BILL ANALYSIS                                                                                                                                                                                                    �



                                                                  AB 2570
                                                                  Page  1

          Date of Hearing:  April 29, 2014
          Counsel:       Stella Choe


                         ASSEMBLY COMMITTEE ON PUBLIC SAFETY
                                 Tom Ammiano, Chair

                AB 2570 (Skinner) - As Introduced:  February 21, 2014
           
           
           SUMMARY  :  Adds health care programs as one of the types of  
          programs for inmates and parolees operated by the Department of  
          Corrections and Rehabilitation (CDCR) that the California  
          Rehabilitation Oversight Board (C-ROB) must regularly examine,  
          and make reports, findings, and recommendations. 

           EXISTING LAW  : 

          1)Creates C-ROB within the Office of the Inspector General  
            (OIG), and states that C-ROB shall consist of the following 11  
            members (Pen. Code, � 6140):

             a)   The Inspector General, who shall serve as chair.

             b)   The Secretary of CDCR.

             c)   The Superintendent of Public Instruction, or his or her  
               designee.

             d)   The Chancellor of the California Community Colleges, or  
               his or her designee.

             e)   The Director of Health Care Services, or his or her  
               designee.

             f)   The Director of State Hospitals, or his or her designee.

             g)   A faculty member of the University of California who has  
               expertise in rehabilitation of criminal offenders,  
               appointed by the President of the University of California.

             h)   A faculty member of the California State University, who  
               has expertise in rehabilitation of criminal offenders,  
               appointed by the Chancellor of the California State  
               University.








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             i)   A county sheriff, appointed by the Governor.

             j)   A county chief probation officer, appointed by the  
               Senate Committee on Rules.

             aa)  A local government official who provides mental health,  
               substance abuse, or educational services to criminal  
               offenders, appointed by the Speaker of the Assembly.

          2)Requires C-ROB to meet at least quarterly, and regularly  
            examine the various mental health, substance abuse,  
            educational, and employment programs for inmates and parolees  
            operated by CDCR. C-ROB shall report to the Governor and the  
            Legislature biannually, on March 15 and September 15, and may  
            submit other reports during the year if it finds they are  
            necessary. The reports shall include, but are not limited to,  
            findings on the effectiveness of treatment efforts,  
            rehabilitation needs of offenders, gaps in rehabilitation  
            services in CDCR, and levels of offender participation and  
            success in the programs. C-ROB shall also make recommendations  
            to the Governor and Legislature with respect to modifications,  
            additions, and eliminations of rehabilitation and treatment  
            programs.  (Pen. Code, � 6141.)

           FISCAL EFFECT  :   Unknown

           COMMENTS  :   

           1)Author's Statement  :  According to the author, "There are a  
            variety of programs that assist inmates and parolees become  
            productive citizens in our communities.  Under current law,  
            the California Rehabilitation Oversight Board (The Board) is  
            the entity charged with reviewing these rehabilitation and  
            treatment programs. The goal of this review is to ensure that  
            the State has adequate services for inmates and parolees and  
            also to identify deficiencies.  The Board was created in 2007  
            to provide recommendations to the Legislature and the Governor  
            on whether inmate rehabilitation and treatment programs need  
            modification, additions, or elimination.  Successful  
            rehabilitation programs would mean less recidivism throughout  
            the state.

            "Currently, the Board is not required to review health care  
            programs that would help inmates and parolees rehabilitate.   








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            The health care of an inmate is a key factor in whether he or  
            she will be able to successfully reintegrate into society.  
            Inmates who need medical attention in prison are likely to  
            also need health care once released.  Research shows that  
            formerly incarcerated individuals who have access to medical  
            services upon release have reduced recidivism rates,  
            increasing the likelihood they will become productive  
            citizens. A recent report studying the social and health  
            factors affecting recently released inmates concludes that  
            health insurance coverage for recently released inmates is  
            strongly associated with reduced recidivism rates for men and  
            women. Adding health care review to the Board's purview would  
            allow the state to identify programs to assist inmates who  
            will need medical services upon release.    

            "Furthermore, MediCal has been expanded to previously  
            uncovered populations in California, including single men  
            making less than 133% of the federal poverty rate. Under the  
            expansion, a portion of individuals currently sentenced, and  
            those recently released, are now eligible for MediCal.  The  
            Board should review health care programs to better understand  
            ways to help formerly incarcerated individuals take advantage  
            of the recent MediCal expansion.  

            "AB 2570 requires the California Rehabilitation Oversight  
            Board to review and examine health care programs that are  
            offered to inmates and parolees. This would allow the Board to  
            make recommendations to the Legislature on any possible  
            remedies that would make these programs more efficient and  
            effective."

           2)Background :  According to the OIG's web site, "Assembly Bill  
            900 (the Public Safety and Offender Rehabilitation Services  
            Act of 2007) created the California Rehabilitation Oversight  
            Board (C-ROB) within the Office of the Inspector General.  
            C-ROB's mandate is to regularly examine the various mental  
            health, substance abuse, educational, and employment programs  
            for inmates and parolees operated by the Department of  
            Corrections and Rehabilitation (department).

            "C-ROB shall meet no less than quarterly and shall submit  
            reports to the Governor and the Legislature no less than  
            biannually (March 15 and September 15). C-ROB reports shall  
            include findings on the effectiveness of treatment efforts,  
            rehabilitation needs of offenders, gaps in offender  








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            rehabilitation services in the department, and levels of  
            offender participation and success in the programs. The board  
            shall also make recommendations to the Governor and the  
            Legislature with respect to modifications, additions, and  
            eliminations of offender rehabilitation and treatment  
            programs. C-ROB reports shall be available to the public and  
            may be downloaded from this Web site."   
            ( [as of Apr. 23,  
            2014.)

            "C-ROB, in doing its work, is required by statute to use the  
            findings and recommendations published by the Expert Panel on  
            Adult Offender and Recidivism Reduction Programs.  The Expert  
            Panel Report stresses that the well-established means of  
            program provision called evidence-based programming is  
            essential to the success of these suggested programs.   
            Briefly, evidence-based programming assumes that programs are  
            appropriate to the needs of the offender, that the programs  
            are well conceived, administered, and staffed, and that they  
            are continuously evaluated for effectiveness. Not all  
            substance abuse programs or work preparation programs are  
            alike. Evidence-based programming allows agencies to select  
            the most appropriate and potentially effective programs to  
            meet the needs of offenders under their supervision." (See  
            C-ROB Biannual Report (March 15, 2014), pg. 2.)  
             
            "The Expert Panel identified eight evidence-based principles  
            and practices, collectively called the California Logic Model.  
            The California Logic Model shows what effective rehabilitation  
            programming would look like if California implemented the  
            Expert Panel's recommendations. The California Logic Model  
            provides the framework for effective rehabilitation  
            programming as an offender moves through the State  
            correctional system.

            "The eight basic components of the California Logic Model are:

             a)   Assess high risk. Target offenders who pose the highest  
               risk to reoffend.

             b)   Assess needs.  Identify offenders' criminogenic  
               needs/dynamic risk factors.

             c)   Develop behavior management plans. Utilize assessment  
               results to develop an individualized case plan.








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             d)   Deliver programs. Deliver cognitive behavioral programs  
               offering varying levels of duration and intensity.

             e)   Measure progress. Periodically evaluate progress, update  
               treatment plans, measure treatment gains, and determine  
               appropriateness for program completion.

             f)   Prepare for reentry. Develop a formal reentry plan prior  
               to program completion to ensure a continuum of care.

             g)   Reintegrate. Provide aftercare through collaboration  
               with community providers.

             h)   Follow up. Track offenders and collect outcome data.

            "National research has produced evidence that for every $1.00  
            invested in rehabilitative programming for offenders, at least  
            $2.50 is saved in correctional costs." (Id. at pp. 2-3.)  
             
           3)Prior Legislation  :  

             a)   AB 720 (Skinner), Chapter 646, Statutes of 2013,  
               requires the board of supervisors in each county to  
               designate an entity to assist certain jail inmates to apply  
               for a health insurance affordability program, as defined.   
               Prohibits county jail inmates who are currently enrolled in  
               the Medi-Cal from being terminated from the program due to  
               their detention, unless required by federal law or they  
               become otherwise ineligible, as specified.  
              
             b)   AB 900 (Solorio), Chapter 7, Statutes of 2007, created  
               C-ROB within the Office of the Inspector General to  
               regularly examine and report to the Legislature and  
               Governor on the various mental health, substance abuse, and  
               educational and employment programs for inmates and  
               parolees operated by CDCR. AB 900 also provided that C-ROB  
               shall make recommendations with respect to modifications,  
               additions, and eliminations of rehabilitation and treatment  
               programs.

           REGISTERED SUPPORT / OPPOSITION  :   

           Support 
           








                                                                  AB 2570
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          Taxpayers for Improving Public Safety

           Opposition 
           
          None

           Analysis Prepared by  :    Stella Choe / PUB. S. / (916) 319-3744