Health and Human Services 04/20/2012
Budget Hearings Continue with a Focus on Kids
Both sides of the legislature held budget hearings this week that
focused on programs that serve children in California: the
Healthy Families Program, child support services, and the Child
Welfare Services (CWS) system.
The Assembly Budget Subcommittee No. 1, chaired by Assembly
Member Holly Mitchell, again met on both Monday and Wednesday. On
Monday, the Subcommittee heard the Governor’s proposal to
eliminate the Managed Risk Medical Insurance Board (MRMIB) and
shift current all Healthy Families Program (HFP) children into
the Medi-Cal program.
The Subcommittee took action to shift Healthy Families children
with incomes between 100 percent and 133 percent of the federal
poverty level (FPL) to Medi-Cal, beginning in 2012-13. Under
federal health reform, children up to 133 percent FPL will be
Medi-Cal eligible. The Subcommittee also adopted placeholder
trailer bill language to authorize the shift and include
provisions to ensure adequate planning, transition, and
monitoring.
On Wednesday, the Assembly Subcommittee considered the Governor’s
proposal to suspend the county share of child support collections
for one year, which would result in a net gain of $34.5 million
for the state in the budget year. CSAC opposes this shift. The
vast majority of counties use this funding to support CalWORKs
program supports and services. The Subcommittee held the item
open.
The Senate Budget and Fiscal Review Subcommittee No. 3, chaired
by Senator Mark DeSaulnier, met on Thursday to discuss the CWS
system and the effect of the 2011 Realignment of programs to
counties. They also discussed child support issues.
The Senate Subcommittee No. 3 will meet again next Thursday to
discuss the Governor’s Coordinated Care Initiative and aging
issues. The Assembly Subcommittee No. 1 will meet on Wednesday of
next week to discuss alcohol and drug issues and the transfer of
Drug Medi-Cal to counties under 2011 Realignment.
CalWORKs
AB 1691 (Lowenthal, B.) – Support
As Introduced on February 15, 2012
AB 1691, by Assembly Member Bonnie Lowenthal, would allow
non-English speaking CalWORKs recipients, which include refugees
and other legal immigrants, to participate in English as a Second
Language (ESL) instruction for eight months. Time spent in ESL
instruction would count as a core activity and counties would
have the option of extending ESL participation for up to 12
months on a case-by-case basis.
CSAC supports AB 1691, which was passed by the Assembly on April
12. It now goes to the Senate.
AB 1998 (Achadjian) – Support
As Amended on March 29, 2012
AB 1998, by Assembly Member Katcho Achadjian, would help bridge
the “digital divide” by allowing counties to donate surplus
computer property directly to recipients of public assistance to
aid in employment and assistance efforts.
CSAC supports AB 1998, which was passed by the Assembly Local
Government Committee on April 18.
AB 2352 (Hernández) – Support
As Introduced on February 24, 2012
AB 2352, by Assembly Member Roger Hernández, would allow CalWORKs
applicants and recipients to own reliable cars by deleting the
requirement that counties assess the value of a motor vehicle
when determining or redetermining CalWORKs eligibility.
AB 2352 is similar to last year’s AB 1182, which was vetoed by
the Governor. Counties believe that this change will promote work
participation and self-sufficiency among low-income California
families and eventually help CalWORKs recipients move off of
public aid. It is for these reasons that we support Assembly
Member Hernández’s measure again this year.
The Assembly Human Services Committee will hear AB 2352 on April
24.
AB 2469 (Grove) – Oppose
As Amended on April 17, 2012
AB 2469, by Assembly Member Shannon Grove, would make all
recipients of CalWORKs benefits subject to periodic testing for
use of controlled substances and prescription drugs for which the
person does not have a valid prescription. Individuals who tested
positive would be required to successfully complete a one-year
treatment program before being eligible for benefits under the
program.
CSAC, along with the County Welfare Directors Association, have
informed the author that counties currently have processes in
place to identify and respond to substance abuse by recipients,
including treatment programs that they work with regularly.
Counties take the issue of substance abuse seriously and have
trained staff to recognize the signs of substance abuse and
utilize screening tools to engage recipients in a discussion that
leads to a referral for services. Over the past 10 years, the
percentage of CalWORKs parents receiving substance abuse services
has tripled, and counties are now spending about $50 million a
year on treatment.
We are also concerned with the potential for substantial
increased costs that would be associated with the random drug
testing and treatment programs proposed by AB 2469. Because the
CalWORKs program does not have sufficient unspent funds that
could be put toward this effort, it would require funds to be
shifted from elsewhere in the program or be spent from the
General Fund in order to conduct tests and provide treatment.
While some savings might ultimately be achieved from
discontinuing eligibility for some recipients, the cost of every
negative test would be reimbursed pursuant to the bill. Based on
experiences in other states, we assume that nearly every test
would be negative and thus paid for by the state of
California.
The Assembly Human Services Committee will hear AB 2469 on April
24.
Child Welfare Services/Foster Care
AB 1712 (Beall) – Support
As Amended on March 21, 2012
AB 1712, by Assembly Member Jim Beall, is a technical clean up
measure relating to 2010’s Fostering Connections to Success Act.
The Act extended foster care services to youth up to age 21 and
helps the state draw down additional foster care funding from the
federal government.
AB 1712 was created with input from counties, foster family
agencies, and myriad other stakeholders, all with a singular goal
in mind: To make foster care services as accessible and efficient
as possible for all youth and non-minor dependents that need
them.
The Assembly Human Services Committee will hear AB 1712 on April
24.
AB 1751 (Pan) – Support
As Introduced on February 17, 2012
AB 1751, by Assembly Member Richard Pan, would enable county
child welfare agencies and probation officers to access child
support information in order to locate noncustodial parents who
could provide a stable placement for children who would otherwise
be placed into foster care due to abuse or neglect.
CSAC, along with the County Welfare Directors Association,
support the measure, which was passed by the Assembly Judiciary
Committee on April 17. The Assembly Appropriations Committee will
hear AB 1751 next.
AB 1928 (Cook) – Support
As Amended on March 20, 2012
AB 1928, by Assembly Member Paul Cook, would clarify current
regulations to help increase the number and availability of
specialized foster care homes in our counties by allowing
specialized foster care homes to have up to two foster children
with special medical needs as well as up to four other children
without special medical needs – biological, adoptive, or under
guardianship – in the home. This brings the specialized foster
care regulations into alignment with current law for
non-specialized licensed foster care homes, which limits the
number of children on the premises to a total of six.
The author is expected to amend the bill further when it is heard
in the Assembly Human Services Committee on April 24. CSAC and
the County Welfare Directors’ letter of support refers to the
March 20 version of the bill.
AB 2093 (Skinner) – Support
As Introduced on February 23, 2012
AB 2093, by Assembly Member Nancy Skinner, would provide students
in foster care who transition from high school to college with a
Student Services Representative. This goal is to provide
assistance that is tailored to the specific challenges that
current and former foster youth face and increase their rates of
success in a higher education environment.
The Assembly Higher Education Committee passed AB 2093 on April
17, and it will be heard next in the Assembly Appropriations
Committee.
Medi-Cal
AB 1785 (Lowenthal, B.) – Support
As Introduced on February 21, 2012
AB 1785, by Assembly Member Bonnie Lowenthal, allow federally
qualified health centers (FQHCs) and rural health clinics to draw
down federal funding for patient visits with marriage and family
therapists.
The Assembly Appropriations Committee placed AB 1785 on their
Suspense File on April 18.
CalFresh
AB 2109 (Pan) – Support
As Introduced on February 23, 2012
AB 2109, by Assembly Member Richard Pan, would require a parent
or guardian seeking an immunization personal belief exemption for
their child to provide a document signed by themselves and a
licensed health care practitioner acknowledging that the parent
or guardian has been informed by the health care practitioner of
the benefits and risks of immunization as well as the health
risks associated with communicable diseases.
CSAC and the County Health Executives Association of California
(CHEAC) support AB 2109, which, after much testimony both for and
against, was passed by the Assembly Health Committee on April 17.
It now goes to the Assembly Appropriations Committee.
AB 2246 (Pérez, J.) – Support
As Amended on March 29, 2012
AB 2246, by Assembly Speaker John A. Pérez, requires the new
California Healthy Food Financing Initiative Council to establish
and maintain a web site that outlines information on the
Council’s actions to support access to healthy foods by March 31,
2013.
The measure builds upon the Speaker’s AB 581 from 2011, which
created the California Healthy Food Financing Initiative to
promote access to healthy food throughout California. Counties
support these efforts to combat “food deserts” within communities
– areas with little to no access to quality foods that are both
healthy and affordable.
CSAC supported AB 581 last year and now supports AB 2246. The
Assembly Agriculture Committee will hear the bill on April
25.
AB 2586 (Hueso) – Support
As Amended on March 29, 2012
AB 2586, by Assembly Member Ben Hueso, would establish the
California Healthy Choices Program to certify grocery stores that
promote healthy food choices.
Specifically, AB 2586 would require the state Department of Food
and Agriculture to charge grocery stores a certification fee to
be designated as a California Healthy Choices site. The
certification program is voluntary for grocery stores, and the
fees would be used to promote the program and its
participants.
Counties support efforts to increase access to healthy foods and
to promote healthy food choices throughout our communities. AB
2586 will be heard by the Assembly Agriculture Committee on April
25.