Health and Human Services 08/19/2011
Emergency Medical Services
AB 210 (Solorio) – Pending
As Proposed to be Amended
AB 210, by Assembly Member Jose Solorio, would amend what is
commonly known as Section 201 (Health and Safety Code Section
1797.201-224) of the Emergency Medical Services (EMS) System and
the Pre-Hospital Emergency Medical Care Personnel Act (EMS Act)
to require grandfathered EMS transportation providers to enter
into a written agreement with their respective Local Emergency
Medical Services Agency (LEMSA) by 2014.
AB 210 is intended to address Section 201 issues surrounding
regulatory authority, local control, and operational control in
local EMS systems. The bill also includes an attempt to create a
standard set of definitions for Section 201.
AB 210 was originally envisioned as a vehicle for the
recommendations of a state Emergency Medical Services Commission
subcommittee, but that committee has not fully reached consensus
on its provisions. However, a stakeholder group comprised of the
California Professional Firefighters, ambulance services, fire
chiefs, cities and local EMS administrators has continued to meet
as the bill moves through the legislative process. CSAC is
maintaining a pending position while stakeholders continue their
work on reaching a consensus.
The bill was amended on August 15, but is expected to be amended
further in the coming weeks. At the August 15 Senate
Appropriations hearing, the counties of San Joaquin and Tulare
maintained their oppose positions, while the county of Mono
stated their concerns for the record. Monterey County also has
concerns about the bill, as does the state Emergency Medical
Services Authority (EMSA). CSAC has maintained a “pending”
position on AB 210 and will closely review any amendments to
determine a further course of action.
AB 210 was heard by the Senate Appropriations Committee on August
15 and placed on that committee’s suspense file.
Child Welfare Services/Foster Care
AB 212 (Beall) – Support
As Amended on August 15, 2011
AB 212, by Assembly Member Jim Beall, would implement technical
provisions related to last year’s landmark foster care
legislation, the California Fostering Connections to Success Act
of 2010 (AB 12).
AB 212 is the result of efforts by counties, stakeholders, and
Department of Social Services staff to “clean up” some provisions
of AB 12. To that end, AB 212 mostly focuses on implementing
KinGAP eligibility for young adults aged 18 to 21, and
streamlining the assessment portion of the legal guardianship and
adoptions process, as well as KinGAP payments.
The Senate Appropriations Committee heard AB 212 on August 15 and
placed it on their suspense file.
SB 578 (Negrete McLeod) – Support
As Amended on June 29, 2011
SB 578, a bill by Senator Gloria Negrete McLeod, would help
foster children graduate from high school by establishing a
system to recognize and properly classify previous coursework or
credit from other schools and institutions.
Counties believe that SB 578 will give foster youth the
opportunity to apply prior satisfactorily completed work toward a
high school diploma and thereby increase the population of foster
youth who are able to satisfactorily complete educational
requirements and graduate from high school. The Assembly
Appropriations Committee passed SB 578 on August 17 and it now
goes to Assembly floor.
AB 717 (Ammiano) – Support
As Amended June 29, 2011
AB 717, by Assembly Member Tom Ammiano, would improve the use and
operation of the Child Abuse Central Index (CACI).
The CACI is a tool used by county child welfare agencies when
conducting investigations and hiring of staff. However, because
of the sensitive information within the system, CACI has been the
target of litigation throughout the years. A result of some of
that litigation is a due process structure for persons listed on
the CACI. AB 717, as amended, will improve due process by, among
other things, affording all persons listed in CACI the right to
request a due process hearing if they have not already had the
opportunity to do so. AB 717 would also help streamline the
system by permitting “inconclusive” reports to be purged. Also,
AB 717 would allow the Department of Justice to purge all reports
in CACI where the person listed has reached 100 years of
age.
CSAC has changed our position to support due to the recent
amendments clarifying the due process and “inconclusive” report
process. The Senate Appropriations Committee heard AB 717 on
August 15 and placed it on the suspense file.
AB 823 (Dickinson) – Support
As Amended on August 15, 2011
AB 823, by Assembly Member Roger Dickinson, would create a
California Children’s Cabinet tasked with ensuring better
coordination and delivery of services to our children and their
families.
The bill would specifically create the Children’s Cabinet of
California and give Governor Jerry Brown the authority to appoint
the members. All state agencies that have jurisdiction over the
well-being of children and families would be included, and the
Cabinet must meet by March 1, 2012. Recent amendments require the
Cabinet to report to the Legislature every odd-numbered year, and
also stipulate that the Cabinet will not be formed until there
are sufficient funds within the State Treasury to do
so.
By coordinating the continuum of children’s services in
California and working to streamline and maximize available
private and federal funding, counties believe that the creation
of a California Children’s Cabinet will have long-term social and
economic benefits for all residents. It is for these reasons that
CSAC supports the bill. The Senate Appropriations Committee heard
AB 823 on August 15 and placed it on the suspense file.
AB 709 (Brownley) – Support
As Amended on August 15, 2011
AB 709, by Assembly Member Julia Brownley, would ensure the
timely enrollment of foster youth who must transfer to a new
school.
Existing law requires a school to immediately enroll a foster
child, even if the child is unable to produce the records
normally required for enrollment. This includes previous academic
records, proof of residency, and medical records. However,
existing law does not address the requirement to produce proof of
immunization or a vaccination history prior to enrollment. AB 709
addresses this discrepancy by allowing schools to waive the
vaccination record requirement for foster youth.
CSAC supports the bill, which is now on the Senate floor.
CalWORKs
AB 959 (Jones) – Support
As Amended on August 15, 2011
AB 959, by Assembly Member Brian Jones, will increase efficiency
in the CalWORKs and CalFresh programs by allowing for a one-month
grace period during the discontinuance process.
Assembly Bill 959 is a San Diego county-sponsored measure that is
aimed at increasing efficiency at the county level by allowing
county eligibility staff to restore eligibility for cases that
have been discontinued due to missing information.
Counties believe that AB 959 will simply reduce the number of
CalWORKs and CalFresh applications processed at the local level,
help avoid duplication of applications and overlapping
eligibility, and save the time and effort of both county staff
and program recipients. The Senate Appropriations Committee heard
AB 959 on August 15 and amended it. The measure remains in
Appropriations Committee.
Medi-Cal
AB 396 (Mitchell) – Support
As Amended on August 15, 2011
AB 396, by Assembly Member Holly Mitchell, would provide the
opportunity for counties to receive federal funding for the
inpatient medical costs of juvenile detainees.
Specifically, AB 396 would allow counties to draw down federal
matching funds for the inpatient medical treatment provided to
minors who are outside of a county detention facility for more
than 24 hours. Recent amendments also specify that the counties
which elect to participate and the state negotiate administrative
costs associated with obtaining the federal funding
annually.
The Senate Appropriations Committee heard AB 396 on August 15 and
placed it on the suspense file.
AB 540 (Beall) – Support
As Amended on August 15, 2011
AB 540, by Assembly Member Jim Beall, would allow counties to
draw down federal funding for providing confidential alcohol and
drug screening and brief intervention services to pregnant women
and women of childbearing age who also qualify for Medi-Cal
benefits.
AB 540 would provide counties with a much-needed federal revenue
stream – at no cost to the state – for these valuable services,
and this is why CSAC supports the bill. The Senate Appropriations
Committee heard AB 540 on August 15 and placed it on the suspense
file.
Mental Health
AB 1297 (Chesbro) – Support
As Amended on July 11, 2011
AB 1297, a bill by Assembly Member Wesley Chesbro, would ensure
timely federal reimbursement to counties for providing Specialty
Mental Health Managed Care services provided by
counties.
Specifically, AB 1297 would align the state’s requirements for
the Specialty Medi-Cal Mental Health Managed Care program with
existing federal requirements, which will help maximize federal
reimbursements for these services. AB 1297 would accomplish this
by requiring the state and the California Mental Health Directors
Association to develop a reimbursement methodology that conforms
to federal Medicaid requirements and approved Medicaid state plan
and waivers.
Counties believe that AB 1297 will both streamline and enhance
our ability to draw down timely federal reimbursements for
Specialty Medi-Cal Mental Health Managed Care services – all at
no cost to the state’s General Fund. It is for these reasons that
CSAC supports AB 1297. The Senate Appropriations Committee heard
AB 1297 on August 15 and placed it on the suspense file.
Health and Public Health
AB 300 (Ma) – Support
As Amended on June 30, 2011
AB 300, by Assembly Member Fiona Ma, would establish clear
standards for the tattoo, piercing and permanent cosmetics
industry in California.
AB 300 establishes a clear scope of local authority, clear
requirements for registration of body art practitioners and
consistent enforcement of mobile and fixed body art sites. The
bill also requires body art practitioners, as a provision of
registration, to complete courses on the transmission of blood
borne pathogens and first aid.
The Senate Public Safety Committee passed the bill on June 29 and
it is now on the Senate Floor.
AB 581 (Pérez) – Support
As Amended on July 11, 2011
AB 581, as amended on July 11 by Assembly Speaker John Pérez,
would create the California Healthy Food Financing
Imitative.
Assembly Bill 581 specifically establishes the California Healthy
Food Financing Initiative Fund at the State Treasury and
positions the state to access these federal funds. The bill also
requires a stakeholder process through the Department of Food and
Agriculture to develop recommendations on promoting healthy food
and accessing federal funding that will be presented to the
Legislature.
Counties support efforts to increase the number of fresh grocery
stores, urban and rural farm stands, farmers’ markets, and
community gardens in underserved communities. It is for these
reasons that CSAC supports AB 581.
The Senate Appropriations Committee heard AB 581 on August 15 and
placed it on the suspense file.
CalFresh (Food Stamps)
AB 402 (Skinner) – Support
As Amended on June 30, 2011
AB 402, by Assembly Member Nancy Skinner, would help combat child
hunger by making it easier to coordinate outreach efforts for the
School Meal and CalFresh Programs.
The bill builds on the eligibility similarities of the School
Meal and CalFresh programs by giving school districts the option
to help initiate a confidential CalFresh application for students
enrolled in the School Meal program. AB 402 will allow, at the
option of the local school district and CalFresh administering
agency, the confidential School Meal application to be utilized
to initiate a confidential CalFresh application.
Assembly Bill 402 will build a bridge between two federal
programs to help feed our youngest and most vulnerable residents
throughout the year, not just on school days. It is for these
reasons that CSAC supports AB 402.
AB 402 is on the Senate Floor.
AB 828 (Swanson) – Support
As Introduced on February 17, 2011
AB 828, by Assembly Member Sandré Swanson, would allow those
convicted of a drug felony to receive CalFresh
benefits.
CSAC has taken a support position on AB 828 in light of the
recently enacted Local Public Safety Realignment, which will
shift specified adult offender populations to counties beginning
October 1 of this year. Improved offender outcomes will result
from a range of locally provided rehabilitative, health, and
social services, such as job training, alcohol and substance
abuse disorder treatment, and eligibility for human services
programs. AB 828 will provide an important arrow in the counties’
quiver by expanding those who qualify to receive 100 percent
federally funded CalFresh food benefits to a specified felony
offender population.
The Senate Appropriations Committee placed AB 828 on the suspense
file on June 27.
Adult Protective Services
SB 33 (Simitian) – Support
As Amended on June 15, 2011
SB 33, by Senator Joe Simitian, would repeal the sunset date for
statute that designates certain financial institution employees
as mandated reporters for suspected financial abuse of elder or
dependent adults.
Senator Simitian authored SB 1018 in 2007 to expand the
definition of mandated reporters of elder or dependent adult
abuse to those who work at financial institutions. SB builds that
statute by removing the January 1, 2013 sunset date.
The Assembly Public Safety Committee passed the bill on July 1
and it is now on the Assembly Floor.
SB 718 (Vargas) – Support
As Amended on August 15, 2011
SB 718, by Senator Juan Vargas, would make it easier to report
suspected elder abuse.
Senate Bill 718 would allow a county or long-term care ombudsman
program to implement a confidential Internet reporting tool that
mandated reporters may use to report suspected elder abuse.
Senate Bill 718 also would allow the state, in conjunction with
counties and other stakeholders, to develop a form for written
reports, as well. The bill also specifies the information to be
gathered by both methods, which will speed efficiency in both
making and processing reports of suspected elder abuse. Recent
amendments also compel any county that chooses to use this method
to issue reports on the system to the Legislature, which is a
common state oversight tool. Recent amendments also link SB 718
to SB 33 (Simitian), requiring that both bills must pass the
Legislature and be signed by the Governor to become
operative.
Counties are responsible for investigating reports of suspected
elder abuse, and have a vested interest in ensuring the safety
and financial security of elder Californians living in our
communities. Senate Bill 718 would serve this interest by giving
counties the option to implement a new Internet-based system with
the goal of increasing the ease by which a mandated reporter may
submit a report of suspected elder abuse.
The Assembly Appropriations Committee passed SB 718 on August 17
and it now goes to the Assembly floor.
AB 1288 (Gordon) – Support
As Amended on July 13, 2011
AB 1288, by Assembly Member Rich Gordon, would protect the assets
of vulnerable seniors or dependent adults from misuse and fraud
while a conservatorship petition is pending in court.
Assembly Bill 1288 specifically would extend the period of time
in which a public guardian or conservator may petition to protect
the assets of seniors and dependent adults from 15 to 30 days.
The bill also would expand the scope of the possession or control
of property by the guardian to include assets held in the name of
a proposed conservatee’s trust, and recent amendments protect the
rights of spouses of the wards or proposed conservatees. AB 1288
was also recently amended to include direction on Certificates of
Authority, which, if enacted, will provide financial institutions
with written recordable certification of the conservator’s intent
to protect real property from being transferred, encumbered, or
disposed of during the petition period.
Counties often encounter these issues during Adult Protective
Services investigations, and it is challenging to complete a
petition for conservatorship within 15 days. AB 1288 is a common
sense, simple measure to provide appointed guardians a suitable
amount of time and authority to protect the assets of vulnerable
seniors and dependent adults. It is for these reasons that CSAC
supports the bill.
AB 1288 is currently on the Senate floor.
Health Care Reform
AB 1296 (Bonilla) – Support
As Amended on July 13, 2011
AB 1296, by Assembly Member Susan Bonilla, is a vehicle to
attempt to streamline the eligibility and application process for
the Medi-Cal, Healthy Families Program, and the new Health Care
Exchange. It is being developed with the goal of meeting the
requirements of the federal Affordable Care Act (ACA) in 2014,
and was last amended on July 13.
The Senate Appropriations Committee heard AB 1296 on August 15
and placed it on the suspense file.
Service Coordination
SB 557 (Kehoe) – Support
As Amended on July 7, 2011
SB 557, by Senator Christine Kehoe, would establish two-year
pilot programs for family justice centers in Alameda and Sonoma
Counties, as well as the cities of San Diego and Anaheim, and
require the National Justice Center Alliance to report to the
Legislature on the effectiveness, possible legislation, and best
practices of those centers.
The family justice center concept is simple: co-locate a
multi-disciplinary team of professionals in a single location to
coordinate services for victims of family violence. This model
ensures service coordination but also enhances the safety and
well-being of victims of violence and their families.
Both the counties of Alameda and Sonoma also currently operate
acclaimed family justice centers. These county centers focus on
victims of domestic violence and human trafficking. Senator
Kehoe’s SB 557 supports the family justice center concept by
authorizing Alameda and Sonoma counties, as well as two cities
(San Diego and Anaheim) to establish or continue to operate
family justice centers to assist victims of domestic violence,
sexual assault, stalking, cyberstalking, cyberbullying, human
trafficking, and elder or dependent adult abuse.
SB 557 also outlines clear confidentiality and professional
practice guidelines, and mandates collaboration with local
community-based advocates, survivors, and service
providers.
In short, SB 557 will build upon the progress made by Alameda and
Sonoma County by creating a structure for the National Justice
Center Alliance to examine the success of the model. To do this,
the bill also contains a sunset clause of January 1, 2014, and
counties believe that the results of the pilot participants will
encourage California to continue to build upon the family justice
center model. It is for these reasons that CSAC supports SB 557,
which is on the Senate Floor.