Budget Hearings & Outcomes

pdf 4 19 12 Senate Budget Sub # 3 Agenda for CWS & Automation

By In Budget Hearings Agendas & Outcomes

Download (pdf)

4_19_12_Senate_Budget_Sub_#(…)da_for_CWS_&_Automation.pdf

{“error”:”PDF Processor error: Empty attachment file. Is the file publicly available? Server error: fopen(https:\/\/www.ccwro.org\/~documents\/route%3A\/download\/598): failed to open stream: HTTP request failed! HTTP\/1.1 404 Not Found “}

pdf 3.15.12 Senate Budget Sub. # Agenda for DSS

By In Budget Hearings Agendas & Outcomes 1298 downloads

Download (pdf, 416 KB)

3.15.12_Senate_Budget_Sub._#_Agenda_for_DSS.pdf

” 1 SUBCOMMITTEE #3: Health & Human Services Chair, Senator Mark DeSaulnier Senator Elaine K. Alquist Senator Bill Emmerson March 15, 2012 9:30 a.m. or Upon Adjournment of Session Room 4203 (John L. Burton Hearing Room) Staf f : Jennifer Tro ia Item Department 4170 Department of Aging 4260 Department of Health Care Services 5160 Department of Rehabilitation 5180 Department of Social Services PLEASE NOTE: Only those items contained in this agenda will be discussed at this hearing. Please see the Senate File for dates and times of subsequent hearings. Issues will be discussed in the order noted in the Agenda unless otherwise directed by the Chair. Pursuant to the Americans with Disabilities Act, individuals who, because of a disability, need special assistance to attend or participate in a Senate Committee hearing, or in connection with other Senate services, may request assistance at the Senate Rules Committee, 1020 N Street, Suite 255 or by calling 916-324-9335. Requests should be made one week in advance whenever possible. Thank you. 2 Agenda (Vote-Only Items indicated by *) Item Department Page 4170 Department of Aging (& Department of Health Care Services) 1. Multipurpose Senior Services Program (MSSP) .4 5160 Department of Rehabilitation 1. Proposed Changes to Appeals Process 6 5180 Department of Social Services (& Department of Health Care Services) 1. CalFresh – Program Overview & Administration 7 2. In-Home Supportive Services (IHSS) a. Trailer Bill Language to Define Criteria for Preapproval of Exceptions to 20 Percent Reduction*.. .3 b. Trailer Bill Language to Amend Effective Date of Sales Tax on Supportive Services*.. 3 c. Program Overview …11 d. Proposed Restrictions on Domestic & Related Services …13 e. Medication Dispensing Machine Pilot Project & Related IHSS Trailer Bill Language .15 3. Supplemental Security Income \/State Supplementary Payment (SSI\/SSP) 17 4. California Work Opportunity and Responsibility to Kids (CalWORKs) a. Maximum Aid Payments in Exempt Cases 18 b. Cal-Learn Program .19 3 VOTE-ONLY AGENDA Department of Social Services IHSS- Trailer Bill Language to Define Criteria for Preapproval of Exceptions to 20 Percent Reduction Budget Issue: The Administration proposes trailer bill language to provide additional detail to statutes that establish a 20 percent reduction in authorized hours of IHSS services for each IHSS recipient, subject to specified exemptions and exceptions. Specifically, existing law requires DSS to work with the counties to develop a process for counties to preapprove supplemental IHSS hours for individuals who clearly meet the criteria for an exception to the reduction policy. The Department indicates that it has worked with the counties to develop the required policy detail and now seeks to codify more specific criteria, which include preapproval for individuals who: a) receive Early and Periodic Screening, Diagnosis, and Treatment services, b) are authorized to receive the statutory maximum of 283 hours of services per month, c) are authorized to receive protective supervision, or d) have been assessed to have a particular level of need (a functional ranking of 5) for certain specified services. The statutory provisions the Administration proposes to amend were established as part of the 2011-12 budget. More specifically, the 20 percent reduction with specified exceptions and exemptions was a part of the December 2011 budget trigger package that took effect when state revenues were lower than previously anticipated. However, this reduction was stopped from being implemented by a federal district court order in response to ongoing litigation. Subcommittee Staff Comment & Recommendation: Staff recommends rejecting the proposed trailer bill language at this time. The statute the Administration proposes to amend is the subject of active litigation and the proposed amendments are intended to provide additional detail, not to make substantive changes in how the Department would implement the law. IHSS- Trailer Bill Language to Amend Effective Date of Sales Tax on Supportive Services Budget Issue: The 2010-11 budget established a sales tax on specified supportive services, which includes IHSS, and assumed $190 million General Fund (GF) savings due to enhanced federal funding from matching the use of revenues obtained pursuant to the tax. Related statutory provisions established supplementary payments for IHSS providers that would equal the portion of their gross receipts that is subject to state and federal taxation as a result of the tax on supportive services. These provisions are scheduled to take effect when the federal Centers for Medicare and Medicaid Services 4 (CMS) approves implementation of the state’s related Medicaid plan amendment, but no earlier than July 1, 2010. Because the state is still awaiting a response to its proposed plan amendment from the federal government, the Administration proposes to update the effective date of the statute to be no earlier than January 1, 2012. Subcommittee Staff Comment & Recommendation: Staff recommends approving the proposed technical change to the effective date of these statutory provisions. DISCUSSION AGENDA Department of Aging (CDA) Multi-Purpose Senior Services Program (MSSP) Budget Issue: The budget proposes $40.5 million ($20.2 million GF) for local assistance and $2.5 million ($1.2 million GF) for state operations related to the MSSP program. The budget also proposes to integrate MSSP, along with other long-term care supports and services, into Medi-Cal managed care over a period of three years. Background on MSSP: MSSP provides care management services for frail, elderly clients who wish to remain in their own homes and communities. Clients must be age 65 or older, eligible for Medi-Cal, and certified (or certifiable) as eligible to enter into a nursing home. Teams of health and social service professionals assess each client to determine needed services and then work with the clients, their physicians, families, and others to develop an individualized care plan. Services that may be provided with MSSP funds include, but are not limited to: care management, adult social day care, housing assistance, in-home chore and personal care services, respite services, transportation services, protective services, meal services, and special communication assistance. CDA currently oversees operation of the MSSP program statewide and contracts with local entities that directly provide MSSP services. The program operates under a federal Medicaid Home and Community-Based, Long-Term Care Services Waiver. Proposal to Integrate Long-Term Care Services and Supports (LTSS): As discussed during the full Budget Committee hearing on February 23, 2012, the Governor’s budget includes a Coordinated Care Initiative for Medi-Cal enrollees. The Administration intends for the initiative to improve service delivery for 1.2 million people who are eligible for both Medi-Cal and Medicare (dual eligibles) and 330,000 Medi-Cal enrollees, many of whom rely on LTSS. To achieve these improvements, the Administration proposes to combine the full continuum of medical services and LTSS, including MSSP, into a single benefit package delivered through the Medi-Cal managed care delivery system starting on January 1, 2013. Additional information on the Coordinated Care Initiative is available in the background paper from the February 23rd 5 hearing (online at http:\/\/sbud.senate.ca.gov\/fullcommitteehearings). The proposal will also be discussed further in Subcommittee #3 on April 26, 2012. The core MSSP service is care coordination using a multidisciplinary team that identifies and responds to health and social service needs of seniors who are eligible to enter into a nursing home. In 2013, in counties not involved in the Dual Demonstration, the Administration proposes to maintain the MSSP program’s current eligibility process and programmatic requirements. In Demonstration Counties, the Demonstration sites (through managed care plans) would be expected to contract with existing MSSP sites to provide care coordination to the plans’ enrollees. In 2014, the managed care plans would be responsible for assessing the needs of all plan members and providing necessary health and long term support services (LTSS). Along with those responsibilities, they would have flexibility to determine how to provide care coordination to their members. They could contract with MSSP sites, hire and incorporate the current MSSP staff into the health plans’ care management team, or choose other strategies. In 2015, eligibility for LTSS would be assessed by Demonstration sites using the proposed universal assessment tool. Between 2013 and 2015, as managed care plans and the Demonstration expand to all counties, MSSP program’s care coordination functions would become part of the plans’ care coordination systems. In other words, MSSP may not necessarily continue to exist as a discrete program. Reduction to MSSP in 2011-12 Budget: The 2011 Budget Act included a reduction of up to $5 million ($2.5 million GF) to MSSP. Related budget bill language directed CDA and DHCS to consult with the federal government about how to achieve the savings operationally and to minimize any impacts on the number of clients served. The Department reports that minor administrative savings were achieved, but the bulk of the reduction was ultimately achieved reducing the number of clients served. There are 11,789 statewide slots for MSSP clients. After a reduction in 2008-09, the sites were operating at 87 percent of capacity. After this latest reduction, they are now operating at 77 percent of capacity. Subcommittee Staff Comment & Recommendation: Staff recommends holding open the integration of MSSP into managed care pending further discussion and actions related to the larger Coordinated Care Initiative. Questions for the Administration & LAO: 1) How was the 2011-12 reduction to MSSP implemented? What efforts did the Administration undertake to achieve the savings operationally? 2) Please describe the existing relationships between managed care plans and MSSP sites. 3) How would the transition to receiving LTSS through managed care work for current MSSP clients and those currently awaiting services? http:\/\/sbud.senate.ca.gov\/fullcommitteehearings 6 4) How is the Administration engaging MSSP sites and staff as the Coordinated Care Initiative is being developed and refined? 5) Looking toward 2015 and beyond, would MSSP continue to be budgeted as a separate LTSS program? Would CDA maintain its programmatic oversight role? Who would authorize MSSP services? How would federal funding potentially change? Department of Rehabilitation (DOR) Rehabilitation Appeals Board Budget Issue: The Governor proposes to achieve savings and efficiencies from eliminating the Rehabilitation Appeals Board (RAB), which currently reviews appeals filed by applicants for or consumers of DOR services. The associated responsibilities would be transferred to impartial hearing officers (IHOs) through an interagency contract with the Office of State Hearings or another state entity. The Administration estimates that contracting with IHOs will cost approximately $80,000 and DOR would continue to incur staffing costs of another $95,000 for one staff position to coordinate case referrals. Thus, the total cost for this proposal would be $175,000 per year ($37,000 GF). By contrast, in 2010-11 the budget for RAB was $205,000 ($43,000 GF); but actual expenditures over the last five years averaged $292,000. The Legislature rejected a similar proposal made by the Governor as part of the 2011-12 budget process. Background: By law, the RAB consists of seven members appointed by the Governor, although at present one seat is vacant. Members serve a term of four years and are subject to Senate confirmation. A majority of board members must be individuals with disabilities who are independently self-supporting in businesses and professions within the community. Board members receive reimbursement for travel expenses and a per diem of $100 for each day spent on their duties. The RAB hears appeals by applicants for DOR services who wish to contest a denial of eligibility and by existing DOR consumers who are not satisfied with the services being provided to them. The DOR provides vocational rehabilitation services to approximately 115,000 Californians with disabilities annually. In federal fiscal year 2011, approximately 11,000 consumers achieved employment outcomes. During that same period of time, 32 requests for appeal were resolved. Rationale for Proposed Change: According to the Administration, the present RAB appeals process complies with federal law but has several significant drawbacks, including that hearings cannot always be scheduled within the statutory timeframes due to quorum requirements and that the RAB has consistently exceeded its budgeted operating costs. The Administration also indicates that IHOs with more legal and 7 evidentiary expertise will have greater ease in sorting through complex legal questions and documenting related conclusions. Subcommittee Staff Comment & Recommendation: Staff recommends holding this issue open. Questions for DOR: 1) Please describe the appeal and decision-making processes, including due process protections, as they exist today and how they would differ under this proposal. 2) How would the Administration ensure the accessibility of the appeals process to consumers of the department’s services? Department of Social Services (DSS) 1. CalFresh CalFresh Program Overview & Administration Budget Issue: CalFresh is California’s name for the national Supplemental Nutrition Assistance Program (SNAP, formerly known as food stamps ). As the largest food assistance program in the nation, SNAP aims to prevent hunger and to improve nutrition and health by helping low-income households buy the food they need for a nutritionally adequate diet. Californians are expected to receive a total of $7.2 billion (all federal funds) in CalFresh benefits in 2011- 12, rising to $8.4 billion in 2012-13. The Governor’s 2012-13 budget includes $1.6 billion ($540.0 million GF) for CalFresh administration costs, which are shared 50\/50 federal\/non-federal funds (with non-federal funds shared 35\/15 by the state\/counties). Since 1997, the state has also funded the California Food Assistance Program (CFAP), a corresponding program for around 40,000 legal immigrants who are not eligible for federal nutrition assistance. The proposed CFAP budget includes $68.5 million GF for food benefits in 2012-13. A Snapshot: \uf076 Approximately 1.6 million households (including more than 3.6 million Californians) receive CalFresh benefits. \uf076 This is estimated to represent only around half the population that is eligible. \uf076 The average beneficiary household head is 37 years old and the average household size is 2.4 individuals. \uf076 54% of recipients are children. 8 Background on CalFresh Eligibility & Benefits: Most CalFresh recipients must have gross incomes at or below 130 percent of the federal poverty level (which translates to approximately $2,008 per month for a family of three) and net incomes of no more than 100 percent of the federal poverty level ($1,545 per month for a family of three) after specified adjustments. CalFresh benefits are provided on electronic benefit transfer cards and participants may use them to purchase food at most grocery stores and at convenience stores or farmers’ markets that accept them. The average monthly benefit per household is around $335 ($150 per person). Caseload Trends1: The CalFresh caseload grew every year from 1988-89 through 1994-95 and then declined each year until 1999-2000. The caseload has risen each year since that time, including recent growth of around 30 percent in 2009-10 and 20 percent in 2010-11. The Governor’s budget assumes 16 percent growth in 2011-12 and 15 percent growth in 2012-13. State Fiscal Year # of Households 2007-08 625,511 2008-09 776,079 2009-10 1,009,292 2010-11 1,207,837 2011-12* 1,402,103 2012-13* 1,607,426 *Estimated Performance Measures: The federal government assesses states’ performances in the administration of SNAP programs via measures that include participation rates and administrative error rates. Participation rates rely on samples to estimate how many people who are eligible for SNAP or CalFresh benefits are receiving those benefits. They are measured for the population as a whole and specifically for the working poor. Nationally, 72 percent of eligible people received SNAP benefits in federal fiscal year 2009 (the last year for which data is available). In the western region of the country, the overall participation rate was lower at 63 percent. The participation rate for the working poor population was 60 percent nationally. California’s overall participation rate was the lowest in the nation at an estimated 53 percent.2 California’s participation rate for the working poor population was also the lowest in the nation at an estimated 36 percent. 1 Growth and caseload figures represent the non-assistance CalFresh caseload. Around another 330,000 households receive CalFresh benefits along with CalWORKs in 2011-12. 2 DSS notes that the federal government does not count the state’s cash-out policy for SSI\/SSP recipients (whereby those individuals receive a small food assistance benefit through SSP and are not eligible for additional CalFresh benefits) in its participation rate. The Department estimates that the state’s participation rate could be higher at 58 percent if 542,000 of those individuals who would otherwise be eligible for CalFresh were counted as participating because of the cash-out policy. The state would still have the lowest participation rate in the nation, but would then be closer to the next lowest ranked states (Wyoming and New Jersey, which have estimated participation rates of 59 percent). 9 While California’s caseload has doubled in recent years, this does not necessarily alter the state’s participation rate in a significant way because the number of eligible households and individuals has also risen steeply. Accuracy or error rates are measured through state and federal review of a sample of cases to determine how frequently benefits were over- or under-issued. States are subject to federal sanctions when their error rates exceed six percent for two consecutive years. As of September 2011, California’s error rate was 4.1 percent. The national average was 3.6 percent. California was sanctioned $11.8 million, $114.3 million, and $60.8 million in 2000, 2001, and 2002, respectively. Proposed Changes in Program Administration: The Governor’s budget includes the following proposals related to CalFresh administration in 2012-13: 1) A budgeting adjustment to take into account counties’ expenditure patterns for the past few years. The January budget estimated that this adjustment would result in savings of $71.9 million GF in 2012-13. However, the Administration has since indicated that potential changes to this estimate are pending. 2) Various changes under a Refresh Modernization initiative to reduce administrative complexity, remove barriers to accessing the program, and modernize in advance of health care reform [with costs of policy changes assumed to be fully offset by administrative savings and economic benefits of increased federal CalFresh benefits, and $1.1 million ($385,000 GF) for automation]. The proposed changes were developed in consultation with stakeholders, including advocates and the County Welfare Directors Association. They include: a) waiver of a face-to-face interview at recertification for households of people who are aged or who have a disability and do not have any earnings (estimated to reduce the time it takes to recertify these cases by half), b) implementing alternatives to face-to-face interviews at initial intake in 15 counties that have not yet done so, and c) automation solutions, including emailing certain notifications to recipients, permitting the use of telephonic signatures, and developing online case access for recipients. 3) Changes to state policies regarding transitional recertifications so that counties initiate aspects of the process rather than households (with costs of $370,000 GF in 2012-13 and automation changes assumed to be made without additional funding). This change is proposed in order to bring the state into compliance with federal rules about to avoid breaks in food benefits for households moving from transitional to ongoing benefits. 4) Increased funding as a result of recently enacted legislation, including: a. $32.1 million ($12.5 million GF) for AB 6 (Chapter 501, Statutes of 2011), 10 b. $3.8 million ($1.4 million GF) for AB 69 (Chapter 502, Statutes of 2011), and c. $1.9 million ($960,000 GF) for AB 402 (Chapter 504, Statutes of 2011). The changes in these statutes include elimination of a requirement to fingerprint CalFresh recipients, conversion from a quarterly to a semi-annual reporting system for eligibility determinations in CalFresh and CalWORKs, creation of a utility outreach service benefit, allowances for counties to rely on existing information regarding low-income seniors that is already collected by the federal government, and streamlining of the CalFresh application process through partnerships with local school districts. Of the total costs for implementing AB 6 in 2012-13, $13.8 million ($3.7 million GF) are associated with automation and training activities that are expected to end after 2013-14. Efforts to Improve Participation: DSS indicates that California is making significant program changes to increase access to the CalFresh program. Several of these changes are included in the recently enacted legislation referenced above. The Administration also intends for the CalFresh Refresh Modernization referenced above to simplify the program’s administration and remove barriers to access. Other efforts include a streamlined inter-county transfer process and state-level outreach planning, including a new partnership with the Department of Aging. Subcommittee Staff Comment & Recommendation: Staff recommends that the Subcommittee approve the above-described changes to the budget for CalFresh administration, except for the adjustment related to county expenditure patterns, which staff recommends that the Subcommittee hold open. Questions for the Administration & LAO: 1) To what do you attribute California’s low CalFresh participation rate? 2) How can the state better ensure that more eligible low-income Californians receive federally funded food benefits? 3) Are there additional efficiencies that the state could achieve in order to increase participation while utilizing existing administration funding? 11 2. In-Home Supportive Services (IHSS) IHSS Overview With a 2011-12 budget of $5.0 billion ($1.4 billion GF), the IHSS program provides personal care services to approximately 440,000 qualified low-income individuals who are blind, aged (over 65), or who have disabilities. IHSS services include tasks like feeding, bathing, bowel and bladder care, meal preparation and clean-up, laundry, and paramedical care. These services frequently help program recipients to avoid or delay more expensive and less desirable institutional care settings. Funding and Oversight: IHSS is funded with federal, state, and county resources. Recently, the state opted to implement the program under a new federal Medicaid waiver option called the Community First Choice Option (CFCO), which offers an enhanced rate of 56 percent federal financial participation (six percent over the base rate of 50 percent). The state is also benefitting from an additional enhanced rate of 75 percent for a period of one year for IHSS recipients transitioning from nursing facilities to community-based settings. The state and counties split the non-federal share of IHSS funding at 65 and 35 percent, respectively. The average annual cost of services per IHSS client is estimated at $11,420 for 2012-13. Program Structure and Employment Model: County social workers determine eligibility for IHSS after conducting a standardized in-home assessment, and periodic reassessments, of an individual’s ability to perform specified activities of daily living. Once eligible, the recipient is responsible for hiring, firing, and directing an IHSS provider or providers. The counties or public authorities must conduct a criminal background check and provide an orientation before a provider can receive payment. At the end of 2011, there were just over 366,000 working IHSS providers. County public authorities are designated as employers of record for collective bargaining purposes, while the state administers payroll, workers’ compensation, and benefits. Hourly wages for IHSS providers vary by county and range from the minimum wage of $8.00 per hour in nine counties to $12.20 in one county. The state participates in the costs of wages up to $12.10 ($11.50 plus $.60 for health benefits) per hour, with counties paying the difference if they negotiate a higher wage. In approximately 72 percent of cases, IHSS recipients choose a family member to provide care (including roughly 45 percent of providers who are a spouse, child, or parent of the recipient). In around half of cases, A Few Facts About IHSS: \uf076 There are 440,000 low-income IHSS recipients who are aged, blind, or who have disabilities. \uf076 Services include personal care (bathing, grooming, etc.), as well as domestic and related activities of daily living. \uf076 There are 366,125 IHSS providers whose wages vary from $8.00 to $12.20 hourly. \uf076 In 2012-13, services are estimated to cost an average of $11,420 annually per client. 12 IHSS providers live with the recipients. Recent Changes: The last three budgets included significant changes to IHSS. The following are in effect or pending implementation (savings are annual for 2012-13 unless otherwise noted): Additional program integrity measures, including background checks and criminal records exclusions for providers, more training for social workers, changes to time sheets, and directed mailings or unannounced home visits when there is a concern. Savings of $151.1 million General Fund from a requirement for recipients to obtain from a licensed health professional a certification of their need for services to prevent risk of out-of-home care. Savings of $145.1 million General Fund from the federal CFCO waiver option. Upon federal approval, savings of $95.5 million General Fund as a result of a sales tax on supportive services and matching funds for the use of the tax revenues. Current year savings of $64.4 million General Fund from an across-the-board reduction of 3.6 percent in all recipients’ authorized hours until July 1, 2012. Increases in out-of-pocket costs for consumers (resulting from elimination of what was called a share-of-cost buy-out ). Reductions in administrative funding for Public Authorities. The following changes were also enacted, but federal courts have stopped them from taking effect as a result of ongoing litigation: Savings of approximately $222.0 million General Fund (full year impact) from an across-the-board reduction, subject to specified exemptions and exceptions, of 20 percent of authorized hours. This reduction was triggered by lower than anticipated 2011-12 revenues. Savings of $65.5 million General Fund from reducing to $10.10 ($9.50 plus $.60 per hour for health benefits) the maximum provider wages the state participates in. Elimination of eligibility, subject to exemptions, for domestic and related services or all services, for individuals whose needs were assessed to be below a specified threshold.3 The 2011-12 budget also established a pilot that requires DHCS to identify Medi-Cal beneficiaries at high risk of not taking medications as prescribed and to procure 3 This reduction has been statutorily delayed until July 1, 2012, subject to a final court order upholding the policy. No updated estimate of the savings associated with the policy is available at this time. 13 automated machines to assist them. If the pilot and any enacted alternatives for achieving savings would not together result in $140 million General Fund, an across- the-board reduction in IHSS services, with specified exceptions, would begin October 1, 2012. Proposed Restrictions on Domestic & Related Services Budget Issue: The budget proposes $206.2 million net GF savings in 2012-13 from the elimination of domestic and related IHSS services for approximately 245,000 IHSS recipients who reside in shared living arrangements and currently receive these services on a pro-rated basis and 80,000 who reside in shared living arrangements and currently receive these services without prorating (with some duplication between these groups). In roughly 0.2 percent or around 1,000 of these cases [accounting for $1.2 million ($0.4 million GF) of the proposed savings], the recipient is a child under the age of 18. The estimated savings account for administration costs of $9.4 million ($3.3 million GF) associated with the policy changes. There would also be corresponding losses of $317.0 million and $4.7 million in federal funds for services and administration, respectively. The budget assumes enactment of this policy by April 1, 2012, which would allow for a full-year of implementation to begin 90 days after enactment on July 1, 2012. The Administration made a similar proposal last year, which was rejected by the Legislature. Background: Domestic and related services include housework, meal preparation, meal clean-up, laundry, shopping, and errands. The proposal also impacts heavy cleaning and yard hazard abatement services. Currently, if IHSS recipients who share their homes with other individuals have some of these needs met in common by their households, the social worker who determines their eligibility for IHSS services can pro- rate or reduce the authorized hours of IHSS services related to those activities. The Administration proposes to instead make all IHSS beneficiaries residing in shared living arrangements ineligible for domestic and related services based on the presumption that the underlying needs can be met in common. The proposal includes exceptions that rebut that presumption when: a) all other household members are IHSS recipients (estimated to be the case for one percent of domestic and related service recipients), or b) all other household members have physical or mental impairments that prevent them from performing domestic and related services (the prevalence of which the Department was unable to estimate). Under the proposed policy, the existence of an impairment would have to be verified by reliable evidence, such as social worker observation or medical certification. According to the LAO, Washington State recently enacted a restriction on domestic and related services for individuals who lived with their IHSS providers. The state’s Supreme Court determined, however, that the policy violated federal requirements regarding the equal treatment of Medicaid beneficiaries. 14 Anticipated Impacts: Recipients who reside in shared living arrangements and currently receive pro-rated domestic and related services would lose an average of 14 hours of services per month, effective 90 days after enactment of the proposed change. Recipients who live with others and have non-pro-rated hours today would lose an average of 9 hours of domestic and related services per month, effective after notice following their next reassessment. Subcommittee Staff Comment & Recommendation: Staff recommends holding this issue open. Questions for the Administration & LAO: 1) Please briefly describe the proposal. 2) Under the proposed policy, would an IHSS recipient potentially be eligible for domestic and related services if his\/her need was not being met in common for reasons other than a housemate’s receipt of IHSS or physical or mental impairment (e.g., because the housemate is not available or not willing to assist)? 3) Does the presumption that domestic and related needs are met in common extend to areas of the house that are not shared (e.g., cleaning the recipient’s bedroom and bathroom) or responsibilities that are not shared (e.g., laundering the recipient’s sheets if s\/he sleeps alone)? 4) What analysis has the Administration conducted to determine whether this reduction would comply with federal and state Medicaid and disability-related laws? 5) How does this proposal fit in with the Administration’s Coordinated Care Initiative proposal, which relies on an increased investment in IHSS and other long-term care supports and services in order to reduce costs associated with hospitalizations and nursing home stays. 15 Medication Dispensing Machine (MDM) Pilot & Related IHSS Trailer Bill Language Budget Issue: The 2011-12 budget established a medication dispensing machine pilot project that requires DHCS to identify Medi-Cal beneficiaries at high risk of not taking medications as prescribed and to procure automated machines to assist them. If the pilot and any enacted alternatives for achieving savings would not together result in $140 million GF, an across-the-board reduction in IHSS services, with specified exceptions, would begin October 1, 2012. The 2012-13 budget proposes to repeal these statutory requirements. The Department of Health Care Services indicates that further research led the Administration to conclude that the pilot may not result in savings and another 20 percent across-the-board reduction in IHSS services has since been enacted. Medication Dispensing Machine (MDM) Pilot: DHCS and the California Medicaid Research Institute (CaMRI) contracted with the University of California, Davis Center for Healthcare Policy and Research (CHPR) to further assess the potential cost savings associated with the MDM pilot enacted last year. Their work was based on a review of the evidence-based literature related to the causes of non-adherence with medication prescriptions (e.g., characteristics of the patient, such as knowledge related to medication or personality factors, and factors related to the medication regimen, such as side effects and complexity). After this review, CHPR concluded that there is insufficient evidence to reliably assess the effectiveness of MDMs for overcoming many of these factors. The Center assumed that MDM would primarily assist patients who do not take medications as prescribed because of reasons like forgetfulness, confusion, or other cognitive impairments (and would not necessarily prevent adverse health consequences from other reasons for non-adherence). In addition, data available to DHCS does not allow the Department to clearly identify the group of patients who would be likely to suffer from these particular challenges and to use a high-cost health care service, such as in-patient hospitalization, as a result. For these reasons, CHPR recommended that before moving forward with statewide implementation of the pilot, the state would need to obtain the results of a research study lasting approximately three years and costing $3 million to $3.5 million. DHCS estimates that moving ahead with full-scale implementation this year could result in net Medi-Cal costs from $5.2 up to $57.4 million GF. On the other end of the spectrum, in the most optimistic scenario, the state could instead save $59.9 million if allowed to share savings with the federal government. Ultimately, however, DHCS believes that the potential costs are more likely to be incurred than the savings are to be achieved. As a result, the Administration proposes to repeal the MDM pilot rather than invest significant additional time in researching or implementing the project. Background on Other Across-the-Board Reductions in IHSS: The 2011-12 budget includes a reduction of $195.9 million ($64.4 million GF) from an across-the-board reduction of 3.6 percent in all recipients’ authorized hours that is authorized until July 1, 16 2012. There are no exceptions to this existing reduction policy. The 2012-13 budget assumes that this 3.6 percent reduction will expire as currently scheduled. The 2011-12 budget also included a 20 percent across-the-board reduction in authorized hours, with specified exemptions and exceptions, that was scheduled to take effect only if a related statutory trigger was pulled because of lower than anticipated revenue receipt. That trigger was pulled in December 2011. However, a federal court issued an injunction that prevented the reduction from taking effect. The 2012-13 budget assumes approximately $222.0 million GF from the full-year impact of the policy. At the same time, the Administration proposes a set-aside to fund the program in the event that the reduction continues to be enjoined. Subcommittee Staff Comment & Recommendation: Staff recommends approving the proposed trailer bill language to repeal the medication dispensing machine pilot and the related trigger for an across-the-board reduction in IHSS hours. Questions for the Administration: 1) What are the findings of available research regarding the causes of patients’ non- adherence to medication prescriptions? 2) What research has been conducted on the effectiveness of medication dispensing machines in remedying the associated problems? 3) Please summarize your estimates of the likely costs or savings from implementing the pilot project as enacted. 17 3. Supplemental Security Income\/State Supplementary Payment (SSI\/SSP) SSI\/SSP Grants Budget Issue: The Governor’s budget recognizes the continuing impact of a 3.6 percent federal cost-of-living adjustment (COLA) that increased SSI\/SSP payments as of January 1, 2012. The increase was $24 (from $830 to $854) for the typical individual recipient and $37 increase (from $1,407 to $1,444) for the typical couple. The budget also estimates that a federal COLA of 0.2 percent will increase grants further as of January 1, 2013. However, the final determination of this 2013 COLA will not be made by the federal government until later in the year. The budget also includes parallel adjustments to grants provided under the Cash Assistance Program for Immigrants (CAPI). CAPI benefits are equivalent to SSI\/SSP benefits, less $10 per individual and $20 per couple (so $844 and $1424, respectively), for legal immigrants who do not qualify for federal assistance. The total budget for CAPI is proposed to be $135.1 million GF. Background on SSI\/SSP: The SSI program is a federal cash assistance program that provides income support to low-income individuals and couples who are aged, blind, or who have disabilities. California supplements SSI grants through the state’s SSP. There are approximately 1.3 million SSI\/SSP beneficiaries in 2011-12. Around 70 percent qualify because of a disability, while 28 percent qualify because of advanced age and two percent because of blindness. In prior years when there was a federal COLA that increased SSI benefits, the state was able to simultaneously lower its SSP payments (effectively capturing the federal COLA in order to save GF resources). However, state SSP payments are now at the minimum level required under federal Maintenance of Effort (MOE) requirements that look to the level of 1983 payment standards. If the state were to lower its SSP benefit levels below the federally required MOE, it would lose federal Medi-Cal funding. Subcommittee Staff Comment & Recommendation: Staff recommends approving the budgeted changes in SSI\/SSP grant levels, which include increases related to federal COLAs. This item was included for informational purposes as the Legislature receives frequent questions from the public about the level of SSI\/SSP grants and impacts of federal COLAs. Questions for the Administration & LAO: 1) Please briefly summarize the changes to SSI\/SSP grant levels in recent years and as proposed for 2012-13. 18 4. CalWORKs Maximum Aid Payments in Exempt Cases Budget Issue: The Governor’s budget proposes savings of $50.1 million TANF and GF from reducing grants for approximately 105,000 families with unaided, non-parent caretaker relatives or aided adults who receive specified disability-related benefits or assistance through the In-Home Supportive Services (IHSS) program as the head of household. Under existing law, these families (who make up approximately 18 percent of the CalWORKs caseload) are eligible for a higher maximum aid payment (referred to as the \”exempt-MAP\”) than other families receiving CalWORKs. The difference between the average grant for these families and other families receiving CalWORKs benefits is $54. As an example, the MAP for most families of three receiving CalWORKs in a high-cost county is $638 as of July 1, 2011. By comparison, the maximum grant for a family of three that qualifies for an exempt-MAP is $714. As a result of the proposed reduction, 828 families would lose all assistance because their incomes would be too high for the resulting changes to eligibility criteria. As discussed in the agenda for the full Committee’s hearing on March 1, 2012 (available online at http:\/\/sbud.senate.ca.gov\/fullcommitteehearings), the budget also proposes a reduction of 27 percent in the maximum child-only grants that would be available under the new Child-Maintenance program. Some families would be impacted by both the proposed child-only grant cut and the elimination of the exempt-MAP differential. Background on CalWORKs Grant Levels: The overall average grant for CalWORKs recipient families is currently $471 per month (up to a maximum of $638 for a family of three in a high-cost county). This includes the impacts of a four percent reduction to the MAP enacted as part of the 2009-10 budget and an eight percent reduction to the MAP enacted as part of the 2011-12 budget. The maximum grant is also the same in actual dollars today as it was in 1987. After adjusting for inflation, the California Budget Project calculates that the purchasing power of today’s grants is already less than half of what it was in 1989-90. Higher exempt-MAPs have been in place since the mid-1990s in recognition that some recipients who are not able to work would not be able to make up for income lost due to grant reductions happening at the time. The state opted to continue providing this higher exempt-MAP after implementing federal welfare reform in 1997. While the exempt-MAP has declined in tandem with reductions to the regular MAP, a differential between the two has existed since that time. Subcommittee Staff Comment & Recommendation: Staff recommends holding this issue open pending further discussion and actions related to CalWORKs. Questions on next page http:\/\/sbud.senate.ca.gov\/fullcommitteehearings 19 Questions for the Administration & LAO: 1) What is the policy rationale for eliminating the exempt-MAP, which has historically been higher in recognition that some families include adults who are unable to work and make up for lost income because of a disability? 2) How are families expected to fare in light of such historically large grant reductions that would come on top of other recent grant reductions? 3) What are the anticipated human consequences of an increased number of the state’s children living farther below the federal poverty line? What pressures on other state and local systems, such as Child Welfare Services, might result? Cal-Learn Program Budget Issue: The Governor’s budget proposes $35.4 million in savings from eliminating state funding for Cal-Learn, with the exception of funding for bonuses paid for satisfactory educational progress and high school graduation. The Administration indicates that counties could choose to provide intensive case management services to pregnant and parenting teens, but would have to do so without state resources. Background on Cal-Learn: Cal-Learn provides intensive case management, supportive services, and fiscal incentives (bonuses) and disincentives (sanctions) to eligible teen recipients who are pregnant or parenting. The projected caseload for the program in 2012-13 includes 10,500 teens. The program’s services are intended to encourage teen parents to stay in high school or an equivalent program and earn a diploma. Cal-Learn was evaluated by the University of California, Berkeley in 2000 and found to increase the number of teens who graduated (from 24 to 32 percent for 18-19 year olds and 33 to 47 percent by their 20th birthday). Suspension in 2011-12: With the exception of the bonuses paid for satisfactory progress and graduation, state funding for the program was suspended as a part of the 2011-12 budget (in SB 72, Chapter 8, Statutes of 2011, a human services trailer bill). Some counties may have continued the program with other funding this year. The County Welfare Directors Association indicates, however, that few counties would likely be able to continue the program long-term if state funding is eliminated as proposed. Teens who would otherwise have participated in Cal-Learn during this year instead became eligible for regular welfare-to-work services and supports. Subcommittee Staff Recommendation & Comments: Staff recommends holding this issue open pending further discussion and actions related to CalWORKs. Questions on next page 20 Questions for the Administration & LAO: 1) What information is the Administration tracking in order to determine the impacts of suspending or eliminating funding for Cal-Learn? 2) Is the suspension or elimination of Cal-Learn funding likely to lead to fewer teen parents who are CalWORKs recipients graduating from high school or an equivalent program? ”

pdf 3.15.12 Outcomes DSS Senate Budget Sub. 3

By In Budget Hearings Agendas & Outcomes 1482 downloads

Download (pdf, 32 KB)

3.15.12_Outcomes_for_CDA.DOR.DSS.pdf

” 1 SUBCOMMITTEE #3: Health & Human Services Chair, Senator Mark DeSaulnier Senator Elaine K. Alquist Senator Bill Emmerson March 15, 2012 Human Services Hearing Outcomes Department of Aging (CDA) Multi-Purpose Senior Services Program (MSSP) Held open the integration of MSSP into managed care pending further discussion and actions related to the larger Coordinated Care Initiative. Department of Rehabilitation (DOR) Rehabilitation Appeals Board Held open. Department of Social Services (DSS) 1. CalFresh CalFresh Program Overview & Administration Voted 2-0 (Emmerson no) to approve changes to the budget for CalFresh administration described in the agenda, except for the adjustment related to county expenditure patterns, which the Subcommittee held open. 2 2. In-Home Supportive Services (IHSS) IHSS- Trailer Bill Language to Define Criteria for Preapproval of Exceptions to 20 Percent Reduction Voted 3-0 to reject the trailer bill language at this time. IHSS- Trailer Bill Language to Amend Effective Date of Sales Tax on Supportive Services Voted 3-0 to approve the proposed technical change to the effective date of these statutory provisions. Proposed Restrictions on Domestic & Related Services Held open. Medication Dispensing Machine (MDM) Pilot & Related IHSS Trailer Bill Language Voted 3-0 to repeal the medication dispensing machine pilot and 2-1 (Emmerson no) to repeal the related trigger for an across-the-board reduction in IHSS hours. 3. Supplemental Security Income\/State Supplementary Payment (SSI\/SSP) SSI\/SSP Grants Voted 3-0 to approve the budgeted changes in SSI\/SSP grant levels, which include increases related to federal COLAs and 2-1 (Emmerson no) to approve the related changes in CAPI grants. 4. CalWORKs Maximum Aid Payments in Exempt Cases Held open. Cal-Learn Program Held open. ”

pdf 3-21-12 Assembly Sub. 1OSI and CalFresh Agenda Actions Taken

By In Budget Hearings Agendas & Outcomes 1343 downloads

Download (pdf, 185 KB)

March_21_OSI_and_CalFresh_Agenda_Actions_Taken.pdf

” SUBCOMMITTEE NO.1 ON HEALTH AND HUMAN SERVICES MARCH 21, 2012 A S S E M B L Y B U D G E T C O M M I T T E E ACTIONS TAKEN ASSEMBLY BUDGET SUBCOMMITTEE NO. 1 ON HEALTH AND HUMAN SERVICES ASSEMBLYMEMBER HOLLY MITCHELL, CHAIR (MEMBERS PRESENT: MITCHELL, CHESBRO, MANSOOR, MONNING; MEMBERS ABSENT: GROVE) WEDNESDAY, MARCH 21, 2012 1:30 P.M. – STATE CAPITOL ROOM 444 ITEMS TO BE HEARD ITEM DESCRIPTION 0530 HEALTH AND HUMAN SERVICES AGENCY ISSUE 1 WORKFORCE CAP PLAN This was an informational item only and no action was taken. 0530 OFFICE OF SYSTEMS INTEGRATION 5180 DEPARTMENT OF SOCIAL SERVICES ISSUE 1 CHILD WELFARE SERVICES\/CASE MANAGEMENT SYSTEM AND THE CHILD WELFARE SERVICES AUTOMATION STUDY TEAM No action taken held open. ISSUE 2 CASE MANAGEMENT, INFORMATION, AND PAYROLLING SYSTEM (CMIPS II) No action taken held open. SUBCOMMITTEE NO.1 ON HEALTH AND HUMAN SERVICES MARCH 21, 2012 A S S E M B L Y B U D G E T C O M M I T T E E 1 ISSUE 3 STATEWIDE AUTOMATED WELFARE SYSTEM ACTIONS: 1. Adopt the LAO recommendation and direction to the administration to conduct regularly scheduled briefings between the administration and legislative staff as LRS progresses and as the administration goes forward with its migration planning. The frequency of this will be a subject of the first meeting, to be conducted prior to May 15, 2012. MEMBERS AYE NO ABSENT NOT VOTING Mitchell (Chair) X Chesbro X Grove X Mansoor X Monning X Total 3 1 1 2. Issue a request to the administration to provide a written update to the Subcommittee on any policy decisions made by the Health Exchange Board describing how it may affect SAWS and applicant and recipient access to programs, including Medi-Cal benefits, and those expanded under the Affordable Care Act, CalWORKs, and CalFresh. MEMBERS AYE NO ABSENT NOT VOTING Mitchell (Chair) X Chesbro X Grove X Mansoor X Monning X Total 4 1 3. To clarify statute toward the goals as specified in Chapter 13, repeal Chapter 7, for which the administration has suspended activities indefinitely and for which purpose Chapter 13 fulfills in its statement of intent for SAWS and for which its implementation is pending approval from the federal government. MEMBERS AYE NO ABSENT NOT VOTING Mitchell (Chair) X Chesbro X Grove X Mansoor X Monning X Total 3 1 1 SUBCOMMITTEE NO.1 ON HEALTH AND HUMAN SERVICES MARCH 21, 2012 A S S E M B L Y B U D G E T C O M M I T T E E 2 ISSUE 4 ELECTRONIC BENEFIT TRANSFER ACTION: Approve the EBT budget for 2012-13. MEMBERS AYE NO ABSENT NOT VOTING Mitchell (Chair) X Chesbro X Grove X Mansoor X Monning X Total 4 1 ISSUE 5 STATEWIDE FINGERPRINT IMAGING SYSTEM ACTION: Approve the SFIS budget for 2012-13. As part of this action, require a written update by May 1 on specific steps the administration has taken to implement AB 6 and on what schedule, noting areas still under development and a timeline for plans for continuing implementation. MEMBERS AYE NO ABSENT NOT VOTING Mitchell (Chair) X Chesbro X Grove X Mansoor X Monning X Total 3 1 1 5180 DEPARTMENT OF SOCIAL SERVICES ISSUE 1 CALFRESH PROGRAM AND ADMINISTRATION ACTION: 1. Approve the changes to the budget for CalFresh administration, except for the adjustment related to county expenditure patterns, which is held open until further information is received, expected from the administration at May Revision. 2. Approve a two-year extension of the county match waiver, with adoption of placeholder trailer bill language to implement this extension. MEMBERS AYE NO ABSENT NOT VOTING Mitchell (Chair) X Chesbro X Grove X Mansoor X Monning X Total 3 1 1 ”

pdf 3-1-2012 – Senate Budget Hearing Agenda

By In Budget Hearings Agendas & Outcomes 1299 downloads

Download (pdf, 231 KB)

3-1-2012_-_Senate_Budget_Hearing_Agenda.pdf

” BILL EMMERSON Vice Chair ELAINE ALQUIST JOEL ANDERSON MARK DeSAULNIER NOREEN EVANS JEAN FULLER TED GAINES LONI HANCOCK DOUG LA MALFA CAROL LIU ALAN LOWENTHAL GLORIA NEGRETE McLEOD S. JOSEPH SIMITIAN LOIS WOLK RODERICK WRIGHT California State Senate COMMITTEE ON BUDGET AND FISCAL REVIEW ROOM 5019, STATE CAPITOL SACRAMENTO, CA 95814 SENATOR MARK LENO CHAIR STAFF DIRECTOR KEELY MARTIN BOSLER DEPUTY STAFF DIRECTOR BRIAN ANNIS CONSULTANTS MICHELLE BAASS KIM CONNOR CATHERINE FREEMAN KRIS KUZMICH JOE STEPHENSHAW JENNIFER TROIA BRADY VAN ENGELEN COMMITTEE ASSISTANTS GLENDA HIGGINS MARY TEABO (916) 651-4103 FAX (916) 323-8386 Agenda March 1, 2012 9:30 a.m. or Upon Adjournment of Floor Session Room 4203 Governor’s CalWORKs and Child Care Proposals & Redesign I. Setting the Context: The Economy, Employment & Poverty in California \uf0b7 Sarah Bohn, Public Policy Institute of California \uf0b7 Jean Ross, California Budget Project \uf0b7 Professor Jill Duerr-Berrick, University of California, Berkeley School of Social Welfare II. CalWORKs Today \uf0b7 Brian Uhler, Legislative Analyst’s Office III. Administration’s CalWORKs Proposals \uf0b7 Will Lightbourne & Todd Bland, Director & Deputy Director, Department of Social Services (DSS) \uf0b7 Brian Uhler, Legislative Analyst’s Office IV. Discussion and Comment on Administration’s CalWORKs Proposals \uf0b7 Bruce Wagstaff, Administrator of the Sacramento County Countywide Services Agency \uf0b7 Mike Herald, Western Center on Law & Poverty \uf0b7 James Matthews, CalWORKs recipient V. Child Care and Early Childhood Education Today \uf0b7 Rachel Ehlers, Legislative Analyst’s Office VI. Administration’s Child Care and Early Childhood Education Proposals \uf0b7 Sara Swan and Ryan Storm, Department of Finance \uf0b7 Department of Social Services \uf0b7 Rachel Ehlers, Legislative Analyst’s Office VII. Discussion and Comment on Child Care and Early Childhood Education Proposals \uf0b7 Tom Torlakson, Superintendent of Public Instruction \uf0b7 Claire Ramsey, Child Care Law Center \uf0b7 Daniella Scally, Child Care Recipient VIII. Public Comment BILL EMMERSON Vice Chair ELAINE ALQUIST JOEL ANDERSON MARK DeSAULNIER NOREEN EVANS JEAN FULLER TED GAINES LONI HANCOCK DOUG LA MALFA CAROL LIU ALAN LOWENTHAL GLORIA NEGRETE McLEOD S. JOSEPH SIMITIAN LOIS WOLK RODERICK WRIGHT California State Senate COMMITTEE ON BUDGET AND FISCAL REVIEW ROOM 5019, STATE CAPITOL SACRAMENTO, CA 95814 SENATOR MARK LENO CHAIR STAFF DIRECTOR KEELY MARTIN BOSLER DEPUTY STAFF DIRECTOR BRIAN ANNIS CONSULTANTS MICHELLE BAASS KIM CONNOR CATHERINE FREEMAN KRIS KUZMICH JOE STEPHENSHAW JENNIFER TROIA BRADY VAN ENGELEN COMMITTEE ASSISTANTS GLENDA HIGGINS MARY TEABO (916) 651-4103 FAX (916) 323-8386 Background Paper for March 1, 2012 Hearing Governor’s CalWORKs and Child Care Proposals & Redesign Issue Page I. Introduction 2 II. Background on CalWORKs ……….. 3 III. Governor’s Proposals on CalWORKs .. . 5 A. Issues to Consider 8 B. Questions for the Administration and Legislative Analyst’s Office (LAO) 9 IV. Background on Child Care and Early Childhood Education . 10 V. Governor’s Proposals on Child Care ….. 13 A. Issues to Consider 18 B. Questions for the Administration and Legislative Analyst’s Office (LAO) 22 2 I. INTRODUCTION The Governor’s budget includes proposals to dramatically reduce the benefits and services the CalWORKs program offers to low-income families with children (resulting in around $950 million General Fund savings) and to significantly change the structure of the program. The budget also proposes to restructure the state’s subsidized child care program and to reduce its budget by $450 million (approximately 20 percent of total program funds). The Department of Finance estimates that this would result in 62,000 fewer child care slots in the budget year. Taken together, the Administration estimates that these changes would result in $1.4 billion General Fund (GF) savings in 2012-13. These proposals come at a time when Californians, especially in low-income families, are facing high unemployment and rising poverty. According to the California Employment Development Department, unemployment rates for the state rose each year from 2007 to 2010, growing from 5.3 percent to 12.4 percent. Available monthly data for 2011 shows a seasonally adjusted unemployment rate of 11.8 percent in June and 11.3 percent in November. Research on the effects of economic recessions indicates that it takes several years after a recession for employment to rebound and families to return to pre-recession income levels.[1] Further, low- income families are more likely to be unemployed than the workforce as a whole, and during economic downturns less educated workers sustain bigger job losses than those with more educational attainment.[2] Recent reports additionally indicate that women are recovering from the recession more slowly than men are, and that the economic downturn reduced employment for single mothers far more than it did for married parents.[3] According to the U.S. Census Bureau, nearly one in four children in California (23 percent) was impoverished in 2010. This represents an increase from a low of 16 percent in 2001. Los Angeles County has also documented a 110 percent increase since 2006 (from approximately 5,500 to 11,500) in the number of homeless families receiving CalWORKs there. Research indicates that children who live in poverty are at significantly higher risk for health problems, lower educational attainment, and other negative outcomes, well into their adulthood.[4] This background paper provides overviews of the state’s existing CalWORKs, subsidized child care, and early childhood education programs, as well as brief summaries of changes and [1] The Effect of the Recession on Child Well-Being: A Synthesis of the Evidence by PolicyLab, The Children’s Hospital of Philadelphia (Foundation for Child Development; November 2010). [2] Wonho Chung, Phil Davies, and Terry J. Fitzgerald, Degrees of Job Security (Federal Reserve Bank of Minneapolis: December 2010); available online at: http:\/\/www.minneapolisfed.org\/publications_papers\/pub_display.cfm?id=4592. [3] Falling Behind: The Impact of the Great Recession and the Budget Crisis on California’s Women and their Families (California Budget Project; February 2012). [4] Turning Point: The Long Term Effects of Recession-Induced Child Poverty (First Focus, May 2009); available online at http:\/\/www.firstfocus.net\/library\/reports\/turning-point-long-term-effects-recession-induced-child-poverty. 3 reductions to those programs in recent years. The paper then outlines the Governor’s proposals and raises critical issues, in addition to the economic context outlined above, to consider in reviewing the Governor’s proposals. II. BACKGROUND ON CALWORKS California Work Opportunity and Responsibility to Kids (CalWORKs) provides cash assistance and welfare-to-work services to 587,000 eligible needy families with 1.2 million children [5]. The program supports these families by helping them to attain self-sufficiency and by providing a safety net so that children can have their most basic needs met. Absent the Governor’s proposals, the CalWORKs budget would include $5.8 billion in combined federal, state, and local funds. Caseload and Spending Trends: Prior to federal welfare reform in the mid-1990s, California’s welfare program aided more than 900,000 families. By 2000, the caseload had declined to 500,000 families. During the recent recession the caseload has grown; but at 587,000 cases, it has not returned anywhere close to the levels of the early 1990s. The caseload grew one percent in 2007-08, eight percent in 2008-09, ten percent in 2009-10, and six percent in 2010- 11. Caseload growth has slowed to a projected two percent in 2011-12; and the Administration forecasts a small decline in 2012-13. According to the California Budget Project, welfare assistance represented 6.8 percent of the state’s overall budget (including federal, state, and local resources) in 1996-97, compared with 2.9 percent in 2011-12. Welfare-to-Work Caseload: In 270,000, or just under half of CalWORKs cases, families receive cash assistance for an adult (or adults) in addition to children. The adult’s eligibility is subject to a lifetime [5] Information about these families in the pull-out box comes from sample data collected by the Department of Social Services (DSS) & from studies in single or multiple counties, as summarized in Understanding CalWORKs: A Primer for Service Providers and Policymakers, by Kate Karpilow and Diane Reed. Published in April 2010; available online. Some Information About CalWORKs Recipients: \uf076 Nearly half (46%) of child recipients are under the age of 6. \uf076 Around 27% of children who were served in the Child Welfare Services system were also served by CalWORKs. \uf076 92% of heads of recipient households are women. Two-thirds of them are single and have never married. \uf076 Nearly half of these adults (41% of the 76% with data available) have 11th grade or less education, and 10-28% are estimated to have learning disabilities. \uf076 Around 80% of these adults report experiencing domestic abuse at some point; and \uf076 An estimated 19-33% have mental or emotional health problems. 4 limit of 48 total months. The overall average grant for recipient families is currently $471 monthly (up to a maximum of $638 for a family of three in a high-cost county). In approximately seventy percent of these cases, aided adults must participate in work and other welfare-to-work activities[6]. To support that participation, the program offers these adults related services, such as childcare and transportation. In the other thirty percent of cases, the aided adult is exempt from work participation requirements for reasons such as disability or caregiving for an ill or incapacitated family member. Recipients who are exempt do not receive supportive services, and their time on aid does not count against the time limit. Child-Only Caseload: In 315,000, or more than half of CalWORKs cases (called child-only cases), the state provides cash assistance on behalf of children only and does not provide adults with cash aid or welfare-to-work services. There is no time limit on aid for minors. The maximum grant for two children is $516 monthly. In most child-only cases (87 percent), a parent is in the household, but ineligible for assistance due to receipt of Supplemental Security Income, sanction for non-participation in welfare-to-work requirements, time limits, a previous felony drug conviction, or immigration status. In a minority of cases (13 percent), no parent is present, and the child is residing with a relative or other adult with legal guardianship or custody. According to the LAO, research suggests that families in the child-only caseload may face even more barriers to self-sufficiency than the average CalWORKs family (e.g., only 19 percent are headed by a parent with a high school diploma or General Education Development credential, as compared to 53 percent among recipient families more generally). Federal Context: Federal funding for CalWORKs is part of the Temporary Assistance for Needy Families (TANF) block grant program. TANF was scheduled for reauthorization in 2010, but the federal government has since enacted several temporary extensions (the most recent through September 30, 2012). TANF currently requires states to meet a work participation rate (WPR) for all aided families or face a penalty of a portion of their block grant. States can, however, reduce or eliminate penalties by disputing them, demonstrating reasonable cause or extraordinary circumstances, or planning for corrective compliance. It is also important to note that federal formulas for calculating a state’s WPR do not give credit if families partially meet requirements. For example, a single-parent family with a work requirement of 30 hours in which the parent is working 25 hours per week is not counted as participating at all. According to the County Welfare Directors Association in 2009, data showed that 65 percent of adults the state required to work were participating, including 50 percent of work-required families who had employment earnings. As federally calculated, the state’s WPR was 22, 25, and 27 percent in federal fiscal years 2007, 2008, and 2009, respectively. As a result, California did not meet WPR requirements of 32, 29, and 29 percent for those years. The federal government did not assess a penalty for 2007. The state is, however, appealing penalties of $47 million and $113 million for 2008 and 2009. Recent Reductions: From 2009-10 through 2011-12, the budgets included significant ongoing, annual savings from long-term changes to CalWORKs policy. These reductions have included: [6] Based on data from 2008-09. Does not take into account short-term reforms enacted in 2009 and authorized through July 1, 2012. 5 Policy GF savings (in 000s) [7] Suspension of an annual cost of living adjustment (COLA) and a 4% grant cut in 2009-10 $226,000 Additional 8% grant cut in 2011-12 $314,000 Reducing adults’ lifetime time limit from 60 to 48 months $104,000 Changes to earned income disregard $83,000 The eight percent grant reduction in 2011-12 was the largest one-time reduction in CalWORKs assistance levels since the program’s inception. From July 1, 2009 until the scheduled sunset on July 1, 2012, short-term program changes have resulted in around $375 million additional General Fund savings each year. The changes include temporary exemptions from welfare-to- work requirements for additional parents of young children (i.e., one child between the ages of 12 and 23 months or two children under the age of six), and a corresponding reduction in costs for childcare and employment services. In 2011-12, the additional suspension of intensive case management services for pregnant and parenting teenagers through the CalLearn program resulted in $43.6 million more General Fund savings. III. GOVERNOR’S PROPOSALS ON CALWORKS The budget proposes to significantly reduce the cash assistance and\/or services available to most recipient families (74 percent) and to restructure CalWORKs. The Administration estimates net savings of $946.2 million General Fund from its CalWORKs proposals. Proposed Restructuring: The Governor proposes to create two new subprograms within CalWORKs–CalWORKs Basic and CalWORKs Plus–as well as a new Child Maintenance Program outside of CalWORKs. Effective October 1, 2012, the proposed CalWORKs Basic program would continue much of the current welfare-to-work program for eligible adults. However, assistance through CalWORKs Basic would be available for only 24 months in an adult’s lifetime (compared with the current time limit of 48 months). Adult recipients working sufficient hours (30 hours for single-parent families, 35 hours for two- parent families, and 20 hours for single-parent families with a child under the age of six) in unsubsidized employment would be eligible for 24 additional months (up to 48 months total) of cash assistance and some supportive services through CalWORKs Plus. With a more generous disregard of earned income, CalWORKs Plus would also allow recipients up to $44 more income per month before they would become ineligible. Children in these families would continue to qualify for this disregard after their parents time out of CalWORKs Plus. The Administration estimates that 25,500 families will qualify for CalWORKs Plus. The proposed Child Maintenance program would include any families currently served in the [7] Savings figures are annual in the first full-year of implementation. On an ongoing basis, exact savings will vary with caseload and other policy changes. 6 CalWORKs child-only caseload, as well as 109,000 families in which the adult would lose eligibility under the Governor’s proposals. Child maintenance grants would not be time-limited for minors. Compared with current child-only policies, the Child Maintenance program would require families to undergo eligibility determinations less frequently (from quarterly to annually), but would newly require proof that parents or caregivers have taken recipient children to annual well-child exams. Families in the Child Maintenance program that include a work-eligible adult would be eligible for up to one month of child care to attend a job search program every six months. If the adult is working sufficient hours in an unsubsidized job and has time remaining on the 48-month time limit that applies to the CalWORKs Plus program, the family could also move to that program. If a sanctioned adult still has time remaining on the 24-month time limit for CalWORKs Basic, a family could move from Child Maintenance to that program after complying with a welfare-to-work plan for at least two months. Proposed Changes to Time Limits and Services: In addition to the reduction from 48 to 24 months of the time limit for adults not working sufficient hours in unsubsidized employment, the Governor’s proposal would narrow the scope of work activities that count toward meeting program requirements. Some activities that currently qualify under state, but not federal, definitions of work participation would no longer count. Those activities include, for example, adult basic education, higher education beyond 12 months of vocational training, and a longer time in which to participate in substance abuse, domestic violence, or mental health treatment. The Governor also proposes to apply the new 24-month time limit retroactively to all participating adults, as well as those whom the state previously exempted from work participation requirements and those whom the state stopped giving aid and services because they were sanctioned for non-participation. The Administration also proposes to eliminate state support for intensive case management that was formerly available through CalLearn. As a result of all of these proposed changes, in April 2013 (after six months of transitional services), the Administration estimates that 109,000 families in which the adult has reached the 24-month time limit for CalWORKs Basic without working a sufficient number of unsubsidized hours would transfer to the Child Maintenance program. Proposed Reductions in Cash Assistance: The budget proposes a 27 percent reduction in the maximum level of child-only grants available under the proposed Child Maintenance program. For a family with two recipient children (no aided adults), the maximum monthly grant would drop from $516 to $375. For the 109,000 families moving from CalWORKs to the Child Maintenance program, the loss of the adult portion of their grants would result in an even steeper loss (41 percent if they had been receiving the maximum grant). In a high-cost county, the maximum grant would drop from $638 for a family with three recipients (including one adult) to $375 for a family with two child recipients. As a result of the proposed lower grant levels, 63,000 recipient families with 125,000 children would lose all aid because their incomes would be too high for the resulting new eligibility thresholds. Additionally, the new program would reduce Child Maintenance recipient families’ incomes by capturing for the state 100 percent of the child support payments made by non-custodial parents. Under the current program, the first $50 is passed through to the recipient family before the state begins to capture the support payments. 7 The chart below summarizes the changes in structure and benefits outlined above: As Estimated for April 2013 New Nutritional Benefits: The budget also proposes changes to the Work Incentive Nutritional Supplement (WINS) program that is scheduled to take effect by October 1, 2013, with full implementation by April 1, 2014. WINS is designed to provide a supplemental food benefit to working families who are receiving CalFresh, but not CalWORKs, benefits. To the extent that the state relies on TANF or TANF Maintenance of Effort (MOE) funding for the program, the Administration indicates that recipient families can be counted in federal work participation calculations. WINS was originally scheduled to begin in 2009-10, but has been statutorily delayed in recent years. The Administration proposes to increase from $40 to $50 the monthly supplemental benefit provided by the program. The Administration also proposes to expand WINS to low-income working families who receive subsidized child care, but not CalWORKs benefits, in a program called WINS Plus. DSS estimates that monthly caseloads for WINS and WINS Plus would be 95,000 and 25,000 respectively, beginning in 2013-14 (growing to 144,000 and 60,000 ongoing). Funding for implementation of the programs would include $45.2 million and $15.4 million General Fund in 2013-14 (growing to $88.9 million and $36.1 million on an ongoing basis). The Department estimates that implementation of these programs will result in a 15-20 percent increase in the state’s WPR. Effects on Work Participation Rates: Aside from the positive impacts of WINS described above, the Administration’s proposal to redesign CalWORKs would result in only a potential minimal WPR increase in 2012-13. The Administration indicates, however, that if a separate Child Maintenance program could eventually be funded without TANF or TANF MOE, there could be a positive impact on the WPR at that point. Funding Transfer: To achieve the proposed savings, the Governor’s budget would transfer $736 million in TANF funds to the Student Aid Commission to offset a like amount of General Fund support for Cal Grants. According to the Administration, this would be an allowable use of TANF funds because support for low-income, unmarried students age 25 or younger could CalWORKs Basic: 128,938 families with adults and children aided; 24 month time- limit for adults CalWORKs Plus: 22,445 families with adults and children aided; up to 24 additional months (48 total) for adults in unsubsidized jobs Child Maintenance: 368,776 families with only children aided; max. grant for 2 children = $375\/month No longer assisted: 63,273 families with 125,000 children CalWORKs Today: \uf076 587,000 families with 1.2 million children \uf076 315,000 cases are child-only with max. grant for 2 children = $575\/month \uf076 Time-limit for adults is 48 months (no time- limit for children) 8 prevent and reduce out-of-wedlock pregnancies, which is one purpose of TANF. A. ISSUES TO CONSIDER The proposed restructuring of CalWORKs is far-reaching and technically complex. As a result, it may present overwhelming implementation challenges on the ground at the same time that families and caseworkers are navigating the impacts of prior (and any potentially impending) reductions in benefits and services. Moreover, as the LAO indicates in its report, proposed reductions could be adopted and associated savings achieved without changing the structure of CalWORKs. The LAO goes on to conclude that in light of available research, the proposed redesign does not appear to create significant programmatic benefits in terms of efficiencies or effectiveness. As a result, the LAO recommends that the Legislature reject the proposed redesign and adopt a package of CalWORKs reductions based on its priorities. The LAO report begins to explore potential modifications to some of the Governor’s reduction proposals, as well as other savings options. The Governor’s proposals change the rules retroactively and restrict the types of activities that adults can take advantage of to move from welfare to self-sufficiency. A significant number of adults who would lose CalWORKs eligibility after six transitional months are individuals whom the state previously exempted from work requirements (again, because of the age of their children, a disability, caregiving for an ill family member, etc.). During the time they were exempt, these individuals did not receive welfare-to-work services and supports. Nonetheless, the proposed changes would require counties to go back and newly count that time against shorter time limits retroactively. In addition, aspects of the proposal to align state and federal policies would restrict participants’ ability to count certain educational and other services (such as mental health and substance abuse services) toward work participation. Some of these activities would remain countable for only the 24 months in which participants can utilize the CalWORKs Basic program; others would be available for less time during those 24 months or no longer count at any time. The state has previously opted to allow for the broader array of these services with the goal of helping participants to overcome barriers that may otherwise prevent them from working. Relative to measurements of poverty and to the level of support the state has historically provided to needy families with children, the proposed reductions would result in a dramatic shrinkage of benefits and services. For a family of three with no other income, the proposed maximum Child Maintenance grant of $375 per month ($4,500 annually) would result in an income equivalent to 24 percent of the federal poverty line (which is currently $1,591 per month or $19,090 annually for a family of three). [8] At $638 per month for a family of three in a [8] The Administration combines this income with maximum CalFresh (food stamp) benefits to instead conclude that families would have income equivalent to 64 percent of the poverty level. However, the inclusion of those non-cash benefits is not generally accepted as a stand-alone adjustment for calculating poverty levels. While several researchers have suggested that in-kind benefits like nutritional assistance should offset calculations of families’ costs of living, they also generally recognize other needed adjustments, potentially including an adjustment for varying costs of housing (which may cut the other direction to reduce many Californians’ effective incomes relative to the federal measure). 9 high-cost county, maximum CalWORKs grants (the grant level available for families without any other income and in which an adult is aided) are the same in actual dollars today as they were in 1987. After adjusting for inflation, the California Budget Project calculates that the purchasing power of these grants is already less than half of what it was in 1989-90. Said another way, if the slightly higher 1989-90 maximum grant of $694 had been adjusted for inflation every year, it would be $1,368 in 2012-13. As discussed above, the proposed reductions would also lower eligibility thresholds so that 63,000 families with around 125,000 children would lose all assistance. B. QUESTIONS FOR THE ADMINISTRATION AND LAO 1) Overall, how many additional families are expected to become self-sufficient as a result of the Administration’s proposed changes to CalWORKs? 2) What is the policy rationale for allowing recipient families to receive aid after 24 months (and up to 48 months) only if they are participating in a sufficient amount of unsubsidized work (as opposed to continuing to support education, training, therapeutic or subsidized work activities that may help them attain self-sufficiency)? 3) Does the Administration’s proposal implicitly assume that unsubsidized jobs are readily available and that recipients can quickly become prepared to succeed in obtaining and keeping them? How do those assumptions square with widely accepted research on high rates of unemployment statewide and the slower recovery of low-income families and individuals with lower levels of educational attainment? How do they account for the significant barriers to employment that many CalWORKs recipients face? 4) A significant number of families with adults who were exempted from welfare-to-work requirements would lose all services after a six-month grace period (after those previously exempted months would be retroactively counted). For some of these families, doesn’t this effectively create a six-month lifetime limit on welfare-to-work assistance (because they received no supportive services up to that time)? What options will exist for people who have been exempted for reasons such as disability, advanced age, or caregiving for an ill family member? 5) How are families expected to fare in light of such historically large grant reductions (up to 27 or 41 percent) that would come on top of other recent grant reductions? What are the anticipated human consequences of an increased number of the state’s children living farther below the federal poverty line? What pressures on other state and local systems, such as Child Welfare Services, might result? 10 IV. BACKGROUND ON CHILD CARE AND EARLY CHILDHOOD EDUCATION There are many different programs that invest in child care and early childhood education. Direct child care and early childhood education services are currently funded by every level of government (federal, state, and local), including local school districts and the First 5 County Commissions. These programs have developed through separate efforts to achieve a variety of goals, including but not limited to, providing the child care necessary so that parents can work, and providing an educational environment that helps prepare young children for success in school. State Funded Programs. Historically, the state has funded the following programs: \uf0b7 CalWORKs Child Care (Stages 1, 2 and 3) recipients of CalWORKs assistance are eligible for subsidized child care. This care is administered in three stages and recipients are currently entitled to two years after a family is transitioned off aid. All CalWORKs providers are paid through a voucher reimbursement system based on regional market rates (RMR). \uf0b7 Non-CalWORKs Child Care (General Child Care [Title 5 Centers and Family Child Care Homes], Alternative Payment programs, and Migrant and Severely Handicapped programs) low-income families not receiving CalWORKs assistance also are eligible for subsidized child care, though demand typically exceeds funded slots. The General Child Care Program is comprised of centers and homes that directly contract with the State. The Alternative Payment program providers are paid through vouchers similar to CalWORKs child care programs. \uf0b7 State Preschool early childhood education programs for three to five-year old children from low-income families. This is the only program that does not require the parents to be working or engaged in some other qualifying activity. These state-funded programs are primarily administered by the State Department of Education (CDE) with the exception of Stage 1 CalWORKs Child Care, which is administered by the Department of Social Services (DSS). Until the 2011-12 fiscal year, the vast majority of these programs were funded from within the Proposition 98 Guarantee for K-14 education. Currently, all of these programs are supported by non-98 General Fund spending and federal funds, with the exception of part-day\/school-year State Preschool which continues to be funded from within Proposition 98. The portion of the General Child Care Program that was serving three and four-year old children in center-based settings was consolidated with the State Preschool program in 2009 after the passage of Chapter 308, Statutes of 2008 (AB 2759, Jones). Over one-half of the funding for the General Child Care program is now supporting preschool programs and many of them are run by school districts. In 2011-12, around $1 billion was allocated for CalWORKs Child Care, $933 million for Non- CalWORKs Child Care, and $374 million for State Preschool. These programs were funded 11 with a mix of Proposition 98 General Fund (State Preschool only), Non-Proposition 98 General Fund ($1 billion), and federal funds ($941 million). Head Start Programs. The federal government invests directly in Head Start programs around the State. These programs serve preschool-age children and their families. Many Head Start programs also provide Early Head Start, which serves infants, toddlers, pregnant women, and their families who have incomes below the federal poverty level. Head Start programs offer a variety of service models, depending on the needs of the local community. Programs may be based in: \uf0b7 Centers or schools that children attend for part-day or full-day services; \uf0b7 Family child care homes; and\/or \uf0b7 Children’s own homes, where a staff person visits once a week to provide services to the child and family. Children and families who receive home-based services gather periodically with other enrolled families for a group learning experience facilitated by Head Start staff. The federal Administration for Children and Families reports that nearly $860 million was expended on Head Start in California in 2009 and nearly 98,000 children were served. California First 5 and County First 5 Commissions. The California Children and Families Program (known as First 5) was created in 1998 upon voter approval of Proposition 10, the California Children and Families First Act. There are 58 county First 5 commissions as well as the State of California and Families Commission (State Commission), which provide early development programs for children through age five. Funding is provided by a Cigarette Tax (50 cents per pack), of which about 80 percent is allocated to the county commissions and 20 percent is allocated to the State Commission. This Act generates about $475 million in new revenues annually. The First 5 programs are generally directed by the State and County Commissions. Both the State and County Commissions have made early childhood education a priority for expenditure. According to the latest annual report available from First 5 California from 2009-10, the State Commission has invested in the following efforts: \uf0b7 Power of Preschool – $15.2 million to fund Power of Preschool demonstration projects in certain counties. Power of Preschool provides free, voluntary, high-quality, part-day preschool to assist three- and four-year old children in becoming effective learners with a focus on developing preschool in underserved and high-priority communities. \uf0b7 School Readiness – $51.7 million to counties for the School Readiness Program that strives to improve the ability of families, schools, and communities to prepare children to enter school ready to learn. Services are provided to focus on family functioning, child development, child health, and systems of care with a specific target to children and their families in schools with an Academic Performance Index score in the lowest three deciles. 12 \uf0b7 Low Income Investment Fund Constructing Connections – $600,000 to support Constructing Connections that coordinates and delivers technical assistance, training, knowledge, and facility financing information to support child care facilities development through local lead agencies. The Commission indicates that it leveraged more than $86 million in resources to create and renovate child care facilities and spaces. There is considerable variation county to county; but, on a whole, County Commissions invested $265 million in 2009-10 to improve child development. The County Commissions predominantly invested these funds in Preschool for three and four-year olds and State school readiness programs. Local School Districts. Local school districts have also made considerable investments in early childhood education. Many elementary schools have preschool programs and child care programs on site. In some cases these programs are those described in earlier sections (State Preschool, Head Start, or First 5 funded programs). However, in some cases these programs are funded directly by school districts using other funds, including local property tax and parent fees. In addition, school districts have flexibility to use some of their major funding streams on early childhood education. The Title I federal funding that is dedicated to improving the academic achievement of disadvantaged students can be used to support early childhood education. In addition, federal special education funding can also be used to support children demonstrating special needs prior to entering school. The State also has a categorical program called California School Age Families Education (Cal SAFE) that provided money specifically for child care and other supports for parenting students. This program was added to categorical flexibility in 2008- 09 and the funds allocated to districts are no longer restricted to the CalSAFE program. The State also provides local school districts with After School Educational and Safety (Proposition 49) funding of about $680 million annually. Furthermore in 2010, legislation was enacted to create a two-year kindergarten program for all students who turn five between September 1 and December 1. The 2012-13 fiscal year is the first year that this two-year program is required to be offered for students that have a birthday between November 1 and December 1. School districts have had the option to offer this early Transitional Kindergarten program on a pilot basis prior to this year and districts have varied greatly in their implementation of this program. Kindergarten (whether one year or two year) is not compulsory in California. In summary, local school districts have invested in early childhood education, but there is no easy way to quantify the investments that they have made. Community College Districts. There is also a small amount of funding allocated to the Community College Districts to support subsidized child care for students. This includes funding for the following programs: \uf0b7 CalWORKs – $9.2 million for subsidized child care for children of CalWORKs recipients. This program is proposed to be part of the Governor’s categorical reform and would no longer be restricted for this purpose. 13 \uf0b7 CARE (Cooperative Agencies Resources for Education) – $9.3 million to provide eligible students with supplemental support services designed to assist low-income single parents to succeed in college. Child care is one of many supports funded by this program. This program is proposed to be part of the Governor’s categorical reform and would no longer be restricted for this purpose. \uf0b7 Child Care Tax Bailout – $3.3 million for certain districts to provide assistance for child care. This program was included in the categorical flex item adopted in the 2009-10 budget, but there has been no change to this program since that time. V. GOVERNOR’S PROPOSALS ON CHILD CARE Overall Funding. The Governor’s budget proposes $1.9 billion in funding for child care programs. This includes $1.5 billion in funding for programs administered by CDE and $442 million in funding for Stage 1 child care administered by DSS. This reflects a reduction of $450 million General Fund or approximately 20 percent of the total program when compared to 2011- 12. The Department of Finance (DOF) estimates that this will result in 62,000 fewer child care slots in the budget year. Child Care and Preschool Program Reductions. The Governor’s budget proposes the following reductions to the state funded child care reductions in 2012-13: \uf0b7 Stricter Work Requirements and Reduced Time Limits for CalWORKs Recipients – $293.6 million in savings in non-Proposition 98 General Fund by reducing time limits on CalWORKs for adults not meeting work participation requirements and applying stricter work participation requirements for all families receiving child care services. Specifically, single parent families with older children would be required to work 30 hours per week. New eligibility criteria would not provide subsidized child care for training and education activities. This change will eliminate services for 109,000 families as of April 2013. This reduction will eliminate about 46,300 child care slots. \uf0b7 Reduce Income Eligibility – $43.9 million in non-Proposition 98 General Fund savings and $24.1 million in Proposition 98 General Fund savings by reducing the income eligibility ceilings from 70 percent of the state median income to 200 percent of the federal poverty level or 62 percent of state median income. This level equates to a reduction in the income ceiling for a family of three from $42,216 to $37,060. This reduction will eliminate about 8,400 child care slots and 7,300 state preschool slots. The Administration has indicated that this reduction would make the income eligibility consistent with the federal maximum for receiving TANF-funded services. Furthermore, the Administration proposes to offer a food stamp benefit of $50 to subsidized child care recipients in an effort to improve the State’s Work Participation Rate (WPR). Currently, California does not meet federal benchmarks related to the WPR and sanctions by the federal government are pending. 14 \uf0b7 Reduce Provider Payments. The Governor has several proposals that would have the effect of reducing the payments to providers of child care and early childhood education services. These reductions include the following: \uf0fc Eliminate COLA – $29.9 million in non-Proposition 98 General Fund savings and $11.7 million in Proposition 98 General Fund savings by eliminating the statutory COLA for capped non-CalWORKs child care programs. \uf0fc Reduce Reimbursement Market Rate (RMR) Ceilings and Update Survey Data – $11.8 million in non-Proposition 98 General Fund savings by reducing the reimbursement rate ceilings for voucher-based programs from the 85th percentile of the private pay market, based on 2005 market survey data, to the 50th percentile based on 2009 survey data. Per the Administration, to preserve parental choice under lower reimbursement ceilings, rates for license-exempt providers will remain comparable to current levels, and these providers will be required to meet certain health and safety standards as a condition of receiving reimbursement. (A corresponding $5.3 million General Fund decrease is made to Stage 1 in the Department of Social Services budget to reflect the lower RMR rate.) \uf0fc Reduce State Reimbursement Rate (SRR) for Title 5 Contracts – $67.8 million in non-Proposition 98 General Fund savings and $34.1 million in Proposition 98 General Fund savings by reducing the standard reimbursement rate for direct-contracted Title 5 centers and homes by 10 percent. Child Care Program Redesign and Realignment. The Governor also proposes major changes that would restructure the administration of the child care programs over two years. These changes are purported to focus state funding on providing work supports for low income families. The Administration proposes to replace the three-stage child care system for current and former CalWORKs recipients and programs serving low-income working parents with a work-based child care system administered by county welfare departments starting in 2013-14. The Governor is proposing a two year process to implement these changes. \uf0b7 Year 1\u20142012-13 Structure. The Governor proposes to consolidate all funding for Stages 2, 3 and non-CalWORKs Alternative Payment (AP) programs into one block grant to the AP contractors. First priority for this block grant would be child care for families whose children are recipients of child protective services, or at risk of being abused, neglected or exploited, and cash-aided families meeting work requirements. However, other income eligible families meeting the new work requirements would also be eligible for the subsidy regardless of whether they had ever been on cash aid. Priority would be based on income and the previously listed factors. In Year 1, CDE would continue to contract directly with Title 5 centers and Title 5 family child care homes, which comprise the State Preschool program and General Child Care program. They would also continue to contract for the smaller Migrant and Severely Handicapped Programs. The counties would also continue to administer Stage 1 contracts for CalWORKs. The diagram on the next page illustrates the changes proposed to the child care structure in 2012-13. 15 CDE: CalWORKs Child Care Stage 2 is an entitlement for families for two years after the family stops receiving a CalWORKs grant. CDE: CalWORKs Child Care Stage 3 is for families that have exhausted the time limit in Stage 2 and are otherwise eligible for child care. Stage 3 is a capped program. CDE: Alternative Payment Programs provide low income families with vouchers for care in a licensed center, family child care home, or by a licensed-exempt provider. CDE: New consolidated block grant to the Alternative Payment contractors to provide vouchers to serve eligible families with priority given to families whose children are recipients of child protective services, or at risk of being abused, neglected, or exploited, cash- aided families meeting work requirements, and other income eligible families meeting work requirements. Program funding of $571 million to support 82,834 slots. CDE: Administration of the General Child Care program which funds Title 5 centers through direct contracts with the State would not change in the budget year, except for the reduction in income eligibility and reimbursement rate, which would reduce the size of this program considerably. Program funding of $470 million to support 52,809 slots. DSS: CalWORKs Child Care Stage 1 will continue to be administered by County Welfare Directors subject to the new work participation requirements. Program funding of $442 million to support 60,313 slots. Proposed Child Care Structure for 2012\u201013 16 \uf0b7 Year 2\u20142013-14 Structure. In Year 2 of the redesign, larger fundamental changes occur regarding the oversight and management of the child care programs. In Year 2 all of the child care funding at CDE (except part-day Preschool) would be consolidated with Stage 1 (administered by DSS) to provide a new consolidated block grant to the counties. Furthermore, all families, including those currently enrolled in Title 5 centers, would receive vouchers for a payment to a provider of their own choice. The Administration has indicated that in Year 2 the county will be responsible for eligibility (currently the AP does eligibility for some programs), but the AP would continue to be responsible for administering and paying the network of child care providers. \uf0b7 Future of Quality and Other Child Care Activities Uncertain. The Governor continues the expenditure of $76 million in quality and other child care activities that provide support, development, and referral networks for the child care network through CDE in the budget year. The Administration has indicated that it plans to have DSS and CDE work together on a new plan on how to allocate the quality dollars in 2012-13. Furthermore, the Administration was recently awarded a multi-year Race to the Top federal grant of $53 million to develop locally based quality rating systems of child care programs. Administration of these grants would be shifted to DSS starting in 2013-14. Generally, the Administration seems to still be developing a long-term plan for the quality and other child care funding components that have historically been administered by CDE. \uf0b7 Preschool and AB 2759. The CDE will continue to administer part-day Preschool under the Governor’s proposal. However, as mentioned in the background, over one-half of the funding in the General Child Care program is currently funding Preschool. In 2009, after the DSS: CalWORKs Child Care Stage 1 CDE: New Consolidated block grant (formerly CalWORKs Stages 2 and 3 and Alternative Payment Programs) CDE: General Child Care program. DSS\/Counties: Consolidated child care block grant to serve eligible families with priority given to families whose children are recipients of child protective services, or at risk of being abused, neglected, or exploited, and cash-aided families meeting work requirements, and other income eligible families meeting work requirements. Counties would have authority to continue to contract with Alternative Payment contractors locally like 27 counties currently do with the Stage 1 program. The DSS would oversee this consolidated program, including the federal Child Care Development Funds. Proposed Child Care Structure 2013\u201014 17 implementation of AB 2759 (Jones), some of the contracts with Title 5 centers funded with General Child Care program funding were consolidated with State Preschool contracts. The Governor has proposed to unwind this relationship over the next year and realign the General Child Care funding along with other funding to the counties as part of the block grant. \uf0b7 Oversight. The Governor’s proposal centers oversight and design of the child care system with the counties starting in 2013-14 and has proposed legislation to provide counties and Alternative Payment agencies with the tools needed to identify and collect overpayments and to impose sanctions on providers and families that commit intentional program violations. Any savings identified would be reinvested in child care slots. Transitional Kindergarten. The Governor’s January 10 budget proposed to eliminate a new two-year Kindergarten program (known as Transitional Kindergarten) to save $223.7 million in Proposition 98 funding in the budget year. This program would have commenced a new, early childhood education program for children no longer eligible for Kindergarten due to the roll back of the Kindergarten start date from December 2 to September 1. Unlike other early childhood programs, funding would not be needs-based. For example, funding would not be targeted on the basis of income, as is the case with most other child development programs, such as state preschool. Instead, program funding would be provided to all children with birthdays that fall within a three month range. The Governor’s most recent proposal reflected in proposed trailer bill language — would still eliminate the new Transitional Kindergarten program authorized in current law. However, the new proposal would expand existing law to authorize full-year funding for children who are not eligible for Kindergarten when they enter school. (Current law allows school districts to admit children to Kindergarten who are not age eligible through a local waiver process. However, school districts only receive funding for the part of the year the child is five years old.) Coupled with current law that allows up to one additional year of Kindergarten, the Governor’s proposal, would not authorize the new Transitional Kindergarten program, but would authorize a full two years of Kindergarten for children who are not eligible when they enter school. As a result of these changes, the Department of Finance has revised its savings estimates to reflect (1) savings offsets for school districts with declining enrollment, and (2) additional costs resulting from districts that grant early admission waivers to children who do not meet the new age requirements when they enter school. As a result of these factors, the Department of Finance has indicated that their original savings estimates could drop by up to $100 million in 2012-13, which would result in savings of $124.7 million. The Governor proposes additional trailer bill language to increase the eligibility age for the part- day State Preschool program in order to cover four-year old children who are no longer eligible for Kindergarten due to the eligibility age rollback, but who turn five years old during the school year. (Current law limits eligibility for state preschool funding to children who turn three and four years old by December 2nd.) The Governor’s proposal would give eligible five-year olds first priority for part-day State Preschool funding; however, the Governor does not provide additional funding for the program to cover a potential increase in caseload. In fact, the Governor proposes a $58 million (16 percent) reduction for part-day state preschool funding in 2012-13. 18 A. ISSUES TO CONSIDER: Child Care and Early Childhood Education Critical to Reducing Achievement Gap. The Governor has proposed a significant redesign of the current state-funded child care programs. However, ultimately the reduced number of child care and early childhood education slots (62,000) will have real impacts on the access to child care, the ability of families to work, and the reduced school readiness for low-income children. Furthermore, recent studies have found that child care and early childhood education efforts have returns on investment to the public ranging from $2.69 to $7.16 per dollar invested. Studies have found that investments in child care and early childhood education have consistently found substantial savings derived from reduced need for remedial and special education, reduced incarceration, and lower rates of teen pregnancy, among many other factors. While the economy has started to improve, the budget continues to be extremely constrained. Ultimately, the Legislature will need to weigh options for balancing the budget. However, it will be important to focus these reductions in an effort to minimize impacts to direct services and preserve key infrastructures that would be difficult to rebuild. Current System is Education, Work Support, and Everything In Between. The current state-funded child care and early childhood education programs provide a wide range of services and supports to children and their families. Until last year all of these programs were funded within the Proposition 98 guarantee for K-14 education, even though some of the programs arguably do not primarily support early childhood education goals. However, in budget negotiations in 2011, all child care and early childhood education programs were removed from the Proposition 98 guarantee with the exception of part-day\/school year State Preschool programs. This division did not neatly organize education programs from non-education programs since a significant portion of the remaining programs support education. Furthermore, the LAO has proposed transferring approximately $400 million from the General Child Care program that is currently serving low-income three and four-year olds in the State Preschool program back in to the Proposition 98 guarantee to consolidate all expenditures for the State Preschool program. Even after the transfer proposed by the LAO, there are still educational benefits to many of the remaining child care programs, especially the remaining Title 5 centers and Family Child Care Homes that are required to follow curriculum and have child development assessments in place. In summary, because of decades of work on improving the quality of child care, there is not a clear demarcation between pure child care and early childhood education. In fact, many low- income children can and do receive quality education outside of the State Preschool program. It is also important to note that the State Preschool program has one other important distinction that makes it different from other early childhood education programs. Specifically, eligibility for the part-day program is based solely on income and families are not required to demonstrate need for child care because of work or other activities. Early childhood education has further been complicated by a new Transitional Kindergarten program that could take the place of preschool for four year olds born in the fall months. This new program has no income or work eligibility requirements. 19 What About the Impacts of the Governor’s New Work Requirements? The single largest reduction in the Governor’s child care proposal is related to the CalWORKs stricter work requirements and reduced time limits for services like child care. The Governor’s proposal would require that a parent without small children be working 30 hours per week in unsubsidized employment after two years of services in the CalWORKs program, with minimal exceptions, in order to be eligible for child care. This explicitly excludes parents who need child care based on participation in education activities or training. Because the Governor’s proposal drops services for current families who do not meet these criteria after a six month period, the number of families losing child care services is especially high in the budget year. In summary, the child care proposal is intertwined with the Governor’s larger CalWORKs proposal and these reductions will need to be evaluated together. The Governor’s proposal would have a significant impact on low income families not meeting the stricter work requirements because in addition to losing child care services they also would have significantly lower grants. The new CalWORKs work requirements that exclude education and training activities extend to the non-CalWORKs child care programs as well. This is a significant policy change that would impact around 31,000 children. The LAO has offered an alternative savings proposal to place a time limit on the number of years of child care that a family could receive based on educational activities. This alternative could save approximately $50 million. Income Eligibility Issues to Consider. The Governor has proposed reducing the income eligibility for child care subsidies and State Preschool from 70 percent of state median income to 62 percent of state median income (or 200 percent of the federal poverty level). This change brings the income eligibility for child care more in line, while remaining higher than most other low-income social and health care benefits and would mean most child care beneficiaries could be eligible for a new food stamp benefit (WINS plus). While this food stamp benefit would undoubtedly help to supplement family food budgets of child care beneficiaries, they would also allow the State to count their work participation towards the state’s WPR, thereby improving its WPR and avoiding federal penalty. The Governor has proposed to reduce slots in both child care and State Preschool reflecting the number of children currently receiving these services that are above the proposed lower income eligibility level. However, there are still many low income children and families in California that are currently not receiving benefits and would meet the lower income criteria for both child care and State Preschool. Therefore, lowering the income eligibility by itself does not require a commensurate reduction in slots, but would prioritize funding to the lowest income children and have other benefits cited above related to the state WPR. However, lowering the income eligibility without eliminating slots would not result in any budgetary savings. The LAO also recommends that the Legislature consider the Governor’s proposal to reduce income eligibility and finds that the proposed income level is more in line with other states’ eligibility standards. The LAO finds that only 10 other states set their income ceilings at 70 percent of state median income or above, but that almost two-thirds of states set their income eligibility requirements at or below 62 percent of state median income. Weighing Provider Payments and Access. The Governor has proposed adjustments to the rates paid to providers of child care and early childhood education programs. The Governor 20 proposes a 12 to 14 percent reduction, on average, to the regional market rate (RMR) paid to licensed providers in the Alternative Placement (AP) voucher system. This would represent the 50th percentile of current regional rates. For example, in Los Angeles, this would drop daily voucher rates from $43.27 to $37.79. This reduction would ultimately force providers to reduce costs or charge clients an additional fee. In the latter case, parents who could not afford a higher copayment might have to seek providers who charge less. However, in some cases providers may opt to take fewer voucher clients, thereby reducing the availability of child care providers that take vouchers. This may be especially acute of a problem for infant care, which is already scarce. However, the LAO has reviewed reimbursement rates in other states and found that the Governor’s proposed lower rates are similar to and, in some cases, still exceed reimbursement policies in other states. The LAO recommends that the Legislature consider adopting the Governor’s proposed RMR rate reduction. The Governor also proposes a 10 percent reduction to the state reimbursement rate (SRR), which is the rate that the state pays to contract directly with the Title 5 centers and family child care homes. This rate reduction would drop payments for full-day services from $34.38 to $30.94 and part-day preschool services from $21.22 to $19.10. Given the strict state guidelines for these centers and homes it is likely that many of these centers would find it difficult to maintain their programs under these reductions. Furthermore, these reimbursement rates are in some cases lower than RMR reimbursement rates even though they are required to provide lower adult-to- child ratios and face other programmatic requirements. Furthermore, current law prohibits Title 5 centers from charging parents copayments to make up for reduced state rates. Given all the constraints placed on these centers by the state, the LAO recommends that the Legislature reject the SRR proposal because it likely lead to many Title 5 centers closing. LAO Identifies Other Options For Budget Savings. The LAO has identified other options for the Legislature to consider as it tries to balance priorities within the framework of a constrained budget. Specifically, the LAO has recommended that the Legislature consider prioritizing subsidized child care to younger children since school age children have more options for supervision through school-based programs funded by the After School Education and Safety (ASES) Program and 21st Century Community Learning Centers, as well as other non-profit programs like the Boys and Girls Club. The LAO recommends that exceptions be made for children that need nontraditional hours of care in the evening or on weekends and for children with special needs. The LAO indicates that the state could save $65 million if child care subsidies were limited to children under the age of 11 (currently child care subsidies are available until a child is 13). An additional $50 million could be saved if child care subsidies were limited to children under the age of 10. The LAO has also recommended considering increasing family fees to generate savings. It is important to note that there are significant interactions between family fees and the income eligibility requirements. Under the Governor’s proposal, lowering the income ceiling will have the effect of reducing, significantly, the fee revenues from family fees. Therefore, the LAO is recommending that the Legislature consider adjusting the family fee policy to do one or all of the following: (1) lower the income threshold at which families must begin to pay fees; (2) increase the fee amount required per family, and\/or (3) charge fees on a per child basis rather than a flat fee per family. The LAO indicates that raising family fees could result in tens of millions of 21 dollars in savings and suggests that fees in California are generally lower than in most other states. The Legislature may want to review the family fee schedules when they consider the income eligibility policy because lowering the income threshold will likely have a significant impact on the fees providers are collecting and will need to be considered in the overall impact to providers. The LAO has also suggested considering a general time limit for child care services. Currently, the state does not have a time limit for child care services as they do for other social supports like cash assistance. The LAO suggests that a time limit of six years could generate $100 million in savings. It is important to note that CDE does not track information on the length of time in care outside of the CalWORKs program so additional data elements would be required to fully implement this proposal. Who Should Administer Child Care Funding? The Governor has proposed a major shift in the allocation of the child care funding from a program primarily administered by CDE to a program mainly administered by the counties with some oversight from DSS. Nevertheless, it is important to note that the vast majority of the child care programs (CalWORKs and Alternative Placement programs) are currently run by locally based Alternative Payment agencies and in 27 counties the Alternative Payment agency also manages the Stage 1 contract for child care, which is allocated to the counties by DSS. In summary, a large portion of the current system is managed locally with some variation from county to county. The exception to this is the Title 5 centers and the Family Child Care Homes, that directly contract with the State through the General Child Care program. This program has the potential to change significantly under the Governor’s proposal as the state requirements related to Title 5 would presumably become optional and counties would not be required to contract with these centers. Furthermore, the Governor’s proposal would provide vouchers for all programs in the second year of implementation and given the considerable fixed per classroom costs associated with running a Title 5 center it is unlikely that these centers could continue without the certainty of a contract or other partnerships with a local school district. Generally, programs that are good candidates for realignment are programs that would benefit from local innovation and are programs where the State can tolerate some variation in the delivery of services. A large portion of the child care programs fit these qualifications. However, this is not the case with the Title 5 centers and Family Child Care Homes that are currently directly contracting with the State and adhere to State standards for operation and reimbursement. The Legislature will need to evaluate and determine what role the State will play in preserving the current network of Title 5 centers. The LAO generally recommends that the Legislature adopt the Governor’s proposed restructuring plan. They find that a streamlined system would treat similar families and similar providers similarly and hold all to the same set of requirements. Furthermore, they find that the proposal offers opportunities for child care to become part of a coordinated and integrated system of local services as counties oversee eligibility for most other social and health services that support low income families. As mentioned earlier, the LAO also recommends that the Legislature fully recognize the State Preschool budget that is currently budgeted in the General Child Care program by transferring approximately $400 million back to the Proposition 98 22 guarantee that would otherwise be realigned to the counties under the Governor’s proposal. The LAO is also concerned about the Governor’s proposal to convert all funding to vouchers and the impact that will have on the network of Title 5 centers. How Do We Maximize Coordination? There have been significant efforts at the state and federal levels of government to reduce the achievement gap of low-income children before they enter school. Furthermore, the voters also passed the First 5 initiative that specifically focuses resources to children ages zero-to-five and their families. Also, the state currently funds numerous separate programs for child care and early childhood education. The Governor’s proposal has taken significant steps to streamline and consolidate the state child care programs into a block grant to the counties. This could help to enhance coordination among child care programs and the different early childhood education efforts that are generally locally driven (local First 5 Commissions, local school districts, and others). The Legislature will want to examine ways in which we can maximize the use of existing child care and early childhood education funding given the numerous funding sources and separate efforts in this area. Furthermore, the current system of health and social services offered to low-income families centralizes eligibility with the counties. The Governor’s proposal would add child care to the menu of other programs available. This could help to improve access to child care services for some families (notwithstanding the Governor’s proposed reductions to the system.) Quality and Education Components. The Governor’s proposal related to the $72 million proposed to be expended on federally required quality improvement projects is not well developed. The Governor has proposed that DSS and CDE work together on a joint plan for expenditure of these funds. However, this plan, as currently articulated, does not provide for legislative oversight of the expenditure of these funds. The LAO has recommended that the Legislature continue to take an active role in encouraging and overseeing activities that support a high-quality child care and early childhood education program. The LAO finds that a large majority of states administer their federal child care funds through their state social services agencies, and many have well-respected early childhood education systems. Therefore, claims that shifting oversight from CDE to DSS would discontinue the educational focus are not valid as evidenced in other states. Furthermore, the LAO finds that many of the 27 quality improvement projects historically funded by CDE might be worthwhile, but have not been rigorously evaluated. Therefore, the LAO recommends that the Legislature provide specific guidelines and priorities for the quality improvement activities that are outcome based. The LAO also recommends regular reports to the Legislature related to the expenditure of the $53 million multi-year federal Race to the Top grant that was recently awarded to the state to develop locally based quality rating systems for child care and early childhood education programs. B. QUESTIONS FOR THE ADMINISTRATION AND LAO 1) Does the Administration propose to maintain the educational emphasis of the programs that currently have educational components? 23 2) What changes is the Administration proposing to how the quality improvement dollars are expended and will those changes be made available to the Legislature for review? 3) Can you provide further details on the rationale behind the income eligibility changes? 4) Can you provide additional background on your proposal to centralize eligibility for child care with the counties? ”

pdf 2015-#13 CCWRO Bill & Budget Action Tracker

By In Budget Hearings Agendas & Outcomes 1237 downloads

Download (pdf, 538 KB)

2015-#13 CCWRO Bill & Budget Action Tracker.pdf

” CCWRO Bill & Budget Action Tracker 2015 13 1111 Howe Avenue, Suite 150, Sacramento, CA 95825-8551 Phone 916-736-0616 Cell 916-712-0071 Contact person: Kevin Aslanian Cell 916-712-0071 Email: [email protected] ASSEMBLY HUMAN SERVICES COMMITTEE Consultants: Myesha Jackson, Principal Consultant [email protected] Committee Secretary: Irene Frausto [email protected] Phone 916-\u00ad319-\u00ad2089 Fax 916-\u00ad319-\u00ad2189 1020 N Street, Suite 124, Sacramento, CA 95814 Republican Consultant: Mary Bellamy [email protected] Phone 916-\u00ad319-\u00ad3900 Fax 916-\u00ad319-\u00ad 3902 1020 N Street, Suite 400, Sacramento, CA 95814 Assembly Committee Member Human Services Staff Kansen Chu (Chair) Phone: 916-319-2025 Fax: 916-319-2125 Room # 5175 Florence Bernal [email protected] Chad Mayes (Vice Chair) Phone: 916-319-2042 Fax: 916-319-2142 Room # 4144 Joshua White [email protected] Ian C. Calderon Phone: 916-319-2057 Fax: 916-319-2157 Room # 5150 Kelsy Castillo [email protected] Patty Lopez Phone: 916-319-2039 Fax: 916-319-2139 Room # 5160 Kristi Lopez [email protected] Mark Stone Phone: 916-319-2025 Fax: 916-319-2125 Room # 5175 Arianna Smith – [email protected] Brian Maienschein Phone: 916-319-2077 Fax: 916-319-2177 Room # 3098 Natalie Buchbinder [email protected] Tony Thurmond Phone: 916-319-2015 Fax: 916-319-2115 Room # 5150 Tyrone McGraw [email protected] CCWRO California Public Benefits Legislative Bill & Budget Action Tracker #2015-13 October 15, 2015 1 CCWRO Bill & Budget Action Tracker 2015 13 1111 Howe Avenue, Suite 150, Sacramento, CA 95825-8551 Phone 916-736-0616 Cell 916-712-0071 Contact person: Kevin Aslanian Cell 916-712-0071 Email: [email protected] Bill No. Sponsor & Position Bill Description Bill Status Next Steps AB 294- Lackey *Room # 2114 – 319-2036 Staff: Tim Townsend [email protected] CCWRO SUPPORT Health & Human Services Program – Re- quires all Health & Human Services pro- gram state plans and waivers to be placed on the front page of the applicable depart- ment web pages. Signed into law Chapter 296, Statutes of 2015. AB 371- Mullin Room #3160 – 916-319-2022 Staff: Elena Santamaria [email protected] Author SUPPORT CalWORKs -This would repeal the 100- hour rule and simplify CalWORKs eligibil- ity by eliminating the deprivation factor of eligibility. Vetoed by the Governor. AB 376 – Lopez *Room # 5160 – 319-2039 Staff: Kristi Lopez [email protected] CCWRO SUPPORT CalWORKs -This bill would allow the county to request proof of immunization from a CalWORKs applicant or recipient only if the statewide immunization registry does not have verification of immunization. Vetoed by the Governor. AB 433 – Chu Room # 5175 – 319-2025 Staff: Myesha Jackson [email protected] WCLP SUPPORT CalWORKs – This bill would express the intent of the Legislature to provide a griev- ing period and appropriate referrals to ser- vices when a CalWORKs recipient miscar- ries or when a child in the home of a Cal- WORKs recipient dies, without interruption of services. Signed into law Chapter 514, Statutes of 2015. AB 492 Gonzalez Room # 6013 – 319-2080 Staff: Andrea Sanmiguel [email protected] Support if Amended to Make Vouchers County Option CalWORKs Would require counties to issue $50 ancillary services for diapers in the form of voucher. Assembly Human Services Committee Two-Year bill AB 702- Maienschein * Room # 4139 – 319-2077 Staff: Natalie Buchbinder [email protected] CCWRO and WCLP & San Diego Anti-Hunger Coalition SUPPORT CalWORKs – This bill would delete the re- quirement that the 16 days of temporary homeless assistance be limited to 16 con- secutive days and allow recipients to have a choice of when they can use it. Held in Senate Appropriations AB 743 – Eggman * Room # 3173 – 319-2013 Staff: Mayte Sanchez [email protected] CCWRO and WCLP SUPPORT CalWORKs This bill would exempt veter- an educational benefits as income for Cal- WORKs and require that the county adopt the satisfactory progress definition of the secondary educational institution that the participant is attending. Held in Senate Appropriations 2 CCWRO Bill & Budget Action Tracker 2015 13 1111 Howe Avenue, Suite 150, Sacramento, CA 95825-8551 Phone 916-736-0616 Cell 916-712-0071 Contact person: Kevin Aslanian Cell 916-712-0071 Email: [email protected] AB 357- Chiu Room #2196 – 916-319-2017 SUPPORT CalWORKs\/CalFresh This bill would provide that employed recipient of public benefits would not be penalized for taking time off to meet and provide information to the county welfare department. Held on Assembly floor- two-year bill SENATE HUMAN SERVICES COMMITTEE Staff: Consultants: Mareva Brown ([email protected], Sara Rogers ([email protected] Assistant: Mark Teemer Jr. ([email protected]) Phone: (916) 651-1524 Fax (916) 327-9478 1020 N. Street, Sacramento, CA 95814 Room 521 Republican Consultant Joe Parra ([email protected]) Phone: (916) 651-1501 Fax: (916) 445-3105 1020 N. Street, Sacramento Room 234 Senate Member Human Services Staff Senator Mike McGuire, Chair Phone: 651-4002 Fax: 651-4902 Room # 5064 Kelly Burns [email protected] Senator Tom Berryhill (Vice Chair) Phone: 651-4014 Fax: 651-4914 Room # 3076 Matt. Galligher – [email protected] Senator Carol Liu,Chair Phone: 651-4025 Fax: 651-4925 Room # 5097 Darcel Sanders [email protected] Senator Loni Hancock Phone: 651-4009 Fax: 651-4909 Room # 2080 Marla Cowan [email protected] Senator Janet Nguyen Phone: 651-4023 Fax: 651-4923 Room # 3048 Emilye Reeb [email protected] 3 CCWRO Bill & Budget Action Tracker 2015 13 1111 Howe Avenue, Suite 150, Sacramento, CA 95825-8551 Phone 916-736-0616 Cell 916-712-0071 Contact person: Kevin Aslanian Cell 916-712-0071 Email: [email protected] SENATE BILLS Bill Number Author Sponsor Bill Description Next Steps SB 23- Mitchell * Room # 4082 916-651-4026 Elise Gyore [email protected] EBCL and WCLP SUPPORT CalWORKs – This bill would repeal the Maximum Family Grant (MFG) rule. Got out of Assembly Appropriations. Waiting for Action on the Assem- bly floor. SB 157- Huff Room # 3063 916-651-4029 Debra Gonzales [email protected] Author Spot Bill Rules Committee SB 297- McGuire Room # 5064 916-651-4002 Mareva Brown [email protected] Author SUPPORT CalWORKs – This bill would modernize the California safety net programs application process by making the system more ef- fective and efficient. Held in Senate Appropriations SB 306- Hertzberg * Room # 4038 916-651-4018 Michael Bedard [email protected] CCWRO, WCLP & CAHC SUPPORT CalWORKs – This bill would maximize participation in the CalFresh program to the extent permitted by federal law for ABAWDS and stop the Cal- WORK clock for the months that the federal government de- clares a recession. Held in Senate Appropriations SB 312- Pan * Room # 4070 916-651-4006 Darin Walsh [email protected] CCWRO and WCLP SUPPORT CalWORKs – This bill would give the county the option to do electronic application inter- views. Held in Senate Appropriations SB 521- Liu Room # 5097 916-651-4025 Darcel Sanders [email protected] WCLP SUPPORT CalFresh – This bill would in- crease participation in the CalFresh program Held in Senate Appropriations 4 CCWRO Bill & Budget Action Tracker 2015 13 1111 Howe Avenue, Suite 150, Sacramento, CA 95825-8551 Phone 916-736-0616 Cell 916-712-0071 Contact person: Kevin Aslanian Cell 916-712-0071 Email: [email protected] 2015-\u00ad2016 Appropriations Committees Assembly Appropriations Committee Jolie Onodera, Consultant Human Services [email protected] Phone 916.319.2081 Fax 916.319.2181 Room # 2206 Republican Consultant – Shantele Denny- [email protected] 916-651-1501 1020 N Street, Suite 234, Sacramento, CA 9581 Jennifer Swenson, Principal Consultant Human Services [email protected] Phone – 916.319.2081 fax 916.319.2181 Room # 2114 Republican Consultant Julie Souliere, [email protected] 916-319-2637 Room 6027 – Senate Appropriations Committee 5 CCWRO Bill & Budget Action Tracker 2015 13 1111 Howe Avenue, Suite 150, Sacramento, CA 95825-8551 Phone 916-736-0616 Cell 916-712-0071 Contact person: Kevin Aslanian Cell 916-712-0071 Email: [email protected] 2015-\u00ad2016 Budget Committees Assembly Budget Committee Sub. # 1 Assembly Budget Committee Sub #1 Staff Staff Tony Thurmond Phone: 916-319-2015 Fax: 916-319-2115 Room # 5150 Tyrone McGraw [email protected] Rob Bonta (D) Phone: 319-2018 Fax: 319-2118 Rm. #: 6005 Rylan Gervease [email protected] David Chiu (D) Phone: 319-2017 Fax: 319-2117 Rm. #: 2196 Yong Salas [email protected] Shannon Grove(R) Phone: 319-2034 Fax: 319-2134 Rm, #: 4208 Robert Smith [email protected] Brian Jones (R) Phone: 319-2071 Fax: 319-2171 Rm. #: 3141 Jennifer Bell [email protected] Nicole Vasquez, Committee Consultant Phone 319-2099 Fax 319-2199 Room 6029 Nicole Vazquez [email protected] Senate Budget Committee Sub. # 3 Senate Budget Committee Sub #1 Staff Email Address Holly Mitchel, Chair Phone: 651-\u00ad4030 Fax: 651-\u00ad4930 Room #: 5080 Elise Gyore [email protected] Jeff Stone Phone: 651-\u00ad4028 Fax: 651-\u00ad4928 Room #: 4062 Hanna Marrs [email protected] Bill Monning Phone: 651-\u00ad4017 Fax: 651-\u00ad4917 Room #: 313 Bethany Westfall [email protected] Samantha Lui, Committee Consultant Phone: 651-\u00ad4103 Fax: 323-\u00ad8386 Room #: 5019 [email protected] 6 CCWRO Bill & Budget Action Tracker 2015 13 1111 Howe Avenue, Suite 150, Sacramento, CA 95825-8551 Phone 916-736-0616 Cell 916-712-0071 Contact person: Kevin Aslanian Cell 916-712-0071 Email: [email protected] TENTATIVE SENATE CALENDAR 2016 REGULAR SESSION 2015 Jan. 1 \u2014Statutes take effect (Art. IV, Sec. 8(c)). Jan. 4 \u2014Legislature reconvenes (J.R. 51(a)(1)). Jan. 8 \u2014Budget must be submitted by Gov- ernor (Art. IV, Sec. 12(a)). Jan. 18 \u2014Martin Luther King, Jr. Day. Jan. 29 \u2014Last day to submit bill requests to the Office of Legislative Counsel. Feb. 15 \u2014Presidents’ Day. Feb. 26 \u2014Last day for bills to be introduced (J.R. 61(a)(1)), (J.R. 54(a)). Mar. 27 \u2014Spring Recess begins at end of this day’s session (J.R. 51(a)(2)). Mar. 31 \u2014Cesar Chavez Day. Apr. 4 \u2014Legislature reconvenes from Spring Recess (J.R. 51(a)(2)). April 29 \u2014Last day for policy committees to hear and report to Fiscal Committees fis- cal bills introduced in their house (J.R. 61(a)(2)). May 15 \u2014Last day for policy committees to hear and report to the Floor non fiscal bills introduced in their house (J.R. 61(a)(3)). May 22 \u2014Last day for policy committees to meet prior to June 8 (J.R. 61(a)(4)). May 25 \u2014Memorial Day. May 29 \u2014Last day for fiscal committees to hear and report to the Floor bills introduced in their house (J.R. 61(a)(5)). Last day for fiscal committees to meet prior to June 8 (J.R. 61(a)(6)). May 30 June 3 \u2014Floor Session Only. No committee may meet for any purpose (J.R. 61(a)(7)). June 3 \u2014Last day for bills to be passed out of the house of origin (J.R. 61(a)(8)). June 8 \u2014Committee meetings may resume (J.R. 61(a)(9)). June 15 \u2014Budget must be passed by mid- night (Art. IV, Sec. 12 (c)(3)). July 4 \u2014Independence Day. July 15 \u2014Last day for policy committees to meet and report bills (J.R. 61(a)(10)). Sum- mer Recess begins at the end of this day’s session, provided the Budget has been en- acted (J.R. 51(a)(3)). Aug. 15 \u2014Legislature reconvenes from Summer Recess (J.R. 51(a)(3)). Aug. 26 \u2014Last day for fiscal committees to meet and report bills to the Floor (J.R. 61(a) (11)). Aug. 29 Sep.9\u2014Floor Session only. No committees, other than Conference Commit- tees and Rules Committee, may meet for any purpose (J.R. 61(a)(12)). Sep. 2 \u2014Last day to amend bills on the Floor (J.R. 61(a)(13)). Sep. 5 \u2014Labor Day. Sep. 9 \u2014Last day for each house to pass bills (J.R. 61(a)(14)). Interim Study Recess begins at the end of this day’s session (J.R. 51(a)(4)). Oct. 7 \u2014Last day for Governor to sign or veto bills passed by the Legislature on or before Sep. 11 and in the Governor’s pos- session after Sep. 11 (Art. IV, Sec. 10(b)(1)) 7 CCWRO Bill & Budget Action Tracker 2015 13 1111 Howe Avenue, Suite 150, Sacramento, CA 95825-8551 Phone 916-736-0616 Cell 916-712-0071 Contact person: Kevin Aslanian Cell 916-712-0071 Email: [email protected]

pdf 2011-2012 State Budget Legislative Hearings Calendar

By In Budget Hearings Agendas & Outcomes 1504 downloads

Download (docx, 136 KB)

2011_Budget_Hearing_Calendar.docx

“Hello all: Below please find the latest information on the Assembly Sub. 1 schedule for the next few weeks. This has been reflected in large part in the Daily File for several days, however there have been a few small changes, the most notable of which is the scheduling of OSI\/DSS Automation projects for Wednesday, February 2, and not this coming Tuesday, when the Sub. will review the HHS Agency BCPs. I will only be sending notices to this list on a limited basis, no longer sending the agendas or actions taken, as the pace of the hearing schedule and workload do not allow for this courtesy. Please rely on the Daily File for scheduling changes and the Assembly Budget Committee website for the documents. http:\/\/www.asm.ca.gov\/acs\/subcommitteeframe.asp?subcommittee=1 I will not be updating this list until workload eases and I apologize for any inconvenience. Thank you. Nicole Vazquez Human Services Consultant Assembly Budget Committee State Capitol, Room 6026 Sacramento, CA 95814 Ph (916) 319-2099 * Fax (916) 319-2199 [email protected] Assembly Budget Committee Sub. 1 (Health & Human Services) Schedule Please check the Daily File regularly for updated information. Tuesday, January 25, 2011, 1:00 PM 4170 Department of Aging 4265 Department of Public Health 0530 Health and Human Services Agency 4140 Office of Statewide Health Planning and Development 4700 Department of Community Services and Development 5160 Department of Rehabilitation 5175 Department of Child Support Services 2400 Department of Managed Health Care 4120 Emergency Medical Services Authority Wednesday, January 26, 1:00 PM Joint Hearing with Sub 2 4440 Department of Mental Health 6110 Department of Education Focus: AB 3632 Wednesday, January 26, upon adjournment of joint hearing 4440 Department of Mental Health 4200 Department of Alcohol and Drug Programs Thursday, January 27, Upon adjournment of session 5180 Department of Social Services Focus: Child Welfare Services, Foster Care, In-Home Supportive Services, SSI\/SSP, Adult Protective Services Tuesday, February 1, 1:00 PM 4250 California Children and Families Commission 4260 Department of Health Care Services 4280 Managed Risk Medical Insurance Board Focus: Medi-Cal, Healthy Families Wednesday, February 2, 10:00 AM 1:00 PM Joint Hearing with Sub. 2 5180 Department of Social Services 6110 Department of Education Focus: Child Care Wednesday, February 2, 1:00 PM 5180 Department of Social Services Focus: CalWORKs and CalFresh (Food Stamps) 0530 Office of Systems Integration Focus: DSS Automation Projects Thursday, February 3, Upon adjournment of session 4300 Department of Developmental Services Thursday, February 10, Upon adjournment of session All Departments Noticed Final Subcommittee Hearing [bookmark: _GoBack]Below is the tentative schedule for upcoming Human Services hearings in Senate Budget’s Subcommittee #3. 1) Thursday, January 27th (Upon Adjournment of Senate Session in Room 4203) \u00b7 Office of System Integration (OSI) \u00b7 Department of Social Services (DSS) CalWORKs and CalFresh (food stamps) 2) Thursday, February 3rd (Upon Adjournment of Session in Room 4203) \u00b7 DSS – In Home Supportive Services, SSI\/SSP \u00b7 Department of Aging \u00b7 Department of Rehabilitation \u00b7 Office of Statewide Health Planning and Development 3) Tuesday, February 8th (1 pm in Room 4203) \u00b7 Department of Social Services – Child Welfare Services, Adult Protective Services \u00b7 Department of Alcohol & Drug Programs (ADP) \u00b7 Department of Community Services & Development \u00b7 Department of Child Support Services \u00b7 Open Issues: Human Services-Related Please remember that I am your main contact for DSS, OSI and ADP issues, while Agnes Lee ([email protected]) is taking the lead on the remaining departments through the end of March. Thank you, Jen Jennifer Troia, Senate Committee on Budget & Fiscal Review eto at Seow please fh st intormaton onthe Assemy Sub 1 eter font Tabanan inept anes, he most notte ef cha thescecong of OSNOSS ‘tomaton projets or Weanessay Febusry 2 an noth comng Tuweday, won te Sb, wiloviow te HHS Agency BPs |i on be sending noes to thst ona ite basi ro longer Sending tb agendas or acto an, a th ace o te hea schedule Sd wotiod to a aon fr Pi coun Plaue rly onthe Daly iorscheguing changos and te Assembly Budget Commitee webste forthe documents, itptwa.asm.cagovseseubcommitestame sep?su not dng i a wt wosod ese an apf ay Nea Vaaquee Homan Series Constant ‘Sti Capit oo 6025 Poe) 913.2000: Fax (916) 910.2109 ele vazquerasmea go ‘Assembly Budget Commitee Sub. (Heath & Homan Services) Schedule Please check the Dalle regulary or updated information Tuesday, January 25,2011, 100 Ti70 Doparimen of Agno 4208, Deparment of Paste Heath) 10580 Hoatand Hunan Senne Agency NO offen of Salemi Heath Panning tod Development 4700 ‘Doparimon of Comment Senan an Devopmant 5160\” Dopartmnt of Rohan 5:78, Daparnnt of i Suppor Sec ‘ima Bnurgeny aan Servces Auty ”

pdf 2011-2012 CalWORKs State Budget Actions in a Nutshell

By In Budget Hearings Agendas & Outcomes 1460 downloads

Download (pdf, 72 KB)

2011-2012_Budget_Actions_in_a_nutshell.pdf

” CalWORKs 2011-2012 State Budget Impact on Impoverished Families with Needy Children 2011-2012 Governor’s Proposed Budget March 2011-2012 Budget Trailer Bill SB 72 Final Budget Trailer Bill AB 106 Budget Proposal Fiscal Impact On Impoverished Families of Cali- fornia Budget Proposal Fiscal Impact On Impover- ished Families of California Budget Proposal Fiscal Impact On Impoverished Families of Cali- fornia Limiting Cal- WORKs to 48 months except those who meet the FWPRs and do away with all time clock ex- tenders – $698.1 million Limiting Cal- WORKs to 48 months only – $102.6 million Reducing Cal- WORKS benefits by 13% – $405 million Reducing Cal- WORKS benefits by 8% – $314.3 million Modify Earned Income Disre- gard from a standard deduc- tion of $225 down to $112. – $83.3 million Reduce Child- Only cases by 5% annually, up to 15% – $86.3 million Repealed Re- duce Child-Only cases by 5% annually, up to 15% + $86.3 million Suspended CalLearn, but maintained bo- nuses +$43.6 million * Exempted WtW participation for families with children between 24 and 36 months. +$43.2 million * Repealed WtW participation exemption for families with children between 24 and 36 months. – $43.2 million Total Impact of Impoverished Families – $1,094.1 million – $499.8 million +$43.1 million * These savings in the State budget did not have a negative impact on impoverished families. In fact the increase of the WtW ex- emption from 24 month to 36 month had a highly positive impact on impoverished families because these families would not be subjected to the punitive WtW sanctions which reduce the fixed income of families b y another whopping 25% on the average. A publication of Coalition of Caliifornia Welfare Rights Organization. All rights reserved. ”

pdf 2010-2011 HumanServices Conference Committee Agenda

By In Budget Hearings Agendas & Outcomes 1377 downloads

Download (pdf, 201 KB)

2010-2011_HumanServices_Conference_Committee_Agenda.pdf

” 2010-11 Budget Conference Committee on AB 190 Upon Call of the Chair Room 4203 Section IV HUMAN SERVICES Senator Denise Moreno Ducheny, Chair Assemblymember Bob Blumenfield, Vice Chair Members: Senator Bob Dutton, Senator Bob Huff, Senator Mark Leno, Senator Alan Lowenthal, Assemblymember Connie Conway, Assemblymember Felipe Fuentes, Assemblymember Jim Nielsen, and Assemblymember Nancy Skinner Table of Contents Item # Title Page 4170 Department of Aging …………………………………………………………………………………………….. 1 5180 Department of Social Services ……………………………………………………………………………….. 2 Human Services i 4170 Department of Aging Section IV Issue Description Difference (dollars in thousands) Conference Action Item 4170 \u2010\u2010\u2010\u2010\u2010\u2010\u2010\u2010\u2010\u2010\u2010\u2010\u2010\u2010\u2010\u2010\u2010\u2010\u2010\u2010\u2010\u2010\u2010\u2010\u2010\u2010\u2010\u2010\u2010\u2010\u2010\u2010\u2010\u2010\u2010\u2010\u2010\u2010\u2010\u2010\u2010\u2010\u2010\u2010\u2010\u2010\u2010 \u2010\u2010\u2010\u2010\u2010\u2010\u2010\u2010\u2010\u2010\u2010\u2010\u2010\u2010\u2010\u2010\u2010\u2010\u2010\u2010\u2010\u2010\u2010\u2010\u2010\u2010\u2010\u2010\u2010\u2010\u2010\u2010\u2010\u2010\u2010\u2010\u2010\u2010\u2010\u2010\u2010\u2010\u2010\u2010\u2010\u2010\u2010\u2010\u2010\u2010\u2010\u2010\u2010\u2010\u2010\u2010\u2010\u2010\u2010\u2010\u2010\u2010\u2010\u2010\u2010\u2010 Page 1 4170-101-0001 Department of Aging 301 Community Based Services Programs (CBSP) Governor eliminated, effective October 1, 2009 through 2009-10 line-item veto, $6.1 million GF (growing to $9.6 million GF annually) for Linkages case management, Alzheimer’s Day Care Resource Center, Brown Bag, Respite and Senior Companion CBSPs. Proposes to continue $0 GF for the programs in 2010-11. Assembly restored vetoed funding for CBSPs in 2010-11. Senate did not restore funding for CBSPs in 2010-11. Assembly $9,618 Senate $0 Difference $9,618 5180 Department of Social Services Section IV Issue Description Difference (dollars in thousands) Conference Action Item 5180 \u2010\u2010\u2010\u2010\u2010\u2010\u2010\u2010\u2010\u2010\u2010\u2010\u2010\u2010\u2010\u2010\u2010\u2010\u2010\u2010\u2010\u2010\u2010\u2010\u2010\u2010\u2010\u2010\u2010\u2010\u2010\u2010\u2010\u2010\u2010\u2010\u2010\u2010\u2010\u2010\u2010\u2010\u2010\u2010\u2010\u2010\u2010 \u2010\u2010\u2010\u2010\u2010\u2010\u2010\u2010\u2010\u2010\u2010\u2010\u2010\u2010\u2010\u2010\u2010\u2010\u2010\u2010\u2010\u2010\u2010\u2010\u2010\u2010\u2010\u2010\u2010\u2010\u2010\u2010\u2010\u2010\u2010\u2010\u2010\u2010\u2010\u2010\u2010\u2010\u2010\u2010\u2010\u2010\u2010\u2010\u2010\u2010\u2010\u2010\u2010\u2010\u2010\u2010\u2010\u2010\u2010\u2010\u2010\u2010\u2010\u2010\u2010\u2010 Page 2 5180-101-0001 Department of Social Services 206 CalWORKs Governor proposed to eliminate CalWORKs, effective October 1, 2010, for net General Fund savings of $1.2 billion in 2010-11. The annual savings per year are $1.6 billion, with corresponding loss of $3.7 billion in the federal TANF block grant [plus additional federal funds during the period of the ARRA Emergency Contingency Fund (ECF)]. Assembly rejected the elimination proposal and instead, from the Jobs and Economic Security Fund, (1) appropriated $1.5 billion to fund CalWORKs employment services and child care, backing out TANF to use for CalWORKs grants, ultimately freeing General Fund and (2) provided an additional $300 million to partially restore a budgeted $375 million reduction for employment services and child care in 2010-11. Senate rejected the elimination proposal. Assembly $300,000 Senate $0 Difference $300,000 5180 Department of Social Services Section IV Issue Description Difference (dollars in thousands) Conference Action Item 5180 \u2010\u2010\u2010\u2010\u2010\u2010\u2010\u2010\u2010\u2010\u2010\u2010\u2010\u2010\u2010\u2010\u2010\u2010\u2010\u2010\u2010\u2010\u2010\u2010\u2010\u2010\u2010\u2010\u2010\u2010\u2010\u2010\u2010\u2010\u2010\u2010\u2010\u2010\u2010\u2010\u2010\u2010\u2010\u2010\u2010\u2010\u2010 \u2010\u2010\u2010\u2010\u2010\u2010\u2010\u2010\u2010\u2010\u2010\u2010\u2010\u2010\u2010\u2010\u2010\u2010\u2010\u2010\u2010\u2010\u2010\u2010\u2010\u2010\u2010\u2010\u2010\u2010\u2010\u2010\u2010\u2010\u2010\u2010\u2010\u2010\u2010\u2010\u2010\u2010\u2010\u2010\u2010\u2010\u2010\u2010\u2010\u2010\u2010\u2010\u2010\u2010\u2010\u2010\u2010\u2010\u2010\u2010\u2010\u2010\u2010\u2010\u2010\u2010 Page 3 5180-111-0001 Department of Social Services 220 In-Home Supportive Services (IHSS) Program Governor proposed an unspecified reduction of $637.1 million GF (with corresponding loss of about $1.1 billion federal funds), based on proposals to be developed in consultation with stakeholders and enacted July 1, 2010. Assembly rejected proposed savings and instead adopted Trailer Bill Language to: 1) establish a Budget Advisory Workgroup to be convened by DSS, and 2) institute a provider fee to generate $150 million GF savings in 2010- 11. The Budget Advisory Workgroup would further develop the provider fee proposal. Senate rejected proposed savings and instead adopted Budget Bill Language to establish a savings target of at least 10 percent of total GF for the IHSS Program (approximately $1.4 billion), with proposals to be developed by Administration in consultation with stakeholders. Assembly -$150,000 Senate $0 (Reduction TBD) Difference $150,000 5180 Department of Social Services Section IV Issue Description Difference (dollars in thousands) Conference Action Item 5180 \u2010\u2010\u2010\u2010\u2010\u2010\u2010\u2010\u2010\u2010\u2010\u2010\u2010\u2010\u2010\u2010\u2010\u2010\u2010\u2010\u2010\u2010\u2010\u2010\u2010\u2010\u2010\u2010\u2010\u2010\u2010\u2010\u2010\u2010\u2010\u2010\u2010\u2010\u2010\u2010\u2010\u2010\u2010\u2010\u2010\u2010\u2010 \u2010\u2010\u2010\u2010\u2010\u2010\u2010\u2010\u2010\u2010\u2010\u2010\u2010\u2010\u2010\u2010\u2010\u2010\u2010\u2010\u2010\u2010\u2010\u2010\u2010\u2010\u2010\u2010\u2010\u2010\u2010\u2010\u2010\u2010\u2010\u2010\u2010\u2010\u2010\u2010\u2010\u2010\u2010\u2010\u2010\u2010\u2010\u2010\u2010\u2010\u2010\u2010\u2010\u2010\u2010\u2010\u2010\u2010\u2010\u2010\u2010\u2010\u2010\u2010\u2010\u2010 Page 4 5180-111-0001 Department of Social Services 000 In-Home Supportive Services (IHSS) Program Assembly adopted Trailer Bill Language to require Administration to construct a cost-benefit model for analyzing fraud-prevention program changes and to report on considerations, costs, and deterrence-related assumptions. The cost-benefit model would be required for: 1) implementation of anti-fraud activities in IHSS, and 2) any future proposals in IHSS or other social service programs. Program changes enacted in 2009-10 that have yet to be implemented (including unannounced home visits and targeted mailing policies), would be subject to this requirement. Senate did not adopt this Trailer Bill Language. Assembly $0 Senate $0 Difference $0 5180 Department of Social Services Section IV Issue Description Difference (dollars in thousands) Conference Action Item 5180 \u2010\u2010\u2010\u2010\u2010\u2010\u2010\u2010\u2010\u2010\u2010\u2010\u2010\u2010\u2010\u2010\u2010\u2010\u2010\u2010\u2010\u2010\u2010\u2010\u2010\u2010\u2010\u2010\u2010\u2010\u2010\u2010\u2010\u2010\u2010\u2010\u2010\u2010\u2010\u2010\u2010\u2010\u2010\u2010\u2010\u2010\u2010 \u2010\u2010\u2010\u2010\u2010\u2010\u2010\u2010\u2010\u2010\u2010\u2010\u2010\u2010\u2010\u2010\u2010\u2010\u2010\u2010\u2010\u2010\u2010\u2010\u2010\u2010\u2010\u2010\u2010\u2010\u2010\u2010\u2010\u2010\u2010\u2010\u2010\u2010\u2010\u2010\u2010\u2010\u2010\u2010\u2010\u2010\u2010\u2010\u2010\u2010\u2010\u2010\u2010\u2010\u2010\u2010\u2010\u2010\u2010\u2010\u2010\u2010\u2010\u2010\u2010\u2010 Page 5 5180-111-0001 Department of Social Services 203 Social Security Income\/State Supplementary Payment (SSI\/SSP) Benefits LAO recommended consideration of reversing cash-out policy under which SSI\/SSP beneficiaries are currently ineligible for food stamps (and thus their incomes are not counted against the income of the rest of their household for food stamps eligibility). Assembly adopted Supplemental Report Language directing DSS to convene a workgroup to evaluate estimated effects of eliminating the cash-out policy. The direction only takes effect if the state receives a positive response from the federal government regarding its request to consider changing the policy for only SSI\/SSP recipients whose households would benefit. Senate adopted Budget Bill Language requiring DSS to report to the Legislature regarding the federal government’s response to the same request. Assembly $0 Senate $0 Difference $0 5180 Department of Social Services Section IV Issue Description Difference (dollars in thousands) Conference Action Item 5180 \u2010\u2010\u2010\u2010\u2010\u2010\u2010\u2010\u2010\u2010\u2010\u2010\u2010\u2010\u2010\u2010\u2010\u2010\u2010\u2010\u2010\u2010\u2010\u2010\u2010\u2010\u2010\u2010\u2010\u2010\u2010\u2010\u2010\u2010\u2010\u2010\u2010\u2010\u2010\u2010\u2010\u2010\u2010\u2010\u2010\u2010\u2010 \u2010\u2010\u2010\u2010\u2010\u2010\u2010\u2010\u2010\u2010\u2010\u2010\u2010\u2010\u2010\u2010\u2010\u2010\u2010\u2010\u2010\u2010\u2010\u2010\u2010\u2010\u2010\u2010\u2010\u2010\u2010\u2010\u2010\u2010\u2010\u2010\u2010\u2010\u2010\u2010\u2010\u2010\u2010\u2010\u2010\u2010\u2010\u2010\u2010\u2010\u2010\u2010\u2010\u2010\u2010\u2010\u2010\u2010\u2010\u2010\u2010\u2010\u2010\u2010\u2010\u2010 Page 6 5180-141-0001 Department of Social Services 508 Foster Care\u2014Training on Eligibility for Federal Financial Participation Governor proposed $1.1 million ($500,000 GF) to develop trainings and a website for county welfare and probation departments’ staff regarding eligibility rules for federal funding under Title IV-E of the Social Security Act. The state has committed to improved accuracy as part of a Program Improvement Plan submitted to the federal government. Assembly rejected proposed funding. Senate adopted reduced amount of $737,000 ($350,000 GF) for these purposes. Assembly $0 Senate $350 Difference $350 5180 Department of Social Services Section IV Issue Description Difference (dollars in thousands) Conference Action Item 5180 \u2010\u2010\u2010\u2010\u2010\u2010\u2010\u2010\u2010\u2010\u2010\u2010\u2010\u2010\u2010\u2010\u2010\u2010\u2010\u2010\u2010\u2010\u2010\u2010\u2010\u2010\u2010\u2010\u2010\u2010\u2010\u2010\u2010\u2010\u2010\u2010\u2010\u2010\u2010\u2010\u2010\u2010\u2010\u2010\u2010\u2010\u2010 \u2010\u2010\u2010\u2010\u2010\u2010\u2010\u2010\u2010\u2010\u2010\u2010\u2010\u2010\u2010\u2010\u2010\u2010\u2010\u2010\u2010\u2010\u2010\u2010\u2010\u2010\u2010\u2010\u2010\u2010\u2010\u2010\u2010\u2010\u2010\u2010\u2010\u2010\u2010\u2010\u2010\u2010\u2010\u2010\u2010\u2010\u2010\u2010\u2010\u2010\u2010\u2010\u2010\u2010\u2010\u2010\u2010\u2010\u2010\u2010\u2010\u2010\u2010\u2010\u2010\u2010 Page 7 5180-141-0001 Department of Social Services Food Stamps Administration Governor proposes $10.5 million GF savings from using $30.0 million in one-time federal Defense Appropriations Act funding to offset a portion of new administrative costs resulting from rapid growth in food stamps caseload. Governor also proposes $23,000 ($6,000 GF) savings from creation of an Inter-County Transfer process to streamline administration of food stamps cases. Assembly reduced GF savings from Defense Appropriations Act funding by $1 million and rejected the proposed Inter-County Transfer process without prejudice. Senate approved Governor’s proposed use of Defense Appropriations Act funding and rejected the proposed Inter-County Transfer process without prejudice. Assembly -$9,500 Senate -$10,500 Difference $1,000 2010 Human Services conf agenda cover Table of Contents – Human Services conf agenda 4170.public 5180.public ”

pdf 2010 Special Session Assembly Budget Hearing Schedule

By In Budget Hearings Agendas & Outcomes 1492 downloads

Download (doc, 29 KB)

Special_Session_Hearing_Schedule.doc

“Assembly Budget Committee and Subcommittees Special Session Hearing Schedule February 3 \u00b7 Full Budget Committee at 1:00 p.m. Rm. 4202 \u00b7 Topic: Opening Hearing on Special Session February 8 \u00b7 Full Budget Committee at 2:00 pm Rm. 4202 \u00b7 Topic: Every Woman Counts (Not 8X hearing) February 9 \u00b7 Sub. 2 on Education at 9:00 am Rm. 444 \u00b7 6110 Dept of Education \u00b7 6870 Community Colleges \u00b7 7980 CA Student Aid Commission February 10 \u00b7 Sub. 1 on Health and Human Services at 1:30 pm Rm. 444 \u00b7 5180 – Department of Social Services \u00b7 4250 California Children and Families Commission (Prop. 10) \u00b7 Sub. 3 on Resources at 9:30 am Rm. 447 \u00b7 3500 Department of Resources, Recycling and Recovery \u00b7 3540 California Department of Forestry and Fire Protection \u00b7 3560 State Lands Commission \u00b7 3940 State Water Resources Control Board \u00b7 Sub. 4 on State Administration at 1:30 pm Rm. 437 \u00b7 0250 Judicial Branch \u00b7 0820 Department of Justice \u00b7 1100 California Science Center \u00b7 2100 Department of Alcoholic Beverage Control \u00b7 5225 California Department of Corrections and Rehabilitation \u00b7 7100 Employment Development Department \u00b7 9801 Employee Compensation \u00b7 Sub. 5 on Transportation at 4:00 pm Rm. 127 \u00b7 2660 Caltrans February 11 \u00b7 Sub. 1 on Health and Human Services 1:00 pm Rm. 4202 \u00b7 4260 Department of Health Care Services \u00b7 4265 Department of Public Health \u00b7 4280 Managed Risk Medical Insurance Board \u00b7 4300 Department of Developmental Services \u00b7 4440 Department of Mental Health \u00b7 Prop. 63 ”