                                Carol Liu, Chair
                           2013-2014 Regular Session
                                        

          BILL NO:       AB 2125
          AUTHOR:        Ridley-Thomas
          AMENDED:       May 23, 2014
          FISCAL COMM:   Yes            HEARING DATE: June 25, 2014
          URGENCY:       No             CONSULTANT:Lynn Lorber

           SUBJECT  :  Child care reimbursement rates.
          
           SUMMARY
           
          This bill requires the Superintendent of Public Instruction  
          to review the plan that establishes standards and assigned  
          reimbursement rates for child care and development  
          programs, and to submit recommendations for a single  
          reimbursement system that reflects the actual current cost  
          of child care based on the most recent regional market rate  
          survey.

           BACKGROUND
           
          The California Department of Education (CDE) administers  
          child care and development services through two systems: 

          1)   Direct contract with the CDE.  Providers must meet  
               health and safety standards of Title 22 and Title 5  
               requirements including higher staff qualifications and  
               provide an educational component of; providers are  
               reimbursed at the Standard Reimbursement Rate (SRR).

          2)   Voucher program administered through Alternative  
               Payment Programs (reimbursements to private sector  
               child care providers chosen by the parent).  Providers  
               must meet the health and safety standards of Title 22,  
               and are reimbursed using the Regional Market Rate  
               (RMR).

          Current law:

           Both Title 22 and Title 5 programs
           
          Establishes eligibility for child care and development  







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          services administered by the California Department of  
          Education (CDE) and requires the Superintendent of Public  
          Instruction (SPI) to adopt rules and regulations on  
          eligibility, enrollment and priority for services.   
          (Education Code � 8263).

           Title 5 programs
           
          Requires the SPI to implement a plan that establishes  
          reasonable standards and assigned reimbursement rates,  
          which vary with the length of the program year and the  
          hours of service. 

          Requires the SRR to be $3,523 per unit of average daily  
          enrollment for a 250-day year, increased by a  
          cost-of-living adjustment granted by the Legislature  
          beginning July 1, 1980. (EC � 8265)

           Title 22 programs (Stage 2 and 3 CalWORKs and Alternative  
          Payment programs)
           
          1)   Requires the cost of child care services provided for  
               CalWORKs recipients to be governed by the RMR.  
               Specifies that recipients of child care services shall  
               be allowed to choose the child care services of  
               licensed child care providers or child care providers  
               who are, by law, not required to be licensed, and the  
               cost of that child care shall be reimbursed by  
               counties or agencies that contract with the CDE if the  
               cost is within the RMR. (EC � 8357)

          2)   Defines "RMR" as care costing no more than 1.5 market  
               standard deviations above the mean cost of care for  
               that region. Establishes the RMR ceilings at the 85th  
               percentile of the 2005 RMR survey for that region.  
               Requires the CDE to contract to conduct and complete a  
               RMR survey no more than once every two years,  
               consistent with the federal regulations, with the a  
               goal of completion by March 1. 
          (EC � 8357 and � 8447)

           ANALYSIS
           
           This bill  requires the Superintendent of Public Instruction  








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          to review the standard reimbursement rates and submit  
          recommendations for a single reimbursement system.   
          Specifically, this bill:

          1)   Requires the Superintendent of Public Instruction  
               (SPI) to review the plan that establishes reasonable  
               standards and assigned reimbursement rates.  

          2)   Requires the SPI to submit, to the Legislature and the  
               Governor, recommendations for a single reimbursement  
               system that reflects the actual current cost of child  
               care based on the most recent regional market rate  
               survey.

          3)   Requires the SPI to review the plan and submit the  
               recommendation by January 1, 2016.

          4)   Sunsets the provisions of this bill on January 1,  
               2017.

           STAFF COMMENTS
           
           1)   Rate structure  .  California has established two  
               methodologies for determining the reimbursement rates  
               for child care and development services:

               a)        Regional Market Rate (RMR).  The California  
                    Department of Education (CDE) administers a  
                    voucher program that enables eligible families to  
                    choose the child care provider, which may be a  
                    licensed center, licensed family child care home,  
                    or licensed-exempt provider (must meet Title 22  
                    requirements but does not hold a license with the  
                    Department of Social Services, such as a  
                    relative).  The voucher program is administered  
                    by Alternative Payment Programs (APPs) selected  
                    by the CDE.  Voucher payments reimburse child  
                    care providers at a rate of up to the 85th  
                    percentile of the child care rates charged by  
                    private providers in the area.

               The RMR is determined by the RMR survey and very  
                    depending on the geographical location of the  
                    provider.  The RMR is based on a survey of  








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                    licensed centers and family child care homes  
                    measuring child care rates of similar  
                    socio-economic conditions.  Rate ceilings are  
                    established for each county according to  
                    estimates of the 85th percentile of rates for the  
                    various types of child care settings.  The county  
                    rate ceilings are differentiated by the age of  
                    the child (infant, preschool, school age),  
                    full-day or part-day care, and frequency of care  
                    (days per week).  Families may choose a child  
                    care provider that charges a rate above the RMR,  
                    but the provider would only be reimbursed at the  
                    RMR.  Current law requires the RMR survey to be  
                    updated every two years.  The Budget Act has, for  
                    the past several years, based the RMR on the 2005  
                    survey, thereby providing a lower rate than if  
                    based on the most recent survey.

               b)        Standard reimbursement rate (SRR).  Child  
                    care and development providers that contract  
                    directly with CDE must meet Title 5 requirements  
                    in addition to those of Title 22 (have units in  
                    Early Childhood Education, provide an educational  
                    component to child care).  Title 5 providers are  
                    reimbursed using the SRR, which is a specific  
                    rate established in statute.  From fiscal years  
                    2007-08 through the 2013-14, the SRR has been  
                    $34.38 per child per day for full-day care and  
                    $21.22 per child per day for part-day care, or a  
                    maximum of $8,595 per year based on 250 days of  
                    operation.  

           2)   Budget  .  The 2014 K-12 Education Omnibus Budget  
               trailer bill, SB 858 (Committee on Budget and Fiscal  
               Review) increases the statutory SRR from $3,523 to  
               $9,024.75 per unit of average daily enrollment for 250  
               days, beginning with the 2015-16 school year.  The  
               $3,523 was prescribed in statute years ago; the Budget  
               Act adjusts the dollar amount annually.  

          SB 858 also requires the CDE, beginning January 1, 2015, to  
               implement the RMR schedules based upon the 85th  
               percentile of county aggregates, as determined by the  
               Regional Market survey conducted in 2009.  Beginning  








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               January 1, 2015, the RMR schedule is to be reduced by  
               13 percent.  If a ceiling for a county is less than  
               the ceiling provided for that county before January 1,  
               2015, the CDE is to use the ceiling from the RMR  
               survey conducted in 2005.



           3)   LAO report  .  The LAO issued a report on April 4, 2014,  
               "Restructuring California's Child Care and Development  
               System," found, among other things, that the RMR is  
               higher than the SRR in 19 counties.  The LAO's report  
               recommends:

               a)        Reimburse vouchers based on high-, medium-,  
                    and low-cost areas. 

               b)        Provide higher subsidy for those programs  
                    required to have developmental component.

               c)        To start, set reimbursements at the 70th  
                    percentile of most recent survey.

               d)        Moving forward, align rates with standards.
                http://lao.ca.gov/reports/2014/education/child-care/res 
                    tructuring-child-care-system-040414.pdf  

           4)   Author's amendments  .  The author wishes to amend this  
               bill as follows:

               a)        Delete the requirement that the SPI review  
                    the existing plan, and instead require the SPI to  
                    develop a plan.  Staff recommends this amendment  
                    be rejected as it conflicts with amendments  
                    adopted by the Assembly Appropriations Committee.  


               b)        Clarify that the recommendations are to be  
                    based on the plan.  Staff recommends this  
                    amendment be rejected.

               c)        Specify that the single reimbursement system  
                    varies with the length of the program year and  
                    the hours of service.  Staff recommends this  








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                    amendment be rejected as this language is current  
                    law.

               d)        Requires the plan to conform to all of the  
                    following elements:

                    i)             Parent fees are to be used to pay  
                         reasonable and necessary costs for providing  
                         additional services.  Staff recommends this  
                         amendment be rejected as this language is  
                         current law.

                    ii)            When establishing standards and  
                         assigned reimbursement rates, the SPI is to  
                         confer with applicant agencies.  Staff  
                         recommends this amendment be rejected as  
                         this language is current law.

                    iii)           The reimbursement rates are to be  
                         based on the biannual regional market rate  
                         survey and include existing ceiling for  
                         Title 22 centers, family child care  
                         settings, and licensed-exempt providers at  
                         the 85th percentile and establish a rate for  
                         state-contracted programs above the rate set  
                         for Title 22 programs.  Staff recommends  
                         this amendment be modified to refer to the  
                         most recent RMR survey (rather than the  
                         biennial survey), remove reference to a  
                         specific percentile and instead simply state  
                         that rates for Title 5 programs should be  
                         above those for Title 22 programs. 

                    iv)            A provision for the expansion of  
                         the new single reimbursement system in  
                         concurrence with budget allocations for  
                         rates for programs at no more than the  
                         reimbursement rate for that fiscal year. 

                    v)             Additional recommendations of the  
                         SPI.

               e)        Require the SPI to establish a committee of  
                    members of the SPI's existing Early Learning and  








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                    Educational Support Stakeholder Group to assist  
                    in the development of the plan.  Staff recommends  
                    this amendment be modified to require the SPI to  
                    consult with members of the existing stakeholder  
                    group identified below.  

               f)        Require the committee to include, at a  
                    minimum, representatives from Title 5 centers,  
                    Alternative Payment Programs, Resource and  
                    Referral programs, family child care provider  
                    unions, and parents.  Staff recommends this  
                    amendment be modified to require the SPI to  
                    consult with these members of the existing  
                    stakeholder group.  

               g)        Require the SPI, in consultation with the  
                    committee, to develop a timeline and  
                    implementation plan for the single reimbursement  
                    rate structure including a plan and process for  
                    budget and legislative approval.  Staff  
                    recommends this amendment be modified to require  
                    the SPI to instead provide recommendations for a  
                    timeline and implementation plan.

           5)   Adjusting the rate structure  .  This bill requires the  
               SPI to review the plan that establishes the standards  
               and assigned reimbursement rates, and make  
               recommendations for a single reimbursement system for  
               both Title 22 and Title 5 providers that is based on  
               actual current costs based on the most recent RMR  
               survey.  This bill does not allow the SPI to change  
               the rate structure or adjust reimbursement rates.   
               This bill requires the SPI to make recommendations,  
               rather than develop a new plan, for a rate structure  
               that merges both the RMR and SRR into one  
               reimbursement system.  The goal is to simplify the  
               structure while preserving the differentiation between  
               Title 22 and Title 5 rates to reflect the different  
               quality of the programs.  Implementation of the SPI's  
               recommendations would be incumbent upon the  
               Legislature and Governor.  

           6)   Fiscal impact  .  According to the Assembly  
               Appropriations Committee, the current version of this  








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               bill would impose unknown administrative costs to the  
               California Department of Education, likely in the  
               range of $60,000 to $100,000 to review reimbursement  
               rates and make recommendations.

           7)   Related legislation  .  SB 1123 (Liu) makes numerous  
               substantial changes to Title 5 child care programs,  
               including recasting and revising child care services  
               for children ages 0-3 as "Strong Start" services and  
               requires all child care programs to employ at least  
               one teacher per classroom by July 1, 2019.  SB 1123 is  
               scheduled to be heard in the Assembly Education  
               Committee on June 25.

           8)   Prior legislation  .  ACR 45 (Weber, Chapter 75, 2013)  
               urges the California State Legislature and the  
               Governor to restore budget funding to early care and  
               education programs and to support efforts to fund and  
               implement the Quality Rating and Improvement System  
               and other programs that support early care and  
               education.

          AB 2286 (Bonilla, 2012) would have increased the  
               infant/toddler rates.  AB 2286 was held in the  
               Assembly Appropriations Committee.  

           SUPPORT
           
          California Alternative Payment Program
          California Association of Urban League Executives
          California Child Care Resource and Referral Network
          California Child Development Administrators Association
          Child Care Alliance of Los Angeles
          Child Care Resource Center
          Compton Unified School District
          Greater Sacramento Urban League
          Los Angeles County Education Foundation
          Los Angeles County Office of Education

           OPPOSITION

           None on file.










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