BILL ANALYSIS                                                                                                                                                                                                    �






                                  SENATE HUMAN
                               SERVICES COMMITTEE
                            Senator Carol Liu, Chair


          BILL NO:       SB 899                                       
          S
          AUTHOR:        Mitchell                                     
          B
          VERSION:       January 14, 2014
          HEARING DATE:  April 8, 2014                                
          8
          FISCAL:        Yes                                          
          9
                                                                      
          9
          CONSULTANT:    Mareva Brown                                  

          

                                     SUBJECT
                                         
                             CalWORKs: eligibility

                                     SUMMARY  

          This bill deletes California's Maximum Family Grant rule,  
          which prohibits CalWORKs payments from being made on behalf  
          of children who were conceived after a family begins  
          receiving aid except in cases of rape, incest or  
          contraception failure, as specified. This bill also  
          prohibits an applicant or recipient from being required to  
          share confidential medical information as a condition of  
          aid eligibility or from being required to use a specific  
          type of contraception as a condition of aid eligibility.

                                     ABSTRACT  

           Existing law  :

          1)   Establishes the Temporary Assistance for Needy  
               Families (TANF) program in federal law, which permits  
               each state to implement the program under its own  
               state plan. (42 USC � 601 et seq.)


                                                         Continued---




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          2)   Establishes in state law the CalWORKs program to  
               provide cash assistance and other social services for  
               low-income families through the TANF program. Under  
               CalWORKs, each county provides assistance through a  
               combination of state, county and federal TANF funds.  
               (WIC 10530)

          3)   Establishes guidelines for determining a family's  
               maximum aid payment, including all eligible family  
               members, as well as the level of aid to be paid, as  
               specified. (WIC 11450) 

          4)   Prohibits an increase in aid based on an increase in  
               the number of needy persons in a family due to the  
               birth of an additional child, if the family has  
               received aid continuously for the 10 months prior to  
               the birth of the child, as specified. (WIC 11450.04  
               (a))

          5)   Exempts this prohibition in the following  
          circumstances: 

               a.        Any child who was conceived as a result of  
                    an act of rape, as defined in Sections 261 and  
                    262 of the Penal Code, if the rape was reported  
                    to a law enforcement agency, medical or mental  
                    health professional or social services agency  
                    prior to, or within three months after, the birth  
                    of the child.

               b.        Any child who was conceived as a result of  
                    an incestuous relationship if the relationship  
                    was reported to a medical or mental health  
                    professional or a law enforcement agency or  
                    social services agency prior to, or within three  
                    months after, the birth of the child or if  
                    paternity has been established.

               c.        Any child who was conceived as a result of  
                    contraceptive failure if the parent was using an  
                    intrauterine device, a Norplant, or the  
                    sterilization of either parent.

               d.        If the family does not receive aid for two  
                    consecutive months during the 10-months prior to  





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                    the child's birth. 

               e.        Children born on or before November 1, 1995.

               f.        If the family did not receive aid for 24  
                    consecutive months while the child was living  
                    with the family.

               g.        Any child conceived when either parent was a  
                    non-needy caretaker relative.

               h.        Any child who is no longer living in the  
                    same home with either parent. (WIC 11450.04 (b)  
                    et seq.)

          6)   Requires that 100 percent of any child support payment  
               received for a child who is born under the maximum  
               family grant (MFG) cap - and therefore is not the  
               recipient of aid - be paid to the family.  
               Additionally, prohibits any such child support payment  
               from being counted as income for the purpose of  
               calculating CalWORKs benefits. (WIC 11450.04 (e))

          7)   Requires each county welfare department (CWD) to  
               notify recipients of the MFG provisions in writing at  
               the time of application and recertification, as  
               specified. (WIC 11450.04 (f))

          8)   Requires the California Department of Social Services  
               (CDSS) to seek appropriate federal waivers to  
               implement the maximum family aid limit and associated  
               conditions, as specified, and directs CDSS to  
               implement the rule on the date the waiver is received  
               by declaration of the department's director. (WIC  
               11450.04 (g))

           This bill:

              1)   Makes uncodified legislative findings and  
               declarations that:

                  a.        Scientific research has demonstrated that  
                    young children living in deep poverty experience  
                    lifelong cognitive impairments limiting their  
                    ability to be prepared for and succeed in school.





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                  b.        Academic research has documented an  
                    increase in missed days of school and an increase  
                    in visits to hospital emergency rooms by children  
                    who live in deep poverty.

                  c.        The Maximum Family Grant rule was adopted  
                    to limit the amount of time a family could  
                    receive assistance and to limit the amount of  
                    assistance received. The rule was passed before  
                    implementation of welfare reform. At the time the  
                    rule was adopted, there was no limit on the  
                    length of time a family could receive aid, no  
                    work requirements and the benefits provided were  
                    approximately 80 percent of the federal poverty  
                    level (FPL).

                  d.        Since the rule's implementation, lifetime  
                    limits on aid and work requirements have been  
                    enacted in order to receive a maximum benefit of  
                    approximately 40 percent of the FPL.

                  e.        The MFG rule makes poor children poorer,  
                    reducing the income of families with infants to  
                    less than 30 percent of the FPL.

                  f.        This legislation is necessary to protect  
                    infants born to families receiving CalWORKs from  
                    experiencing lifelong cognitive impairments due  
                    to the toxic stress of deep poverty and to ready  
                    those children for participation in California's  
                    public school system.

                  g.        This legislation is necessary to protect  
                    the reproductive and privacy rights of all  
                    applicants for, and recipients of, aid under the  
                    CalWORKs program.

             2)   Prohibits an applicant for, or recipient of,  
               CalWORKs aid from being required as a condition of  
               eligibility to do any of the following:

                  a.        Divulge that any member of the assistance  
                    unit is a victim of rape or incest.






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                  b.        Share confidential medical records  
                    related to any member of the assistance unit's  
                    rape or incest.

                  c.        Use contraception, choose a particular  
                    method of contraception, or divulge the method of  
                    contraception that any member of the assistance  
                    unit uses.

             3)   Prohibits an applicant for or recipient of CalWORKs  
               benefits from being denied aid, or denied an increase  
               in the maximum aid payment, for a child born into the  
               family during a period in which the family is  
               receiving aid.

             4)   Specifies that no increased benefit will be paid  
               for any month prior to January 1, 2015, as a result of  
               repealing the prior statute. 

             5)   Repeals WIC 11450.04, which establishes and defines  
               the maximum family grant rule, including exclusions  
               for families in which a mother reports she is a victim  
               of rape or incest or in instances where specified  
               methods of contraception fail, among other provisions.

                                  FISCAL IMPACT  

          This bill has not been analyzed by a fiscal committee. A  
          similar version of this bill, AB 271 (Mitchell), 2013, was  
          held in the Senate Appropriations Committee. That analysis,  
          which assumed 13.4 percent of all children on the CalWORKs  
          caseload are impacted by the MFG rule, estimated a $220  
          million first-year cost and potential annual costs of $4  
          million to $8 million. 

                            BACKGROUND AND DISCUSSION  

           Purpose of the bill
           
          The author states that as a result of California's MFG  
          policy, women are forced to make decisions about the types  
          of birth control they can use if they are receiving public  
          benefits. Women who are raped are required to report  
          sensitive and highly personal information to a welfare  
          caseworker in order for their babies to receive aid,  





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          according to the author. Some families chose to refuse  
          assistance (and become very poor) for the last three months  
          of a pregnancy rather than lose the grant for the new baby  
          - which is less than $200 a month - but will help pay for  
          diapers and wipes, according to the author. 

          The author states that this kind of desperation is  
          unconscionable to force upon poor women, especially  
          considering the fact that the maximum grant is only  
          approximately $608 per month for a family of three - or  
          just enough to put a family at about 38% of the federal  
          poverty line.

           CalWORKs 

           The California Work Opportunity and Responsibility to Kids  
          program (CalWORKs) provides monthly income assistance and  
          employment-related services intended to move children out  
          of poverty and to help families meet basic needs. Federal  
          funding for CalWORKs comes from the TANF block grant. 


          According to data from CDSS, as of December 2013, 549,464  
          families relied on CalWORKs, including more than one  
          million children. Nearly half of the children are under age  
          six. About 6 percent of families (and 13.4 percent of  
          children) receiving CalWORKs benefits in California are  
          subject to the MFG rule, which prohibits a county from  
          including in a family's aid any benefit for a child born  
          more than 10 months after a family entered the CalWORKs  
          program. For a family of three, in which the MFG baby would  
          become the third member of the assistance unit, the loss in  
          grant is $123 per month - the difference between a maximum  
          of $515 per month for a family of two to a maximum grant of  
          $638 per month for a family of three in 2014.<1> 


           Maximum Family Grant rule

           In 1992, against the backdrop of a debate about whether  
          "intergenerational welfare" was encouraging women to avoid  
          -------------------------


          <1> California Department of Social Services, Maximum Aid  
          payment table






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          work and have additional children, New Jersey passed the  
          nation's first statewide family cap policy. The policy  
          prohibited additional benefits from being provided to a  
          family for children born after the family began receiving  
          welfare benefits. The policy, which was soon copied by  
          other states, came amid a national conversation that would  
          become the basis for the Personal Responsibility and Work  
          Opportunity Reconciliation Act of 1996 (PRWORA), which  
          established a 60-month time-limit on benefits in most  
          cases, and emphasized integrating parents into the  
          workforce as part of the program. 


          Prior to the passage of PRWORA, states needed waivers to  
          implement family cap policies, which required rigorous  
          evaluations of whether the policies achieved their intended  
          goals. AB 473 (Brulte, Chapter 196, Statutes of 1994)  
          created California's MFG rule as part of budget trailer  
          bill, and required California to obtain a federal waiver to  
          be able to implement the new MFG rule, as the rule was  
          inconsistent with existing federal regulations.  
          California's waiver application was approved in August of  
          1996, however waiver approval coincided with the passage of  
          PRWORA, which granted states flexibility to implement their  
          own policies without need for a waiver, and California  
          proceeded with the MFG policy without implementing the  
          waiver. California's MFG policy has not been amended since  
          its original enactment.


          The MFG legislation was based on the belief that increasing  
          welfare grants for children born into AFDC families may  
          incentivize families to have additional children for the  
          explicit purpose of increasing their monthly grant. By  
          limiting the grant amount, policymakers argued that  
          families would be dissuaded from having additional  
          children.  In a heated floor debate in July 1994, in which  
          the bill's author argued that the MFG would "encourage the  
          transition to self-sufficiency," then-Assemblyman John  
          Burton questioned whether this move would achieve the  
          intended goal. "Welfare reform is getting people off of  
          welfare and into a productive role in society with a job,  
          not starving some kid who happens to be born into a family  
          that is on AFDC," Burton argued.






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           How the MFG rule works


           California's MFG rule prohibits CalWORKs aid payments, with  
          certain exceptions, for a child that is born into a family  
          that has been receiving aid for 10 or more continuous  
          months, or for longer than the gestational period of the  
          new baby. If the family is not receiving aid for two or  
          more months during the 10-month period preceding the birth  
          of the child, the new child becomes eligible for aid in the  
          CalWORKs benefit calculation. Additionally, the MFG rule  
          does not apply if a family returns to CalWORKs after a  
          break of two or more years during which the family did not  
          receive any aid, provided aided children are still younger  
          than 18 years old.





           Exceptions to the MFG rule


           California's statute permits exceptions to the MFG rule for  
          incidents in which a child was born as a result of rape or  
          incest, as long as the mother of the child can document  
          that she reported the crime to law enforcement or a mental  
          health professional or social services agency. The report  
          must have been made prior to the child's birth or within  
          three months after the child was born. 


          Similarly, state law permits an exception to the MFG rule  
          if the child is born as a result of the failure of one of  
          three types of contraceptives specified in statute:


                 An intrauterine device, 


                 Norplant (which was discontinued for use in the  
               United States in 2002 amid questions about its  
               effectiveness and lawsuits over its side-effects), 






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                 Sterilization of either parent. 


           Other states
           
          Beginning in the early 1990s, 24 states implemented family  
          cap rules. Today, just 17 states still have family cap  
          rules in place, including California. In 2002 and 2003,  
          Maryland and Illinois repealed their policies and were  
          followed by Wyoming, Nebraska, Oklahoma, Kansas and  
          Maryland.<2>

           Effect on fertility rates 

           A number of research studies on the effects of the family  
          cap across the country have concluded that the cap had  
          little to no effect on fertility rates.<3>  
           
          However, the U.S. General Accounting Office noted in its  
          2001 examination of the issue that most states implemented  
          family caps as part of their welfare reforms designed to  
          provide incentives for women to reduce the number of  
          out-of-wedlock births and to encourage self-sufficiency.  
          Specifically, the study noted that "Due to limitations of  
          the existing research, we cannot conclude that family cap  
          policies reduce the incidence of out-of-wedlock births,  
          affect the number of abortions, or change the size of the  
          TANF caseload." It did note, however, that the family cap  
          was effective in reducing the amount that states were  
          paying to families who qualified for benefits, estimating  
          that families were generally receiving about 20 percent  
          less in cash assistance each month - from $20 less in  
          -------------------------
          <2> Welfare Rules Database, Urban Institute and "Bringing  
          Families out of Cap'tivity: The Need to Repeal the CalWORKs  
          Maximum Family Grant Rule," UC Berkeley School of Law,  
          April 2013
          <3> Dyer, Wendy and Robert W. Fairlie, "Do Family Caps  
          Reduce Out-of-Wedlock Births?" Economic Growth Center, Yale  
          University, December 2003.









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          Wyoming to $121 less in California.<4>

          A 2013 report issued by the Center on Reproductive Rights  
          and Justice at UC Berkeley School of Law concluded that "by  
          driving families deeper into poverty, the MFG rule  
          threatens access to housing, food security and general  
          health of the poorest children. A cutoff from public  
          assistance has also been linked to other physical, mental  
          and social detriments for children born into capped  
          families."<5> 

           Effects of deep poverty on children

           Numerous studies have correlated the effects of deep  
          childhood poverty with poor health and outcomes including  
          low birth weight, lead poisoning, child mortality and  
          hospitalization. Other studies have drawn correlations  
          between deep poverty and academic struggles such as  
          repeated grades, being a high school dropout and having a  
          learning disability.<6> A 2011 article in the journal  
          Developmental Psychology<7> estimated that a $1,000  
          increase in annual income - less than $100 per month -  
          equates to an increase in achievement by young children of  
          5 to 6 percent of a standard deviation. In 2000,  
          researchers noted in the journal Child Development that  
          family caps and sanctions appear to disproportionately  
          affect families with very young children who are most  
          susceptible to adverse effects of deep poverty and  
          recommended policy considerations focus on avoiding fiscal  
          sanctions to those families.

          -------------------------
          <4> U.S. General Accounting Office, "More Research Needed  
          on TANF Family Caps and Other Policies for Reducing  
          Out-of-Wedlock Births," September 2001, p 2-3.



          <5> "Bringing Families out of Cap'tivity: The Need to  
          Repeal the CalWORKs Maximum Family Grant Rule," UC Berkeley  
          School of Law, April 2013
          <6> Duncan, Greg and Jeanne Brooks-Gunn, "Family Poverty,  
          Welfare Reform, and Child Development," Child Development,  
          February 2000. 
          <7> Duncan, Greg, et al, "Does Money Really Matter?  
          Estimating Impacts of Family Income on Young Children's  
          Achievement With Data From Random-Assignment Experiments,"  
          Developmental Psychology, 2011, Vol. 47, No. 5, 1263-1279




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               "Recent research suggests that economic deprivation is  
               most harmful to a child's chances
               for achievement when it occurs early in the child's  
               life. Economic logic suggests that policies aimed at  
               preventing either economic deprivation itself or its  
               effects are likely to constitute profitable social  
               investments in the twenty-first century." <8>

          Additionally, a number of researchers building on a 1997  
          study conducted by the Centers for Disease Control and  
          Kaiser Permanente in San Diego, have correlated adverse  
          childhood experiences - or ACES - and chronic health  
          conditions in adulthood.<9>  

           Related legislation
           
          AB 271 (Mitchell) 2013, was substantially similar to this  
          bill. It was held in the Senate Appropriations committee.

          AB 22 (Lieber) 2007, was substantially similar to this  
          bill. It was held in the Assembly Appropriations committee.

          AB 473 (Brulte, Chapter 196, Statutes of 1994) created  
          California's maximum family grant (MFG) rule and required  
          California to obtain a federal waiver to implement it.


                                         
                                   POSITIONS  

            Support:       9to5 National Association of Working Women
                         American Association of University Women

                         ACCESS Women's Health Justice
                         ACT for Women and Girls
                         Alameda County Community Food Bank
                         American Civil Liberties Union of California
                         American Federation of State, County and  
                         Municipal Employees
                         Asian Law Alliance
                         Bay Area Legal Aid
                         Beyond Emancipation
                         Black Women for Wellness 
                         -----------------
          <8> Ibid
          <9> http://www.cdc.gov/ace/




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                         Calaveras Health and Human Services Agency
                         California Association of Food Banks
                         California Catholic Conference of Bishops
                         California Church Impact
                         California Food Policy Advocates
                         California Hunger Action Coalition
                         California Immigrant Policy Center
                         California Latinas for Reproductive Justice
                         California Partnership
                         California Partnership to End Domestic  
                         Violence
                         California Reinvestment Coalition
                         Center for Law and Social Policy
                         Center on Reproductive Rights and Justice,  
                         UC Berkeley School of Law
                         Child and Family Policy Institute of  
                         California
                         Child Care Alliance of Los Angeles
                         Children's Defense Fund-California
                         Citizens for Choice
                         City and County of San Francisco
                                                                                        Coalition for Women and Children
                         Coalition of California Welfare Rights  
                         Organizations, Inc.
                         Community Food and Justice Coalition
                         County Welfare Directors Association of  
                         California
                         Cuyamaca College
                         East Bay Community Law Center
                         East Bay Refugee Forum
                         Fresno Interdenominational Refugee  
                         Ministries
                         Friends Committee on Legislation of  
                         California
                         Forward Together
                         G.O.A.L.S. for Women, Inc.
                         Guam Communications Network
                         Hunger Action Los Angeles
                         John Burton Foundation for Children Without  
                         Homes
                         Justice Now
                         Korean Community Center for the East Bay
                         League of Women Voters of California
                         Legal Aid Society - Employment Law Center
                         Legal Services for Prisoners With Children





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                         Legal Services of Northern California
                         LIUNA Locals 777&792
                         March of Dimes California Chapter
                         NARAL Pro-Choice California
                         National Center for Lesbian Rights
                         National Center for Youth Law
                         National Council of Jewish Women California  
                         State Policy Advocates
                         The National Health Law Program
                         National Organization for Women - Orange  
                         County
                         National Women's Political Caucus of  
                         California
                         Parent Voices
                         Planned Parenthood Advocacy Project of Los  
                         Angeles
                         Planned Parenthood Affiliates of California
                         Planned Parenthood Mar Monte
                         Planned Parenthood of the Pacific Southwest
                         Planned Parenthood of Santa Barbara, Ventura  
                         and San Luis Obispo Counties
                         Planned Parenthood Shasta Pacific Action  
                         Fund
                         Physicians for Reproductive Health
                         Public Interest Law Project
                         Poor Magazine/ Prensa Pobre/ PNN
                         San Diego Hunger Coalition
                         San Francisco Living Wage Coalition
                         San Luis Obispo County Department of Social  
                         Services
                         Services, Immigrant Rights and Education  
                         Network 
                         Shelter Partnership
                         St. Anthony's Foundation
                         Street Level Health Project
                         Ventura County Board of Supervisors
                         Veterans Caucus of the California Democratic  
                         Party
                         Vision y Compromiso
                         Western Center on Law and Poverty
                         Western Regional Advocacy Project
                         W.O.M.A.N., Inc.
                         The Women's Foundation of California
                         2 individuals
                    





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          Oppose:   None received.

                                   -- END --