BILL ANALYSIS                                                                                                                                                                                                    �



                                                                            



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          |SENATE RULES COMMITTEE            |                        SB 577|
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                                 UNFINISHED BUSINESS


          Bill No:  SB 577
          Author:   Pavley (D), et al.
          Amended:  8/21/14
          Vote:     21


           SENATE HUMAN SERVICES COMMITTEE  :  6-0, 4/23/13
          AYES:  Yee, Berryhill, Emmerson, Evans, Liu, Wright

           SENATE APPROPRIATIONS COMMITTEE  :  6-0, 1/23/14
          AYES:  De Le�n, Gaines, Hill, Lara, Padilla, Steinberg
          NO VOTE RECORDED:  Walters

           SENATE FLOOR  :  32-0, 1/28/14
          AYES:  Anderson, Beall, Berryhill, Block, Calderon, Cannella,  
            Corbett, Correa, De Le�n, DeSaulnier, Evans, Fuller, Galgiani,  
            Hancock, Hernandez, Hill, Hueso, Huff, Jackson, Lara, Leno,  
            Liu, Monning, Padilla, Pavley, Roth, Steinberg, Torres, Vidak,  
            Wolk, Wyland, Yee
          NO VOTE RECORDED:  Gaines, Knight, Lieu, Mitchell, Nielsen,  
            Walters, Wright, Vacancy

           ASSEMBLY FLOOR  :  78-1, 8/25/14 - See last page for vote


            SUBJECT  :    Autism and other developmental disabilities:   
                      employment

           SOURCE  :     California Disability Services Association 
                      State Council on Developmental Disabilities


           DIGEST  :    This bill requires the Department of Developmental  
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          Services (DDS), contingent upon receiving federal financial  
          participation, to conduct a four-year demonstration project to  
          determine whether community-based vocational development  
          services will increase employment outcomes for consumers and  
          reduce purchase of service costs for working age adults, as  
          specified.  This bill requires the development and semiannual  
          review of a plan, as specified, if community-based vocational  
          development services are determined to be necessary.  This bill  
          establishes an hourly rate for community-based vocational  
          development services for all services identified and provided in  
          the plan.  This bill requires DDS to publish a notice on their  
          Internet Web site when the demonstration project has been  
          implemented, and to make determinations and notify the  
          Legislature concerning the project's effectiveness, as  
          specified, at the project's conclusion.  This bill establishes a  
          sunset date of January 1, 2025.

           Assembly Amendments  (1) add co-authors; (2) add to the  
          legislative findings and declarations; (3) establish various  
          definitions; (4) establish a sunset date; (5) require DDS to  
          conduct a four-year demonstration project, as specified; and (6)  
          require DDS to publish specified information on their Internet  
          Web site.

           ANALYSIS  :    

          Existing law:

           1. Establishes the Lanterman Developmental Disabilities  
             Services Act which authorizes DDS to contract with Regional  
             Centers to provide services and support to individuals with  
             developmental disabilities, including autism.

           2. Governs the habilitation services provided for adult  
             consumers of Regional Centers, including work activity  
             programs, as described, and establishes an hourly rate for  
             supported employment services provided to consumers receiving  
             individualized services.

          This bill:

           1. Declares legislative findings pertaining to the difficulties  
             individuals with developmental disabilities experience when  
             seeking employment and the need to adequately assess the  

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             skills and needs of individuals with developmental  
             disabilities who are seeking jobs in order to promote  
             employment success, as specified. 

           2. States the intent of the Legislature that in order to  
             increase effectiveness and opportunity to gain meaningful  
             integrated competitive employment opportunities pursuant to  
             the state's Employment First Policy, habilitation services  
             shall also provide community-based vocational development  
             services to enhance community employment readiness, develop  
             social skills necessary for successful community employment,  
             and build a network of community and employment opportunities  
             for individuals with developmental disabilities. 

           3. Requires DDS to conduct a four-year demonstration project in  
             five Regional Centers, as specified, to determine whether  
             community-based vocational development services increase  
             integrated competitive employment outcomes and reduce  
             purchase of service costs for working age adults receiving  
             Regional Center services. 

           4. Provides that the pilot will only be implemented to the  
             extent federal financial participation is obtained, as  
             specified, and requires DDS to notify the Legislature of its  
             findings regarding the effectiveness of community-based  
             vocational development services upon the conclusion of the  
             pilot. 

           5. Defines community-based vocational development services as  
             all of the following: 

              A.    Services provided to enhance community employment  
                readiness, which may include the use of discovery and job  
                exploration opportunities; 

              B.    Social skill development services necessary to obtain  
                and maintain community employment; 

              C.    Services to use internship, apprenticeship, and  
                volunteer opportunities to provide community-based  
                vocational development skills development opportunities; 

              D.    Services to access and participate in postsecondary  
                education or career technical education; and 

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              E.    Building a network of community and employment  
                opportunities. 

           1. Requires the development of a community-based vocational  
             development services plan, as specified, if such services are  
             deemed necessary to help a person with a developmental  
             disability achieve a supported employment outcome. 

           2. Requires the habilitation service provider and the Regional  
             Center to review the plan for community-based vocational  
             services semiannually, as specified. 

           3. Authorizes hours of participation in community-based  
             vocational development services to be provided in lieu of  
             hours of participation in other community-based day program  
             services for up to two years and provides that such services  
             can be authorized for up to an additional two years if the  
             consumer is making significant progress toward his or her  
             habilitation services objectives, as specified. 

           4. Establishes, for purposes of the pilot, a new $40 per hour  
             rate for the provision of services identified in a consumer's  
             community-based vocational development services plan for a  
             maximum of 75 hours per calendar quarter. 

           5. Requires DDS to secure federal Medicaid funding prior to the  
             implementation of community-based vocational development  
             services.

           Background
           
           Employment First efforts  .  In 2009, the Legislature and Governor  
          Schwarzenegger required that the Council on Developmental  
          Disabilities (CDD) establish a standing Employment First  
          Committee to identify strategies, best practices, and  
          incentives, and to develop an Employment First Policy.  The goal  
          of the policy was to increase the number of people with  
          developmental disabilities who are employed in integrated work,  
          self-employment, and microenterprises, and in the number earning  
          wages at or above minimum wage.  The CDD also is required to  
          provide an annual report to the Legislature outlining its work  
          and making recommendations.


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          In 2011, the CDD released its first report which included  
          findings that 26.5% of working age adults with developmental  
          disabilities lives below the federal poverty line compared with  
          13% of same-aged adults in the general population.  Other  
          findings included a need for additional supports for individuals  
          to prepare for and maintain employment.  That report, and a  
          subsequent report last year, prompted a number of legislative  
          efforts to require Regional Centers to adopt an "employment  
          first" philosophy when assessing individuals for services, as  
          well as other efforts. 

           Prior/Related Legislation
           
          AB 287 (Beall, Chapter 231, Statutes of 2009) established an  
          Employment First Committee, which has led to the CDD to put  
          together an Employment First policy, the intended outcome of  
          which is a significant increase in the number of people with  
          developmental disabilities who are employed earning wages at or  
          above minimum wage.

          AB 1041 (Chesbro, 2013) requires Regional Centers to ensure that  
          consumers, beginning at 16 years of age, are provided with  
          information about options for integrated competitive employment  
          and other services including postsecondary education, available  
          to enable the consumer to transition from school to work, and to  
          achieve the outcomes of obtaining and maintaining integrated  
          competitive employment.

          AB 954 (Mainenschein, 2013) increases the hourly rate paid to  
          providers of individualized and group-supported employment  
          services from $30.82 to $34.24 and the fees paid to the interim  
          program providers from $360 or $720 to $400 and $800,  
          respectively.

           FISCAL EFFECT  :    Appropriation:  No   Fiscal Com.:  No   Local:  
           No

          According to the Assembly Appropriations Committee: 

           1. Minor and absorbable costs to DDS to administer and evaluate  
             the project. 

           2. If community-based vocational development services are  
             implemented statewide at some future date, unknown, potential  

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             short-term costs ranging from $0 to $9,400 (General Fund and  
             federal funds) per consumer to the extent that those who use  
             community-based vocational development services at the new  
             $40 per hour rate will be using less of some other less  
             costly service.  Exact costs will depend on how many  
             consumers use the new services and what services they were  
             previously using. 

           3. In the long term, if the intended outcomes of enhancing  
             employment opportunities and reducing purchase of service  
             costs are achieved, there will be cost savings over time  
             because more consumers will move from the more expensive day  
             programs into the less expensive supported employment  
             programs.

           SUPPORT :   (Verified  8/26/14)

          California Disability Services Association (co-source)
          State Council on Developmental Disabilities (co-source)
          Alameda County Board of Supervisors
          Autism Society Los Angeles
          Autism Society San Diego
          California Federation of Teachers
          Center for Autism and Related Disorders
          Developmental Disabilities Area Board 10
          Disability Rights California
          Disability Rights Education and Defense Fund
          East Bay Developmental Disabilities Legislative Coalition
          East Bay Innovations
          Easter Seals California
          Family Resource Network of Alameda County
          Friends of Children with Special Needs
          Futures Explored, Inc.
          Jay Nolan Community Services
          National Association of Social Workers - California Chapter
          PathPoint
          SEIU California
          The Alliance Supporting People with Intellectual and  
          Developmental Disabilities
          The Arc and United Cerebral Palsy California Collaboration

           ARGUMENTS IN SUPPORT  :    The Arc and United Cerebral Palsy  
          California Collaboration writes, "People with intellectual and  
          all developmental disabilities, certainly including autism, have  

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          one of the lowest employment rates and thus among the lowest  
          incomes in California.  This bill expands employment  
          opportunities in the community without jeopardizing the  
          specialized employment programs run by disability service  
          providers that remain the only real employment opportunity for  
          some people with disabilities."


           ASSEMBLY FLOOR  :  78-1, 8/25/14
          AYES:  Achadjian, Alejo, Allen, Ammiano, Bigelow, Bloom,  
            Bocanegra, Bonilla, Bonta, Bradford, Brown, Buchanan, Ian  
            Calderon, Campos, Chau, Ch�vez, Chesbro, Conway, Cooley,  
            Dababneh, Dahle, Daly, Dickinson, Eggman, Fong, Fox, Frazier,  
            Beth Gaines, Garcia, Gatto, Gomez, Gonzalez, Gordon, Gorell,  
            Gray, Grove, Hagman, Hall, Harkey, Roger Hern�ndez, Holden,  
            Jones, Jones-Sawyer, Levine, Linder, Logue, Lowenthal,  
            Maienschein, Mansoor, Medina, Melendez, Mullin, Muratsuchi,  
            Nazarian, Nestande, Olsen, Pan, Patterson, Perea, John A.  
            P�rez, V. Manuel P�rez, Quirk, Quirk-Silva, Rendon,  
            Ridley-Thomas, Rodriguez, Salas, Skinner, Stone, Ting, Wagner,  
            Waldron, Weber, 
            Wieckowski, Wilk, Williams, Yamada, Atkins
          NOES:  Donnelly
          NO VOTE RECORDED:  Vacancy


          JL:k  8/26/14   Senate Floor Analyses 

                           SUPPORT/OPPOSITION:  SEE ABOVE

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