BILL ANALYSIS                                                                                                                                                                                                    �






                                  SENATE HUMAN
                               SERVICES COMMITTEE
                            Senator Carol Liu, Chair


          BILL NO:       SB 1160                                      
          S
          AUTHOR:        Beall                                        
          B
          VERSION:       April 3, 2013
          HEARING DATE:  April 22, 2014                               
          1
          FISCAL:        Yes                                          
          1
                                                                      
          6
          CONSULTANT:    Mareva Brown                                 
          0

                                        

                                     SUBJECT
                                         
                                   Employment

                                     SUMMARY  

          This bill decreases the minimum number of consumers  
          required for group habilitation services from three to two,  
          as specified. The bill would recast the term  
          "individualized services" to provide job coaching and other  
          supported employment services that decrease over time with  
          the goal of achieving stabilization, rather than requiring  
          stabilization be achieved. This bill also would require  
          that any state department awarding a contract for goods or  
          services give a bid-scoring preference of 5 percent by a  
          business that proposes to provide the goods or services to  
          the state when at least 10 percent of the personnel of the  
          business involved in doing so are California residents with  
          developmental disabilities receiving support services under  
          the Lanterman Developmental Disabilities Services Act. This  
          bill also makes findings and declarations related to the  
          employment of people with developmental disabilities. 

                                     ABSTRACT  

                                                         Continued---



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           Existing law:

           1)Establishes the California Department of Developmental  
            Services (DDS) to administer the Lanterman Developmental  
            Disabilities Act, which entitles individuals with  
            developmental disabilities to community services and  
            supports. (WIC 4500)

          2)Establishes private non-profit regional centers to  
            provide fixed points of contact in the community for  
            persons with developmental disabilities and their  
            families, so that these persons may have access to the  
            services and supports best suited to them throughout  
            their lifetime. (WIC 4620)

          3)Establishes the Employment First Policy and states that  
            it is the policy of the state that opportunities for  
            integrated, competitive employment shall be given the  
            highest priority for working age individuals with  
            developmental disabilities, regardless of the severity of  
            their disabilities. (WIC 4869)

          4)Defines habilitation services as community-based services  
            purchased or provided for adults with developmental  
            disabilities, including services provided under the Work  
            Activity Program and the Supported Employment Program, to  
            prepare and maintain them at their highest level of  
            vocational functioning, or to prepare them for referral  
            to vocational rehabilitation services. (WIC 4851 (a))

          5)Defines group services to mean job coaching in a group  
            supported employment placement at a job coach-to-consumer  
            ratio of not less than 1:3 nor more than 1:8 where  
            services are funded by the regional center or the  
            Department of Rehabilitation. For consumers receiving  
            group services, ongoing support services shall be limited  
            to job coaching and shall be provided at the worksite.  
            (WIC 4851 (r))

          6)Defines "Individualized services" to mean job coaching  
            and other supported employment services for regional  
            center-funded consumers in a supported employment  
            placement at a job coach-to-consumer ratio of 1:1, and  
            that decrease over time until stabilization is achieved.  
            Individualized services may be provided on or off the  




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            jobsite. (WIC 4851 (s))

          7)Establishes a small business bid preference for nonprofit  
            veterans service agencies in awarding state contracts  
            under all of the following conditions: (MVC 999.51)

             a)   The goods or services meet the needs of the  
               contractor and offered at a fair and reasonable price,
             b)   The nonprofit veteran service agency employs  
               veterans who receive services for not less than 75  
               percent of the person-hours of direct labor required  
               to fulfill the contract.
             c)   The nonprofit veteran service agency makes payments  
               into the veterans Social Security and unemployment and  
               disability benefits, as specified.
             d)   The agency adheres to labor rules, as specified, is  
               a 501(c)(3) business, and provides services to  
               veterans, as specified.


           This bill:

              1)   States various Legislative findings and  
               declarations about the importance of employment of  
               individuals with developmental disabilities in  
               California and the state's high unemployment rate for  
               these individuals.  

              2)   Modifies the minimum job coach-to-consumer ratio to  
               1:2, from 1:3. Similarly, reduces the minimum number  
               of consumers required to participate in group  
               supported employment from three to two.  

              3)   Modifies the definition of individualized services  
               to mean job coaching and other services for regional  
               center-funded consumers in a supported employment  
               placement, as defined, with services that decrease  
               over time, consistent with the consumer's  
               individualized program plan (IPP) and abilities, with  
               the goal of achieving stabilization, when possible.  
               Current statute defines individualized services as  
               decreasing over time "until stabilization is  
               achieved."  

              4)   Requires that when awarding a contract for goods or  




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               services, an awarding department of the state shall  
               give a preference of 5 percent in the scoring of a bid  
               by a business that proposes to provide the goods or  
               services to the state when at least 10 percent of the  
               personnel of the business involved in doing so are  
               California residents with developmental disabilities  
               receiving support services under the Lanterman  
               Developmental Disabilities Services Act.  
           
           
                                 FISCAL IMPACT  

          This bill has not been analyzed by a fiscal committee.

                            BACKGROUND AND DISCUSSION  

           Purpose of the bill:
           
          The author states that for people with the most significant  
          disabilities, access to ongoing job coaching to maintain  
          employment is critical. Coaching enables people with  
          cognitive disabilities to learn and retain job skills in  
          ways that may be unique to the individual. The author notes  
          that individual placement, which pairs a single worker with  
          a job coach, requires the job coaching services to fade  
          quickly. To enable persons with significant disabilities to  
          work in the most integrated setting possible, the author  
          states it is necessary to relax the fading requirement and  
          allow the level of support to be determined by the  
          individual needs of the consumer.

          Additionally, the author states that group placement, where  
          small groups of individuals work together to complete a  
          job, currently requires a group size of three to eight  
          consumers to a single job coach. Consumers also can work  
          1:1 with a job coach under individual coaching plans. This  
          bill would allow groups of two individuals to be included  
          in group coaching, which enhances integration into the  
          workforce, and allows smaller businesses to participate in  
          the program, according to the author. The author also notes  
          that cost pressures to the Supported Employment Program are  
          offset by the cost that the same individual would incur in  
          alternative day programs. 

          The sponsor notes that language in the bill relating to  




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          preference in contracts for businesses that employ  
          individuals with developmental disabilities is loosely  
          modeled from similar language for disabled veterans. 

           Developmental Disabilities 

           The term developmental disability refers to a severe and  
          chronic disability that is attributable to a mental or  
          physical impairment that begins before an individual  
          reaches the age of 18. These disabilities include  
          intellectual disability, cerebral palsy, epilepsy, autism  
          and related disorders, and disabling conditions closely  
          related to intellectual disability or requiring similar  
          treatment. 


          California's 21 nonprofit regional centers are part of a  
          system of care for individuals with developmental  
          disabilities that is overseen by DDS. DDS is responsible  
          for coordinating care and providing services for more than  
          265,000 people who receive services and supports to live in  
          their communities, as well as approximately 1,300 people  
          who reside in developmental centers.

          Employment First Policy

          According to a 2012 report by the State Council on  
          Developmental Disabilities, 66.5 percent of all working age  
          Californians were employed, but just 20.5 percent of that  
          population with cognitive disabilities was employed. That  
          report, and other efforts on the state and federal level,  
          resulted in 2013 legislation AB 1041 (Chesbro) Chapter 677,  
          Statutes of 2013 that created an Employment First policy  
          for individuals with regional center-funded services who  
          are working age. The policy states that opportunities for  
          integrated, competitive employment shall be given the  
          highest priority for working age individuals with  
          development disabilities, regardless of the severity of  
          their disabilities. 

          Employment Services:  

          Consumers are placed in employment services programs  
          according to their individual skills, needs and choices,  
          and they are provided support services on an individual or  




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          group basis.  In addition to providing employment for  
          consumers, work programs can also increase opportunities  
          for individuals to integrate into their communities. Within  
          employment services, there are different types of programs:

                 Work Activity Programs (WAPs) are sheltered work  
               environments for consumers who have acquired basic  
               vocational and independent living skills.  WAP work is  
               paid at a daily per capita rate based on productivity.  
                

                 Supported Employment Programs (SEPs) are  
               community-based programs that focus on helping  
               consumers obtain, retain or maintain employment in  
               integrated settings.  SEP services focus on finding  
               competitive work in a community setting for people who  
               need ongoing support to learn and perform the work.  
               SEPs often involve on-the-job coaching, and wages paid  
               directly to the consumer. 

          If supported employment would best meet a consumer's  
          employment needs, a regional center will refer the consumer  
          to the Department of Rehabilitation (DOR), which provides  
          time-limited employment services to people with  
          disabilities.  If the consumer needs long-term support to  
          continue in their place of employment, the responsibility  
          for providing a job coach and maintaining supportive  
          services shifts back to DDS.

          Court decision on sheltered workshops

          On April 8, 2014, the US Department of Justice and the  
          state of Rhode Island agreed to a settlement which avoids  
          "unnecessary segregation," of placing individuals in work  
          environments that are sheltered workshops and day treatment  
          facilities. In a press conference announcing the  
          settlement, federal officials said that while the  
          settlement addresses the civil rights of about 3,250 Rhode  
          Island residents, it could impact 450,000 individuals  
          across the country that spend their days in sheltered  
          workshops and day treatment facilities. The consent decree  
          follows a federal Labor Department determination that a  
          Rhode Island program abused a federal law that allows the  
          payment of subminimum wages to people with disabilities.  
          The employees of that program were being paid an average of  




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          $1.57 per hour with one worker earning just 14 cents per  
          hour. 
           
          Related legislation:

           AB 1626 (Maienschein) 2014, would increase the hourly rate  
          paid to providers of individualized and group-supported  
          employment services to $34.24, and increase the fees paid  
          to interim program providers to $400 and $800,  
          respectively.

          AB 954 (Maienschein) 2013, would have increased the hourly  
          provider rate for individualized and group SEP services to  
          $34.24, and increase the fees paid to interim program  
          providers to $400 and $800. It died in the Assembly  
          Appropriations committee.

          SB 577 (Pavley) 2013, would establish "community-based  
          prevocational services" to enhance employment readiness for  
          individuals by exploring job options, and developing social  
          skills necessary for the workforce, makes other changes.

          AB 1041 (Chesbro) Chapter 677, Statutes of 2013, created  
          the Employment First Policy and required regional centers  
          to provide consumers aged 16 and older with information  
          about employment, options for integrated competitive  
          employment, post-secondary education options, and other  
          information.
           
          Comments:

           1.Staff recommends clarifying language in Section 3 of the  
            bill as follows:


          4870.  When awarding a contract for goods or services, an  
          awarding department of the state shall give a preference of  
          5 percent in the scoring of a bid by a business that  
          proposes to provide the goods or services to the state when  
          at least 10 percent of the personnel of the business  
          involved in doing so are California residents with  
          developmental disabilities receiving support services under  
          the Lanterman Developmental Disabilities Services Act.  

          4870. When a state department awards a contract for goods  




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          or services, it shall give a scoring preference of 5  
          percent to a bid by a business in which at least 10 percent  
          of the personnel who are providing the goods or services  
          receive support services under the Lanterman Developmental  
          Disabilities Services Act.  
           
                                    POSITIONS  

          Support:       Alliance Supporting People with Intellectual  
                         and Developmental Disabilities
                         Association of Regional Center Agencies
                         California Disability Services Association

          Oppose:   None received.
                                   -- END --