BILL ANALYSIS                                                                                                                                                                                                    �



                                                                  AB 2349
                                                                  Page  1

          Date of Hearing:   May 21, 2014

                        ASSEMBLY COMMITTEE ON APPROPRIATIONS
                                  Mike Gatto, Chair

                   AB 2349 (Yamada) - As Amended:  March 28, 2014 

          Policy Committee:                              Human  
          ServicesVote:5 - 2 

          Urgency:     No                   State Mandated Local Program:  
          No     Reimbursable:              

           SUMMARY  

          This bill establishes the Office of Community Care Coordination  
          within the Department of Developmental Services (DDS) to be  
          located on the grounds of the Sonoma Developmental Center  
          campus. Specifically, this bill:

          1)Requires the Office to develop a plan to establish facilities  
            to assist former residents of developmental centers and to  
            expand and enhance existing community services and supports by  
            January 1, 2016.

          2)Requires the plan to be consistent with the master plan for  
            the future of developmental centers prepared by the California  
            Health and Human Services Agency and address specific facility  
            and service needs.
           
          3)Requires the Office to develop, as part of the plan, a precise  
            definition of a "placement of last resort" and an "acute  
            crisis clinic," including a description of the services  
            offered at each, and requires the Office to identify which  
            modifications are necessary to enable the Sonoma DC to operate  
            as a placement of last resort and an acute crisis clinic.

           FISCAL EFFECT  

          1)Minor and absorbable costs to the DDS to develop the required  
            plan.

          2)Significant one-time costs, likely in the range of $1 million  
            (GF) to establish the office on the Sonoma campus. These costs  
            include staffing, operating expenses, and equipment.








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          3)On-going, unknown costs, likely in the hundreds of thousands  
            of dollars, to staff and operate the facility.  DDS notes this  
            bill is duplicative of functions the department does (or could  
            do) already without establishing a new office at Sonoma.

           COMMENTS  

           1)Purpose  . According to the author, "The Sonoma Developmental  
            Center has faithfully served the needs of residents who have  
            challenging behavioral and complex medical needs and is an  
            invaluable part of the Sonoma Valley. The challenges faced by  
            the Sonoma Development Center uniquely position it to develop  
            and implement the changes called for by the Future of  
            Developmental Centers Task Force. This bill would implement  
            the recommendations outlined in the Task Force's findings and  
            ensure that a plan is in place to care for the developmental  
            center's neediest residents." 


           2)Developmental centers (DCs)  . Approximately 1,300 regional  
            center consumers reside at one of California's four  
            developmental centers (Lanterman, Porterville, Sonoma, and  
            Fairview) and one state-operated, specialized community  
            facility (Canyon Springs). These facilities provide 24-hour  
            habilitation and medical and social treatment services. Of the  
            four remaining DCs, Sonoma DC has the largest population, with  
            451 residents. It is the oldest facility in California that  
            was established specifically to serve the needs of individuals  
            with developmental disabilities. 



           3)Task Force on the Future of Developmental Centers  . 2013 budget  
            trailer bill language required California's Health and Human  
            Services Agency (CHHS) to submit to the Legislature a master  
            plan for the future of DCs by November 15, 2013, and to submit  
            to the Legislature, by January 10, 2014, the administration's  
            plans to meet the service needs of all current residents of  
            the DCs. The secretary formed the Task Force on the Future of  
            Developmental Centers to offer input leading to the  
            development of the CHHS plans.











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            On January 13, 2014, CHHS released the "Plan for the Future of  
            Developmental Centers in California." The subsequent plans  
            required to implement the recommendations of the master plan  
            have yet to be released, and an official timeline for the  
            release of those plans has not been released. 





            This bill codifies the recommendations provided in the  
            administration's plan with respect to individuals with  
            challenging behavior and support needs, and seeks to ensure  
            that the Sonoma DC campus becomes an indispensable component  
            of that Plan moving forward. 


           4)Related Legislation  .


             a)   SB 1344 (Evans) 2014, requires the state to establish  
               the Sonoma Developmental Center as the center of last  
               resort for Northern California, and requires DDS to confer  
               with the County of Sonoma to develop a detailed action plan  
               prior to establishing the Center as a center of last resort  
               to ensure the inclusion and participation of certain  
               community entities, including consumers living in the  
               developmental center and the State Council on Developmental  
               Disabilities. This bill is pending on the Senate  
               Appropriations Committee's Suspense File.


             b)   SB 1428 (Evans) 2014, requires that, prior to the  
               development of any plan for the sale, lease, transfer, or  
               major change of use of any portion of the Sonoma DC, DDS  
               and the Department of General Services confer and cooperate  
               with public and private entities in the development of an  
               improvement and redevelopment plan for the center. This  
               bill is pending on the Senate Appropriations Committee's  
               Suspense File.


             c)   AB 89 Chapter 25, Statutes of 2013, a 2013-2014 budget  
               trailer bill, required the Secretary of the Health and  








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               Human Services Agency to submit a master plan for the  
               future of DCs and subsequent plan for individuals living in  
               those centers. 
           
          Analysis Prepared by  :    Jennifer Swenson / APPR. / (916)  
          319-2081