BILL ANALYSIS                                                                                                                                                                                                    �




                   Senate Appropriations Committee Fiscal Summary
                            Senator Kevin de Le�n, Chair


          SB 1344 (Evans) - Developmental services: Sonoma Developmental  
          Center.
          
          Amended: April 24, 2014         Policy Vote: Human Services 4-0
          Urgency: No                     Mandate: Yes
          Hearing Date: May 5, 2014       Consultant: Brendan McCarthy
          
          This bill meets the criteria for referral to the Suspense File.
          
          
          Bill Summary: SB 1344 would designate the Sonoma Developmental  
          Center as the center of last resort for Northern California. The  
          bill would require the Department of Developmental Services to  
          develop a plan for Sonoma Developmental Center.

          Fiscal Impact: 
              Likely one-time costs of about $150,000 to develop the  
              required action plan by the Department of Developmental  
              Services (General Fund).

              Potential costs to Sonoma County of about $50,000 to  
              participate in the planning process and coordinate with  
              local stakeholders (local funds or General Fund). Because  
              the bill mandates that Sonoma County participate in the  
              planning process and coordinate with stakeholders, the  
              county may file a mandate claim with the Commission on State  
              Mandates to recover any costs incurred under the bill.

              Unknown cost increases to provide services and supports to  
              developmentally disabled individuals in Sonoma Developmental  
              Center who may, in the absence of this bill, live in the  
              community (General Fund and federal funds). By designating  
              Sonoma Developmental Center as a center of last resort, the  
              bill would establish a policy that the state is not going to  
              close Sonoma Developmental Center. In recent years, the  
              Department has moved a significant number of developmental  
              center residents to community placements. It is not yet  
              clear whether doing so has or will result in cost savings to  
              the state. If it does prove less costly to provide services  
              to residents in the community than in Sonoma Developmental  
              Center, then the bill would likely increase state costs by  
              preventing the Department from moving developmental center  








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              residents to the community.

              Unknown reduction in future state revenues from the sale or  
              reuse of all or portions of the Sonoma Developmental Center  
              Campus (General Fund). If the state were to close Sonoma  
              Developmental Center or significantly reduce usage of the  
              1,000 acre campus (for example by shifting from a  
              residential care model to providing more limited out-patient  
              services), some or all of the campus would likely be  
              designated as surplus property and sold or leased by the  
              Department of General Services. To the extent that the bill  
              results in the status quo at Sonoma Developmental Center,  
              revenues from the sale or lease of the property would not  
              occur.

          Background: California provides community-based services to  
          approximately 250,000 persons with developmental disabilities  
          and their families through a statewide system of 21 regional  
          centers. Regional centers diagnostic and assessment services to  
          determine eligibility, convene planning teams to develop an  
          Individual Program Plan for each eligible consumer, and either  
          provide or obtain from generic agencies appropriate services for  
          each consumer in accordance with the Individual Program Plan. 

          In addition, the state operates developmental centers for  
          developmentally disabled individuals with significant service  
          needs. At one time, the state operated eight developmental  
          centers with a peak total population of 13,400. Today the state  
          operates four developmental centers with a population of about  
          1,300 residents. Lanterman Developmental Center is planned for  
          closure by the end of 2014. 

          Historically, individuals were placed in developmental centers  
          (or state hospitals) because they had health care or support  
          needs that could not be met in a community setting. Over time,  
          services and supports available in the community have grown and  
          today many current developmental center residents or individuals  
          who once would have been developmental center residents are able  
          to reside in community settings with services and supports  
          coordinated by a regional center. The long-run trend is for  
          reduced residency in regional centers. There is a moratorium in  
          place preventing new admissions to developmental centers in most  
          circumstances.









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          There is no plan in place at this time for closure of the  
          remaining developmental centers. Current law requires the  
          Department to report to the Legislature on any planned closure  
          of a developmental center by April 1 of the year prior to the  
          fiscal year in which a closure is planned.
          
          Proposed Law: SB 1344 would designate the Sonoma Developmental  
          Center as the center of last resort for Northern California. 

          The bill would require the Department of Developmental Services  
          to develop a plan for Sonoma Developmental Center, with  
          specified requirements.

          Related Legislation: 
              SB 1428 (Evans) would require the Department of  
              Developmental Disabilities, the Department of General  
              Services, and Sonoma County to confer with stakeholders on  
              the future of Sonoma Developmental Center. That bill is on  
              this committee's Suspense File.
              AB 2349 (Yamada) would establish an Office of Community  
              Care Coordination, within the Department of Developmental  
              Services at Sonoma Developmental Center. That bill is  
              pending in the Assembly Human Services Committee.