BILL ANALYSIS                                                                                                                                                                                                    �






                                  SENATE HUMAN
                               SERVICES COMMITTEE
                          Senator Leland Y. Yee, Chair


          BILL NO:       SB 252                                       
          S
          AUTHOR:        Liu                                          
          B
          VERSION:       April 1, 2013
          HEARING DATE:  April 09, 2013                               
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          FISCAL:        Yes                                          
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          CONSULTANT:    Tepring Piquado                             

                                        
                                     SUBJECT

            Social services: CalWORKs and unemployment and disability  
                                    benefits

                                     SUMMARY  

          This bill requires the Department of Social Services (DSS)  
          and the Employment and Development Department (EDD) to work  
          together to provide information, as specified, to  
          applicants and beneficiaries of CalWORKs. Authorizes hours  
          that a pregnant woman participates in a home visiting  
          program to satisfy welfare-to-work activity hours, as  
          specified, subject to a federal waiver. Requires County  
          Welfare Department workers to consider other exemptions  
          when medical verification is not available to a pregnant  
          woman whose pregnancy impairs her ability to work.

                                     ABSTRACT  

           Existing Federal Law  :

             1)   Establishes Temporary Assistance for Needy Families  
               (TANF) which is a block grant program. (42 U.S.C. 601  
               et seq.)

             2)   Establishes The Federal Family and Medical Leave  
                                                         Continued---



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               Act which entitles eligible employees of covered  
               employers to take unpaid, job-protected leave for  
               specified family and medical reasons with continuation  
               of group health insurance coverage under the same  
               terms and conditions as if the employee had not taken  
               leave. (29 U.S.C.2601 et seq.)

             3)   Establishes in federal law The Maternal, Infant,  
               and Early Childhood Home Visiting program (MIECHV)  
               which facilitates collaboration and partnership at the  
               Federal, State and community levels to improve health  
               and development outcomes for at-risk children through  
               evidence-based home visiting programs. (42 U.S.C. 711)

             4)   Permits the Secretary of US Health and Human  
               Services Department to waive TANF state plan  
               requirements specified in Section 402 of the Social  
               Security Act to conduct an experimental, pilot, or  
               demonstration project which, in the judgment of the  
               Secretary, is likely to assist in promoting the  
               objectives of the federal law. (42 U.S.C. 1315; Social  
               Security Act Sec. 1115)

           Existing State Law:
           
             1)   Provides for the allocation of funds for cash  
               assistance and other social services for low-income  
               families through the California Work Opportunity and  
               Responsibility to Kids (CalWORKs) program. Under this  
               program, each county provides assistance through a  
               combination of state, county and federal TANF funds.  
               (WIC 10530)

             2)   Establishes, within the state disability insurance  
               program, a family temporary disability insurance  
               program, also known as paid family leave. Paid family  
               leave provides up to six weeks of wage replacement  
               benefits to workers who take time off work to care for  
               a seriously ill child, spouse, parent, domestic  
               partner, or to bond with a minor child within one year  
               of the birth or placement of the child in connection  
               with foster care or adoption. (UIC 3300)

             3)   Establishes the California Families and Children  
               Home Visit Program. Under this program, counties are  




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               awarded grants to implement an approved home visit  
               program, containing certain elements, to aid at-risk  
               families funded through the federal Maternal and Child  
               Health Services Block Grant. (WIC 18994.1)

             4)   Provides that unless otherwise exempt, an applicant  
               or recipient shall participate in welfare-to-work  
               activities up to 24 cumulative months. (WIC 11322.85  
               et seq.) 

             5)   Provides an exemption from welfare-to-work  
               activities for a woman who is pregnant and for whom it  
               has been medically verified that the pregnancy impairs  
               her ability to be regularly employed or participate in  
               welfare-to-work activities or the county has  
               determined that, at that time, her participation will  
               not readily lead to employment or that a training  
               activity is not appropriate. (WIC 11320.3 (8))

             6)   Provides that a recipient shall be excused from  
               participation for good cause when the county has  
               determined there is a condition or other circumstance  
               that temporarily prevents or significantly impairs the  
               recipient's ability to be regularly employed or to  
               participate in welfare-to-work activities. A good  
               cause exemption may include temporary illness of less  
               than 30 days without medical verification. Any month  
               that an exemption is applied shall not count as a  
               month of activities for purposes of the 24-month time  
               limit. (WIC 11320.3 (f))

             7)   Specifies that any provision of welfare-to-work  
               activities that may only be implemented pursuant to a  
               waiver from the United States Department of Health and  
               Human Services shall only be operative during the  
               period for which the waiver is granted, as specified.  
               (WIC 11329.2)

           


          This bill:
           
             1)   Requires DSS to work with EDD's insurance and  
               disability branch to ensure that each applicant and  




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               recipient of aid is provided with information about  
               paid family leave, unemployment insurance, and  
               pregnancy disability leave benefits.

             2)   Requires EDD to permit employees of DSS and county  
               human service agencies to participate in training and  
               informational sessions regarding paid family leave and  
               to make training materials and information available. 

             3)   Requires DSS to consider other potential  
               exemptions, including good cause, for pregnant a women  
               who is unable to work because her pregnancy impairs  
               her ability to work when medical verification is  
               unavailable.

             4)   Requires DSS to apply the hours that a pregnant  
               woman participates in an approved voluntary maternal,  
               infant, and early childhood home visiting program or  
               another home visiting program for low-income  
               Californians to her welfare-to-work activities for a  
               period of no longer than one year, pending receipt of  
               a waiver by the United States Department of Health and  
               Human Services.

             5)   Requires DSS to submit to the United States  
               Department of Health and Human Services a waiver to  
               apply the hours that a  pregnant woman participates in  
               an approved voluntary maternal, infant, and early  
               childhood home visiting program or another home  
               visiting program for low-income Californians to her  
               welfare-to-work activities for a period of no longer  
               than one year.

                                  FISCAL IMPACT  

          This bill has not yet been analyzed by a fiscal committee.

                            BACKGROUND AND DISCUSSION

          Purpose of the bill
           According to the author, improving coordination of programs  
          administered by the EDD and DSS for working parents and  
          pregnant women not only improves the birth outcomes and  
          academic achievement of California's children, but will  
          also reduce dependence on public assistance by helping  




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          parents to be successful in securing and retaining  
          employment after the birth of a child.

           California Work Opportunity and Responsibility to Kids  
          (CalWORKs)
           The CalWORKs program provides cash assistance to nearly  
          600,000 needy families, including approximately 1.2 million  
          children. Most of these families include adults who are  
          engaged in job training, education and other work  
          preparation activities. The overall average grant for a  
          family of three is $467 per month, or $15.56 per day.

          CalWORKs is supervised by DSS and administered by the  
          counties which determine  eligibility, cash grant levels,  
          work participation, exemptions, time limits, and sanctions.  
          CalWORKs families receive cash assistance and most receive  
          employment and supportive services designed to promote  
          self-sufficiency. The purpose of the Welfare-to-Work  
          Program is to help recipients of aid prepare for work and  
          find a job, facilitate self-sufficiency, fostering  
          self-confidence and building a future.

           Welfare-to-Work Activities
           All CalWORKs recipients are required to participate in  
          welfare-to-work activities as a condition of aid, unless  
          the recipient is exempt.  State law requires counties to  
          sanction individuals for noncompliance of welfare-to-work  
          program requirements. When a family, without good cause,  
          does not comply with program requirements, the family's  
          grant is reduced to remove support for the noncompliant  
          adult (or adults).

          Adults in a one-parent CalWORKs case are required to  
          participate in Welfare-to-Work activity or activities for  
          at least 20 hours per week, unless exempt.

          The term "work activities" means participation in 
             a)   unsubsidized employment; 
             b)   subsidized private sector employment; 
             c)   subsidized public sector employment; 
             d)   work experience (including work associated with the  
               refurbishing of publicly assisted housing) if  
               sufficient private sector employment is not available;  

             e)   on-the-job training; 




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             f)   job search and job readiness assistance; 
             g)   community service programs; 
             h)   vocational educational training (not to exceed 12  
               months with respect to any individual); 
             i)   job skills training directly related to employment;  

             j)   education directly related to employment, in the  
               case of a recipient who has not received a high school  
               diploma or a certificate of high school equivalency; 
             aa)  satisfactory attendance at secondary school or in a  
               course of study leading to a certificate of general  
               equivalence, in the case of a recipient who has not  
               completed secondary school or received such a  
               certificate; and 
             bb)  the provision of child care services to an  
               individual who is participating in a community service  
               program.

           Welfare-to-Work Exemptions
           In general, CalWORKs recipients have a 24-month time limit  
          for receiving assistance. Months the recipient has been  
          excused from participation for a specified exemption or for  
          good cause do not count toward the 24-month time limit. 

          A specific exemption from welfare to work activities may be  
          applied for a woman who is pregnant and for whom it has  
          been medically verified that the pregnancy impairs her  
          ability to be regularly employed or participate in  
          welfare-to-work activities or the county has determined  
          that, at that time, participation will not readily lead to  
          employment or that a training activity is not appropriate.
           
          A good cause exemption from welfare-to-work activities may  
          be applied when medical verification cannot be obtained. A  
          good cause exemption may be applied to exempt the pregnant  
          woman from welfare to work activities for any other reason  
          that temporarily prevents or significantly impairs a  
          recipient's ability to work regularly or go to welfare to  
          work activities.

          According to DSS, the total number of pregnancy exemptions  
          during 2012 was 10,301 (out of a total 499,525 clients who  
          were on CalWORKs for at least one month in 2012), or  
          roughly 2% of CalWORKs recipients.  The 2012 monthly  
          average number of clients receiving a pregnancy exemption  




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          was 2,553.  

           Home Visiting Programs
           The California Home Visiting Program was created as a  
          result of the Patient Protection and Affordable Care Act of  
          2010. The home visiting program's focus is to provide  
          comprehensive, coordinated in-home services to support  
          positive parenting, and to improve outcomes for families  
          residing in identified at-risk communities. The Health  
          Resources and Services Administration defines the program  
          as an evidence-based, voluntary program offered to pregnant  
          women or children birth to age 5. Programs are meant to  
          target participant outcomes which include: improved  
          maternal and child health, prevention of child injuries,  
          child abuse and maltreatment, and reduction of emergency  
          department visits, improvement in school readiness and  
          achievement, reduction in crime or domestic violence,  
          improvements in family economic self-sufficiency, and  
          improvements in the coordination and referrals for other  
          community resources and supports.

          According to the California Department of Public Health,  
          which administers the program, there were 50 clients  
          receiving CalWORKs out of 450 total MIECHV clients in the  
          state of California, as of February 1, 2013. The program  
          funds communities, not counties within Local Health  
          Jurisdictions (LHJs). Currently, 22 at-risk communities in  
          21 LHJs are awarded funds.  Sacramento has two communities,  
          Los Angeles has three and the counties of Del Norte,  
          Humboldt, and Siskiyou comprise a single LHJ. 

           Goals of the Federal Waiver
           The U.S. Department of Health and Human Services (HHS) says  
          a goal of its waiver initiative is to allow states to  
          operate experimental, pilot, or demonstration projects to  
          test "alternative and innovative strategies, policies, and  
          procedures that are designed to improve employment outcomes  
          for needy families." HHS says it is "encouraging states to  
          consider new, more effective ways to meet the goals of  
          TANF, particularly helping parents successfully prepare  
          for, find, and retain employment." 

          HHS also specifies that waivers of TANF work participation  
          standards could address the following goals: improving  
          coordination with other programs, such as programs operated  




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          under the Workforce Investment Act (WIA); testing  
          multi-year career pathways models that combine work and  
          learning; strengthening strategies for individuals with  
          disabilities; testing the effectiveness of subsidized  
          employment programs; and testing the effectiveness of  
          extending the period of time allowed for participation in  
          pre-employment activities such as vocational educational  
          training and job search and readiness.
             
          Comments
           This bill would require DSS to apply the hours that a  
          pregnant woman participates in an approved voluntary home  
          visiting program to her welfare-to-work, pending federal  
          approval. Since not all California communities offer a home  
          visit program, this bill creates geographic disparities  
          among participants in welfare-to-work activities. The  
          author may want to consider if there is a solution to this  
          potential disparity as the bill moves forward.

          While HHS endorses the home visiting programs as  
          potentially addressing a number of issues, including  
          helping families become self-sufficient, it is unclear  
          whether participating in California's home visiting  
          programs will meet the definition of welfare-to-work  
          activity participation. 

          Staff recommends the following amendments for clarity:

          SEC. 3. Section 11320.3 of the Welfare and Institutions  
          Code is amended to read:
            
          11320.3.  (8) A woman who is pregnant and for whom it has  
          been medically verified that  the pregnancy impairs her  
          ability to be regularly employed or participate in  
          welfare-to-work activities or the county has determined  
          that, at that time, participation will not readily lead to  
          employment or that a training activity is not appropriate.  
          If a pregnant woman is unable to secure this medical  
          verification,  but is otherwise eligible for exemptions from  
          the welfare-to-work requirements defined in this  
          subdivision, including good cause for temporary illness  
          related to the pregnancy, she shall be excused from  
          participation.  she shall be nonetheless eligible for other  
          exemptions from the welfare-to-work requirements, including  
          the exception for good cause provided in subdivision (f).   




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          SEC. 4. Section 11322.67 is added to the Welfare and  
          Institutions Code, to read:

          11322.67.  (b) This section shall be implemented only upon  
          receipt of a waiver  of compliance with section 402 of the  
          Social Security Act  by the United States Department of  
          Health and Human Services, in accordance with Section  
          11329.2  .  ,   for the purposes of establishing more effective  
          ways to meet the goals of CalWORKs, particularly helping  
          parents successfully prepare for employment and supporting  
          the health and well-being of children.
           
                                    POSITIONS  

          Support:       Western Center on Law & Poverty (sponsor)
                         American Association of University Women  
                         (AAUW) California
                         American Federation of State, County and  
                         Municipal Employees (AFSME), CFL-CIO
                         Asian Law Alliance
                         Breastfeed LA
                         California Association of Food Banks
                         California Black Health Network 
                         California Catholic Conference
                         California WIC Association
                         Lutheran Office of Public Policy -  
                    California
                         Sacramento Housing Alliance

          Oppose:   None received 
                                   -- END --