BILL ANALYSIS �
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|SENATE RULES COMMITTEE | AB 2547|
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CONSENT
Bill No: AB 2547
Author: Beth Gaines (R)
Amended: 5/15/14 in Assembly
Vote: 21
SENATE HUMAN SERVICES COMMITTEE : 4-0, 6/24/14
AYES: Beall, DeSaulnier, Liu, Wyland
NO VOTE RECORDED: Berryhill
SENATE HEALTH COMMITTEE : 8-0, 6/18/14
AYES: Hernandez, Morrell, Beall, DeSaulnier, Evans, Monning,
Nielsen, Wolk
NO VOTE RECORDED: De Le�n
SENATE APPROPRIATIONS COMMITTEE : Senate Rule 28.8
ASSEMBLY FLOOR : 73-0, 5/23/14 (Consent) - See last page for
vote
SUBJECT : Placer County Integrated Health and Human Services
Program
SOURCE : Placer County
DIGEST : This bill deletes the July 1, 2016, sunset date of a
pilot program that allows Placer County, with the assistance of
the appropriate state departments to implement a pilot program
for the funding and delivery of services and benefits through an
integrated and comprehensive county health and human services
system, thereby making authority for this program permanent.
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ANALYSIS : Existing law:
1.Requires Placer County, with the assistance of the appropriate
state departments, within the existing resources of those
departments, to implement a pilot program upon approval of
that county, for the funding and delivery of services and
benefits through an integrated and comprehensive county health
and human services system. This program is known as the Placer
County Integrated Health and Human Services Pilot Program.
2.Requires the Placer County pilot project, in providing
services through an integrated system to families and
individuals, among other things, to do all of the following:
Implement and evaluate a system of universal intake for
those seeking services;
Implement and evaluate a system whereby a family or
individual eligible for more than one service may be
provided those services by as few as a single county
employee, through an integrated, coordinated service plan;
Implement and evaluate a system of administration that
centralizes the management and support of client services;
and
Implement and evaluate a system of reporting and
accountability that provides for the combined provision of
services, without the loss of state or federal funds
provided under current law.
1.Permits the integrated system to include, but need not be
limited to, any or all of the following:
Adoption services;
Child abuse prevention services;
Child welfare services;
Delinquency prevention services;
Drug and alcohol services;
Mental health services;
Eligibility determination;
Employment and training services;
Foster care services;
Health services;
Public health services;
Housing services;
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Medically indigent program services; and
All other appropriately identified and targeted
services, except for dental care.
1.Limits inclusion of programs or services in the pilot project
only to the extent that federal funding to either the state or
the county will not be reduced as a result of the inclusion of
the services in the project. Prohibits this pilot project from
generating any increased expenditures from the General Fund.
2.Requires the county and the appropriate state departments to
jointly seek federal approval of the pilot project, as may be
needed to ensure its funding and allow for the integrated
provision of services.
3.Prohibits the Placer County pilot program from authorizing
Placer County to discontinue meeting its obligations under
current law to provide services or to reduce its
accountability for the provision of these services, or from
authorizing Placer County to reduce Placer County's
eligibility under current law for state funding for the
services included in the pilot project.
4.Requires Placer County to utilize any and all state general
and county funds that it is legally allocated or entitled to
receive. Requires the county to maximize federal matching
funds through the creation of integrated health and social
services structures.
5.Requires the appropriate state departments that are assisting
and cooperating in the implementation of the project
authorized to have the authority to waive regulations
regarding the method of providing services and the method of
reporting and accountability, as may be required to meet the
goals of the project.
6.Sunsets the pilot program on July 1, 2016.
This bill:
1.Deletes the July 1, 2016 sunset date of a pilot program that
allows Placer County, with the assistance of the appropriate
state departments to implement a pilot program for the funding
and delivery of services and benefits through an integrated
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and comprehensive county health and human services system,
thereby making authority for this program permanent.
2.Repeals an obsolete reporting requirement regarding the pilot
program.
Background
Placer County Integrated Health and Human Services Pilot
Program. SB 1846 (Leslie, Chapter 899, Statutes of 1996)
authorized the integrated pilot program for Placer County. The
county indicates it uses this authority to create alternative
approaches to service delivery and funding structures and has
provided the authority for a consolidated contract for 12 health
care programs.
Prior Legislation
AB 1766 (Gaines, Chapter 364, Statutes of 2010) extended Placer
County's pilot program five years to July 1, 2016.
AB 2039 (Logue, 2010) would have deleted the pilot status and
made the Placer County program permanent. The bill was vetoed
Governor Schwarzenegger.
AB 1859 (Leslie, Chapter 268, Statutes of 2006) extended Placer
County's pilot program five years to July 1, 2011.
AB 308 (Leslie, Chapter 17, Statutes of 2001) extended Placer
County's pilot program five years to July 1, 2006.
AB 1259 (Strom-Martin, Chapter 705, Statutes of 1999) gave
specific authority to Alameda, Humboldt, and Mendocino Counties,
to operate an integration pilot similar to Placer County's.
AB 866 (Thomson, Chapter 265, Statutes of 1997) gave specific
authority to Solano County to operate an integration pilot
similar to Placer County's.
SB 1846 (Leslie, Chapter 899, Statutes of 1996) authorized
Placer County's pilot program to integrate the funding and
delivery of services and benefits for the county health and
human services system.
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FISCAL EFFECT : Appropriation: No Fiscal Com.: Yes
Local: No
SUPPORT : (Verified 8/6/14)
Placer County (source)
California State Association of Counties
Placer Community Foundation
ARGUMENTS IN SUPPORT : Placer County writes in support that
after nearly 18 years of operation and three sunset extensions,
this bill would allow Placer County to make this pilot project
permanent, thus allowing them to maintain the efficiencies they
have achieved by consolidating contracts and programs. Placer
County argues the ultimate benefit of this pilot project are the
clients themselves, who can receive more efficient and
coordinated services from multiple county departments that are
all working together to ensure comprehensive services are
delivered in a professional and compassionate manner. Placer
County states this pilot program has been held up as a state and
national model, and the county firmly believes it is time to
codify this method of service delivery as one that is a
permanent fixture for Placer County residents who receive
services from departments participating in the pilot.
ASSEMBLY FLOOR : 73-0, 5/23/14
AYES: Achadjian, Alejo, Allen, Ammiano, Bigelow, Bloom,
Bocanegra, Bonta, Bradford, Brown, Buchanan, Ian Calderon,
Campos, Chau, Ch�vez, Chesbro, Conway, Cooley, Dababneh,
Dahle, Daly, Dickinson, Donnelly, Eggman, Fong, Fox, Frazier,
Beth Gaines, Garcia, Gatto, Gomez, Gonzalez, Gordon, Gorell,
Gray, Grove, Hagman, Hall, Holden, Jones, Jones-Sawyer,
Levine, Linder, Logue, Lowenthal, Maienschein, Mansoor,
Medina, Mullin, Muratsuchi, Nazarian, Olsen, Pan, Patterson,
Perea, John A. P�rez, Quirk, Quirk-Silva, Rendon,
Ridley-Thomas, Rodriguez, Salas, Skinner, Stone, Ting, Wagner,
Waldron, Weber, Wieckowski, Wilk, Williams, Yamada, Atkins
NO VOTE RECORDED: Bonilla, Harkey, Roger Hern�ndez, Melendez,
Nestande, V. Manuel P�rez, Vacancy
JL:nl 8/6/14 Senate Floor Analyses
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SUPPORT/OPPOSITION: SEE ABOVE
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