Budget Watch

In an effort to keep our stakeholders informed about the state of California budget, and how the budget will impact funding, as well as programs and services, we post news on “Budget Watch”. This page features updates from the Governor and Legislature, links to important news articles and various budget and advocacy related web sites, as well as important information about how you can get involved to make a difference. Visit this page regularly to keep current on budget issues.

CDCAN Reports on Links and Summaries of Budget Trailer Bills

StateCapitol Update

 

LINKSTO ALL BUDGET TRAILER BILLS – SUMMARIES OF DEVELOPMENTAL SERVICES, HEALTH ANDHUMAN SERVICES BUDGET TRAILER BILLS – VOTE ON MAIN BUDGET BILL AND MOST OFBUDGET TRAILER BILLS SET FOR WEDNESDAY

 

SACRAMENTO,CA [BY MARTY OMOTO, CDCAN LAST UPDATED 06/14/2016 07:00 AM] –  Both the Senate and Assembly will take finalfloor votes on the main budget bill and most of the budget related bills –called budget trailer bills – on Wednesday, June 15th – the deadlinein the State Constitution for the Legislature to pass and send a budget bill tothe Governor.  Action on the main budgetbill and budget trailer bills will likely begin first in the State Senate,followed by the Assembly – though that is subject to change. 

 

     The Senate Budget and Fiscal ReviewCommittee heard nine budget trailer bills yesterday, taking votes on seven ofthose bills (approving all seven), and holding off votes on two bills dealingwith human services and state government until Wednesday.  The timing of votes on budget trailer billsand the main budget bill in the Senate is linked to Senate rules that requireposting of those bills at least 72 hours before a vote is taken up.

 

     Senator Mark Leno (Democrat – San Francisco),chair of the Senate Budget and Fiscal Review Committee, said yesterday duringthe committee hearing, that he would introduce the main budget bill – SB 826 –on the Senate floor for a final vote on Wednesday.  

 

    However, according to Leno, before thatvote is taken on Wednesday, the Senate Budget and Fiscal Review Committee willmeet, Wednesday morning at 09:30 AM or upon call of the chair at the StateCapitol in Room 4203, to take votes on two budget trailer bills it heard onMonday dealing with human services and state government, in addition to hearingfour or five budget trailer bills that it did not hear or vote on Monday.  Those four or five budget trailer bills – includingthe developmental services budget trailer bill – will likely, according to Leno– be then taken up for final floor votes by the Legislature on Thursday (June16th) – though the seven budget trailer bills the committee didapprove on Monday will likely come up for final floor votes in both houses onWednesday.  

 

    The State Constitution deadline to pass astate budget by June 15th only applies to the main budget bill – in thiscase SB 826 – and not to budget trailer bills. 

   

LIST OF BUDGET TRAILER BILLS BY SUBJECT  

 

    The following is a CDCAN partial short listor index of the budget trailer bills by subject to make it easier for people tofind the right bill.

 

    CALWORKS (“WELFARE TO WORK” PROGRAM) – AB 1603

 

    CHILDWELFARE SERVICES (INCLUDES FOSTER CARE/YOUTH): AB 1603 and AB 1605 (mentalhealth services)

 

    DEVELOPMENTAL CENTERS – AB 1606

 

    EDUCATION – AB 1600 and AB 1602 [note: childcare/preschoolprovider rates issues and increased slots are in AB 1600]

 

    HOUSING – AB 1603 (SSI/SSP housing assistanceoutreach and “Bringing Families Home” program), AB 1618 (No Place Like HomeProgram)

 

    IN-HOME SUPPORTIVE SERVICES – AB 1603

 

    MEDI-CAL – AB 1605 (including restorationof acupuncture as a Medi-Cal benefit and major changes to Medi-Cal EstateRecovery)

 

    MENTAL HEALTH – AB 1605 (Medi-Cal includingBehavioral Health Treatment and mental health continuum of crisis services), AB1603 (SSI/SSP outreach, “Bringing Families Home” program) and AB 1618 (No PlaceLike Home Program)

 

    REGIONAL CENTERS – AB 1606 (see also HealthBudget Trailer Bill for Behavioral Health Treatment and mental health continuumof crisis services – AB 1605 and AB 1618 “No Place Like Home Program”)

 

    SSI/SSP GRANTS – AB 1603

 

  

 

LIST OF MAIN BUDGET BILL AND BUDGET TRAILER BILLS BY BILL NUMBER

 

    As previously reported by CDCAN, thefollowing are the budget trailer bills currently in print and available as ofMonday evening, June 13th. Note that bill numbers containing budgettrailer bill language changed in some instances and can still change over thenext day or so as final votes are taken on the Assembly and Senate floors,which is part of the normal budget process:

 

 SB826 – MAIN 2016-2017 STATE BUDGET BILL

 

COPYOF SB 826 AS PROPOSED BY BUDGET CONFERENCE COMMITTEE REPORT JUNE 10 2016 – PDF DOCUMENTVERSION (752 PAGES):

 

http://www.leginfo.ca.gov/pub/15-16/bill/sen/sb_0801-0850/sb_826_bill_20160610_proposed.pdf 

 

COPYOF SB 826 AS PROPOSED BY BUDGET CONFERENCE COMMITTEE REPORT JUNE 10 2016 – HTMLVERSION:

 

http://www.leginfo.ca.gov/pub/15-16/bill/sen/sb_0801-0850/sb_826_bill_20160610_proposed.htm 

 

LATESTACTION 06/10/2016: Passes Budget Conference Committee by vote of 6 to 4.  

 

 AB1599 – ADDITIONAL APPROPRIATION FOR 2015-2016 STATE BUDGET

 

COPYOF AB 1599 AS AMENDED JUNE 13 2016 – PDF DOCUMENT VERSION (7 PAGES):

 

http://www.leginfo.ca.gov/pub/15-16/bill/asm/ab_1551-1600/ab_1599_bill_20160613_amended_sen_v97.pdf 

 

COPYOF AB 1599 AS AMENDED JUNE 13 2016 – HTML VERSION:

 

http://www.leginfo.ca.gov/pub/15-16/bill/asm/ab_1551-1600/ab_1599_bill_20160613_amended_sen_v97.htm 

 

LATESTACTION 06/13/2016: Passed out of Senate Budget and Fiscal Review Committee byvote of 15 to 0.

 

 AB1600 – EDUCATION FINANCE BUDGET TRAILER BILL (FIRST OF TWO)

 

COPYOF AB 1600 AS AMENDED JUNE 13 2016 – PDF DOCUMENT VERSION (99 PAGES):

 

http://www.leginfo.ca.gov/pub/15-16/bill/asm/ab_1551-1600/ab_1600_bill_20160613_amended_sen_v97.pdf 

 

COPYOF AB 1600 AS AMENDED JUNE 13 2016 – HTML VERSION:

 

http://www.leginfo.ca.gov/pub/15-16/bill/asm/ab_1551-1600/ab_1600_bill_20160613_amended_sen_v97.htm 

 

LATESTACTION 06/13/2016: Passed out of Senate Budget and Fiscal Review Committee byvote of 17 to 0.

 

 AB1602 – EDUCATION FINANCE BUDGET TRAILER BILL (SECOND OF TWO)

 

COPYOF AB 1602 AS AMENDED JUNE 13 2016 – PDF DOCUMENT VERSION (98 PAGES):

 

http://www.leginfo.ca.gov/pub/15-16/bill/asm/ab_1601-1650/ab_1602_bill_20160613_amended_sen_v97.pdf 

 

COPYOF AB 1602 AS AMENDED JUNE 13 2016 – HTML VERSION:

 

http://www.leginfo.ca.gov/pub/15-16/bill/asm/ab_1601-1650/ab_1602_bill_20160613_amended_sen_v97.htm 

 

LATESTACTION 06/13/2016: Amended in Senate. 

 

CDCANNOTE: This budget trailer bill was not taken up or voted on by Senate Budgetand Fiscal Review Committee on Monday (June 13th), but will likely be heard onWednesday (June 15th) and taken up for a final floor vote on Thursday (June16th).

 

 AB1603 – HUMAN SERVICES BUDGET TRAILER BILL 

 

COPYOF AB 1603 AS AMENDED JUNE 13 2016 – PDF DOCUMENT VERSION (92 PAGES):

 

http://www.leginfo.ca.gov/pub/15-16/bill/asm/ab_1601-1650/ab_1603_bill_20160613_amended_sen_v96.pdf 

 

COPYOF AB 1603 AS AMENDED JUNE 13 2016 – HTML VERSION:

 

http://www.leginfo.ca.gov/pub/15-16/bill/asm/ab_1601-1650/ab_1603_bill_20160613_amended_sen_v96.htm 

 

LATESTACTION 06/13/2016: Heard in Senate Budget and Fiscal Review Committee. No votetaken. 

 

CDCANNOTE: Senator Leno said that the vote in committee on this bill will be takenon June 15, 2016, Wednesday

 

 AB1605 – HEALTH BUDGET TRAILER BILL

 

COPYOF AB 1605 AS AMENDED JUNE 13 2016 – PDF DOCUMENT VERSION (88 PAGES):

 

http://www.leginfo.ca.gov/pub/15-16/bill/asm/ab_1601-1650/ab_1605_bill_20160613_amended_sen_v97.pdf 

 

COPYOF AB 1605 AS AMENDED JUNE 13 2016 – HTML VERSION:

 

http://www.leginfo.ca.gov/pub/15-16/bill/asm/ab_1601-1650/ab_1605_bill_20160613_amended_sen_v97.htm 

 

LATESTACTION 06/13/2016: Passed out of Senate Budget and Fiscal Review Committee by voteof 11 to 5.

 

 AB1606 – DEVELOPMENTAL SERVICES BUDGET TRAILER BILL

 

COPYOF AB 1606 AS AMENDED JUNE 13 2016 – PDF DOCUMENT VERSION (48 PAGES);

 

http://www.leginfo.ca.gov/pub/15-16/bill/asm/ab_1601-1650/ab_1606_bill_20160613_amended_sen_v97.pdf 

 

COPYOF AB 1606 AS AMENDED JUNE 13 2016 – HTML VERSION:

 

http://www.leginfo.ca.gov/pub/15-16/bill/asm/ab_1601-1650/ab_1606_bill_20160613_amended_sen_v97.htm 

 

LATESTACTION 06/13/2016: Amended in Senate. 

 

CDCANNOTE: This budget trailer bill was not taken up or voted on by Senate Budget andFiscal Review Committee on Monday (June 13th), but will likely beheard on Wednesday (June 15th) and taken up for a final floor voteon Thursday (June 16th).

 

 AB1607 – MEDI-CAL: HOSPITAL QUALITY ASSURANCE FEE BUDGET TRAILER BILL

 

COPYOF AB 1607 AS AMENDED JUNE 13 2016 – PDF DOCUMENT VERSION (7 PAGES):

 

http://www.leginfo.ca.gov/pub/15-16/bill/asm/ab_1601-1650/ab_1607_bill_20160613_amended_sen_v97.pdf 

 

COPYOF AB 1607 AS AMENDED JUNE 13 2016 – HTML VERSION:

 

http://www.leginfo.ca.gov/pub/15-16/bill/asm/ab_1601-1650/ab_1607_bill_20160613_amended_sen_v97.htm 

 

LATESTACTION 06/13/2016: Passed out of Senate Budget and Fiscal Review Committee by voteof 14 to 2.

 

 AB 1608 – STATE GOVERNMENT (FIRST OF TWO)

 

COPY OF AB 1608 AS AMENDED JUNE 13 2016 – PDFDOCUMENT VERSION (304 PAGES):

 

http://www.leginfo.ca.gov/pub/15-16/bill/asm/ab_1601-1650/ab_1608_bill_20160613_amended_sen_v97.pdf 

 

COPY OF AB 1608 AS AMENDED JUNE 13 2016 –HTML VERSION:

 

http://www.leginfo.ca.gov/pub/15-16/bill/asm/ab_1601-1650/ab_1608_bill_20160613_amended_sen_v97.htm 

 

LATESTACTION 06/13/2016: Amended in Senate. 

 

CDCANNOTE: This budget trailer bill was not taken up or voted on by Senate Budget andFiscal Review Committee on Monday (June 13th), but will likely beheard on Wednesday (June 15th) and taken up for a final floor voteon Thursday (June 16th).

 

 AB 1609 – STATE GOVERNMENT (SECOND OF TWO)

 

COPY OF AB 1609 AS AMENDED JUNE 13 2016 – PDFDOCUMENT VERSION (152 PAGES):

 

http://www.leginfo.ca.gov/pub/15-16/bill/asm/ab_1601-1650/ab_1609_bill_20160613_amended_sen_v96.pdf 

 

COPY OF AB 1609 AS AMENDED JUNE 13 2016 –HTML VERSION:

 

http://www.leginfo.ca.gov/pub/15-16/bill/asm/ab_1601-1650/ab_1609_bill_20160613_amended_sen_v96.htm 

 

LATEST ACTION 06/13/2016: Heard in SenateBudget and Fiscal Review Committee. No vote taken. 

 

CDCAN NOTE: Senator Leno said that the vote incommittee on this bill will be taken on June 15, 2016, Wednesday.  

 

 AB 1610 – TRANSPORTATION BUDGET TRAILER BILL

 

COPY OF AB 1610 AS AMENDED JUNE 13 2016 – PDFDOCUMENT VERSION (24 PAGES):

 

http://www.leginfo.ca.gov/pub/15-16/bill/asm/ab_1601-1650/ab_1610_bill_20160613_amended_sen_v97.pdf 

 

COPY OF AB 1610 AS AMENDED JUNE 13 2016 –HTML VERSION:

 

http://www.leginfo.ca.gov/pub/15-16/bill/asm/ab_1601-1650/ab_1610_bill_20160613_amended_sen_v97.htm 

 

LATESTACTION 06/13/2016: Amended in Senate. 

 

CDCANNOTE: This budget trailer bill was not taken up or voted on by Senate Budget andFiscal Review Committee on Monday (June 13th), but will likely beheard on Wednesday (June 15th) and taken up for a final floor voteon Thursday (June 16th).

 

                       

 

AB1615 – PUBLIC SAFETY BUDGET TRAILER BILL (FIRST OF TWO)

 

COPYOF AB 1615 AS AMENDED JUNE 13 2016  - PDFDOCUMENT VERSION (88 PAGES):

 

http://www.leginfo.ca.gov/pub/15-16/bill/asm/ab_1601-1650/ab_1615_bill_20160613_amended_sen_v97.pdf 

 

COPYOF AB 1615 AS AMENDED JUNE 13 2016 – HTML VERSION:

 

http://www.leginfo.ca.gov/pub/15-16/bill/asm/ab_1601-1650/ab_1615_bill_20160613_amended_sen_v97.htm 

 

LATESTACTION 06/13/2016: Passed out of Senate Budget and Fiscal Review Committee byvote of 12 to 5.

 

            

 

AB1616 – PUBLIC SAFETY (CORRECTIONAL FACILITIES) BUDGET TRAILER BILL (SECOND OFTWO)

 

COPYOF AB 1616 AS AMENDED JUNE 13 2016 – PDF DOCUMENT VERSION (9 PAGES):

 

http://www.leginfo.ca.gov/pub/15-16/bill/asm/ab_1601-1650/ab_1616_bill_20160613_amended_sen_v97.pdf 

 

COPYOF AB 1616 AS AMENDED JUNE 13 2016 – HTML VERSION:

 

http://www.leginfo.ca.gov/pub/15-16/bill/asm/ab_1601-1650/ab_1616_bill_20160613_amended_sen_v97.htm 

 

LATESTACTION 06/13/2016: Passed out of Senate Budget and Fiscal Review Committee byvote of 14 to 3.

 

 AB1618 – HOUSING – MENTAL HEALTH: NO PLACE LIKE HOME PROGRAM BUDGET TRAILER BILL

 

COPYOF AB 1618 AS AMENDED JUNE 13 2016 – PDF DOCUMENT VERSION (19 PAGES):

 

http://www.leginfo.ca.gov/pub/15-16/bill/asm/ab_1601-1650/ab_1618_bill_20160613_amended_sen_v97.pdf 

 

COPYOF AB 1618 AS AMENDED JUNE 13 2016 – HTML VERSION:

 

http://www.leginfo.ca.gov/pub/15-16/bill/asm/ab_1601-1650/ab_1618_bill_20160613_amended_sen_v97.htm 

 

LATESTACTION 06/13/2016: Amended in Senate. 

 

CDCANNOTE: This budget trailer bill was not taken up or voted on by Senate Budgetand Fiscal Review Committee on Monday (June 13th), but will likely be heard onWednesday (June 15th) and taken up for a final floor vote on Thursday (June16th).

 

            

 

AB1620 – STATE EMPLOYMENT BUDGET TRAILER BILL

 

COPYOF AB 1620 AS AMENDED JUNE 13 2016 – PDF DOCUMENT VERSION (29 PAGES):

 

http://www.leginfo.ca.gov/pub/15-16/bill/asm/ab_1601-1650/ab_1620_bill_20160613_amended_sen_v97.pdf 

 

COPYOF AB 1620 AS AMENDED JUNE 13 2016 – HTML VERSION:         

 

http://www.leginfo.ca.gov/pub/15-16/bill/asm/ab_1601-1650/ab_1620_bill_20160613_amended_sen_v97.htm 

 

LATESTACTION 06/13/2016: Passed out of Senate Budget and Fiscal Review Committee byvote of 

 

  CDCAN SUMMARY OFHEALTH BUDGET TRAILER BILL – AB 1605 AS AMENDED JUNE 13, 2016

 

    The following are the major provisions inthe health budget trailer bill, AB 1605 as amended June 13, 2016:

 

     MEDI-CAL: ESTATE RECOVERY - Would limitestate recovery in the Medi-Cal program to only those health care servicesrequired to be collected under federal law; to make it easier for  individuals to pass on their assets by usingthe narrower definition of "estate" in federal Medicaid law; and toallow a hardship exemption from estate recovery for a home of modest value. Costsare $5.7 million State General Fund for the 2016-2017 State Budget year and$28.9 million State General Funds in subsequent budget years.

 

    MEDI-CAL – ACUPUNCTURE BENEFIT RESTORATION-  Would restore acupuncture services asa covered benefit under the Medi-Cal program. This “optional” Medi-Cal benefitwas eliminated in the 2009 State Budget, in addition to several other Medi-Cal “optional”benefits, Costs of restoration is $3.7 million in State General Funds for2016-2017 State Budget year and $4.4 million in State General Funds insubsequent budget years. 

 

    MEDI-CAL: WORKERS COMPENSATION – Would eliminatethe existing sunset provision and indefinitely extends the Department of IndustrialRelations authority to supply work-related injury or claim data from theWorkers' Compensation Information System to the Department of Health CareServices.

 

    MEDI-CAL: EMERGENCY MEDICAL AIRTRANSPORTATION – Would require the  Departmentof Finance to report to the Legislature on the fiscal impact to Medi-Cal of,and the planned reimbursement methodology for emergency medical airtransportation services after, the termination of the certain vehiclepenalty  assessments.

 

   MEDI-CAL:ELECTRONIC HEALTH RECORDS – Would increase the annual State General Fund limit,from $200,000 to $450,000, for state administrative costs related to theimplementation of the Medi-Cal Electronic Health Records IncentiveProgram.  

 

    MEDI-CAL: SUPPLEMENTAL DRUG REBATES – Wouldmake minor technical changes to correct non-sequential lettering errors and inconsistentlanguage to accurately preserve the intent and purpose of SB 870 (Chapter 40,Statutes of 2014), to collect supplemental drug rebate revenues for certainprescription drugs based on drug utilization from all eligible Medi-Calprograms.

 

    MEDI-CAL: FEDERAL OUTPATIENT DRUG RULE –Would provide the Department of Health Care Services the authority to complywith the final federal rule related to Medicaid reimbursement for coveredoutpatient drugs.  That final federal rule,issued on February 1, 2016, requires states to align pharmacy reimbursementswith the actual acquisition cost of drugs and to pay an appropriateprofessional dispensing fee.

 

    MEDI-CAL: BEHAVIORAL HEALTH TREATMENT (BHT)TRANSITION CONTRACT – Would provide the Department of Health Care Services theauthority to establish a contract to assist individuals (as specified in thebill) with finding comprehensive health coverage. Those eligible individualsare those who were receiving only Behavioral Health Treatment (BHT) servicesfrom a regional center as of January 31, 2016, and will be losing eligibilityfor full-scope Medi-Cal without a share of cost on March 31, 2017,  due to the transition of Behavioral HealthTreatment (BHT) services from a covered benefit under the California Home andCommunity-Based (HCBS) Waiver program for Individuals with DevelopmentalDisabilities (DD) to a covered benefit under the California Medi-Cal StatePlan. 

 

    MEDI-CAL: SUSPEND COUNTY COST OF LIVINGADJUSTMENT (COLA) FOR ADMINISTRATION – Would suspend the county cost-of-livingadjustment (COLA) for county eligibility administration for 2016-2017 StateBudget year. Deletes outdated language referencing the Healthy Families Programwhich transitioned to  Medi-Cal in 2013-2014.

 

    PROGRAM OF ALL-INCLUSIVE CARE FOR THEELDERLY (PACE) - Would make the following changes:  A). Standardizes rate-setting to allow theDepartment of Health Care Services to determine comparability of cost andexperience between PACE and like population subsets served through long-termservices and supports (LTSS) integration into managed care health plans underthe Coordinated Care Initiative (CCI). A change in State law is necessarybecause the Department of Health Care Services is currently required to use afee-for-service (FFS) equivalent cost/upper payment limit methodology to setcapitation rates for PACE organizations.  B). Would remove existing State law that capsthe number of PACE Organizations with which the Department of Health CareServices can contract.  C). Would removeexisting State law language to align with updated PACE federal rules andregulations.  D).   Adds new State law language providingauthority for the Department of Health Care Services to seek  flexibility from the Centers for Medicare andMedicaid Services (CMS) on several issues, including the composition of thePACE interdisciplinary team, marketing practices, and development of astreamlined PACE waiver process. 

 

    MENTAL HEALTH CHILDREN'S CONTINUUM OFCRISIS SERVICES – Would establish a one-time grant program to expand thecontinuum of mental health crisis services for children and youth (ages 21 and under)regardless of where they live in the state that does the following: A). Addchild/youth-specific mobile crisis and community-based crisis stabilizationsupport teams which can provide in-home and community- based support to theyouth and family members.  Teams would includeclinical and paraprofessional staff who can support the youth/family until thecrisis subsides or until appropriate secure alternatives are located.  Essential components include crisis planning,assessment of precipitant of crisis and behaviors that are accruing, andchild/family safety, stabilization of functioning, referral and coordination,and post-crisis follow-up services.  B). Addtriage personnel who would be available at various points of access, such asclinics and schools, who could provide services including coordination,referral, monitoring service delivery, and providing placement serviceassistance.  C). Add crisis stabilizationunit services lasting less than 24 hours which can provide facility-based supportto children/youth who are in psychiatric crisis, as well as providing supportto their family members and natural supports. The goal of crisis stabilizationis to avoid the need for inpatient services during the current crisis and toprovide children/youth and the family members with the supports needed to avoidcrisis in the future. Crisis stabilization unit programming is designed to supportand assist children/youth and their caregivers to prepare for the youth's rapidreturn to their home and community environment. The “strengths-based” assessment and treatment plan will addresspotential barriers to this and must be provided at a  licensed 24-hour health care facility.D).  Add child/youth crisis residentialservices which are community-based treatment options in home-like settings thatoffer safe, trauma-informed alternatives to psychiatric emergency units orother locked facilities for youth under the age of 18.  Child/youth crisis residential services areprovided with a comprehensive, multi-disciplinary, and individualized treatmentplan that is frequently reviewed and updated based on the individual's clinicalneeds, strengths, and response to treatment. Essential parts of the plan include therapeutic programming providedseven days a week; facilities limited to under 16 beds with at least 50% ofthose beds in single occupancy rooms; facilities include ample physical space forworking with individuals who provide natural support to each child/youth andfor integrating family members into the day-to-day care of the youth; and collaborationwith each child/youth's mental health team, child and family team (CFT), and otherpaid and natural supports within 24 hours of intake and throughout the courseof care and treatment as appropriate. E). Add family respite care to help families and sustain caregiverhealth and well-being.  F). Add familysupport services training designed to help families participate in the planningprocess,  access services, and navigateprograms.  These  services will follow "a train thetrainer" model which includes, at a minimum training and education; outreach;engagement; communication; and advocacy.

 

    OFFICE OF AIDS – Would make the followingchanges:  A). Would eliminatecost-sharing for individuals enrolled in the AIDS Drug Assistance Program withannual incomes between 400 percent and 500 percent of the federal povertylevel. The Department of Public Health estimates that 112 AIDS Drug Assistance Programclients at this income level paid an ADAP share of cost (SOC).   B).  Woulddevelop a Pre-Exposure Prophylaxis (PrEP) affordability program to coverPrEP-related copays, coinsurance, and deductibles incurred by all individuals accessingPrEP in California with annual incomes below 500% of the federal poverty level. The cost of this program would becapped at $1 million from the Ryan White Supplemental Drug Rebate Fund.  C).  Wouldallow the Office of AIDS' Health Insurance Premium Payment (OA-HIPP) Program tocover premiums, copays, coinsurance, and deductibles incurred by all eligible peopleliving with HIV/AIDS in California. The Department of Public Health estimates  that 5,966 private insurance AIDS Drug AssistanceProgram clients did not receive premium payment assistance from OA-HIPPProgram.  This proposal would result inexpenditures of $8.6 million in the 2016-2017 State Budget year  (based on calendar year 2015 information).

 

    ALZHEIMER - EARLY DETECTION – Would requirethe Department of Public Health (DPH) to allocate funds to the CaliforniaAlzheimer Disease Centers to determine the standard of care in early and accuratediagnosis, provide professional outreach and education, and evaluate theeducational effectiveness of these efforts. The 2016-17 State Budget would provideone-time funding for this purpose).  

 

    HEPATITIS – Would require the Department ofPublic Hedalth to purchase and distribute hepatitis B vaccines and relatedmaterials to local health jurisdictions and community-based organizations;purchase hepatitis C test kits and related materials; train nonmedicalpersonnel to perform hepatitis C and HIV testing; and provide technical assistanceto local governments and community-based organizations regarding syringeexchange and disposal programs. The 2016-2017 State Budget would provide one-timefunding for this purpose.

 

    NALOXONE -. Would requires the Departmentof Public Health to award funding to local county health departments, localgovernment agencies, or on a competitive basis to community-based organizationsto support or establish programs that provide Naloxone, an overdose preventiondrug.  The 2016-2017 State Budget wouldprovide one-time funding for this purpose. 

 

    COVERED CALIFORNIA - EMERGENCY REGULATIONAUTHORITY – Would provide Covered California with emergency regulationauthority in order to react to changes in federal regulations relating to notices,the special enrollment period verification process, and dental eligibility;changes related to increased enrollment in the small business exchange; andchanges that may be necessary to timely implement a Section 1332 waiver.  

 

    CALIFORNIA OFFICE OF HEALTH INFORMATIONINTEGRITY – Would make technical and clarifying changes to the CaliforniaOffice of Health Information Integrity's duties with regard to continued compliancewith the federal Health Insurance Portability and Accountability Act (HIPAA).

 

    LONG-TERM CARE QUALITY ASSURANCE FUND – Would  make the Long-Term Care Quality AssuranceFund continuously appropriated without regard to the state budget year. Thisaligns the expenditure authority of programs supported by the Long-Term CareQuality Assurance Fund with available fee revenues. Expenditures from the fundare used to offset State General Fund expenditures for long-term care providerreimbursements. 

 

 CDCAN SUMMARY OFHUMAN SERVICES BUDGET TRAILER BILL – AB 1603 AS AMENDED JUNE 13 2016

 

   The CDCAN summary of the human servicesbudget trailer bill in AB 1603 as amended June 13, 2016,  includes actions that will impact the In-HomeSupportive Services program, SSI/SSP (Supplemental Security Income/StateSupplemental Payment) grant program, CalWORKS (the State’s “welfare to work”program).

 

    

 

    SSI/SSP (SUPPLEMENTAL SECURITY INCOME/STATESUPPLEMENTARY PROGRAM) COST OF LIVING ADJUSTMENT -  Would increase the State portion of theSSI/SSP grant (SSP) by 2.76% January 1, 2017. This would be in addition to any federal cost of living adjustment forthe SSI portion of the grant that would also take effect January 1, 2017.

 

    SSI/SSP (SUPPLEMENTAL SECURITY INCOME/STATESUPPLEMENTARY PROGRAM) HOUSING & DISABILITY INCOME ADVOCACY PROGRAM – Wouldestablish the Housing and Disability Income Advocacy Program under theDepartment of Social Services,  subjectto an appropriation in the annual State Budget Act.  This program would provide state grant fundsto participating counties for outreach, case management, and advocacy servicesto assist people in their counties who are homeless or at risk of becominghomeless to obtain disability (SSI/SSP, Cash Assistance Program for Immigrants(CAPI), federal Social Security Disability Insurance, veterans benefits)benefits. Provides that a county receiving state funds shall match that fundingon a dollar-for-dollar basis. Provides that a participating county shallprovide, or contract for, outreach, active case management, and advocacyservices related to the SSI/SSP program, the federal Social Security DisabilityInsurance (SSDI) program, the Cash Assistance Program for Immigrants, and veteransbenefits provided under federal law. Under this program, counties would be required to give highest priorityto individuals who are chronically homeless or rely the most heavily on state-andcounty-funded services, and other populations targeted include generalassistance or general relief applicants or recipients who are homeless or atrisk of homelessness

 

    IN-HOME SUPPORTIVE SERVICES (IHSS) 7%RESTORATION – Would continue the restoration of 7% in services for all peoplereceiving In-Home Supportive Services (IHSS), but specifies that therestoration is tied to the existence of the revised managed care organizationtax, which has been renewed for three years beginning July 1, 2016.

 

    HOUSING - BRINGING FAMILIES HOME PROGRAM –Would establish the “Bringing Families Home Program”, subject to anappropriation in the annual State Budget Act. This program would require theDepartment of Social Services to award program funds to counties for thepurpose of providing housing-related supports to eligible families experiencinghomelessness.  Defines eligible family tomean any individual or family that receives child welfare services, is homeless,  voluntarily agrees to participate in theprogram, and has either been determined appropriate for reunification of a childto a biological parent or guardian or a child or children in the family are, orare at risk of foster care placement, and it is determined that safe and stablehousing for the family will prevent the need for the child's or children'sremoval. Declares the intent of the Legislature that housing-related assistanceutilize evidence-based models, including rapid rehousing and supportivehousing. Specifies that housing-related supports include an  assessment of each family's housing needs, anda plan to assist them in meeting those needs, housing navigation or searchassistance, housing-related financial assistance, and housing stabilizationservices. Specifies that the Department of Social Services shall award programfunds to counties according to criteria developed by the department, inconsultation with the County Welfare Directors Association, the Corporation forSupportive Housing, and Housing California. Would require that counties thatreceive state funds under this program will match that funding on adollar-by-dollar basis.

 

   CALWORKS MAXIMUM FAMILY GRANT AND MAXIMUMAID PAYMENT INCREASE – Would repeal the State’s existing “Maximum Family Grant”(MFG) rule by using funds from the "Child Poverty Subaccount" and theState General Fund. Under current State law, a child born into a familyreceiving CalWORKs does not receive a benefit. Would increase the maximumCalWORKS aid payments by 1.43%, effective July 1, 2016.   

 

    CALWORKS HOMELESS ASSISTANCE PROGRAM (HAP) –Would repeal the once-in-a-lifetime ban in current State law and instead wouldallow a family to receive Homeless Assistance Program help once in a 12 monthperiod. Currently, the Homeless Assistance Program provides a once-in-a-lifetimepayment to CalWORKs recipients to meet the reasonable costs of obtainingpermanent housing, and/or temporary shelter while seeking permanenthousing.  

 

    CALWORKS EXPANDED SUBSIDIZED EMPLOYMENT –Would streamline the two CalWORKs subsidized employment programs to reduce the administrativeburden and to help maximize utilization of the programs. There are currentlytwo CalWORKs subsidized employment programs: the AB 98 program (established in2012); and, the Expanded Subsidized Employment program (established in 2013).  

 

    CALWORKS TEMPORARY ASSISTANCE PROGRAM (TAP)-  Would add language in State law tomake the Temporary Assistance Program inoperative beginning June 30, 2016. AB1808 (Chapter 75, Statutes of 2006) required the Department of Social Servicesto establish a voluntary Temporary Assistance Program with state-only fundsproviding cash aid and other benefits to certain current and future CalWORKs recipientswho are exempt from state work participation requirements. Implementation of theTemporary Assistance Program, intended to increase the federal TemporaryAssistance for Needy Families (TANF) work participation rate (WPR) has beenrepeatedly postponed; with the current implementation date is October 1, 2016.

 

    CALWORKS WORKFORCE INNOVATION ANDOPPORTUNITY ACT (WIOA) CAREER PATHWAYS – Would clarify that a CalWORKS recipient who is making satisfactory progress in acareer pathway program established in accordance with the WIOA is in compliancewith the hourly participation requirements of the CalWORKs program underspecified conditions. An approved WIOA career pathway results inindustry-recognized credentials or degrees in occupations recognized as highdemand by workforce development boards.

 

    CALFRESH (FOOD STAMP) PROGRAM MAXIMUMRECERTIFICATION PERIODS  - Would requirethat all CalFresh households be assigned certification periods that are themaximum number of months allowable under federal law.

 

    CHILD WELFARE SERVICES – APPROVED RELATIVECAREGIVER (ARC) PROGRAM – Current State law requires that, effective January 1,2015, counties, who opt-in to the Approved Relative Caregiver (ARC) Program,must pay an approved relative caregiver a per child, per month rate, in returnfor the care and supervision of a federally-ineligible Aid to Families withDependent Children-Foster Care (AFDC-FC) child placed with the relativecaregiver, equal to the base rate paid to foster care providers for afederally-eligible AFDC-FC child.  Thisbill would clarify that children participating in the Approved RelativeCaregiver (ARC) Program should receive a $50 child support disregard.  Clarifies that a relative who has beenapproved under the resource family approval process and who is federally ineligiblefor AFDC-FC is authorized to receive a CalWORKs grant and a supplement amountequal to the resource family basic amount paid to children who are federallyeligible for AFDC-FC.  Allowsnon-federally eligible foster youth placed with  relative caregivers under the jurisdiction ofthe tribal court receive a foster care basic rate amount equal to payments madeto federally-eligible relative caregivers in tribes that possess a Title IV-EAgreement with the state. Note: The main budget bill would appropriate $30million State General Fund, effective January 1, 2017, for the ApprovedRelative Caregiver Program.     

 

    CHILD WELFARE SERVICES - INFANT SUPPLEMENT-  Would increase the supplement by anadditional monthly amount of $489. (When a teen parent foster child is placed withhis or her non-dependent infant or child in a foster home, the InfantSupplement Payment rate is equal to the basic rate for the placement type andthe age of the teen parent's infant or child). 

 

     CHILD WELFARE SERVICES Uncodified CONTINUUM OFCARE REFORM (CCR) RATES - This bill includes language that will have theDepartment of Social Services and the Department of Health Care Services updatethe Assembly and Senate budget committees on the implementation of theContinuum of Care Reform, including updates on specialty mental health servicesprovided to foster children in short-term residential treatment centers, by fosterfamily agencies, and by resource families; the roles to be performed by countymental health plans, Medi-Cal managed care plans, and the fee-for-servicesystem to coordinate mental health services;  fiscal information related to mental healthservices.  The bill also requires theDepartment of Social Services to convene stakeholders and legislative staff nolater than July 1, 2016 to discuss the proposed foster care rates and rate structure.  The Department of Social Services will reportto the Assembly and Senate budget committees no later than August 10, 2016 onthe results of these discussions.  Ifproposed rates change, the department must provide updated projected costs nolater than January 10, 2017.

 

  CDCAN SUMMARY OFDEVELOPMENTAL SERVICES BUDGET TRAILER BILL – AB 1606 AS AMENDED JUNE 13 2016(IDENTICAL TO SB 834 AS AMENDED JUNE 12 2016)

 

    The CDCAN summary of the following trailerbill language (in AB 1606 as amended June 13, 2016 – identical to SB 834 asamended June 12, 2016) directly impacting services and supports under theDepartment of Developmental Services, is addition to (and in some casesclarifies) other requirements and changes in State law as authorized in thehealth care funding special session bill, ABx2 1 (the “x2” stands for thesecond special or extraordinary session of the Legislature) dealing withdevelopmental services, passed in late February by the Legislature and signedinto law by the Governor in early March. That special session bill was tied to the successful passage of themanaged care organization tax swap or reform. The funding authorizations and other requirements (some provisions havelater effective dates in the bill) go into effect July 1, 2016.  

 

    A copy of that bill – ABx2 1 as signed intolaw by the Governor on March 1, 2016 (PDF Document Copy – 20 pages) can beviewed or downloaded at: 

 

    http://www.leginfo.ca.gov/pub/15-16/bill/asm/ab_0001-0050/abx2_1_bill_20160301_chaptered.pdf 

 

    Persons with developmental disabilitieseligible for regional center funded community-based services may also beimpacted by changes in State law related to SSI/SSP (Supplemental SecurityIncome/State Supplemental Payment) grants, IHSS (In-Home Supportive Services),Medi-Cal including behavioral health treatment services, CalWORKS, ChildWelfare Services, Community Care Licensing – but trailer bill language in thosebudget areas are not yet available (CDCAN will post links and other informationas information becomes available).  

 

 DEVELOPMENTALCENTERS

 

    BACKFILL OF LOSS OF FEDERAL FUNDING DUE TODECERTIFICATION - Would require the Department of Developmental Services toreport quarterly to the Joint Legislative Budget Committee the estimated amountof State General Fund expenditures used to backfill federal funding as a resultof the decertification of intermediate care facility units at the SonomaDevelopmental Center. The bill would also require, if the intermediate carefacility units at the Fairview Developmental Center or the PortervilleDevelopmental Center are decertified by the federal government in the 2016–2017State budget year (fiscal) year, the Department of Developmental Services toreport quarterly to the Joint Legislative Budget Committee the estimated amountof State General Fund expenditures used to backfill federal funding as a resultof the decertification or decertifications.

 

    CLOSURE PROCESS – ACCESS TO CRISIS SERVICESAFTER CLOSUJRE - Would require the Department of Developmental Services toinclude an update to the

 

Legislaturein the Governor’s “May Revision” of his proposed 2017–2018 State Budget nextyear,  regarding how the Department ofDevelopmental Services will ensure access to crisis services after the closureof a developmental center and how the state will maintain its role in providingresidential services to those whom private sector vendors cannot or will notserve.  Would also require the Departmentof Developmental Services to post on its Internet website a monthly progressreport regarding the development of residential

 

capacityby each regional center, as specified in the bill.

 

    CLOSURE PROCESS – ENROLLMENT INTO MEDI-CALMANAGED CARE - Would require the Department of Developmental Services and theDepartment of Health Care Services (the state agency that oversees California’sMedi-Cal program) to coordinate the transition of health care services forMedi-Cal eligible persons with developmental disabilities who are transitioningfrom a developmental center into the community, as specified in the bill. Wouldrequire the Department of Health Care Services to issue transition requirementsfor specified persons with developmental disabilities.  Would authorize the Department of Health CareServices to implement those provisions by means of “All-County Letters”(notices from State to the counties), “Plan Letters” (notices from the State toMedi-Cal managed care plans), plan or provider bulletins, or similarinstructions. Would provide that its provisions shall be implemented only tothe extent that any necessary federal approvals are obtained and federal financialparticipation (matching federal funding) is available.

 

    DEVELOPMENTAL CENTERS EMPLOYEES BECOMINGREGIONAL CENTER VENDOR – Existing State law provides that specified contractsentered into by any state agency for goods, services, or other specified activities,whether awarded through competitive bidding or not, are void unless and untilapproved by the Department of General Services, and requires denial of approvalif the contract does not meet the required specifications of the biddingprocess. That State law exempts certain transactions and contracts from thatlaw.

 

    This bill would make those existing Statelaws inapplicable, subject to the approval of the director of the Department ofDevelopmental Services, to specified employees of the Department ofDevelopmental Services for the purpose of the employee becoming a vendor of aregional center for persons with developmental disabilities, as

 

specified.

 

 DEPARTMENTOF DEVELOPMENTAL SERVICES

 

    TOTAL AND PER CAPITA SPENDING FORDEVELOPMENTAL CENTERS & REGIONAL CENTERS INFORMATION - Would require theDepartment of Developmental Services to, on or before February 1 of each year,report to the Legislature and post on its website specified supplemental budgetinformation, including an estimate for the annual budget for each developmentalcenter and the current State budget (fiscal) year allocations of total and percapita funding for operations and purchase of services for each regionalcenter. Would require the Department of Developmental Services to develop andimplement a plan to monitor, evaluate,

 

andimprove the quality of community-based services through the use of aperformance dashboard, to be published annually and include, among otherthings, recognized quality and access measures. Would require that, with the fiscal and research resources included aspart of the State Budget Act of 2016, the Department of Developmental Servicesannually assess specified data, including the performance dashboard data.

 

.   APPROPRIATION OF FEDERAL REIMBURSEMENTS -  Existing State law (authorized in ABx2 1)appropriates $287,000,000 to the Department of Developmental Services to,commencing July 1, 2016, among other things, increase rates and wages forcertain developmental services providers and fund incentive payments forcompetitive integrated employment opportunities and internships for individualswith developmental disabilities. 

 

    Would appropriate (authorize) $186,200,000in reimbursements linked with those appropriated funds to the Department ofDevelopmental Services for the same specified purposes.

 

 REGIONALCENTERS 

 

    CULTURAL DISPARITIES - Would require eachregional center to consult with stakeholders regarding activities that may beeffective in addressing disparities in the receipt of regional center servicesand the regional center’s proposed requests for the funding to assist with theimplementation of the recommendations and plans to reduce disparities and wouldalso require each regional center to identify the stakeholders consulted withand to include information on how it incorporated stakeholder input into itsrequests. 

 

    The bill would require the Department ofDevelopmental Services to review requests for funding within 45 days from aspecified deadline and would

 

requireeach regional center to report to the Department of Developmental Services, asspecified in the bill, how the funding allocations were used, among otherthings.

 

    CRISIS OR RESIDENTIAL OR SUPPORTED LIVINGSERVICES OR LONG-TERM HEALTH CARE FACILITIES , AND ACUTE PSYCHIATRIC HOSPITALREPORTING AND SECULSION AND RESTRAINTS REPORTING  - Would addition to existing State law, require regional center vendorsthat provide crisis services to make those reports. 

 

    Would also require regional center vendorsthat provide crisis or residential services or supported living services,long-term health care facilities, and acute psychiatric hospitals, to reportany unexpected or suspicious death, regardless of whether the cause isimmediately known, any allegation of sexual assault, as defined, in which thealleged perpetrator is a staff member, service provider, or facility employeeor contractor, and any report made to the local law enforcement agency in thejurisdiction in which the facility is located that involves physical abuse, asdefined, in which a staff member, service provider, or facility employee orcontractor is implicated. 

 

    Would require those entities to report on amonthly basis, as specified in the bill, the number of incidents of seclusionand the duration of time spent per incident in seclusion, the number ofincidents of the use of behavioral restraints and the duration of time spentper incident of restraint, and the number of times an involuntary emergencymedication is used to control behavior.

 

    SELF DETERMINATION LOCAL ADVISORYCOMMITTEES - Would require each regional center to consult with the localvolunteer advisory committees in conducting, under existing State law thatrequires each regional center to contract with local consumer/family-runorganizations to conduct outreach through local meetings and to collaboratewith local consumer or family-run organizations to jointly conduct trainingabout the Self Determination Program, regarding outreach and training and wouldauthorize the advisory committee to designate members to represent thecommittee at the training.

 

    PROVIDER RATE INCREASE – OUT OF HOMERESPITE SERVICES – Clarifies that the rate increases authorized in ABx2 1 alsorequires the rates for out-of-home respites

 

servicesin effect on June 30, 2016, to be increased by 5% (effective July 1, 2016), inaddition to the other rate increases authorized in that special session billrelated to developmental services funding tied to the passage of the managedcare organization tax swap that was approved by the Legislature in lateFebruary and signed into law in early March by the Governor.

 

    COMPETITIVE INTEGRATED EMPLOYMENT INCENTIVEPAYMENTS - Would require the individual placed for employment to be employedfor at least 30 days in order for a provider to receive the first incentivepayment for an initial employment placement under these provisions. 

 

    Would clarify that these payments are notavailable to providers that place individuals into internships, until theindividual transitions into a competitive integrated employment placement. 

 

    Would provide that these incentive paymentsapply to regional center service providers, rather than providers of supportedemployment services, and would prohibit payments made under the program frombeing in addition to specified placement payments for supported employmentservices. 

 

    Would make other clarifying changes tothese provisions with regard to payments, as specified in the bill.

 

    EARLY START PROGRAM – OUTREACH – FAMILYRESOURCE CENTERS - Would repeal existing State law for the Department ofDevelopmental Services to contract with an organization representing one ormore family resource centers to provide outreach, information, and referralservices for at-risk babies, and would repeal the requirement that regionalcenters refer at-risk babies to the family resource centers.

 

    STATE MINIMUM WAGE ADJUSTMENT - Wouldauthorize adjustment of provider rates commencing January 1, 2017, if theadjustment is necessary in order

 

topay employees no less than the increased State minimum wage as described in thebill.  

 

    RESIDENTIAL SERVICE PROVIDERS SERVICE LEVELAND FOUR BED RATE -  Existing State lawprohibits a regional center from approving a service level for a residentialservice provider if the approval would result in an increase in the rate to bepaid to the provider that is greater than the rate that is in effect on June30, 2008, unless the regional center demonstrates to the Department ofDevelopmental Services that the approval is necessary to protect the consumer’shealth or safety and the Department of Developmental Services has granted priorwritten authorization.  This bill wouldin addition to that State law,  prohibitthat approval if it would result in an increase in state costs. 

 

    Would require the Department ofDevelopmental Services to, effective July 1, 2016, establish a rate schedulefor residential community care facilities vendored to provide services to amaximum of four persons with developmental disabilities. 

 

    Would exempt from the prohibition describedabove only residential community care facilities vendored to provide servicesto a maximum of four persons with developmental disabilities if either theregional center demonstrates to the department that the approval is necessaryto protect the consumer’s health or safety and the Department of DevelopmentalServices has granted prior written authorization or if the approved servicelevel is not higher than the service level in effect at the time of implementationof the new rate schedule. 

 

    Would require regional centers to submit areport (as specified in the bill) to the Department of Developmental Servicesby February 1, 2017, regarding the number residential community care facilitieswith those rates.

 

    COMMUNITY CARE FACILITIES AND ENHANCEDBEHAVIORAL SUPPORTS HOMES – PHYSICAL RESTRAINS OR CONTAINMENT  - would prohibit enhanced behavioral supportshomes from using physical restraint or containment for more than 15 consecutiveminutes, except as specified in the bill

 

 CDCAN - MARTY OMOTO YOUTUBE CHANNEL

 

   A CDCAN (Marty Omoto, family member and advocate) youtube channel was set upand has several videos dealing with current – and previous state budget issues,disability and senior rights, and advocacy. 

 

    Tosee the current videos, including March 2014 San Andreas Regional Center AptosLegislative Breakfast, January 2014 panel discussion on services for adultswith autism spectrum and related disorders in Palo Alto, and older videosincluding video of April 2003 march of over 3,000 people with developmentaldisabilities, families, providers, regional centers and others from theSacramento Convention Center to the State Capitol (to attend and testify atbudget hearing on proposed massive permanent cuts to regional center fundedservices, go to the CDCAN (Marty Omoto) Channel at: https://www.youtube.com/channel/UCEySEyhnr9LQRiCe-F7ELhg 

 

   More videos – including new current videos (an interview with longtime advocateMaggie Dee Dowling is planned, among others) – plus archive videos of pastevents – will be posted soon.  

 

 ALERT: PLEASE HELP!!!!!!

JUNE 14, 2016 – TUESDAY MORNING

PLEASE HELP CDCAN CONTINUEITS WORK      

CDCAN Townhall Telemeetings,CDCAN Reports and Alerts and other activities cannot continue without YOURhelp. To continue the CDCAN website and the CDCAN Reports and Alerts sent outand read by over 65,000 people and organizations, policy makers and mediaacross the State, and to continue and resume CDCAN Townhall Telemeetings,trainings and other events, please send your contribution/donation (please makecheck payable to "CDCAN" or "California Disability CommunityAction Network" and mail to:     

                                                                     

 

CDCAN – MAILING ADDRESS:
1500 West El Camino AvenueSuite 499
Sacramento, CA 95833  
Office Line: 916-418-4745 
CDCAN Cell Phone: 916-757-9549 
Email – NEW: martyomoto@att.net [replaced as of June 1,2016 martyomoto@rcip.com]

 

Many, many thanks to all theorganizations and individuals for their continued support that make thesereports and other CDCAN effortspossible!