AB 2568: County integrated health and human services program.
- Session Year: 2015-2016
- House: Assembly
- Latest Version Date: 2016-09-22
Existing law authorizes the Counties of Humboldt, Mendocino, and Alameda to implement a program for the funding and delivery of services and benefits through an integrated and comprehensive county health and human services system, subject to certain limitations.
This bill would authorize the County of San Diego, upon approval of the county board of supervisors and the California Health and Human Services Agency, to operate an integrated and comprehensive county health and human services system, as specified.
Existing law establishes the Local Revenue Fund 2011 to provide funding to counties for public safety services, including mental health and foster care services, among others. Existing law directs each county to establish a County Local Revenue Fund 2011 for receipt of funds allocated from the Local Revenue Fund 2011, and further directs the county to establish various accounts and subaccounts within the County Local Revenue Fund 2011, including a Protective Services Subaccount and a Behavioral Health Subaccount. Existing law provides that a county authorized to operate an integrated and comprehensive county health and human services system may reallocate money between the Protective Services Subaccount and the Behavioral Health Subaccount, consistent with specified provisions.
This bill would provide that a countys reallocation of funds between the Protective Services Subaccount and the Behavioral Health Subaccount remains in effect for only the fiscal year in which the reallocation is made, and would require the county to report the reallocation to the Department of Finance and the Secretary of California Health and Human Services, as specified.
Existing law authorizes the Counties of Humboldt, Mendocino, and Alameda to implement a program for the funding and delivery of services and benefits through an integrated and comprehensive county health and human services system, subject to certain limitations.
This bill would authorize the County of San Diego, upon approval of the county board of supervisors and the California Health and Human Services Agency, to operate an integrated and comprehensive county health and human services system, as specified.
Existing law establishes the Local Revenue Fund 2011 to provide funding to counties for public safety services, including mental health and foster care services, among others. Existing law directs each county to establish a County Local Revenue Fund 2011 for receipt of funds allocated from the Local Revenue Fund 2011, and further directs the county to establish various accounts and subaccounts within the County Local Revenue Fund 2011, including a Protective Services Subaccount and a Behavioral Health Subaccount. Existing law provides that a county authorized to operate an integrated and comprehensive county health and human services system may reallocate money between the Protective Services Subaccount and the Behavioral Health Subaccount, consistent with specified provisions.
This bill would provide that a countys reallocation of funds between the Protective Services Subaccount and the Behavioral Health Subaccount remains in effect for only the fiscal year in which the reallocation is made, and would require the county to report the reallocation to the Department of Finance and the Secretary of California Health and Human Services, as specified.
Existing law authorizes the Counties of Humboldt, Mendocino, and Alameda to implement a program for the funding and delivery of services and benefits through an integrated and comprehensive county health and human services system, subject to certain limitations.
This bill would authorize the County of San Diego, upon approval of the county board of supervisors, supervisors and the California Health and Human Services Agency, to operate an integrated and comprehensive county health and human services system, as specified.
Existing law establishes the Local Revenue Fund 2011 to provide funding to counties for public safety services, including mental health and foster care services, among others. Existing law directs each county to establish a County Local Revenue Fund 2011 for receipt of funds allocated from the Local Revenue Fund 2011, and further directs the county to establish various accounts and subaccounts within the County Local Revenue Fund 2011, including a Protective Services Subaccount and a Behavioral Health Subaccount. Existing law provides that a county authorized to operate an integrated and comprehensive county health and human services system may reallocate money between the Protective Services Subaccount and the Behavioral Health Subaccount, consistent with specified provisions.
This bill would provide that a countys reallocation of funds between the Protective Services Subaccount and the Behavioral Health Subaccount remains in effect for only the fiscal year in which the reallocation is made, and would require the county to report the reallocation to the Department of Finance and the Secretary of California Health and Human Services, as specified.
Existing law authorizes the Counties of Humboldt, Mendocino, and Alameda, Alameda to implement a program for the funding and delivery of services and benefits through an integrated and comprehensive county health and human services system, subject to certain limitations.
This bill would authorize the County of San Diego, upon approval of the county board of supervisors, to operate an integrated and comprehensive health and human services system. system, as specified.
Existing law authorizes the Counties of Humboldt, Mendocino, and Alameda, to implement a program for the funding and delivery of services and benefits through an integrated and comprehensive county health and human services system, subject to certain limitations.
This bill would authorize the County of San Diego, upon approval of the county board of supervisors, to operate an integrated and comprehensive health and human services system.
Existing law authorizes the Counties of Humboldt, Mendocino, and Alameda, to implement a program for the funding and delivery of services and benefits through an integrated and comprehensive county health and human services system, subject to certain limitations.
This bill would authorize the County of San Diego, upon approval of the county board of supervisors, to operate an integrated and comprehensive health and human services system.
(a)The Local Revenue Fund 2011 is hereby created in the State Treasury and shall receive all revenues, less refunds, derived from the taxes described in Sections 6051.15 and 6201.15; revenues as may be allocated to the fund pursuant to Sections 11001.5 and 11005 of the Revenue and Taxation Code; and other moneys that may be specifically appropriated to the fund.
(b)(1)(A) The Trial Court Security Account, the Local Community Corrections Account, the Local Law Enforcement Services Account, the Mental Health Account, the District Attorney and Public Defender Account, the Juvenile Justice Account, the Health and Human Services Account, the Reserve Account, and the Undistributed Account are hereby created within the Local Revenue Fund 2011.
(B)On September 15, 2012, all of the funds in the Trial Court Security Account, the Local Community Corrections Account, the Local Law Enforcement Services Account, the District Attorney and Public Defender Account, and the Juvenile Justice Account shall be distributed to the appropriate successor subaccounts and special accounts as provided in paragraph (3), and on September 30, 2012, are abolished.
(C)On September 30, 2012, the Health and Human Services Account is abolished.
(D)On January 1, 2013, the Reserve Account and the Undistributed Account described in subparagraph (A) are abolished.
(2)(A)The Support Services Account, the Law Enforcement Services Account, and the Sales and Use Tax Growth Account are hereby created within the Local Revenue Fund 2011.
(B)The Protective Services Subaccount, the Behavioral Health Subaccount, and the County Intervention Support Services Subaccount are hereby created within the Support Services Account.
(C)The Trial Court Security Subaccount, the Enhancing Law Enforcement Activities Subaccount, the Community Corrections Subaccount, the District Attorney and Public Defender Subaccount, and the Juvenile Justice Subaccount are hereby created within the Law Enforcement Services Account.
(D)The Enhancing Law Enforcement Activities Growth Special Account is hereby created within the Enhancing Law Enforcement Activities Subaccount.
(E)The Support Services Growth Subaccount and the Law Enforcement Services Growth Subaccount are hereby created within the Sales and Use Tax Growth Account.
(F)The Protective Services Growth Special Account and the Behavioral Health Services Growth Special Account are created within the Support Services Growth Subaccount.
(G)The Women and Childrens Residential Treatment Services Special Account is hereby created in the Behavioral Health Subaccount for the Women and Childrens Residential Services Treatment Program as described in Chapter 2.1 (commencing with Section 11757.65) of the Welfare and Institutions Code.
(H)The Trial Court Security Growth Special Account, the Community Corrections Growth Special Account, the District Attorney and Public Defender Growth Special Account, and the Juvenile Justice Growth Special Account are hereby created within the Law Enforcement Services Growth Subaccount.
(3)On September 15, 2012, the funds in the following accounts and subaccounts, and funds that subsequently would have been deposited in the following accounts and subaccounts, shall be transferred as follows:
(A)Funds in the Trial Court Security Account shall be transferred to the Trial Court Security Subaccount.
(B)Funds in the Local Community Corrections Account shall be transferred to the Community Corrections Subaccount.
(C)Funds in the Local Law Enforcement Services Account shall be transferred to the Enhancing Law Enforcement Activities Subaccount.
(D)Funds in the District Attorney and Public Defender Account shall be transferred to the District Attorney and Public Defender Subaccount.
(E)Funds in the Juvenile Justice Account shall be transferred to the Juvenile Justice Subaccount.
(c)(1)(A)The Youthful Offender Block Grant Subaccount and the Juvenile Reentry Grant Subaccount are hereby created within the Juvenile Justice Account.
(B)On September 15, 2012, all of the funds in the Youthful Offender Block Grant Subaccount and the Juvenile Reentry Grant Subaccount shall be distributed to the appropriate successor special accounts as provided in paragraph (3), and on September 30, 2012, the subaccounts are abolished.
(2)The Youthful Offender Block Grant Special Account and the Juvenile Reentry Grant Special Account are hereby created within the Juvenile Justice Subaccount.
(3)On September 15, 2012, the funds in the following subaccounts, and funds that subsequently would have been deposited in the following subaccounts, shall be transferred as follows:
(A)Funds in the Youthful Offender Block Grant Subaccount shall be transferred to the Youthful Offender Block Grant Special Account.
(B)Funds in the Juvenile Reentry Grant Subaccount shall be transferred to the Juvenile Reentry Grant Special Account.
(d)(1)(A)The Adult Protective Services Subaccount, the Foster Care Assistance Subaccount, the Foster Care Administration Subaccount, the Child Welfare Services Subaccount, the Adoptions Subaccount, the Adoption Assistance Program Subaccount, the Child Abuse Prevention Subaccount, the Women and Childrens Residential Treatment Services Subaccount, the Drug Court Subaccount, the Nondrug Medi-Cal Substance Abuse Treatment Services Subaccount, and the Drug Medi-Cal Subaccount are hereby created within the Health and Human Services Account within the Local Revenue Fund 2011.
(B)On September 15, 2012, all of the funds in the Adult Protective Services Subaccount, the Foster Care Assistance Subaccount, the Foster Care Administration Subaccount, the Child Welfare Services Subaccount, the Adoptions Subaccount, the Adoption Assistance Program Subaccount, the Child Abuse Prevention Subaccount, the Women and Childrens Residential Treatment Services Subaccount, the Drug Court Subaccount, the Nondrug Medi-Cal Substance Abuse Treatment Services Subaccount, and the Drug Medi-Cal Subaccount shall be distributed to the appropriate successor subaccounts as provided in paragraph (2), and on September 30, 2012, the subaccounts named in this paragraph are abolished.
(2)On September 15, 2012, the funds in the following subaccounts, and funds that subsequently would have been deposited in the following subaccounts, shall be transferred as follows:
(A)Funds in the Adult Protective Services Subaccount, the Foster Care Assistance Subaccount, the Foster Care Administration Subaccount, the Child Welfare Services Subaccount, the Adoptions Subaccount, the Adoption Assistance Program Subaccount, and the Child Abuse Prevention Subaccount shall be transferred to the Protective Services Subaccount.
(B)Funds in the Drug Court Subaccount, the Nondrug Medi-Cal Substance Abuse Treatment Services Subaccount, and the Drug Medi-Cal Subaccount shall be transferred to the Behavioral Health Subaccount.
(C)Funds in the Women and Childrens Residential Treatment Services Subaccount shall be transferred to the Women and Childrens Residential Treatment Services Special Account.
(e)Funds transferred to the Local Revenue Fund 2011 and its accounts, subaccounts, and special accounts are, notwithstanding Section 13340, continuously appropriated and shall be allocated pursuant to statute exclusively for Public Safety Services as defined in subdivision (i) and as further limited by statute. The moneys derived from taxes described in subdivision (a) and deposited in the Local Revenue Fund 2011 shall be available to reimburse the General Fund for moneys that are advanced to the Local Revenue Fund 2011. Additionally, all funds deposited in the Local Revenue Fund 2011 and its accounts shall be available to pay for state costs incurred during the 201112 fiscal year from state agency or department appropriations authorized in the Budget Act of 2011 for the realignment of Public Safety Services programs during the 201112 legislative session. The Department of Finance is authorized to determine the time, manner, and amount to be reimbursed pursuant to this subdivision, provided that reimbursement shall be made no later than December 1, 2012.
(f)(1)Each county treasurer, city and county treasurer, or other appropriate official shall create a County Local Revenue Fund 2011 for the county or city and county.
(2)(A)Each county treasurer, city and county treasurer, or other appropriate official shall create the Local Community Corrections Account, the Trial Court Security Account, the District Attorney and Public Defender Account, the Juvenile Justice Account, the Health and Human Services Account, and the Supplemental Law Enforcement Services Account within the County Local Revenue Fund 2011 for the county or city and county.
(B)On September 15, 2012, each county treasurer, city and county treasurer, or other appropriate official shall distribute all of the funds in the Local Community Corrections Account, the Trial Court Security Account, the District Attorney and Public Defender Account, the Juvenile Justice Account, the Health and Human Services Account, and the Supplemental Law Enforcement Services Account within the County Local Revenue Fund 2011 for the county or city and county to the appropriate successor accounts as provided in paragraphs (7) and (8), and on September 30, 2012, each county treasurer, city and county treasurer, or other appropriate official shall abolish the accounts described in subparagraph (A).
(3)Each county treasurer, and city and county treasurer, or other appropriate official, shall create the Support Services Account and the Law Enforcement Services Account within the County Local Revenue Fund 2011 for the county or city and county.
(4)Each county treasurer, and city and county treasurer, or other appropriate official, shall create the Protective Services Subaccount and the Behavioral Health Subaccount within the Support Services Account.
(A)Any county or city and county may only annually reallocate money between subaccounts in the Support Services Account, provided that the reallocation may not exceed 10 percent of the amount deposited in the immediately preceding fiscal year in the subaccount in the Support Services Account with the lowest balance.
(B)A county or city and county shall, at a regularly scheduled public hearing of its governing body, document that any decision to make any change in its allocation between the Protective Services Subaccount or Behavioral Health Subaccount moneys among services, facilities, programs, or providers as a result of reallocating funds pursuant to subparagraph (A) was based on the most cost-effective use of available resources to maximize client outcomes.
(C)Any reallocation made pursuant to this paragraph shall only be in effect for the fiscal year in which the reallocation is made, and the reallocation shall be neither a permanent allocation nor a permanent funding source for any program or service receiving funds from the reallocation.
(D)Any county or city and county that reallocates funds pursuant to this paragraph shall forward a copy of the documentation in subparagraph (B) to the Controller. The Controller shall make an annual report to the fiscal committees of the Legislature of transfers made and shall forward copies of the documentation to other interested parties upon request.
(E)(i)Notwithstanding subparagraph (A), any county authorized to operate an integrated and comprehensive county health and human services system pursuant to Chapter 12.95 (commencing with Section 18989), Chapter 12.96 (commencing with Section 18986.60), or Chapter 12.991 (commencing with Section 18986.86) of Part 6 of Division 9 of the Welfare and Institutions Code may reallocate money between the Protective Services Subaccount and the Behavioral Health Subaccount within the Support Services Account of the County Local Revenue Fund 2011 established pursuant to paragraph (3), consistent with the provisions and restrictions contained in Chapter 12.95 (commencing with Section 18989), Chapter 12.96 (commencing with Section 18986.60), or Chapter 12.991 (commencing with Section 18986.86) of Part 6 of Division 9 of the Welfare and Institutions Code.
(ii)A reallocation made pursuant to clause (i) shall be in effect for only the fiscal year in which the reallocation is made and the reallocation shall be neither a permanent allocation nor a permanent funding source for any program or service receiving funds from the reallocation.
(iii)A county or city and county that reallocates funds pursuant to clause (i) shall make a report to the Department of Finance and the Secretary of California Health and Human Services describing the reallocation made for that fiscal year.
(F)The Counties of Alameda, Los Angeles, Marin, San Diego, San Francisco, and San Joaquin shall create, within the Behavioral Health Subaccount created pursuant to this paragraph, a County Women and Childrens Residential Treatment Services Special Account.
(5)Each county treasurer, city and county treasurer, or other appropriate official shall create the following subaccounts and special accounts for each respective county or city and county:
(A)The Trial Court Security Subaccount, the Enhancing Law Enforcement Activities Subaccount, the Community Corrections Subaccount, the District Attorney and Public Defender Subaccount, the Juvenile Justice Subaccount, and the Local Innovation Subaccount within the Law Enforcement Services Account.
(B)The Youthful Offender Block Grant Special Account and the Juvenile Reentry Grant Special Account within the Juvenile Justice Subaccount.
(6)(A)Each county treasurer, city and county treasurer, or other appropriate official shall create, if so directed by the board of supervisors, a Support Services Reserve Subaccount in the Support Services Account.
(B)A countys or city and countys board of supervisors shall have the authority to reallocate funds from the Protective Services Subaccount or the Behavioral Health Subaccount, or both, to the Support Services Reserve Subaccount in an amount equal to, or less than, 5 percent of the total funds allocated to those subaccounts from the corresponding State Treasury subaccounts for the immediately preceding fiscal year, provided that no reallocation may occur that would cause the Support Services Reserve Subaccount to exceed 5 percent of the total funds allocated to the Protective Services Subaccount and the Behavioral Health Subaccount from the corresponding State Treasury subaccounts for the immediately preceding fiscal year. The countys or city and countys board of supervisors shall have the authority to spend moneys deposited in the Support Services Reserve Subaccount as they would any funds in the Protective Services Subaccount or the Behavioral Health Subaccount. The authorization to make this reallocation or to appropriate the funding may only be made in a duly noticed public meeting. The county or city and county shall document any reallocations that occurred in the previous fiscal year by September 30 and shall forward a copy of the documentation to the Controller. The Controller shall make an annual report to the fiscal committees of the Legislature of reallocations made and shall forward copies of the documentation to other interested parties upon request.
(7)On September 15, 2012, each county treasurer, city and county treasurer, or other appropriate official shall distribute all of the funds in the Local Community Corrections Account, the Trial Court Security Account, the District Attorney and Public Defender Account, the Juvenile Justice Account, the Youthful Offender Block Grant Subaccount, the Juvenile Reentry Grant Subaccount, and the Supplemental Law Enforcement Services Account within the County Local Revenue Fund 2011 for the county or city and county to the appropriate successor subaccounts and special accounts as follows:
(A)Funds in the Local Community Corrections Account shall be transferred to the Community Corrections Subaccount.
(B)Funds in the Trial Court Security Account shall be transferred to the Trial Court Security Subaccount.
(C)Funds in the District Attorney and Public Defender Account shall be transferred to the District Attorney and Public Defender Subaccount.
(D)Funds in the Juvenile Justice Account shall be transferred to the Juvenile Justice Subaccount.
(E)Funds in the Youthful Offender Block Grant Subaccount shall be transferred to the Youthful Offender Block Grant Special Account.
(F)Funds in the Juvenile Reentry Grant Subaccount shall be transferred to the Juvenile Reentry Grant Special Account.
(G)Funds in the Supplemental Law Enforcement Services Account shall be transferred to the Enhancing Law Enforcement Activities Subaccount.
(8)On September 15, 2012, each county treasurer, city and county treasurer, or other appropriate official shall distribute the funds in the Health and Human Services Account within the County Local Revenue Fund 2011 for the county or city and county to the appropriate successor accounts and subaccounts as follows:
(A)Funds that a county or city and county received from the Adult Protective Services Subaccount, the Foster Care Assistance Subaccount, the Foster Care Administration Subaccount, the Child Welfare Services Subaccount, the Adoptions Subaccount, the Adoption Assistance Program Subaccount, and the Child Abuse Prevention Subaccount in the Local Revenue Fund 2011 shall be transferred to the Protective Services Subaccount in the County Local Revenue Fund 2011.
(B)Funds that a county or city and county received from the Drug Court Subaccount, the Nondrug Medi-Cal Substance Abuse Treatment Services Subaccount, and the Drug Medi-Cal Subaccount in the Local Revenue Fund 2011 shall be transferred to the Behavioral Health Subaccount in the County Local Revenue Fund 2011.
(C)Funds that a county or city and county received from the Women and Childrens Residential Treatment Services Subaccount shall be transferred to the Women and Childrens Residential Treatment Services Special Account within the Behavioral Health Subaccount.
(9)The moneys in the County Local Revenue Fund 2011 for each county or city and county and its accounts shall be exclusively used for Public Safety Services as defined in subdivision (i) and as further described in this section.
(10)The moneys in and transferred from the Trial Court Security Account, and the moneys in its successor subaccount and special account, the Trial Court Security Subaccount and the Trial Court Security Growth Special Account, shall be used exclusively to fund trial court security provided by county sheriffs. No general county administrative costs may be charged to this account, including, but not limited to, the costs of administering the account.
(11)The moneys in and transferred from the Local Community Corrections Account, and the moneys in its successor subaccount and special account, the Community Corrections Subaccount and the Community Corrections Growth Special Account, shall be the source of funding for the provisions of Chapter 15 of the Statutes of 2011. This funding shall not be used by local agencies to supplant other funding for Public Safety Services. This account, subaccount, and special account shall be the source of funding for the Postrelease Community Supervision Act of 2011, as enacted by Section 479 of Chapter 15 of the Statutes of 2011, and to fund the housing of parolees in county jails.
(12)The moneys in and transferred from the District Attorney and Public Defender Account, and the moneys in its successor subaccount and special account, the District Attorney and Public Defender Subaccount and the District Attorney and Public Defender Growth Special Account, shall be used exclusively to fund costs associated with revocation proceedings involving persons subject to state parole and the Postrelease Community Supervision Act of 2011 (Title 2.05 (commencing with Section 3450) of Part 3 of the Penal Code), and may be used to fund planning, implementation, and training costs for those proceedings. The moneys shall be allocated equally by the county or city and county to the district attorneys office and county public defenders office, or where no public defenders office is established, to the county for distribution for the same purpose.
(13)The moneys in and transferred from the Juvenile Justice Account, and the moneys in its successor subaccount and special account, the Juvenile Justice Subaccount and the Juvenile Justice Growth Special Account, shall only be used to fund activities in connection with the grant programs described in this paragraph.
(A)The Youthful Offender Block Grant Subaccount, and its successor, the Youthful Offender Block Grant Special Account, shall be used to fund grants solely to enhance the capacity of county probation, mental health, drug and alcohol, and other county departments to provide appropriate rehabilitative, housing, and supervision services to youthful offenders, subject to Sections 731.1, 733, 1766, and 1767.35 of the Welfare and Institutions Code. Counties, in expending an allocation from this subaccount or special account, shall provide all necessary services related to the custody and parole of the offenders.
(B)The Juvenile Reentry Grant Subaccount, and its successor, the Juvenile Reentry Grant Special Account, shall be used to fund grants exclusively to address local program needs for persons discharged from the custody of the Department of Corrections and Rehabilitation, Division of Juvenile Facilities. County probation departments, in expending the Juvenile Reentry Grant allocation, shall provide evidence-based supervision and detention practices and rehabilitative services to persons who are subject to the jurisdiction of the juvenile court, and who were committed to and discharged from the Department of Corrections and Rehabilitation, Division of Juvenile Facilities. Evidence-based refers to supervision and detention policies, procedures, programs, and practices demonstrated by scientific research to reduce recidivism among individuals on probation or under postrelease supervision. The funds allocated from this subaccount or special account shall supplement existing services and shall not be used by local agencies to supplant any existing funding for existing services provided by those entities. The funding provided from this subaccount or special account is intended to provide payment in full for all local government costs of the supervision, programming, education, incarceration, or any other cost resulting from persons discharged from custody or held in local facilities pursuant to the provisions of Chapter 729 of the Statutes of 2010.
(14)The moneys in and transferred from the Supplemental Law Enforcement Services Account, and the moneys in its successor subaccount, the Enhancing Law Enforcement Activities Subaccount, and moneys in the Enhancing Law Enforcement Activities Growth Special Account, shall be used to provide grants and funding to local law enforcement as provided by statute.
(15)Notwithstanding any other provision of this section, the moneys in the Local Innovation Subaccount shall be used to fund local needs. The board of supervisors of a county or city and county shall have the authority to spend money deposited in the Local Innovation Subaccount as it would any funds in the Juvenile Justice Subaccount, the District Attorney and Public Defender Subaccount, the Community Corrections Subaccount, or the Trial Court Security Subaccount.
(16)The moneys in and transferred from the Health and Human Services Account and its subaccounts and the moneys in its successor account, the Support Services Account, and the moneys in the Protective Services Subaccount and the Behavioral Health Subaccount shall be used only to fund activities performed in connection with the programs described in this subdivision. Except as provided in subdivisions (c) and (d), as restricted by subdivision (e), of Section 30026.5, counties and cities and counties shall pay 100 percent of the nonfederal costs of the programs described in this subdivision using funds allocated from the Local Revenue Fund, the Local Revenue Fund 2011, and any required matching expenditures. Funds shall be used in a manner that maintains eligibility for federal funding.
(A)The moneys in the Protective Services Subaccount and the Protective Services Growth Special Account shall be used exclusively to fund the following:
(i)Adult protective services described in statute and regulation.
(ii)Foster care grants and services as those services are described in statute, regulation, and the Title IV-E Child Welfare Waiver Demonstration Capped Allocation Project.
(iii)The administrative costs of foster care services as those services are described in statute, regulation, and the Title IV-E Child Welfare Waiver Demonstration Capped Allocation Project.
(iv)The costs of child welfare services as those services are described in statute, regulation, and the Title IV-E Child Welfare Waiver Demonstration Capped Allocation Project.
(v)The costs connected with providing adoptive services, including agency adoptions, as described in statute and regulation, including the costs incurred by the county or city and county if the county or city and county elects to contract with the state to provide those services.
(vi)The costs of child abuse prevention, intervention, and treatment services as those costs and services are described in statute and regulation.
(vii)The administrative costs and payments for families adopting children with special needs.
(B)The moneys in the Behavioral Health Subaccount and the Behavioral Health Services Growth Special Account shall be used exclusively to fund the following:
(i)Residential perinatal drug services and treatment as those services and treatment are described in statute and regulation.
(ii)Drug court operations and services as those costs are currently permitted and described by statute and regulation.
(iii)Nondrug Medi-Cal substance abuse treatment programs, as described in statute and regulation.
(iv)The Drug Medi-Cal program as that program is described in statute, regulation, or the State Plan or its amendment or amendments.
(v)Medi-Cal specialty mental health services, including the Early and Periodic Screening, Diagnosis, and Treatment Program and mental health managed care, as described in statute, regulation, the managed care waiver provisions of Title XIX of the federal Social Security Act (42 U.S.C. Sec. 1396n), or the State Plan or its amendment or amendments.
(C)The moneys in the Women and Childrens Residential Treatment Services Special Account shall be used exclusively to fund the Women and Childrens Residential Treatment Services program, as described in Chapter 2.1 (commencing with Section 11757.65) of the Welfare and Institutions Code.
(g)The moneys in the Reserve Account shall be used to fund entitlements paid from the Foster Care Assistance Subaccount, the Drug Medi-Cal Subaccount, and the Adoption Assistance Program Subaccount of the Health and Human Services Account after the funding of any entitlements for the 201112 fiscal year, and not later than December 1, 2012.
(h)The moneys in the Undistributed Account shall be used to reimburse the General Fund for costs incurred and expenditures made by the state on behalf of any local government entity in providing Public Safety Services, as defined in subdivision (i), after all 201112 costs have been reimbursed, but not later than December 1, 2012.
(i)For purposes of this section, Public Safety Services shall include all of the following:
(1)Employing and training public safety officials, including law enforcement personnel, attorneys assigned to criminal proceedings, and court security staff.
(2)Managing local jails and providing housing, treatment, and services for, and supervision of, juvenile and adult offenders.
(3)Preventing child abuse, neglect, or exploitation; providing services to children and youth who are abused, neglected, or exploited, or who are at risk of abuse, neglect, or exploitation, and the families of those children; providing adoption services; and providing adult protective services.
(4)Providing mental health services to children and adults in order to reduce failure in school, harm to themselves and others, homelessness, and preventable incarceration or institutionalization.
(5)Preventing, treating, and providing recovery services for substance abuse.
(j)The realignment moneys collected by the state and distributed to the local governmental entities pursuant to this article shall be considered state funds for the purposes of the political subdivision provision of the nonfederal share of Medicaid expenditures for purposes of Section 5001(g)(2) of the federal American Recovery and Reinvestment Act of 2009 (Public Law 111-5) and Section 100201(c)(6) of the federal Patient Protection and Affordable Care Act (Public Law 111-148). Although the realignment moneys shall be considered state proceeds of taxes, they are not General Fund revenues.
(k)The receipt of funding by each county or city and county pursuant to this chapter shall be contingent upon the creation of the accounts, subaccounts, and special accounts required by this chapter in each countys, or city and countys treasury.
SEC. 2.Section 18986.89 is added to the Welfare and Institutions Code, to read:18986.89.(a)(1)Notwithstanding the dates provided in subdivisions (a) and (b) of Section 18986.87, the County of San Diego may, upon approval of the county board of supervisors, operate an integrated and comprehensive county health and human services system.
(2)A system described in paragraph (1) shall comply with the requirements of this section and is subject to the approval of the California Health and Human Services Agency. The California Health and Human Services Agency shall grant approval if the county furnishes a certified copy of a current ordinance or resolution authorizing an integrated and comprehensive health and human services system in that county.
(b)In providing services through an integrated system to families and individuals, the system may, among other things, do both of the following:
(1)Maintain and evaluate a system of administration that integrates and coordinates the management and support of client services.
(2)Maintain a system of reporting and accountability that provides for the combined provision of services without the loss of state or federal funds provided under current law.
(c)The integrated and comprehensive county health and human services system may include, but not be limited to, any or all of the following:
(1)Adoption services.
(2)Child abuse prevention services.
(3)Child welfare services.
(4)Delinquency prevention services.
(5)Drug and alcohol services.
(6)Mental health services.
(7)Eligibility determination.
(8)Employment and training services.
(9)Foster care services.
(10)Health services.
(11)Public health services.
(12)Housing services.
(13)Medically indigent program services.
(14)Veterans services.
(15)Aging services.
(16)Any other related program as designated by the board of supervisors.
(d)The county shall comply with all applicable state and federal privacy laws that govern medical and social service information, including, but not limited to, the Confidentiality of Medical Information Act (Part 2.6 (commencing with Section 56) of Division 1 of the Civil Code), the federal Health Insurance Portability and Accountability Act (HIPAA), and Sections 827, 5328, and 10850.
(e)Programs or services shall be included in the system only to the extent that federal funding to either the state or the county will not be reduced as a result of the inclusion of the services in the project.
(f)This section shall not authorize the county to discontinue meeting its obligations under current law to provide services or to reduce its accountability for the provision of these services.
(g)The county shall utilize any and all state general funds and county funds that it is legally allocated or entitled to receive. Through the creation of integrated health and social services structures, the county shall maximize federal matching funds. This integration shall not result in increased expenditures from the State General Fund.
(h)The appropriate state departments, as designated by the Secretary of Health and Human Services, that are assisting, participating, and cooperating in the program authorized by this section shall have the authority to waive regulations, with the concurrence of the county, regarding the method of providing services and the method of reporting and accountability, as may be required to meet the goals set forth in subdivision (b). However, the departments shall not waive regulations pertaining to privacy and confidentiality of records, civil service merit systems, or collective bargaining. The departments shall not waive regulations if the waiver results in a diminished amount or level of services or benefits to eligible recipients as compared to the benefits and services that would have been provided to recipients absent the waiver.
(a)The Local Revenue Fund 2011 is hereby created in the State Treasury and shall receive all revenues, less refunds, derived from the taxes described in Sections 6051.15 and 6201.15; revenues as may be allocated to the fund pursuant to Sections 11001.5 and 11005 of the Revenue and Taxation Code; and other moneys that may be specifically appropriated to the fund.
(b)(1)(A) The Trial Court Security Account, the Local Community Corrections Account, the Local Law Enforcement Services Account, the Mental Health Account, the District Attorney and Public Defender Account, the Juvenile Justice Account, the Health and Human Services Account, the Reserve Account, and the Undistributed Account are hereby created within the Local Revenue Fund 2011.
(B)On September 15, 2012, all of the funds in the Trial Court Security Account, the Local Community Corrections Account, the Local Law Enforcement Services Account, the District Attorney and Public Defender Account, and the Juvenile Justice Account shall be distributed to the appropriate successor subaccounts and special accounts as provided in paragraph (3), and on September 30, 2012, are abolished.
(C)On September 30, 2012, the Health and Human Services Account is abolished.
(D)On January 1, 2013, the Reserve Account and the Undistributed Account described in subparagraph (A) are abolished.
(2)(A)The Support Services Account, the Law Enforcement Services Account, and the Sales and Use Tax Growth Account are hereby created within the Local Revenue Fund 2011.
(B)The Protective Services Subaccount, the Behavioral Health Subaccount, and the County Intervention Support Services Subaccount are hereby created within the Support Services Account.
(C)The Trial Court Security Subaccount, the Enhancing Law Enforcement Activities Subaccount, the Community Corrections Subaccount, the District Attorney and Public Defender Subaccount, and the Juvenile Justice Subaccount are hereby created within the Law Enforcement Services Account.
(D)The Enhancing Law Enforcement Activities Growth Special Account is hereby created within the Enhancing Law Enforcement Activities Subaccount.
(E)The Support Services Growth Subaccount and the Law Enforcement Services Growth Subaccount are hereby created within the Sales and Use Tax Growth Account.
(F)The Protective Services Growth Special Account and the Behavioral Health Services Growth Special Account are created within the Support Services Growth Subaccount.
(G)The Women and Childrens Residential Treatment Services Special Account is hereby created in the Behavioral Health Subaccount for the Women and Childrens Residential Services Treatment Program as described in Chapter 2.1 (commencing with Section 11757.65) of the Welfare and Institutions Code.
(H)The Trial Court Security Growth Special Account, the Community Corrections Growth Special Account, the District Attorney and Public Defender Growth Special Account, and the Juvenile Justice Growth Special Account are hereby created within the Law Enforcement Services Growth Subaccount.
(3)On September 15, 2012, the funds in the following accounts and subaccounts, and funds that subsequently would have been deposited in the following accounts and subaccounts, shall be transferred as follows:
(A)Funds in the Trial Court Security Account shall be transferred to the Trial Court Security Subaccount.
(B)Funds in the Local Community Corrections Account shall be transferred to the Community Corrections Subaccount.
(C)Funds in the Local Law Enforcement Services Account shall be transferred to the Enhancing Law Enforcement Activities Subaccount.
(D)Funds in the District Attorney and Public Defender Account shall be transferred to the District Attorney and Public Defender Subaccount.
(E)Funds in the Juvenile Justice Account shall be transferred to the Juvenile Justice Subaccount.
(c)(1)(A)The Youthful Offender Block Grant Subaccount and the Juvenile Reentry Grant Subaccount are hereby created within the Juvenile Justice Account.
(B)On September 15, 2012, all of the funds in the Youthful Offender Block Grant Subaccount and the Juvenile Reentry Grant Subaccount shall be distributed to the appropriate successor special accounts as provided in paragraph (3), and on September 30, 2012, the subaccounts are abolished.
(2)The Youthful Offender Block Grant Special Account and the Juvenile Reentry Grant Special Account are hereby created within the Juvenile Justice Subaccount.
(3)On September 15, 2012, the funds in the following subaccounts, and funds that subsequently would have been deposited in the following subaccounts, shall be transferred as follows:
(A)Funds in the Youthful Offender Block Grant Subaccount shall be transferred to the Youthful Offender Block Grant Special Account.
(B)Funds in the Juvenile Reentry Grant Subaccount shall be transferred to the Juvenile Reentry Grant Special Account.
(d)(1)(A)The Adult Protective Services Subaccount, the Foster Care Assistance Subaccount, the Foster Care Administration Subaccount, the Child Welfare Services Subaccount, the Adoptions Subaccount, the Adoption Assistance Program Subaccount, the Child Abuse Prevention Subaccount, the Women and Childrens Residential Treatment Services Subaccount, the Drug Court Subaccount, the Nondrug Medi-Cal Substance Abuse Treatment Services Subaccount, and the Drug Medi-Cal Subaccount are hereby created within the Health and Human Services Account within the Local Revenue Fund 2011.
(B)On September 15, 2012, all of the funds in the Adult Protective Services Subaccount, the Foster Care Assistance Subaccount, the Foster Care Administration Subaccount, the Child Welfare Services Subaccount, the Adoptions Subaccount, the Adoption Assistance Program Subaccount, the Child Abuse Prevention Subaccount, the Women and Childrens Residential Treatment Services Subaccount, the Drug Court Subaccount, the Nondrug Medi-Cal Substance Abuse Treatment Services Subaccount, and the Drug Medi-Cal Subaccount shall be distributed to the appropriate successor subaccounts as provided in paragraph (2), and on September 30, 2012, the subaccounts named in this paragraph are abolished.
(2)On September 15, 2012, the funds in the following subaccounts, and funds that subsequently would have been deposited in the following subaccounts, shall be transferred as follows:
(A)Funds in the Adult Protective Services Subaccount, the Foster Care Assistance Subaccount, the Foster Care Administration Subaccount, the Child Welfare Services Subaccount, the Adoptions Subaccount, the Adoption Assistance Program Subaccount, and the Child Abuse Prevention Subaccount shall be transferred to the Protective Services Subaccount.
(B)Funds in the Drug Court Subaccount, the Nondrug Medi-Cal Substance Abuse Treatment Services Subaccount, and the Drug Medi-Cal Subaccount shall be transferred to the Behavioral Health Subaccount.
(C)Funds in the Women and Childrens Residential Treatment Services Subaccount shall be transferred to the Women and Childrens Residential Treatment Services Special Account.
(e)Funds transferred to the Local Revenue Fund 2011 and its accounts, subaccounts, and special accounts are, notwithstanding Section 13340, continuously appropriated and shall be allocated pursuant to statute exclusively for Public Safety Services as defined in subdivision (i) and as further limited by statute. The moneys derived from taxes described in subdivision (a) and deposited in the Local Revenue Fund 2011 shall be available to reimburse the General Fund for moneys that are advanced to the Local Revenue Fund 2011. Additionally, all funds deposited in the Local Revenue Fund 2011 and its accounts shall be available to pay for state costs incurred during the 201112 fiscal year from state agency or department appropriations authorized in the Budget Act of 2011 for the realignment of Public Safety Services programs during the 201112 legislative session. The Department of Finance is authorized to determine the time, manner, and amount to be reimbursed pursuant to this subdivision, provided that reimbursement shall be made no later than December 1, 2012.
(f)(1)Each county treasurer, city and county treasurer, or other appropriate official shall create a County Local Revenue Fund 2011 for the county or city and county.
(2)(A)Each county treasurer, city and county treasurer, or other appropriate official shall create the Local Community Corrections Account, the Trial Court Security Account, the District Attorney and Public Defender Account, the Juvenile Justice Account, the Health and Human Services Account, and the Supplemental Law Enforcement Services Account within the County Local Revenue Fund 2011 for the county or city and county.
(B)On September 15, 2012, each county treasurer, city and county treasurer, or other appropriate official shall distribute all of the funds in the Local Community Corrections Account, the Trial Court Security Account, the District Attorney and Public Defender Account, the Juvenile Justice Account, the Health and Human Services Account, and the Supplemental Law Enforcement Services Account within the County Local Revenue Fund 2011 for the county or city and county to the appropriate successor accounts as provided in paragraphs (7) and (8), and on September 30, 2012, each county treasurer, city and county treasurer, or other appropriate official shall abolish the accounts described in subparagraph (A).
(3)Each county treasurer, and city and county treasurer, or other appropriate official, shall create the Support Services Account and the Law Enforcement Services Account within the County Local Revenue Fund 2011 for the county or city and county.
(4)Each county treasurer, and city and county treasurer, or other appropriate official, shall create the Protective Services Subaccount and the Behavioral Health Subaccount within the Support Services Account.
(A)Any county or city and county may only annually reallocate money between subaccounts in the Support Services Account, provided that the reallocation may not exceed 10 percent of the amount deposited in the immediately preceding fiscal year in the subaccount in the Support Services Account with the lowest balance.
(B)A county or city and county shall, at a regularly scheduled public hearing of its governing body, document that any decision to make any change in its allocation between the Protective Services Subaccount or Behavioral Health Subaccount moneys among services, facilities, programs, or providers as a result of reallocating funds pursuant to subparagraph (A) was based on the most cost-effective use of available resources to maximize client outcomes.
(C)Any reallocation made pursuant to this paragraph shall only be in effect for the fiscal year in which the reallocation is made, and the reallocation shall be neither a permanent allocation nor a permanent funding source for any program or service receiving funds from the reallocation.
(D)Any county or city and county that reallocates funds pursuant to this paragraph shall forward a copy of the documentation in subparagraph (B) to the Controller. The Controller shall make an annual report to the fiscal committees of the Legislature of transfers made and shall forward copies of the documentation to other interested parties upon request.
(E)(i)Notwithstanding subparagraph (A), any county authorized to operate an integrated and comprehensive county health and human services system pursuant to Chapter 12.95 (commencing with Section 18989), Chapter 12.96 (commencing with Section 18986.60), or Chapter 12.991 (commencing with Section 18986.86) of Part 6 of Division 9 of the Welfare and Institutions Code may reallocate money between the Protective Services Subaccount and the Behavioral Health Subaccount within the Support Services Account of the County Local Revenue Fund 2011 established pursuant to paragraph (3), consistent with the provisions and restrictions contained in Chapter 12.95 (commencing with Section 18989), Chapter 12.96 (commencing with Section 18986.60), or Chapter 12.991 (commencing with Section 18986.86) of Part 6 of Division 9 of the Welfare and Institutions Code.
(ii)A reallocation made pursuant to clause (i) shall be in effect for only the fiscal year in which the reallocation is made and the reallocation shall be neither a permanent allocation nor a permanent funding source for any program or service receiving funds from the reallocation.
(iii)A county or city and county that reallocates funds pursuant to clause (i) shall make a report to the Department of Finance and the Secretary of California Health and Human Services describing the reallocation made for that fiscal year.
(F)The Counties of Alameda, Los Angeles, Marin, San Diego, San Francisco, and San Joaquin shall create, within the Behavioral Health Subaccount created pursuant to this paragraph, a County Women and Childrens Residential Treatment Services Special Account.
(5)Each county treasurer, city and county treasurer, or other appropriate official shall create the following subaccounts and special accounts for each respective county or city and county:
(A)The Trial Court Security Subaccount, the Enhancing Law Enforcement Activities Subaccount, the Community Corrections Subaccount, the District Attorney and Public Defender Subaccount, the Juvenile Justice Subaccount, and the Local Innovation Subaccount within the Law Enforcement Services Account.
(B)The Youthful Offender Block Grant Special Account and the Juvenile Reentry Grant Special Account within the Juvenile Justice Subaccount.
(6)(A)Each county treasurer, city and county treasurer, or other appropriate official shall create, if so directed by the board of supervisors, a Support Services Reserve Subaccount in the Support Services Account.
(B)A countys or city and countys board of supervisors shall have the authority to reallocate funds from the Protective Services Subaccount or the Behavioral Health Subaccount, or both, to the Support Services Reserve Subaccount in an amount equal to, or less than, 5 percent of the total funds allocated to those subaccounts from the corresponding State Treasury subaccounts for the immediately preceding fiscal year, provided that no reallocation may occur that would cause the Support Services Reserve Subaccount to exceed 5 percent of the total funds allocated to the Protective Services Subaccount and the Behavioral Health Subaccount from the corresponding State Treasury subaccounts for the immediately preceding fiscal year. The countys or city and countys board of supervisors shall have the authority to spend moneys deposited in the Support Services Reserve Subaccount as they would any funds in the Protective Services Subaccount or the Behavioral Health Subaccount. The authorization to make this reallocation or to appropriate the funding may only be made in a duly noticed public meeting. The county or city and county shall document any reallocations that occurred in the previous fiscal year by September 30 and shall forward a copy of the documentation to the Controller. The Controller shall make an annual report to the fiscal committees of the Legislature of reallocations made and shall forward copies of the documentation to other interested parties upon request.
(7)On September 15, 2012, each county treasurer, city and county treasurer, or other appropriate official shall distribute all of the funds in the Local Community Corrections Account, the Trial Court Security Account, the District Attorney and Public Defender Account, the Juvenile Justice Account, the Youthful Offender Block Grant Subaccount, the Juvenile Reentry Grant Subaccount, and the Supplemental Law Enforcement Services Account within the County Local Revenue Fund 2011 for the county or city and county to the appropriate successor subaccounts and special accounts as follows:
(A)Funds in the Local Community Corrections Account shall be transferred to the Community Corrections Subaccount.
(B)Funds in the Trial Court Security Account shall be transferred to the Trial Court Security Subaccount.
(C)Funds in the District Attorney and Public Defender Account shall be transferred to the District Attorney and Public Defender Subaccount.
(D)Funds in the Juvenile Justice Account shall be transferred to the Juvenile Justice Subaccount.
(E)Funds in the Youthful Offender Block Grant Subaccount shall be transferred to the Youthful Offender Block Grant Special Account.
(F)Funds in the Juvenile Reentry Grant Subaccount shall be transferred to the Juvenile Reentry Grant Special Account.
(G)Funds in the Supplemental Law Enforcement Services Account shall be transferred to the Enhancing Law Enforcement Activities Subaccount.
(8)On September 15, 2012, each county treasurer, city and county treasurer, or other appropriate official shall distribute the funds in the Health and Human Services Account within the County Local Revenue Fund 2011 for the county or city and county to the appropriate successor accounts and subaccounts as follows:
(A)Funds that a county or city and county received from the Adult Protective Services Subaccount, the Foster Care Assistance Subaccount, the Foster Care Administration Subaccount, the Child Welfare Services Subaccount, the Adoptions Subaccount, the Adoption Assistance Program Subaccount, and the Child Abuse Prevention Subaccount in the Local Revenue Fund 2011 shall be transferred to the Protective Services Subaccount in the County Local Revenue Fund 2011.
(B)Funds that a county or city and county received from the Drug Court Subaccount, the Nondrug Medi-Cal Substance Abuse Treatment Services Subaccount, and the Drug Medi-Cal Subaccount in the Local Revenue Fund 2011 shall be transferred to the Behavioral Health Subaccount in the County Local Revenue Fund 2011.
(C)Funds that a county or city and county received from the Women and Childrens Residential Treatment Services Subaccount shall be transferred to the Women and Childrens Residential Treatment Services Special Account within the Behavioral Health Subaccount.
(9)The moneys in the County Local Revenue Fund 2011 for each county or city and county and its accounts shall be exclusively used for Public Safety Services as defined in subdivision (i) and as further described in this section.
(10)The moneys in and transferred from the Trial Court Security Account, and the moneys in its successor subaccount and special account, the Trial Court Security Subaccount and the Trial Court Security Growth Special Account, shall be used exclusively to fund trial court security provided by county sheriffs. No general county administrative costs may be charged to this account, including, but not limited to, the costs of administering the account.
(11)The moneys in and transferred from the Local Community Corrections Account, and the moneys in its successor subaccount and special account, the Community Corrections Subaccount and the Community Corrections Growth Special Account, shall be the source of funding for the provisions of Chapter 15 of the Statutes of 2011. This funding shall not be used by local agencies to supplant other funding for Public Safety Services. This account, subaccount, and special account shall be the source of funding for the Postrelease Community Supervision Act of 2011, as enacted by Section 479 of Chapter 15 of the Statutes of 2011, and to fund the housing of parolees in county jails.
(12)The moneys in and transferred from the District Attorney and Public Defender Account, and the moneys in its successor subaccount and special account, the District Attorney and Public Defender Subaccount and the District Attorney and Public Defender Growth Special Account, shall be used exclusively to fund costs associated with revocation proceedings involving persons subject to state parole and the Postrelease Community Supervision Act of 2011 (Title 2.05 (commencing with Section 3450) of Part 3 of the Penal Code), and may be used to fund planning, implementation, and training costs for those proceedings. The moneys shall be allocated equally by the county or city and county to the district attorneys office and county public defenders office, or where no public defenders office is established, to the county for distribution for the same purpose.
(13)The moneys in and transferred from the Juvenile Justice Account, and the moneys in its successor subaccount and special account, the Juvenile Justice Subaccount and the Juvenile Justice Growth Special Account, shall only be used to fund activities in connection with the grant programs described in this paragraph.
(A)The Youthful Offender Block Grant Subaccount, and its successor, the Youthful Offender Block Grant Special Account, shall be used to fund grants solely to enhance the capacity of county probation, mental health, drug and alcohol, and other county departments to provide appropriate rehabilitative, housing, and supervision services to youthful offenders, subject to Sections 731.1, 733, 1766, and 1767.35 of the Welfare and Institutions Code. Counties, in expending an allocation from this subaccount or special account, shall provide all necessary services related to the custody and parole of the offenders.
(B)The Juvenile Reentry Grant Subaccount, and its successor, the Juvenile Reentry Grant Special Account, shall be used to fund grants exclusively to address local program needs for persons discharged from the custody of the Department of Corrections and Rehabilitation, Division of Juvenile Facilities. County probation departments, in expending the Juvenile Reentry Grant allocation, shall provide evidence-based supervision and detention practices and rehabilitative services to persons who are subject to the jurisdiction of the juvenile court, and who were committed to and discharged from the Department of Corrections and Rehabilitation, Division of Juvenile Facilities. Evidence-based refers to supervision and detention policies, procedures, programs, and practices demonstrated by scientific research to reduce recidivism among individuals on probation or under postrelease supervision. The funds allocated from this subaccount or special account shall supplement existing services and shall not be used by local agencies to supplant any existing funding for existing services provided by those entities. The funding provided from this subaccount or special account is intended to provide payment in full for all local government costs of the supervision, programming, education, incarceration, or any other cost resulting from persons discharged from custody or held in local facilities pursuant to the provisions of Chapter 729 of the Statutes of 2010.
(14)The moneys in and transferred from the Supplemental Law Enforcement Services Account, and the moneys in its successor subaccount, the Enhancing Law Enforcement Activities Subaccount, and moneys in the Enhancing Law Enforcement Activities Growth Special Account, shall be used to provide grants and funding to local law enforcement as provided by statute.
(15)Notwithstanding any other provision of this section, the moneys in the Local Innovation Subaccount shall be used to fund local needs. The board of supervisors of a county or city and county shall have the authority to spend money deposited in the Local Innovation Subaccount as it would any funds in the Juvenile Justice Subaccount, the District Attorney and Public Defender Subaccount, the Community Corrections Subaccount, or the Trial Court Security Subaccount.
(16)The moneys in and transferred from the Health and Human Services Account and its subaccounts and the moneys in its successor account, the Support Services Account, and the moneys in the Protective Services Subaccount and the Behavioral Health Subaccount shall be used only to fund activities performed in connection with the programs described in this subdivision. Except as provided in subdivisions (c) and (d), as restricted by subdivision (e), of Section 30026.5, counties and cities and counties shall pay 100 percent of the nonfederal costs of the programs described in this subdivision using funds allocated from the Local Revenue Fund, the Local Revenue Fund 2011, and any required matching expenditures. Funds shall be used in a manner that maintains eligibility for federal funding.
(A)The moneys in the Protective Services Subaccount and the Protective Services Growth Special Account shall be used exclusively to fund the following:
(i)Adult protective services described in statute and regulation.
(ii)Foster care grants and services as those services are described in statute, regulation, and the Title IV-E Child Welfare Waiver Demonstration Capped Allocation Project.
(iii)The administrative costs of foster care services as those services are described in statute, regulation, and the Title IV-E Child Welfare Waiver Demonstration Capped Allocation Project.
(iv)The costs of child welfare services as those services are described in statute, regulation, and the Title IV-E Child Welfare Waiver Demonstration Capped Allocation Project.
(v)The costs connected with providing adoptive services, including agency adoptions, as described in statute and regulation, including the costs incurred by the county or city and county if the county or city and county elects to contract with the state to provide those services.
(vi)The costs of child abuse prevention, intervention, and treatment services as those costs and services are described in statute and regulation.
(vii)The administrative costs and payments for families adopting children with special needs.
(B)The moneys in the Behavioral Health Subaccount and the Behavioral Health Services Growth Special Account shall be used exclusively to fund the following:
(i)Residential perinatal drug services and treatment as those services and treatment are described in statute and regulation.
(ii)Drug court operations and services as those costs are currently permitted and described by statute and regulation.
(iii)Nondrug Medi-Cal substance abuse treatment programs, as described in statute and regulation.
(iv)The Drug Medi-Cal program as that program is described in statute, regulation, or the State Plan or its amendment or amendments.
(v)Medi-Cal specialty mental health services, including the Early and Periodic Screening, Diagnosis, and Treatment Program and mental health managed care, as described in statute, regulation, the managed care waiver provisions of Title XIX of the federal Social Security Act (42 U.S.C. Sec. 1396n), or the State Plan or its amendment or amendments.
(C)The moneys in the Women and Childrens Residential Treatment Services Special Account shall be used exclusively to fund the Women and Childrens Residential Treatment Services program, as described in Chapter 2.1 (commencing with Section 11757.65) of the Welfare and Institutions Code.
(g)The moneys in the Reserve Account shall be used to fund entitlements paid from the Foster Care Assistance Subaccount, the Drug Medi-Cal Subaccount, and the Adoption Assistance Program Subaccount of the Health and Human Services Account after the funding of any entitlements for the 201112 fiscal year, and not later than December 1, 2012.
(h)The moneys in the Undistributed Account shall be used to reimburse the General Fund for costs incurred and expenditures made by the state on behalf of any local government entity in providing Public Safety Services, as defined in subdivision (i), after all 201112 costs have been reimbursed, but not later than December 1, 2012.
(i)For purposes of this section, Public Safety Services shall include all of the following:
(1)Employing and training public safety officials, including law enforcement personnel, attorneys assigned to criminal proceedings, and court security staff.
(2)Managing local jails and providing housing, treatment, and services for, and supervision of, juvenile and adult offenders.
(3)Preventing child abuse, neglect, or exploitation; providing services to children and youth who are abused, neglected, or exploited, or who are at risk of abuse, neglect, or exploitation, and the families of those children; providing adoption services; and providing adult protective services.
(4)Providing mental health services to children and adults in order to reduce failure in school, harm to themselves and others, homelessness, and preventable incarceration or institutionalization.
(5)Preventing, treating, and providing recovery services for substance abuse.
(j)The realignment moneys collected by the state and distributed to the local governmental entities pursuant to this article shall be considered state funds for the purposes of the political subdivision provision of the nonfederal share of Medicaid expenditures for purposes of Section 5001(g)(2) of the federal American Recovery and Reinvestment Act of 2009 (Public Law 111-5) and Section 100201(c)(6) of the federal Patient Protection and Affordable Care Act (Public Law 111-148). Although the realignment moneys shall be considered state proceeds of taxes, they are not General Fund revenues.
(k)The receipt of funding by each county or city and county pursuant to this chapter shall be contingent upon the creation of the accounts, subaccounts, and special accounts required by this chapter in each countys, or city and countys treasury.
SEC. 2.Section 18986.89 is added to the Welfare and Institutions Code, to read:18986.89.(a)(1)Notwithstanding the dates provided in subdivisions (a) and (b) of Section 18986.87, the County of San Diego may, upon approval of the county board of supervisors, operate an integrated and comprehensive county health and human services system.
(2)A system described in paragraph (1) shall comply with the requirements of this section and is subject to the approval of the California Health and Human Services Agency. The California Health and Human Services Agency shall grant approval if the county furnishes a certified copy of a current ordinance or resolution authorizing an integrated and comprehensive health and human services system in that county.
(b)In providing services through an integrated system to families and individuals, the system may, among other things, do both of the following:
(1)Maintain and evaluate a system of administration that integrates and coordinates the management and support of client services.
(2)Maintain a system of reporting and accountability that provides for the combined provision of services without the loss of state or federal funds provided under current law.
(c)The integrated and comprehensive county health and human services system may include, but not be limited to, any or all of the following:
(1)Adoption services.
(2)Child abuse prevention services.
(3)Child welfare services.
(4)Delinquency prevention services.
(5)Drug and alcohol services.
(6)Mental health services.
(7)Eligibility determination.
(8)Employment and training services.
(9)Foster care services.
(10)Health services.
(11)Public health services.
(12)Housing services.
(13)Medically indigent program services.
(14)Veterans services.
(15)Aging services.
(16)Any other related program as designated by the board of supervisors.
(d)The county shall comply with all applicable state and federal privacy laws that govern medical and social service information, including, but not limited to, the Confidentiality of Medical Information Act (Part 2.6 (commencing with Section 56) of Division 1 of the Civil Code), the federal Health Insurance Portability and Accountability Act (HIPAA), and Sections 827, 5328, and 10850.
(e)Programs or services shall be included in the system only to the extent that federal funding to either the state or the county will not be reduced as a result of the inclusion of the services in the project.
(f)This section shall not authorize the county to discontinue meeting its obligations under current law to provide services or to reduce its accountability for the provision of these services.
(g)The county shall utilize any and all state general funds and county funds that it is legally allocated or entitled to receive. Through the creation of integrated health and social services structures, the county shall maximize federal matching funds. This integration shall not result in increased expenditures from the State General Fund.
(h)The appropriate state departments, as designated by the Secretary of Health and Human Services, that are assisting, participating, and cooperating in the program authorized by this section shall have the authority to waive regulations, with the concurrence of the county, regarding the method of providing services and the method of reporting and accountability, as may be required to meet the goals set forth in subdivision (b). However, the departments shall not waive regulations pertaining to privacy and confidentiality of records, civil service merit systems, or collective bargaining. The departments shall not waive regulations if the waiver results in a diminished amount or level of services or benefits to eligible recipients as compared to the benefits and services that would have been provided to recipients absent the waiver.
(a)The Local Revenue Fund 2011 is hereby created in the State Treasury and shall receive all revenues, less refunds, derived from the taxes described in Sections 6051.15 and 6201.15; revenues as may be allocated to the fund pursuant to Sections 11001.5 and 11005 of the Revenue and Taxation Code; and other moneys that may be specifically appropriated to the fund.
(b)(1)(A) The Trial Court Security Account, the Local Community Corrections Account, the Local Law Enforcement Services Account, the Mental Health Account, the District Attorney and Public Defender Account, the Juvenile Justice Account, the Health and Human Services Account, the Reserve Account, and the Undistributed Account are hereby created within the Local Revenue Fund 2011.
(B)On September 15, 2012, all of the funds in the Trial Court Security Account, the Local Community Corrections Account, the Local Law Enforcement Services Account, the District Attorney and Public Defender Account, and the Juvenile Justice Account shall be distributed to the appropriate successor subaccounts and special accounts as provided in paragraph (3), and on September 30, 2012, are abolished.
(C)On September 30, 2012, the Health and Human Services Account is abolished.
(D)On January 1, 2013, the Reserve Account and the Undistributed Account described in subparagraph (A) are abolished.
(2)(A)The Support Services Account, the Law Enforcement Services Account, and the Sales and Use Tax Growth Account are hereby created within the Local Revenue Fund 2011.
(B)The Protective Services Subaccount, the Behavioral Health Subaccount, and the County Intervention Support Services Subaccount are hereby created within the Support Services Account.
(C)The Trial Court Security Subaccount, the Enhancing Law Enforcement Activities Subaccount, the Community Corrections Subaccount, the District Attorney and Public Defender Subaccount, and the Juvenile Justice Subaccount are hereby created within the Law Enforcement Services Account.
(D)The Enhancing Law Enforcement Activities Growth Special Account is hereby created within the Enhancing Law Enforcement Activities Subaccount.
(E)The Support Services Growth Subaccount and the Law Enforcement Services Growth Subaccount are hereby created within the Sales and Use Tax Growth Account.
(F)The Protective Services Growth Special Account and the Behavioral Health Services Growth Special Account are created within the Support Services Growth Subaccount.
(G)The Women and Childrens Residential Treatment Services Special Account is hereby created in the Behavioral Health Subaccount for the Women and Childrens Residential Services Treatment Program as described in Chapter 2.1 (commencing with Section 11757.65) of the Welfare and Institutions Code.
(H)The Trial Court Security Growth Special Account, the Community Corrections Growth Special Account, the District Attorney and Public Defender Growth Special Account, and the Juvenile Justice Growth Special Account are hereby created within the Law Enforcement Services Growth Subaccount.
(3)On September 15, 2012, the funds in the following accounts and subaccounts, and funds that subsequently would have been deposited in the following accounts and subaccounts, shall be transferred as follows:
(A)Funds in the Trial Court Security Account shall be transferred to the Trial Court Security Subaccount.
(B)Funds in the Local Community Corrections Account shall be transferred to the Community Corrections Subaccount.
(C)Funds in the Local Law Enforcement Services Account shall be transferred to the Enhancing Law Enforcement Activities Subaccount.
(D)Funds in the District Attorney and Public Defender Account shall be transferred to the District Attorney and Public Defender Subaccount.
(E)Funds in the Juvenile Justice Account shall be transferred to the Juvenile Justice Subaccount.
(c)(1)(A)The Youthful Offender Block Grant Subaccount and the Juvenile Reentry Grant Subaccount are hereby created within the Juvenile Justice Account.
(B)On September 15, 2012, all of the funds in the Youthful Offender Block Grant Subaccount and the Juvenile Reentry Grant Subaccount shall be distributed to the appropriate successor special accounts as provided in paragraph (3), and on September 30, 2012, the subaccounts are abolished.
(2)The Youthful Offender Block Grant Special Account and the Juvenile Reentry Grant Special Account are hereby created within the Juvenile Justice Subaccount.
(3)On September 15, 2012, the funds in the following subaccounts, and funds that subsequently would have been deposited in the following subaccounts, shall be transferred as follows:
(A)Funds in the Youthful Offender Block Grant Subaccount shall be transferred to the Youthful Offender Block Grant Special Account.
(B)Funds in the Juvenile Reentry Grant Subaccount shall be transferred to the Juvenile Reentry Grant Special Account.
(d)(1)(A)The Adult Protective Services Subaccount, the Foster Care Assistance Subaccount, the Foster Care Administration Subaccount, the Child Welfare Services Subaccount, the Adoptions Subaccount, the Adoption Assistance Program Subaccount, the Child Abuse Prevention Subaccount, the Women and Childrens Residential Treatment Services Subaccount, the Drug Court Subaccount, the Nondrug Medi-Cal Substance Abuse Treatment Services Subaccount, and the Drug Medi-Cal Subaccount are hereby created within the Health and Human Services Account within the Local Revenue Fund 2011.
(B)On September 15, 2012, all of the funds in the Adult Protective Services Subaccount, the Foster Care Assistance Subaccount, the Foster Care Administration Subaccount, the Child Welfare Services Subaccount, the Adoptions Subaccount, the Adoption Assistance Program Subaccount, the Child Abuse Prevention Subaccount, the Women and Childrens Residential Treatment Services Subaccount, the Drug Court Subaccount, the Nondrug Medi-Cal Substance Abuse Treatment Services Subaccount, and the Drug Medi-Cal Subaccount shall be distributed to the appropriate successor subaccounts as provided in paragraph (2), and on September 30, 2012, the subaccounts named in this paragraph are abolished.
(2)On September 15, 2012, the funds in the following subaccounts, and funds that subsequently would have been deposited in the following subaccounts, shall be transferred as follows:
(A)Funds in the Adult Protective Services Subaccount, the Foster Care Assistance Subaccount, the Foster Care Administration Subaccount, the Child Welfare Services Subaccount, the Adoptions Subaccount, the Adoption Assistance Program Subaccount, and the Child Abuse Prevention Subaccount shall be transferred to the Protective Services Subaccount.
(B)Funds in the Drug Court Subaccount, the Nondrug Medi-Cal Substance Abuse Treatment Services Subaccount, and the Drug Medi-Cal Subaccount shall be transferred to the Behavioral Health Subaccount.
(C)Funds in the Women and Childrens Residential Treatment Services Subaccount shall be transferred to the Women and Childrens Residential Treatment Services Special Account.
(e)Funds transferred to the Local Revenue Fund 2011 and its accounts, subaccounts, and special accounts are, notwithstanding Section 13340, continuously appropriated and shall be allocated pursuant to statute exclusively for Public Safety Services as defined in subdivision (i) and as further limited by statute. The moneys derived from taxes described in subdivision (a) and deposited in the Local Revenue Fund 2011 shall be available to reimburse the General Fund for moneys that are advanced to the Local Revenue Fund 2011. Additionally, all funds deposited in the Local Revenue Fund 2011 and its accounts shall be available to pay for state costs incurred during the 201112 fiscal year from state agency or department appropriations authorized in the Budget Act of 2011 for the realignment of Public Safety Services programs during the 201112 legislative session. The Department of Finance is authorized to determine the time, manner, and amount to be reimbursed pursuant to this subdivision, provided that reimbursement shall be made no later than December 1, 2012.
(f)(1)Each county treasurer, city and county treasurer, or other appropriate official shall create a County Local Revenue Fund 2011 for the county or city and county.
(2)(A)Each county treasurer, city and county treasurer, or other appropriate official shall create the Local Community Corrections Account, the Trial Court Security Account, the District Attorney and Public Defender Account, the Juvenile Justice Account, the Health and Human Services Account, and the Supplemental Law Enforcement Services Account within the County Local Revenue Fund 2011 for the county or city and county.
(B)On September 15, 2012, each county treasurer, city and county treasurer, or other appropriate official shall distribute all of the funds in the Local Community Corrections Account, the Trial Court Security Account, the District Attorney and Public Defender Account, the Juvenile Justice Account, the Health and Human Services Account, and the Supplemental Law Enforcement Services Account within the County Local Revenue Fund 2011 for the county or city and county to the appropriate successor accounts as provided in paragraphs (7) and (8), and on September 30, 2012, each county treasurer, city and county treasurer, or other appropriate official shall abolish the accounts described in subparagraph (A).
(3)Each county treasurer, and city and county treasurer, or other appropriate official, shall create the Support Services Account and the Law Enforcement Services Account within the County Local Revenue Fund 2011 for the county or city and county.
(4)Each county treasurer, and city and county treasurer, or other appropriate official, shall create the Protective Services Subaccount and the Behavioral Health Subaccount within the Support Services Account.
(A)Any county or city and county may only annually reallocate money between subaccounts in the Support Services Account, provided that the reallocation may not exceed 10 percent of the amount deposited in the immediately preceding fiscal year in the subaccount in the Support Services Account with the lowest balance.
(B)A county or city and county shall, at a regularly scheduled public hearing of its governing body, document that any decision to make any change in its allocation between the Protective Services Subaccount or Behavioral Health Subaccount moneys among services, facilities, programs, or providers as a result of reallocating funds pursuant to subparagraph (A) was based on the most cost-effective use of available resources to maximize client outcomes.
(C)Any reallocation made pursuant to this paragraph shall only be in effect for the fiscal year in which the reallocation is made, and the reallocation shall be neither a permanent allocation nor a permanent funding source for any program or service receiving funds from the reallocation.
(D)Any county or city and county that reallocates funds pursuant to this paragraph shall forward a copy of the documentation in subparagraph (B) to the Controller. The Controller shall make an annual report to the fiscal committees of the Legislature of transfers made and shall forward copies of the documentation to other interested parties upon request.
(E)(i)Notwithstanding subparagraph (A), any county authorized to operate an integrated and comprehensive county health and human services system pursuant to Chapter 12.95 (commencing with Section 18989), Chapter 12.96 (commencing with Section 18986.60), or Chapter 12.991 (commencing with Section 18986.86) of Part 6 of Division 9 of the Welfare and Institutions Code may reallocate money between the Protective Services Subaccount and the Behavioral Health Subaccount within the Support Services Account of the County Local Revenue Fund 2011 established pursuant to paragraph (3), consistent with the provisions and restrictions contained in Chapter 12.95 (commencing with Section 18989), Chapter 12.96 (commencing with Section 18986.60), or Chapter 12.991 (commencing with Section 18986.86) of Part 6 of Division 9 of the Welfare and Institutions Code.
(ii)A reallocation made pursuant to clause (i) shall be in effect for only the fiscal year in which the reallocation is made and the reallocation shall be neither a permanent allocation nor a permanent funding source for any program or service receiving funds from the reallocation.
(iii)A county or city and county that reallocates funds pursuant to clause (i) shall make a report to the Department of Finance and the Secretary of California Health and Human Services describing the reallocation made for that fiscal year.
(F)The Counties of Alameda, Los Angeles, Marin, San Diego, San Francisco, and San Joaquin shall create, within the Behavioral Health Subaccount created pursuant to this paragraph, a County Women and Childrens Residential Treatment Services Special Account.
(5)Each county treasurer, city and county treasurer, or other appropriate official shall create the following subaccounts and special accounts for each respective county or city and county:
(A)The Trial Court Security Subaccount, the Enhancing Law Enforcement Activities Subaccount, the Community Corrections Subaccount, the District Attorney and Public Defender Subaccount, the Juvenile Justice Subaccount, and the Local Innovation Subaccount within the Law Enforcement Services Account.
(B)The Youthful Offender Block Grant Special Account and the Juvenile Reentry Grant Special Account within the Juvenile Justice Subaccount.
(6)(A)Each county treasurer, city and county treasurer, or other appropriate official shall create, if so directed by the board of supervisors, a Support Services Reserve Subaccount in the Support Services Account.
(B)A countys or city and countys board of supervisors shall have the authority to reallocate funds from the Protective Services Subaccount or the Behavioral Health Subaccount, or both, to the Support Services Reserve Subaccount in an amount equal to, or less than, 5 percent of the total funds allocated to those subaccounts from the corresponding State Treasury subaccounts for the immediately preceding fiscal year, provided that no reallocation may occur that would cause the Support Services Reserve Subaccount to exceed 5 percent of the total funds allocated to the Protective Services Subaccount and the Behavioral Health Subaccount from the corresponding State Treasury subaccounts for the immediately preceding fiscal year. The countys or city and countys board of supervisors shall have the authority to spend moneys deposited in the Support Services Reserve Subaccount as they would any funds in the Protective Services Subaccount or the Behavioral Health Subaccount. The authorization to make this reallocation or to appropriate the funding may only be made in a duly noticed public meeting. The county or city and county shall document any reallocations that occurred in the previous fiscal year by September 30 and shall forward a copy of the documentation to the Controller. The Controller shall make an annual report to the fiscal committees of the Legislature of reallocations made and shall forward copies of the documentation to other interested parties upon request.
(7)On September 15, 2012, each county treasurer, city and county treasurer, or other appropriate official shall distribute all of the funds in the Local Community Corrections Account, the Trial Court Security Account, the District Attorney and Public Defender Account, the Juvenile Justice Account, the Youthful Offender Block Grant Subaccount, the Juvenile Reentry Grant Subaccount, and the Supplemental Law Enforcement Services Account within the County Local Revenue Fund 2011 for the county or city and county to the appropriate successor subaccounts and special accounts as follows:
(A)Funds in the Local Community Corrections Account shall be transferred to the Community Corrections Subaccount.
(B)Funds in the Trial Court Security Account shall be transferred to the Trial Court Security Subaccount.
(C)Funds in the District Attorney and Public Defender Account shall be transferred to the District Attorney and Public Defender Subaccount.
(D)Funds in the Juvenile Justice Account shall be transferred to the Juvenile Justice Subaccount.
(E)Funds in the Youthful Offender Block Grant Subaccount shall be transferred to the Youthful Offender Block Grant Special Account.
(F)Funds in the Juvenile Reentry Grant Subaccount shall be transferred to the Juvenile Reentry Grant Special Account.
(G)Funds in the Supplemental Law Enforcement Services Account shall be transferred to the Enhancing Law Enforcement Activities Subaccount.
(8)On September 15, 2012, each county treasurer, city and county treasurer, or other appropriate official shall distribute the funds in the Health and Human Services Account within the County Local Revenue Fund 2011 for the county or city and county to the appropriate successor accounts and subaccounts as follows:
(A)Funds that a county or city and county received from the Adult Protective Services Subaccount, the Foster Care Assistance Subaccount, the Foster Care Administration Subaccount, the Child Welfare Services Subaccount, the Adoptions Subaccount, the Adoption Assistance Program Subaccount, and the Child Abuse Prevention Subaccount in the Local Revenue Fund 2011 shall be transferred to the Protective Services Subaccount in the County Local Revenue Fund 2011.
(B)Funds that a county or city and county received from the Drug Court Subaccount, the Nondrug Medi-Cal Substance Abuse Treatment Services Subaccount, and the Drug Medi-Cal Subaccount in the Local Revenue Fund 2011 shall be transferred to the Behavioral Health Subaccount in the County Local Revenue Fund 2011.
(C)Funds that a county or city and county received from the Women and Childrens Residential Treatment Services Subaccount shall be transferred to the Women and Childrens Residential Treatment Services Special Account within the Behavioral Health Subaccount.
(9)The moneys in the County Local Revenue Fund 2011 for each county or city and county and its accounts shall be exclusively used for Public Safety Services as defined in subdivision (i) and as further described in this section.
(10)The moneys in and transferred from the Trial Court Security Account, and the moneys in its successor subaccount and special account, the Trial Court Security Subaccount and the Trial Court Security Growth Special Account, shall be used exclusively to fund trial court security provided by county sheriffs. No general county administrative costs may be charged to this account, including, but not limited to, the costs of administering the account.
(11)The moneys in and transferred from the Local Community Corrections Account, and the moneys in its successor subaccount and special account, the Community Corrections Subaccount and the Community Corrections Growth Special Account, shall be the source of funding for the provisions of Chapter 15 of the Statutes of 2011. This funding shall not be used by local agencies to supplant other funding for Public Safety Services. This account, subaccount, and special account shall be the source of funding for the Postrelease Community Supervision Act of 2011, as enacted by Section 479 of Chapter 15 of the Statutes of 2011, and to fund the housing of parolees in county jails.
(12)The moneys in and transferred from the District Attorney and Public Defender Account, and the moneys in its successor subaccount and special account, the District Attorney and Public Defender Subaccount and the District Attorney and Public Defender Growth Special Account, shall be used exclusively to fund costs associated with revocation proceedings involving persons subject to state parole and the Postrelease Community Supervision Act of 2011 (Title 2.05 (commencing with Section 3450) of Part 3 of the Penal Code), and may be used to fund planning, implementation, and training costs for those proceedings. The moneys shall be allocated equally by the county or city and county to the district attorneys office and county public defenders office, or where no public defenders office is established, to the county for distribution for the same purpose.
(13)The moneys in and transferred from the Juvenile Justice Account, and the moneys in its successor subaccount and special account, the Juvenile Justice Subaccount and the Juvenile Justice Growth Special Account, shall only be used to fund activities in connection with the grant programs described in this paragraph.
(A)The Youthful Offender Block Grant Subaccount, and its successor, the Youthful Offender Block Grant Special Account, shall be used to fund grants solely to enhance the capacity of county probation, mental health, drug and alcohol, and other county departments to provide appropriate rehabilitative, housing, and supervision services to youthful offenders, subject to Sections 731.1, 733, 1766, and 1767.35 of the Welfare and Institutions Code. Counties, in expending an allocation from this subaccount or special account, shall provide all necessary services related to the custody and parole of the offenders.
(B)The Juvenile Reentry Grant Subaccount, and its successor, the Juvenile Reentry Grant Special Account, shall be used to fund grants exclusively to address local program needs for persons discharged from the custody of the Department of Corrections and Rehabilitation, Division of Juvenile Facilities. County probation departments, in expending the Juvenile Reentry Grant allocation, shall provide evidence-based supervision and detention practices and rehabilitative services to persons who are subject to the jurisdiction of the juvenile court, and who were committed to and discharged from the Department of Corrections and Rehabilitation, Division of Juvenile Facilities. Evidence-based refers to supervision and detention policies, procedures, programs, and practices demonstrated by scientific research to reduce recidivism among individuals on probation or under postrelease supervision. The funds allocated from this subaccount or special account shall supplement existing services and shall not be used by local agencies to supplant any existing funding for existing services provided by those entities. The funding provided from this subaccount or special account is intended to provide payment in full for all local government costs of the supervision, programming, education, incarceration, or any other cost resulting from persons discharged from custody or held in local facilities pursuant to the provisions of Chapter 729 of the Statutes of 2010.
(14)The moneys in and transferred from the Supplemental Law Enforcement Services Account, and the moneys in its successor subaccount, the Enhancing Law Enforcement Activities Subaccount, and moneys in the Enhancing Law Enforcement Activities Growth Special Account, shall be used to provide grants and funding to local law enforcement as provided by statute.
(15)Notwithstanding any other provision of this section, the moneys in the Local Innovation Subaccount shall be used to fund local needs. The board of supervisors of a county or city and county shall have the authority to spend money deposited in the Local Innovation Subaccount as it would any funds in the Juvenile Justice Subaccount, the District Attorney and Public Defender Subaccount, the Community Corrections Subaccount, or the Trial Court Security Subaccount.
(16)The moneys in and transferred from the Health and Human Services Account and its subaccounts and the moneys in its successor account, the Support Services Account, and the moneys in the Protective Services Subaccount and the Behavioral Health Subaccount shall be used only to fund activities performed in connection with the programs described in this subdivision. Except as provided in subdivisions (c) and (d), as restricted by subdivision (e), of Section 30026.5, counties and cities and counties shall pay 100 percent of the nonfederal costs of the programs described in this subdivision using funds allocated from the Local Revenue Fund, the Local Revenue Fund 2011, and any required matching expenditures. Funds shall be used in a manner that maintains eligibility for federal funding.
(A)The moneys in the Protective Services Subaccount and the Protective Services Growth Special Account shall be used exclusively to fund the following:
(i)Adult protective services described in statute and regulation.
(ii)Foster care grants and services as those services are described in statute, regulation, and the Title IV-E Child Welfare Waiver Demonstration Capped Allocation Project.
(iii)The administrative costs of foster care services as those services are described in statute, regulation, and the Title IV-E Child Welfare Waiver Demonstration Capped Allocation Project.
(iv)The costs of child welfare services as those services are described in statute, regulation, and the Title IV-E Child Welfare Waiver Demonstration Capped Allocation Project.
(v)The costs connected with providing adoptive services, including agency adoptions, as described in statute and regulation, including the costs incurred by the county or city and county if the county or city and county elects to contract with the state to provide those services.
(vi)The costs of child abuse prevention, intervention, and treatment services as those costs and services are described in statute and regulation.
(vii)The administrative costs and payments for families adopting children with special needs.
(B)The moneys in the Behavioral Health Subaccount and the Behavioral Health Services Growth Special Account shall be used exclusively to fund the following:
(i)Residential perinatal drug services and treatment as those services and treatment are described in statute and regulation.
(ii)Drug court operations and services as those costs are currently permitted and described by statute and regulation.
(iii)Nondrug Medi-Cal substance abuse treatment programs, as described in statute and regulation.
(iv)The Drug Medi-Cal program as that program is described in statute, regulation, or the State Plan or its amendment or amendments.
(v)Medi-Cal specialty mental health services, including the Early and Periodic Screening, Diagnosis, and Treatment Program and mental health managed care, as described in statute, regulation, the managed care waiver provisions of Title XIX of the federal Social Security Act (42 U.S.C. Sec. 1396n), or the State Plan or its amendment or amendments.
(C)The moneys in the Women and Childrens Residential Treatment Services Special Account shall be used exclusively to fund the Women and Childrens Residential Treatment Services program, as described in Chapter 2.1 (commencing with Section 11757.65) of the Welfare and Institutions Code.
(g)The moneys in the Reserve Account shall be used to fund entitlements paid from the Foster Care Assistance Subaccount, the Drug Medi-Cal Subaccount, and the Adoption Assistance Program Subaccount of the Health and Human Services Account after the funding of any entitlements for the 201112 fiscal year, and not later than December 1, 2012.
(h)The moneys in the Undistributed Account shall be used to reimburse the General Fund for costs incurred and expenditures made by the state on behalf of any local government entity in providing Public Safety Services, as defined in subdivision (i), after all 201112 costs have been reimbursed, but not later than December 1, 2012.
(i)For purposes of this section, Public Safety Services shall include all of the following:
(1)Employing and training public safety officials, including law enforcement personnel, attorneys assigned to criminal proceedings, and court security staff.
(2)Managing local jails and providing housing, treatment, and services for, and supervision of, juvenile and adult offenders.
(3)Preventing child abuse, neglect, or exploitation; providing services to children and youth who are abused, neglected, or exploited, or who are at risk of abuse, neglect, or exploitation, and the families of those children; providing adoption services; and providing adult protective services.
(4)Providing mental health services to children and adults in order to reduce failure in school, harm to themselves and others, homelessness, and preventable incarceration or institutionalization.
(5)Preventing, treating, and providing recovery services for substance abuse.
(j)The realignment moneys collected by the state and distributed to the local governmental entities pursuant to this article shall be considered state funds for the purposes of the political subdivision provision of the nonfederal share of Medicaid expenditures for purposes of Section 5001(g)(2) of the federal American Recovery and Reinvestment Act of 2009 (Public Law 111-5) and Section 100201(c)(6) of the federal Patient Protection and Affordable Care Act (Public Law 111-148). Although the realignment moneys shall be considered state proceeds of taxes, they are not General Fund revenues.
(k)The receipt of funding by each county or city and county pursuant to this chapter shall be contingent upon the creation of the accounts, subaccounts, and special accounts required by this chapter in each countys, or city and countys treasury.
SECTION 1.SEC. 2.Section 18986.89 is added to the Welfare and Institutions Code, to read:18986.89.(a)(1)Notwithstanding the dates provided in subdivisions (a) and (b) of Section 18986.87, the County of San Diego may, upon approval of the county board of supervisors, operate an integrated and comprehensive county health and human services system.
(2)A system described in paragraph (1) shall comply with the requirements of this section and is subject to the approval of the California Health and Human Services Agency. The California Health and Human Services Agency shall grant approval if the county furnishes a certified copy of a current ordinance or resolution authorizing an integrated and comprehensive health and human services system in that county.
(b)In providing services through an integrated system to families and individuals, the system may, among other things, do both of the following:
(1)Maintain and evaluate a system of administration that integrates and coordinates the management and support of client services.
(2)Maintain a system of reporting and accountability that provides for the combined provision of services without the loss of state or federal funds provided under current law.
(c)The integrated and comprehensive county health and human services system may include, but not be limited to, any or all of the following:
(1)Adoption services.
(2)Child abuse prevention services.
(3)Child welfare services.
(4)Delinquency prevention services.
(5)Drug and alcohol services.
(6)Mental health services.
(7)Eligibility determination.
(8)Employment and training services.
(9)Foster care services.
(10)Health services.
(11)Public health services.
(12)Housing services.
(13)Medically indigent program services.
(14)Veterans Veterans services.
(15)Aging services.
(16)Any other related program as designated by the board of supervisors.
(d)The county shall comply with all applicable state and federal privacy laws that govern medical and social service information, including, but not limited to, the Confidentiality of Medical Information Act (Part 2.6 (commencing with Section 56) of Division 1 of the Civil Code), the federal Health Insurance Portability and Accountability Act (HIPAA), and Sections 827, 5328, and 10850.
(e)Programs or services shall be included in the system only to the extent that federal funding to either the state or the county will not be reduced as a result of the inclusion of the services in the project.
(f)This chapter section shall not authorize the county to discontinue meeting its obligations under current law to provide services or to reduce its accountability for the provision of these services.
(g)The county shall utilize any and all state general funds and county funds that it is legally allocated or entitled to receive. Through the creation of integrated health and social services structures, the county shall maximize federal matching funds. This integration shall not result in increased expenditures from the State General Fund.
(h)The appropriate state departments, as designated by the Secretary of Health and Human Services, that are assisting, participating, and cooperating in the program authorized by this chapter section shall have the authority to waive regulations, with the concurrence of the county, regarding the method of providing services and the method of reporting and accountability, as may be required to meet the goals set forth in subdivision (b). However, the departments shall not waive regulations pertaining to privacy and confidentiality of records, civil service merit systems, or collective bargaining. The departments shall not waive regulations if the waiver results in a diminished amount or level of services or benefits to eligible recipients as compared to the benefits and services that would have been provided to recipients absent the waiver.
(a)Notwithstanding the dates provided in subdivisions (a) and (b) of Section 18986.87, the County of San Diego may, upon approval of the county board of supervisors, operate an integrated and comprehensive health and human services system.
(b)In providing services through an integrated system to families and individuals, the system may, among other things, do both of the following:
(1)Maintain and evaluate a system of administration that integrates and coordinates the management and support of client services.
(2)Maintain a system of reporting and accountability that provides for the combined provision of services without the loss of state or federal funds provided under current law.
(c)The integrated and comprehensive county health and human services system may include, but not be limited to, any or all of the following:
(1)Adoption services.
(2)Child abuse prevention services.
(3)Child welfare services.
(4)Delinquency prevention services.
(5)Drug and alcohol services.
(6)Mental health services.
(7)Eligibility determination.
(8)Employment and training services.
(9)Foster care services.
(10)Health services.
(11)Public health services.
(12)Housing services.
(13)Medically indigent program services.
(14)Veterans services.
(15)Aging services.
(16)Any other related program as designated by the board of supervisors.
(d)The county shall comply with all applicable state and federal privacy laws that govern medical and social service information, including, but not limited to, the Confidentiality of Medical Information Act (Part 2.6 (commencing with Section 56) of Division 1 of the Civil Code), the federal Health Insurance Portability and Accountability Act (HIPAA), and Sections 827, 5328, and 10850.
(e)Programs or services shall be included in the system only to the extent that federal funding to either the state or the county will not be reduced as a result of the inclusion of the services in the project.
(f)This chapter shall not authorize the county to discontinue meeting its obligations under current law to provide services or to reduce its accountability for the provision of these services.
(g)The county shall utilize any and all state general funds and county funds that it is legally allocated or entitled to receive. Through the creation of integrated health and social services structures, the county shall maximize federal matching funds. This integration shall not result in increased expenditures from the General Fund.
(h)The appropriate state departments, as designated by the Secretary of Health and Human Services, that are assisting, participating, and cooperating in the program authorized by this chapter shall have the authority to waive regulations, with the concurrence of the county, regarding the method of providing services and the method of reporting and accountability, as may be required to meet the goals set forth in subdivision (b). However, the departments shall not waive regulations pertaining to privacy and confidentiality of records, civil service merit systems, or collective bargaining. The departments shall not waive regulations if the waiver results in a diminished amount or level of services or benefits to eligible recipients as compared to the benefits and services that would have been provided to recipients absent the waiver.
The Notwithstanding the dates provided in subdivisions (a) and (b) of Section 18986.87, the County of San Diego may, upon approval of the county board of supervisors, operate an integrated and comprehensive health and human services system.
The County of San Diego may, upon approval of the county board of supervisors, operate an integrated and comprehensive health and human services system.
|
Date
|
Status
|
|---|---|
| Jun 29, 2016 | From committee: Amend, and do pass as amended. (Ayes 5. Noes 0.) (June 28). |
| Sep 2, 2016 | Enrolled and presented to the Governor at 12 p.m. |
| Aug 25, 2016 | Senate amendments concurred in. To Engrossing and Enrolling. (Ayes 78. Noes 0. Page 6298.). |
| Aug 25, 2016 | Senate amendments concurred in. To Engrossing and Enrolling. |
| Aug 23, 2016 | In Assembly. Concurrence in Senate amendments pending. May be considered on or after August 25 pursuant to Assembly Rule 77. |
| Aug 22, 2016 | Read third time. Passed. Ordered to the Assembly. (Ayes 39. Noes 0. Page 5251.). |
| Aug 22, 2016 | Read third time. Passed. Ordered to the Assembly. |
| Aug 18, 2016 | Read second time. Ordered to third reading. |
| Aug 17, 2016 | Read third time and amended. Ordered to second reading. |
| Aug 15, 2016 | Read second time. Ordered to third reading. |
| Aug 11, 2016 | From committee: Do pass. (Ayes 7. Noes 0.) (August 11). |
| Aug 8, 2016 | Referred to APPR. suspense file. |
| Aug 1, 2016 | Re-referred to Com. on APPR. pursuant to Joint Rule 10.5. |
| Jun 30, 2016 | Read second time and amended. Ordered to third reading. |
| Feb 19, 2016 | Introduced. To print. |
| Jun 13, 2016 | From committee chair, with author's amendments: Amend, and re-refer to committee. Read second time, amended, and re-referred to Com. on HUMAN S. |
| Jun 8, 2016 | From committee: Do pass and re-refer to Com. on HUMAN S. (Ayes 7. Noes 0.) (June 8). Re-referred to Com. on HUMAN S. |
| May 12, 2016 | Referred to Coms. on HEALTH and HUMAN S. |
| May 5, 2016 | Read third time. Passed. Ordered to the Senate. (Ayes 79. Noes 0. Page 4683.) |
| May 5, 2016 | Read third time. Passed. Ordered to the Senate. |
| May 5, 2016 | In Senate. Read first time. To Com. on RLS. for assignment. |
| Apr 28, 2016 | Read second time. Ordered to Consent Calendar. |
| Apr 27, 2016 | From committee: Do pass. To Consent Calendar. (Ayes 6. Noes 0.) (April 26). |
| Apr 12, 2016 | In committee: Hearing postponed by committee. |
| Mar 8, 2016 | Referred to Com. on HUM. S. |
| Feb 22, 2016 | Read first time. |
| Feb 21, 2016 | From printer. May be heard in committee March 22. |
|
Date
|
Description
|
Location
|
Votes
|
|
|---|---|---|---|---|
| Aug 25, 2016 | AB 2568 ATKINS Concurrence in Senate Amendments | Assembly Floor |
Passed |
|
| Aug 22, 2016 | Assembly 3rd Reading AB2568 Atkins By Block | Senate Floor |
Passed |
|
| Aug 11, 2016 | Do pass | Senate Standing Committee on Appropriations |
Passed |
|
| Aug 8, 2016 | Placed on suspense file | Senate Standing Committee on Appropriations |
Passed |
|
| Jun 28, 2016 | Do pass as amended | Senate Standing Committee on Human Services |
Passed |
|
| Jun 8, 2016 | Do pass, but first be re-referred to the Committee on [Human Services] | Senate Standing Committee on Health |
Passed |
|
| May 5, 2016 | AB 2568 ATKINS Consent Calendar Second Day | Assembly Floor |
Passed |
|
| Apr 26, 2016 | Do pass. To Consent Calendar. | Assembly Standing Committee on Human Services |
Passed |
This list shows positions taken on this bill by organizations on the date displayed, which is linked to the original source.
Positions by individuals are not included.
|
Organization
|
Position
|
Date
|
|---|---|---|
| 2011 Realignment | ** Support | Jun 28, 2016 |
| aa) Public health services. | ** Support | Aug 22, 2016 |
| According to the Senate Appropriations Committee: | ** Support | Aug 22, 2016 |
| Adoption services. | ** Support | Jun 28, 2016 |
| Aging services. | ** Support | Jun 28, 2016 |
| bb) Housing services. | ** Support | Aug 22, 2016 |
| California State Association Of Counties | ** Support | Aug 22, 2016 |
| cc) Medically indigent program services. | ** Support | Aug 22, 2016 |
| Child abuse prevention services. | ** Support | Jun 28, 2016 |
| Child welfare services. | ** Support | Jun 28, 2016 |
| County of San Diego - sponsor | ** Support | Jun 8, 2016 |
| dd) Veteran's services. | ** Support | Aug 22, 2016 |
| Delinquency prevention services. | ** Support | Jun 28, 2016 |
| Drug and alcohol services. | ** Support | Jun 28, 2016 |
| ee) Aging services. | ** Support | Aug 22, 2016 |
| Eligibility determination. | ** Support | Jun 28, 2016 |
| Employment and training services. | ** Support | Jun 28, 2016 |
| Foster care services. | ** Support | Jun 28, 2016 |
| Health services. | ** Support | Jun 28, 2016 |
| Housing services. | ** Support | Jun 28, 2016 |
| Humboldt, Mendocino and Alameda authorizations | ** Support | Jun 28, 2016 |
| Integrated Health and Human Services Agencies | ** Support | Jun 28, 2016 |
| Medically indigent program services. | ** Support | Jun 28, 2016 |
| Mental health services. | ** Support | Jun 28, 2016 |
| Placer County | ** Support | Jun 28, 2016 |
| Public health services. | ** Support | Jun 28, 2016 |
| Purpose of the bill: | ** Support | Jun 28, 2016 |
| Related legislation: | ** Support | Jun 28, 2016 |
| San Diego County | ** Support | Aug 22, 2016 |
| San Mateo County | ** Support | Jun 28, 2016 |
| Services Account with the lowest balance. | ** Support | Aug 22, 2016 |
| Staff recommends the following amendments: | ** Support | Jun 28, 2016 |
| Support: | ** Support | Jun 28, 2016 |
| This bill: | ** Support | Aug 22, 2016 |
| u BACKGROUND AND DISCUSSION | ** Support | Jun 28, 2016 |
| u COMMENTS | ** Support | Jun 28, 2016 |
| u FISCAL IMPACT | ** Support | Jun 28, 2016 |
| u POSITIONS | ** Support | Jun 28, 2016 |
| u PRIOR VOTES | ** Support | Jun 28, 2016 |
| Urban Counties Caucus | * Indeterminate | Jun 8, 2016 |
| Urban Counties of California | ** Support | Aug 22, 2016 |
CONCURRENCE IN SENATE AMENDMENTS
CSA1 Bill Id:AB 2568
Author:(Atkins)
As Amended Ver:August 17, 2016
Majority vote
ASSEMBLY: | 79-0 | (May 5, 2016) | SENATE: | 39-0 | (August 22, 2016) |
Original Committee Reference: HUM. S.
SUMMARY: Authorizes the County of San Diego to, upon approval of the county board of supervisors and California Health and Human Services Agency, operate an integrated and comprehensive health and human services system, and further, specifies the purview and requirements of this system.
The Senate amendments:
- Authorize the integrated and comprehensive health and human services system to, among other things, both maintain and evaluate a system of administration that integrates and coordinates the management and support of client services, and to maintain a system of reporting and accountability that provides for the combined provision of services without the loss of state or federal funds, as specified.
- Delineate a range of health and human services that the system may include but not be limited to.
- Require the county to comply with all applicable state and federal privacy laws that govern medical and social service information, as specified.
- Permit programs or services to be included in the system only to the extent that federal funding to either the state or county will not be reduced as a result.
- Prohibit the provisions of the bill from authorizing the county to: discontinue meeting its obligations under current law to provide services, or reduce its accountability for the provision of these services.
- Require the county to use any and all state general funds and county funds and to maximize federal matching funds, as specified, and further, prohibit the integration from resulting in increased General Fund expenditures.
- Authorize the appropriate state departments to waive regulations regarding the provision of services and method of reporting and accountability, with certain exceptions, as specified.
- Require that a reallocation made by a county between the Protective Services Subaccount and the Behavioral Health Subaccount, as specified, be in effect for only the fiscal year in which that reallocation is made and prohibit the reallocation from being a permanent allocation or permanent funding source for any program or services receiving funds from the reallocation.
- Require a county, or city and county, that reallocates funds between the Protective Services Subaccount and the Behavioral Health Subaccount, as specified, to make a report to the Department of Finance and the California Health and Human Services Agency describing the reallocation made for that year.
- Require a San Diego County integrated and comprehensive health and human services system to be subject to the approval of the California Health and Human Services Agency, as specified.
- Make technical changes.
EXISTING LAW:
- Permits Humboldt County, Mendocino County, Alameda County, and any additional county or counties, as determined by the Secretary of the California Health and Human Services Agency, as specified, to implement a program, upon approval of the county board of supervisors, for the funding and delivery of services and benefits through an integrated and comprehensive county health and human services system. (WIC 18986.86)
- Places a number of requirements on participating counties regarding their county integrated health and human services programs, including, but not limited to:
- Observing disclosure and privacy requirements related to medical information, as specified;
- Including programs or services only to the extent that federal funding will not be reduced, and/or General Fund expenditures will not be increased, as a result;
- Seeking federal approval of the program as may be needed to ensure funding and allow for the integrated provision of services, as specified; and
- Utilizing any and all state general and county funds that the county is legally allocated or entitled to receive and further, maximizing federal matching funds. (WIC 18986.86)
FISCAL EFFECT: Unknown.
COMMENTS:
County integrated health and human services programs: In 1996 and 1997, respectively, California authorized Placer and Solano Counties to operate integrated health and human services pilot projects via AB 1846 (Leslie), Chapter 899, Statutes of 1996, and AB 866 (Thomson), Chapter 265, Statutes of 1997. A similar program was adopted for Humboldt, Mendocino, and Alameda counties in 1999 by AB 1259 (Strom-Martin), Chapter 705, Statutes of 1999. Subsequent legislation extended the sunset date (AB 1881 (Berg), Chapter 655, Statutes of 2004) and later made the programs permanent by repealing the sunset (AB 315 (Berg), Chapter 264, Statutes of 2007). AB 1881 also allowed additional counties to be included if approved by the Secretary of the Health and Human Services Agency.
County integrated health and human services programs cover a wide range of health and human services, including adoption, child welfare, foster care, drug and alcohol, mental health, eligibility determination, public health, housing and medically indigent health care. These programs employ a variety of assessment and service-delivery methods, including universal intake, coordinated service plans, and integrated case management and reporting. These programs enable information to be shared between programs; however, limitations are placed on the disclosure of medical information without authorization of the client, and memoranda of understanding must be developed between affected agencies.
Regarding AB 315 (Berg), Assembly Member Berg stated that, "by consolidating such services, counties are able to demonstrate cost savings and increase efficiency while providing quality services. …In an era where health and human services are targeted to be cut, innovation and cost savings are key to maintaining an adequate level of service to those in need."
San Diego County health and human services: According to the author's office, the County of San Diego Health and Human Services Agency has utilized an integrated agency approach to offering Behavioral Services and Protective Services since 1996, when the San Diego County Board of Supervisors approved the merging of five local organizations into a single super-agency composed of the former Department of Health Services, Department of Social Services, Department of Veteran Services, Area Agency on Aging, and the Commission on Children Youth and Family. According to the author, this Agency has authority over a broad array of services including those dealing with aging and independence services, behavioral health, child welfare, public health, and self-sufficiency services, and, "bringing these many services together into one comprehensive system has enabled a more streamlined and effective client-focused delivery of health and social services in San Diego County for almost two decades."
Need for this bill: This bill seeks to officially designate San Diego County's utilization of an integrated approach to offering Behavioral Services and Protective Services in order to allow for greater flexibility between the two accounts.
According to the author, "Existing law authorizes the Counties of Humboldt, Mendocino and Alameda to implement a program for the funding and delivery of services and benefits through an integrated and comprehensive county health and human services system, subject to certain limitations. [This bill] would authorize the County of San Diego, upon approval of the County Board of Supervisors, to operate an integrated and comprehensive health and human services system."
PRIOR LEGISLATION:
AB 315 (Berg), Chapter 264, Statutes of 2007, eliminated the January 1, 2009, repeal date for the Humboldt, Mendocino, and Alameda County integrated health and human services programs.
AB 1881 (Berg), Chapter 655, Statutes of 2004, extended the sunset for the Humboldt, Mendocino, and Alameda County integrated health and human services programs to January 1, 2009, and authorized additional counties to participate in the program if approved by the Secretary of the Health and Human Services Agency.
AB 1259 (Strom-Martin), Chapter 705, Statutes of 1999, established the Humboldt, Mendocino, and Alameda County integrated health and human services programs, with a sunset date of January 1, 2005.
AB 866 (Thomson), Chapter 265, Statutes of 1997, required Solano County to implement an integrated health and human services pilot program, with a sunset date of July 1, 2002.
AB 1846 (Leslie), Chapter 899, Statutes of 1996, required Placer County to implement an integrated health and human services pilot program, with a sunset date of July 1, 2001.
Analysis Prepared by: Daphne Hunt / HUM. S. / (916) 319-2089 FN: 0004570
Office of Senate Floor Analyses (916) 651-1520 Fax: (916) 327-4478 | AB |
THIRD READING
Bill No: AB 2568
:
SENATE HEALTH COMMITTEE: 7-0, 6/8/16
AYES: Hernandez, Nguyen, Mitchell, Monning, Nielsen, Pan, Roth
NO VOTE RECORDED: Hall, Wolk
SENATE HUMAN SERVICES COMMITTEE: 5-0, 6/28/16
AYES: McGuire, Berryhill, Hancock, Liu, Nguyen
SENATE APPROPRIATIONS COMMITTEE: 7-0, 8/11/16
AYES: Lara, Bates, Beall, Hill, McGuire, Mendoza, Nielsen
ASSEMBLY FLOOR: 79-0, 5/5/16 (Consent) - See last page for vote
DIGEST: This bill authorizes the San Diego County to operate an integrated and comprehensive health and human services system, upon approval by the county board of supervisors.
Senate Floor Amendments of 8/17/16 require reallocation on funds under this bill to be in effect for only the fiscal year in which the reallocation is made for all counties with an integrated health and human services system, and require reporting by San Diego County only if it reallocates funds under its integrated and comprehensive county health and human and services system.
Existing law:
- Authorizes the Counties of Humboldt County, Mendocino County, Alameda County, and any additional county or counties, as determined by the Secretary of California Health and Human Services, to implement a program, upon approval of the county board of supervisors for the funding and delivery of services and benefits through an integrated and comprehensive county health and human services system. Requires implementation of a pilot program to occur no later than January 1, 2009 with an evaluation required to be submitted to the Health and Human Services Agency prior to July 1, 2008.
- Authorizes an agency established by San Mateo County to apply for a waiver of existing state regulations pertaining to single agency operations and auditing and accounting requirements that hinder the coordination of human services provided by that agency.
- Requires Placer County to implement a program, upon county approval, for the funding and delivery of services and benefits through an integrated and comprehensive county health and human services system.
- Establishes, under provisions implementing the 2011 Realignment, the Support Services Account. Establishes, within the Support Services Account, the Protective Services Subaccount, the Behavioral Health Subaccount, and the County Intervention Support Services Subaccount.
- Authorizes, under provisions implementing the 2011 Realignment, each county to reallocate money between subaccounts in the Support Services Account, provided that the reallocation may not exceed 10% of the amount deposited in the immediately preceding fiscal year in the subaccount in the Support Services Account with the lowest balance.
- Authorizes, under provisions implementing the 2011 Realignment, any county authorized to operate an integrated and comprehensive county health and human services system under the provisions in 1) through 3) above to reallocate money between the Protective Services Subaccount and the Behavioral Health Subaccount within the Support Services Account of the County Local Revenue Fund 2011 without being subject to the existing 10% limit on transfers in existing law.
This bill:
- Authorizes the San Diego County to operate an integrated and comprehensive county health and human services system, upon approval by the county board of supervisors.
- Permits San Diego County, in providing services through an integrated system to families and individuals, the system, among other things, do both of the following:
- Maintain and evaluate a system of administration that integrates and coordinates the management and support of client services.
- Maintain a system of reporting and accountability that provides for the combined provision of services without the loss of state or federal funds provided under current law.
- Permits the integrated and comprehensive county health and human services system to include, but not be limited to, any or all of the following:
- Adoption services.
- Child abuse prevention services.
- Child welfare services.
- Delinquency prevention services.
- Drug and alcohol services.
- Mental health services.
- Eligibility determination.
- Employment and training services.
- Foster care services.
- Health services.
- Public health services.
- Housing services.
- Medically indigent program services.
- Veteran’s services.
- Aging services.
- Any other related program as designated by the board of supervisors.
- Requires San Diego County to comply with all applicable state and federal privacy laws that govern medical and social service information, including, but not limited to, the Confidentiality of Medical Information Act and the federal Health Insurance Portability and Accountability Act.
- Requires the programs or services to be included in the system only to the extent that federal funding to either the state or the county will not be reduced as a result of the inclusion of the services in the project.
- Prohibits this bill from authorizing a county to discontinue meeting its obligations under current law to provide services or to reduce its accountability for the provision of these services.
- Requires the county to utilize any and all state general funds and county funds that it is legally allocated or entitled to receive. Requires the county, through the creation of integrated health and social services structures, to maximize federal matching funds, and prohibits the integration from resulting in increased expenditures from the General Fund.
- Requires the appropriate state departments, as designated by the Secretary of Health and Human Services, that are assisting, participating, and cooperating in the integrated system to have the authority to waive regulations, with the concurrence of the county, regarding the method of providing services and the method of reporting and accountability, as may be required to meet the goals set forth in this bill.
- Prohibits departments from waiving regulations pertaining to privacy and confidentiality of records, civil service merit systems, or collective bargaining, and prohibits departments from waiving regulations if the waiver results in a diminished amount or level of services or benefits to eligible recipients as compared to the benefits and services that would have been provided to recipients absent the waiver.
- Requires San Diego County’s integrated and comprehensive county health and human services system to be subject to the approval of the California Health and Human Services Agency. Requires the Agency to grant approval if San Diego County furnishes a certified copy of a current ordinance or resolution authorizing an integrated and comprehensive health and human services system in that county.
- Requires any reallocation of funds made by a county with an integrated and comprehensive health and human service systems under 2011 Realignment to be in effect only for the fiscal year in which the reallocation is made. This provision applies to counties generally and is not limited to San Diego County.
- Prohibits the reallocation under 11) above from being either a permanent allocation or a permanent funding source for any program or service receiving funds from the reallocation.
- Requires counties or cities and counties that reallocate funds to make an annual report to the Department of Finance and the Secretary of the Health and Human Services Agency describing the reallocation made for that fiscal year.
Comments
Author’s statement. According to the author, the County of San Diego Health and Human Services Agency has a longstanding local designation as an integrated and comprehensive health and human services system. In 1996, the San Diego County Board of Supervisors merged five local organizations into a super-agency comprised of the former Departments of Health Services, Social Services, Veteran Services, Area Agency on Aging, and the Commission on Children Youth and Family. In 1998 the Public Administrator and Public Guardian was also placed in the Health and Human Services Agency. The Health and Human Services Agency has authority over a broad array of services including aging and independence services, behavioral health, child welfare, public health, and self-sufficiency. Merging the services into one comprehensive system has enabled a more streamlined and effective client-focused delivery of health and social services for almost two decades. State law authorizes the Counties of Humboldt, Mendocino and Alameda to implement a program for the funding and delivery of services and benefits through an integrated and comprehensive county health and human services system, subject to certain limitations. This bill authorizes San Diego County to operate an integrated and comprehensive health and human services system.
Integrated health and human services system and 2011 Realignment. Legislation that enacted 2011 Realignment shifts over $6 billion in state revenues and funding responsibilities to local governments. Revenue from realignment comes from state sales tax and state and local vehicle license fee. Realignment establishes various accounts, and subaccounts within those accounts. One of the realignment accounts is the Support Services Account, which includes the County Intervention Support Services Subaccount, the Protective Services Subaccount and the Behavioral Health Subaccount. Under existing law, counties can annually reallocate money between subaccounts in the Support Services Account, except that the reallocation cannot exceed 10% of the amount deposited in the immediately preceding fiscal year in the subaccount in the Support Services Account with the lowest balance. SB 1020 (Committee on Budget and Fiscal Review, Chapter 40, Statutes of 2012) furthers the implementation of the 2011 Realignment. One of the provisions of SB 1020 allowed any county authorized to operate an integrated and comprehensive county health and human services system to reallocate money between the Protective Services Subaccount and the Behavioral Health Subaccount without being subject to the 10% limit in existing law.
Programs in the Protective Services Subaccount and the Behavioral Health Subaccounts are as follows:
Protective Services Subaccount | Behavioral Health Subaccount |
Adult protective services | Residential perinatal drug services and treatment |
Foster care grants and services | Drug court operations and services |
Administrative costs of foster care services | Nondrug Medi-Cal substance abuse treatment programs |
Child welfare services | Drug Medi-Cal program |
Adoptive services | Medi-Cal specialty mental health services, including the Early and Periodic Screening, Diagnosis, and Treatment Program and mental health managed care |
Child abuse prevention, intervention and treatment | Women and Children’s Residential Treatment Services program* |
Administrative costs of family adopting children with special needs |
|
* From funds in the Women and Children’s Residential Treatment Services Special Account, which is a subaccount of the Behavioral Health Account. |
FISCAL EFFECT: Appropriation: Fiscal Com.: Local:
According to the Senate Appropriations Committee:
- No significant fiscal impact to any state department is anticipated. This bill authorizes state agencies that interact with the integrated program authorized in this bill to waive state regulations as needed to allow the San Diego to operate an integrated system. Any costs to do so by impacted state agencies are anticipated to be minor.
- No state fiscal impact is anticipated due to potential changes to realignment funding within San Diego County. Under current law, counties have the authority to move up to 10% of funds in their Support Services Account between the various subaccounts. Current law allows counties that operate a joint health and human services system to move unlimited amounts of funding between the subaccounts. Because the overall amount of realignment funding to San Diego County would not change under this bill, there is no state fiscal impact from this change.
San Diego County (source)
California State Association of Counties
Urban Counties of California
OPPOSITION: (Verified 8/11/16)
None received
ARGUMENTS IN SUPPORT: This bill is sponsored by San Diego County, which argues it has a long-standing designation as an integrated and comprehensive health and human services system. San Diego County writes that it approved the merger of multiple organizations into a single Health and Human Services Agency, which has authority over a broad array of services, including aging and independence services, behavioral health services, child welfare services, public health services and self-sufficiency services. San Diego County writes that this bill allows San Diego County to utilize the benefit of being recognized as an integrated and comprehensive county health and human services system as the counties of Humboldt, Mendocino and Alameda already are.
ASSEMBLY FLOOR: 79-0, 5/5/16
AYES: Achadjian, Alejo, Travis Allen, Arambula, Atkins, Baker, Bigelow, Bloom, Bonilla, Bonta, Brough, Brown, Burke, Calderon, Campos, Chang, Chau, Chávez, Chiu, Chu, Cooley, Cooper, Dababneh, Dahle, Daly, Dodd, Eggman, Frazier, Gallagher, Cristina Garcia, Eduardo Garcia, Gatto, Gipson, Gomez, Gonzalez, Gordon, Gray, Grove, Hadley, Harper, Roger Hernández, Holden, Irwin, Jones, Jones-Sawyer, Kim, Lackey, Levine, Linder, Lopez, Low, Maienschein, Mathis, Mayes, McCarty, Medina, Melendez, Mullin, Nazarian, Obernolte, O'Donnell, Olsen, Patterson, Quirk, Ridley-Thomas, Rodriguez, Salas, Santiago, Steinorth, Mark Stone, Thurmond, Ting, Wagner, Waldron, Weber, Wilk, Williams, Wood, Rendon
NO VOTE RECORDED: Beth Gaines
8/18/16 16:57:28
**** END ****
Office of Senate Floor Analyses (916) 651-1520 Fax: (916) 327-4478 | AB |
THIRD READING
Bill No: AB 2568
:
SENATE HEALTH COMMITTEE: 7-0, 6/8/16
AYES: Hernandez, Nguyen, Mitchell, Monning, Nielsen, Pan, Roth
NO VOTE RECORDED: Hall, Wolk
SENATE HUMAN SERVICES COMMITTEE: 5-0, 6/28/16
AYES: McGuire, Berryhill, Hancock, Liu, Nguyen
SENATE APPROPRIATIONS COMMITTEE: 7-0, 8/11/16
AYES: Lara, Bates, Beall, Hill, McGuire, Mendoza, Nielsen
ASSEMBLY FLOOR: 79-0, 5/5/16 (Consent) - See last page for vote
DIGEST: This bill authorizes the San Diego County to operate an integrated and comprehensive health and human services system, upon approval by the county board of supervisors.
Existing law:
- Authorizes the Counties of Humboldt County, Mendocino County, Alameda County, and any additional county or counties, as determined by the Secretary of California Health and Human Services, to implement a program, upon approval of the county board of supervisors for the funding and delivery of services and benefits through an integrated and comprehensive county health and human services system. Requires implementation of a pilot program to occur no later than January 1, 2009, with an evaluation required to be submitted to the Health and Human Services Agency prior to July 1, 2008.
- Authorizes an agency established by San Mateo County to apply for a waiver of existing state regulations pertaining to single agency operations and auditing and accounting requirements that hinder the coordination of human services provided by that agency.
- Requires Placer County to implement a program, upon county approval, for the funding and delivery of services and benefits through an integrated and comprehensive county health and human services system.
- Establishes, under provisions implementing the 2011 Realignment, the Support Services Account. Establishes, within the Support Services Account, the Protective Services Subaccount, the Behavioral Health Subaccount, and the County Intervention Support Services Subaccount.
- Authorizes, under provisions implementing the 2011 Realignment, each county to reallocate money between subaccounts in the Support Services Account, provided that the reallocation may not exceed 10% of the amount deposited in the immediately preceding fiscal year in the subaccount in the Support Services Account with the lowest balance.
- Authorizes, under provisions implementing the 2011 Realignment, any county authorized to operate an integrated and comprehensive county health and human services system under the provisions in 1) through 3) above to reallocate money between the Protective Services Subaccount and the Behavioral Health Subaccount within the Support Services Account of the County Local Revenue Fund 2011 without being subject to the existing 10% limit on transfers in existing law.
This bill:
- Authorizes the San Diego County to operate an integrated and comprehensive health and human services system, upon approval by the county board of supervisors.
- Permits San Diego County, in providing services through an integrated system to families and individuals, the system, among other things, do both of the following:
- Maintain and evaluate a system of administration that integrates and coordinates the management and support of client services.
- Maintain a system of reporting and accountability that provides for the combined provision of services without the loss of state or federal funds provided under current law.
- Permits the integrated and comprehensive county health and human services system to include, but not be limited to, any or all of the following:
- Adoption services.
- Child abuse prevention services.
- Child welfare services.
- Delinquency prevention services.
- Drug and alcohol services.
- Mental health services.
- Eligibility determination.
- Employment and training services.
- Foster care services.
- Health services.
- Public health services.
- Housing services.
- Medically indigent program services.
- Veteran’s services.
- Aging services.
- Any other related program as designated by the board of supervisors.
- Requires San Diego County to comply with all applicable state and federal privacy laws that govern medical and social service information, including, but not limited to, the Confidentiality of Medical Information Act and the federal Health Insurance Portability and Accountability Act.
- Requires the programs or services to be included in the system only to the extent that federal funding to either the state or the county will not be reduced as a result of the inclusion of the services in the project.
- Prohibits this bill from authorizing a county to discontinue meeting its obligations under current law to provide services or to reduce its accountability for the provision of these services.
- Requires the county to utilize any and all state general funds and county funds that it is legally allocated or entitled to receive. Requires the county, through the creation of integrated health and social services structures, to maximize federal matching funds, and prohibits the integration from resulting in increased expenditures from the General Fund.
- Requires the appropriate state departments, as designated by the Secretary of Health and Human Services, that are assisting, participating, and cooperating in the integrated system to have the authority to waive regulations, with the concurrence of the county, regarding the method of providing services and the method of reporting and accountability, as may be required to meet the goals set forth in this bill.
- Prohibits departments from waiving regulations pertaining to privacy and confidentiality of records, civil service merit systems, or collective bargaining, and prohibits departments from waiving regulations if the waiver results in a diminished amount or level of services or benefits to eligible recipients as compared to the benefits and services that would have been provided to recipients absent the waiver.
Comments
Author’s statement. According to the author, the County of San Diego Health and Human Services Agency has a longstanding local designation as an integrated and comprehensive health and human services system. In 1996, the San Diego County Board of Supervisors merged five local organizations into a super-agency comprised of the former Departments of Health Services, Social Services, Veteran Services, Area Agency on Aging, and the Commission on Children Youth and Family. In 1998 the Public Administrator and Public Guardian was also placed in the Health and Human Services Agency. The Health and Human Services Agency has authority over a broad array of services including aging and independence services, behavioral health, child welfare, public health, and self-sufficiency. Merging the services into one comprehensive system has enabled a more streamlined and effective client-focused delivery of health and social services for almost two decades. State law authorizes the Counties of Humboldt, Mendocino and Alameda to implement a program for the funding and delivery of services and benefits through an integrated and comprehensive county health and human services system, subject to certain limitations. This bill would authorize San Diego County to operate an integrated and comprehensive health and human services system.
Integrated health and human services system and 2011 Realignment. Legislation that enacted 2011 Realignment shifts over $6 billion in state revenues and funding responsibilities to local governments. Revenue from realignment comes from state sales tax and state and local vehicle license fee. Realignment establishes various accounts, and subaccounts within those accounts. One of the realignment accounts is the Support Services Account, which includes the County Intervention Support Services Subaccount, the Protective Services Subaccount and the Behavioral Health Subaccount. Under existing law, counties can annually reallocate money between subaccounts in the Support Services Account, except that the reallocation cannot exceed 10% of the amount deposited in the immediately preceding fiscal year in the subaccount in the Support Services Account with the lowest balance. SB 1020 (Committee on Budget and Fiscal Review, Chapter 40, Statutes of 2012) furthers the implementation of the 2011 Realignment. One of the provisions of SB 1020 allowed any county authorized to operate an integrated and comprehensive county health and human services system to reallocate money between the Protective Services Subaccount and the Behavioral Health Subaccount without being subject to the 10% limit in existing law.
Programs in the Protective Services Subaccount and the Behavioral Health Subaccounts are as follows:
Protective Services Subaccount | Behavioral Health Subaccount |
Adult protective services | Residential perinatal drug services and treatment |
Foster care grants and services | Drug court operations and services |
Administrative costs of foster care services | Nondrug Medi-Cal substance abuse treatment programs |
Child welfare services | Drug Medi-Cal program |
Adoptive services | Medi-Cal specialty mental health services, including the Early and Periodic Screening, Diagnosis, and Treatment Program and mental health managed care |
Child abuse prevention, intervention and treatment | Women and Children’s Residential Treatment Services program* |
Administrative costs of family adopting children with special needs |
|
* From funds in the Women and Children’s Residential Treatment Services Special Account, which is a subaccount of the Behavioral Health Account. |
FISCAL EFFECT: Appropriation: Fiscal Com.: Local:
According to the Senate Appropriations Committee:
- No significant fiscal impact to any state department is anticipated. This bill authorizes state agencies that interact with the integrated program authorized in the bill to waive state regulations as needed to allow the San Diego to operate an integrated system. Any costs to do so by impacted state agencies are anticipated to be minor.
- No state fiscal impact is anticipated due to potential changes to realignment funding within San Diego County. Under current law, counties have the authority to move up to 10% of funds in their Support Services Account between the various subaccounts. Current law allows counties that operate a joint health and human services system to move unlimited amounts of funding between the subaccounts. Because the overall amount of realignment funding to San Diego County would not change under this bill, there is no state fiscal impact from this change.
San Diego County (source)
California State Association of Counties
Urban Counties of California
OPPOSITION: (Verified 8/11/16)
None received
ARGUMENTS IN SUPPORT: This bill is sponsored by San Diego County, which argues it has a long-standing designation as an integrated and comprehensive health and human services system. San Diego County writes that it approved the merger of multiple organizations into a single Health and Human Services Agency, which has authority over a broad array of services, including aging and independence services, behavioral health services, child welfare services, public health services and self-sufficiency services. San Diego County writes that this bill allows San Diego County to utilize the benefit of being recognized as an integrated and comprehensive county health and human services system as the counties of Humboldt, Mendocino and Alameda already are.
ASSEMBLY FLOOR: 79-0, 5/5/16
AYES: Achadjian, Alejo, Travis Allen, Arambula, Atkins, Baker, Bigelow, Bloom, Bonilla, Bonta, Brough, Brown, Burke, Calderon, Campos, Chang, Chau, Chávez, Chiu, Chu, Cooley, Cooper, Dababneh, Dahle, Daly, Dodd, Eggman, Frazier, Gallagher, Cristina Garcia, Eduardo Garcia, Gatto, Gipson, Gomez, Gonzalez, Gordon, Gray, Grove, Hadley, Harper, Roger Hernández, Holden, Irwin, Jones, Jones-Sawyer, Kim, Lackey, Levine, Linder, Lopez, Low, Maienschein, Mathis, Mayes, McCarty, Medina, Melendez, Mullin, Nazarian, Obernolte, O'Donnell, Olsen, Patterson, Quirk, Ridley-Thomas, Rodriguez, Salas, Santiago, Steinorth, Mark Stone, Thurmond, Ting, Wagner, Waldron, Weber, Wilk, Williams, Wood, Rendon
NO VOTE RECORDED: Beth Gaines
8/15/16 20:30:01
**** END ****
SENATE COMMITTEE ON APPROPRIATIONS
Senator Ricardo Lara, Chair
2015 - 2016 Regular Session
AB 2568 (Atkins) - Integrated health and human services program
Version: June 30, 2016 | Policy Vote: HEALTH 7 - 0, HUMAN S. 5 - 0 |
Urgency: No | Mandate: No |
Hearing Date: August 8, 2016 | Consultant: Brendan McCarthy |
This bill does not meet the criteria for referral to the Suspense File.
Bill Summary:
AB 2568 would authorize San Diego County to operate an integrated health and human services system.
Fiscal Impact:
- No significant fiscal impact to any state department is anticipated. The bill authorizes state agencies that interact with the integrated program authorized in the bill to waive state regulations as needed to allow the San Diego to operate an integrated system. Any costs to do so by impacted state agencies are anticipated to be minor.
- No state fiscal impact is anticipated due to potential changes to realignment funding within San Diego County. Under current law, counties have the authority to move up to 10% of funds in their Support Services Account between the various subaccounts. Current law allows counties that operate a joint health and human services system to move unlimited amounts of funding between the subaccounts. Because the overall amount of realignment funding to San Diego County would not change under the bill, there is no state fiscal impact from this change.
Background:
Current law authorizes Humboldt, Mendocino, Alameda, and Placer counties to operate integrated health and human services system and authorizes the Secretary of Human Services to authorize additional counties to do so. Current law places certain requirements on the use of that authority by participating counties.
Current law relating to the 2011 realignment establishes the Support Services Account and several subaccounts within the Support Services Account to be used to fund specified realigned programs using county realignment funds. Current law authorizes counties to reallocate funds between the subaccounts, providing the reallocation does not exceed 10% of the funds deposited in the subaccount with the lowest balance. However, current law also allows a county that operates an integrated health and human services system to reallocate more than 10% of funds between the Protective Services Subaccount and the Behavioral Health Subaccount.
Proposed Law:
AB 2568 would authorize San Diego County to operate an integrated health and human services system.
Specific provisions of the bill would:
- Authorize the County of San Diego to operate an integrated and comprehensive health and human services system;
- Specify services that may be provided, but not limit the services that may be provided to those identified in the bill;
- Require the county to comply with all applicable state and federal medical and social service privacy protection laws;
- Limit the inclusion of programs or services to the extent that federal funding shall not be reduced;
- Specify that the bill does not authorize the county to discontinue meeting any existing obligations under current law;
- Require the county to utilize all state General Fund and county funds that it is legally allocated or entitled to received;
- Prohibit the integration from resulting in additional expenditures from the General Fund;
- Authorize appropriate state departments that interact with the integrated program to waive regulations necessary to meet the requirements of the bill, with specified limitations.
Staff Comments:
Staff notes that discussions are ongoing between the author and the Administration about potentially expanding this bill to create statewide authority for counties to operate integrated health and human services systems.
-- END --
SENATE COMMITTEE ON HUMAN SERVICES
Senator McGuire, Chair
2015 - 2016 Regular
Bill No: AB 2568
Author: | Atkins | ||
Version: | June 13, 2016 | Hearing Date: | June 28, 2016 |
Urgency: | No | Fiscal: | No |
Consultant: | Mareva Brown | ||
Subject: Integrated health and human services program
SUMMARY
This bill would authorize the County of San Diego, upon approval of the county board of supervisors, to operate an integrated and comprehensive health and human services system.
ABSTRACT
Existing law:
- Authorizes the counties of Humboldt, Mendocino and Alameda, and any additional county or counties, as determined by the Secretary of California Health and Human Services, to implement a program, upon approval of the county board of supervisors for the funding and delivery of services and benefits through an integrated and comprehensive county health and human services system, as specified. (WIC 18986.86)
- Permits the integrated program to implement and evaluate a system of universal intake for those seeking services; provide multiple services for families through an integrated, coordinated service plan, as appropriate; implement a coordinated management system to support clients; and implement and evaluate a system of accountability, among other items. (WIC 18986.86 (b))
- Prohibits creation of an integrated county health and human services system if it will result in a loss of federal funding to either the state or the county and prohibits the programs from generating any increased General Fund expenditures. (WIC 18986.86 (e))
- Requires a participating county, in consultation with the appropriate state departments, as designated by the Secretary of Health and Human Services, to develop outcomes and performance measures specific to the project prior to the implementation of the pilot program. Implementation of a pilot program pursuant to this chapter shall occur no later than January 1, 2009. (WIC 18986.87(a))
- Requires a participating county to evaluate its program with the participation of the appropriate state departments, as designated by the Secretary of Health and Human Services, and prepare interim and final evaluations and submit them to the Governor or the Governor’s designee and the appropriate policy committees of the Legislature. The interim report shall be submitted not later than six months following the third year of the implementation of the program. The final report shall be submitted not later than July 1, 2008. Requires each participating county to provide for the evaluation of the program. (WIC 18986.87(b))(WIC 18986.87 (c))
- Permits the county of San Mateo to apply for a waiver of state regulations pertaining to single agency operations and auditing requirements that hinder the coordination of human services, and specifies issues the county must address in the application. (WIC 18989)
- Permits Placer County, with the assistance of the appropriate state departments, to implement a program to deliver integrated and comprehensive county health and human services, and requires the county evaluate specific innovations, including universal intake and a coordinated plan with one caseworker for multiple family services. Additionally, specifies the types of services that may be integrated and requires that the integration not result in a loss of federal funding. (WIC 18986.6)
- Establishes, under provisions implementing the 2011 Realignment, the Support Services Account. Establishes, within the Support Services Account, the Protective Services Subaccount, the Behavioral Health Subaccount, and the County Intervention Support Services Subaccount, among others. (GOV 30025)
- Permits, under implementation of the 2011 Realignment, each county to reallocate money between subaccounts in the Support Services Account, provided that the reallocation may not exceed 10 percent of the amount deposited in the immediately preceding fiscal year in the subaccount in the Support Services Account with the lowest balance. Requires the reallocation is considered at a publicly noticed meeting and is based on the most cost-effective use of available resources to maximize client outcomes. (WIC 30025 (f)(4)(A))
- Exempts a county authorized to operate an integrated and comprehensive county health and human services system, as defined, from the 10 percent limit on reallocation of money between the Protective Services Subaccount and the Behavioral Health Subaccount, as specified. (WIC 30025 (f)(4)(B))
This bill:
- Authorizes the County of San Diego, upon approval of the county board of supervisors, to operate an integrated and comprehensive health and human services system, notwithstanding a statutorily required pilot implementation date of 2009, and a report to the Legislature due in 2008.
FISCAL IMPACT
This bill has been keyed non fiscal by Legislative Counsel.
BACKGROUND AND DISCUSSION
Purpose of the bill:
According to the author, the county of San Diego has had an integrated and comprehensive health and human services system since 1996, when the county Board of Supervisors approved merging “five local organizations into a single super-agency.” Those agencies include the former departments of Health Services, Social Services, Veterans Services, Area Agency on Aging and the commission on Children Youth and Family. Two years after its merger, the Public Administrator and Public Guardian was integrated into the Health and Human Services Agency.
The author states that while the Health and Human Services Agency has the ability to create a streamlined and effective client-focused delivery of health and social services in San Diego County, it is does not share the authorization of a handful of counties that have been statutorily designated to implement an integrated and comprehensive health and human services system, subject to certain limitations.
The author states that “AB 2568 would add the County of San Diego, upon approval of the board of supervisors, as one of several counties authorized to operate an integrated and comprehensive health and human services system.”
Integrated Health and Human Services Agencies
Five California counties currently have specific authorization in statute to create integrated health and human services agencies.
Humboldt, Mendocino and Alameda authorizations
Welfare and Institutions Code 18986.86 authorizes Humboldt, Mendocino, and Alameda counties – and any additional county or counties, as determined by the Secretary of California Health and Human Services, with the assistance and participation of the appropriate state departments – to implement a program, upon approval of the county board of supervisors for the funding and delivery of services and benefits through an integrated and comprehensive county health and human services system.
It permits these counties to implement and evaluate specific innovative components within its agency, including universal intake, an integrated and coordinate service plan that includes services across various agencies, coordination of client management, and integration of various services in a way that does not cause a loss of state or federal funding, and other elements.
Additionally it authorizes the county, in consultation with the appropriate state departments, as designated by the Secretary of Health and Human Services, to develop specific goals to achieve an integrated and comprehensive county health and human services system. The statute additionally requires information sharing agreements to protect client privacy, and prohibits a county with an integrated agency from discontinuing services or reducing client eligibility. It requires the Secretary of the state Health and Human Services agency to designate a lead department to coordinate the state’s participation in the county’s program.
San Mateo County
WIC 18989 permits San Mateo County to apply for a state waiver of regulations that pertain to single agency operations, and to auditing and accounting requirements that hinder the coordination of services under an integrated health and human services agency. The statute specifies that a waiver of confidentiality requirements pertains only to case management tasks, and prohibits the waiver from modifying regulations governing the qualifications of professionals employed in human services programs.
Additionally, the statute requires the waiver be submitted to the state Health and Human Services Agency and to identify why the regulations that are being requested to be waived hinder the integration of services and how many people would be served with, and without, the waiver, among other required elements.
Placer County
WIC 18986.6 requires Placer County to implement a program, with the assistance of appropriate state departments and upon approval of the county, for the funding and delivery of services through an integrated health and human services system.
It requires the county to implement and evaluate a universal intake system, an integrated and coordinated service plan whereby a single county employee may provide multiple services, a centralized management and client support system, and other innovations. The statute also requires Placer County and the state to jointly seek federal approval of the program, as needed to ensure funding, and mandates that programs or services be included in the program only to the extent that federal funding to the state or county is not reduced.
2011 Realignment
Legislation that enacted 2011 Realignment shifts more than $6 billion in state revenues and funding responsibilities to local governments. Revenue from realignment comes from state sales tax and state and local vehicle license fee.
Realignment establishes various accounts and subaccounts, including the Support Services Account, which includes the County Intervention Support Services Subaccount, the Protective Services Subaccount and the Behavioral Health Subaccount.
Under existing law, counties can annually reallocate money between subaccounts in the Support Services Account, but the reallocation cannot exceed 10 percent of the amount deposited in the immediately preceding fiscal year in the subaccount with the lowest balance.
SB 1020 (Committee on Budget and Fiscal Review, Chapter 40, Statutes of 2012), furthered the implementation of the 2011 Realignment. One provision of SB 1020 allowed any county authorized to operate an integrated and comprehensive county health and human services system to reallocate money between the Protective Services Subaccount and the Behavioral Health Subaccount without being subject to the 10 percent limit in existing law.
In 2014-15, San Diego County received more than $190 million in revenue in these two accounts. The chart on the next page delineates the subaccounts within the Support Services Account.
Protective Services Subaccount | Behavioral Health Subaccount |
Adult protective services | Residential perinatal drug services and treatment |
Foster care grants and services | Drug court operations and services |
Administrative costs of foster care services | Nondrug Medi-Cal substance abuse treatment programs |
Child welfare services | Drug Medi-Cal program |
Adoptive services | Medi-Cal specialty mental health services, including the Early and Periodic Screening, Diagnosis, and Treatment Program and mental health managed care |
Child abuse prevention, intervention and treatment | Women and Children’s Residential Treatment Services program* |
Administrative costs of family adopting children with special needs |
|
* From funds in the Women and Children’s Residential Treatment Services Special Account, which is a subaccount of the Behavioral Health Account.
Related legislation:
SB 1020 (Budget and Fiscal Review, Chapter 40, Statutes of 2012) created a permanent fund structure for 2011 Realignment, and merged specified subaccounts into the Protective Services Subaccount within the Supportive Services Account.
AB 315 (Berg, Chapter 264, Statutes of 2007) eliminated the county integrated health and human services program sunset date of January 1, 2009.
AB 1881 (Berg, Chapter 655, Statutes of 2004), extended the county integrated health and human services program sunset to January 1, 2009, and authorized additional counties to participate in the program if approved by the Secretary of Health and Human Services Agency.
AB 1259 (Strom-Martin, Chapter 705, Statutes of 1999) established the county integrated health and human services program for Humboldt, Mendocino and Alameda Counties, with a sunset date of January 1, 2005.
AB 866 (Thomson, Chapter 265, Statutes of 1997) required Solano County to implement a pilot program similar to the county integrated health and human services program, with a sunset date for the pilot program of July 1, 2002.
AB 1846 (Leslie, Chapter 899, Statutes of 1996) required Placer County to implement a pilot program for the funding and delivery of services and benefits through an integrated and comprehensive county health and human services system, as specified.
COMMENTS
The author states that this bill will simply add San Diego County to the other counties authorized to create integrated health and human services programs. However, the language of this bill does not require San Diego’s program to include the state oversight or coordination, confidentiality guarantees, integration of innovative case management practices, prohibition against reduction in federal funding, or other provisions that are required for other integrated health and human services systems in California. In addition to the amendments below, the California Health and Human Services Agency has indicated it will be providing the author with technical assistance prior to a floor vote on this nonfiscal bill that would require additional reporting of funding transfers and implement other measures.
Staff recommends the following amendments:
WIC 18986.89. (a) Notwithstanding the dates provided in subdivisions (a) and (b) of Section 18986.87, the County of San Diego may, upon approval of the county board of supervisors, operate an integrated and comprehensive health and human services system.
(b) In providing services through an integrated system to families and individuals, the system may, among other things, do the following:
(1) Maintain and evaluate a system of administration that integrates and coordinates the management and support of client services.
(2) Maintain a system of reporting and accountability that provides for the combined provision of services without the loss of state or federal funds provided under current law.
(c) The integrated and comprehensive county health and human services system may include, but not be limited to, any or all of the following:
(1) Adoption services.
(2) Child abuse prevention services.
(3) Child welfare services.
(4) Delinquency prevention services.
(5) Drug and alcohol services.
(6) Mental health services.
(7) Eligibility determination.
(8) Employment and training services.
(9) Foster care services.
(10) Health services.
(11) Public health services.
(12) Housing services.
(13) Medically indigent program services.
(14) Veteran’s services
(15) Aging services.
(16) Any other related program as designated by the board of supervisors.
(d)The county shall comply with all applicable state and federal privacy laws that govern medical and social service information, including but not limited to the Confidentiality of Medical Information Act, the federal Health Insurance portability and Accountability Act, and Welfare and Institutions Code sections 827, 5328 and 10850.
(e) Programs or services shall be included in the system only to the extent that federal funding to either the state or the county will not be reduced as a result of the inclusion of the services in the project.
(f) This chapter shall not authorize the county to discontinue meeting its obligations under current law to provide services or to reduce its accountability for the provision of these services.
(g) The county shall utilize any and all state general and county funds that it is legally allocated or entitled to receive. Through the creation of integrated health and social services structures, the county shall maximize federal matching funds. This integration shall not result in increased expenditures from the General Fund.
(h) The appropriate state departments, as designated by the Secretary of Health and Human Services, that are assisting, participating, and cooperating in the program authorized by this chapter shall have the authority to waive regulations, with the concurrence of the county, regarding the method of providing services and the method of reporting and accountability, as may be required to meet the goals set forth in subdivision (b). However, the departments shall not waive regulations pertaining to privacy and confidentiality of records, civil service merit systems, or collective bargaining. The departments shall not waive regulations if the waiver results in a diminished amount or level of services or benefits to eligible recipients as compared to the benefits and services that would have been provided to recipients absent the waiver.
PRIOR VOTES
Assembly Floor: | 79 - 0 |
Assembly Appropriations Committee: |
|
Assembly Human Services Committee: | 6 - 0 |
POSITIONS
Support:
County of San Diego (Sponsor)
Urban Counties of California
California State Association of Counties
Oppose:
None.
-- END --
SENATE COMMITTEE ON HEALTH
Senator Ed Hernandez, O.D., Chair
BILL NO: AB 2568
AUTHOR: | Atkins | ||
VERSION: | February 19, 2016 | ||
HEARING DATE: | June 8, 2016 | ||
CONSULTANT: | Scott Bain | ||
SUBJECT: Integrated health and human services program
SUMMARY:
Authorizes the San Diego County to operate an integrated and comprehensive health and human services system, upon approval by the county board of supervisors.
Existing law:
- Authorizes the Counties of Humboldt County, Mendocino County, Alameda County, and any additional county or counties, as determined by the Secretary of California Health and Human Services, to implement a program, upon approval of the county board of supervisors for the funding and delivery of services and benefits through an integrated and comprehensive county health and human services system. Requires implementation of a pilot program to occur no later than January 1, 2009 with an evaluation required to be submitted to the Health and Human Services Agency prior to July 1, 2008.
- Authorizes an agency established by San Mateo County to apply for a waiver of existing state regulations pertaining to single agency operations and auditing and accounting requirements that hinder the coordination of human services provided by that agency.
- Requires Placer County to implement a program, upon county approval, for the funding and delivery of services and benefits through an integrated and comprehensive county health and human services system.
- Establishes, under provisions implementing the 2011 Realignment, the Support Services Account. Establishes, within the Support Services Account, the Protective Services Subaccount, the Behavioral Health Subaccount, and the County Intervention Support Services Subaccount.
- Authorizes, under provisions implementing the 2011 Realignment, each county to reallocate money between subaccounts in the Support Services Account, provided that the reallocation may not exceed 10% of the amount deposited in the immediately preceding fiscal year in the subaccount in the Support Services Account with the lowest balance.
- Authorizes, under provisions implementing the 2011 Realignment, any county authorized to operate an integrated and comprehensive county health and human services system under the provisions in 1) through 3) above to reallocate money between the Protective Services Subaccount and the Behavioral Health Subaccount within the Support Services Account of the County Local Revenue Fund 2011 without being subject to the existing 10% limit on transfers in existing law.
This bill:
- Authorizes the San Diego County to operate an integrated and comprehensive health and human services system, upon approval by the county board of supervisors.
FISCAL EFFECT:
None
PRIOR VOTES:
Assembly Floor: | 79 - 0 |
Assembly Human Services Committee: | 6 - 0 |
COMMENTS:
- Author’s statement. According to the author, the County of San Diego Health and Human Services Agency has a longstanding local designation as an integrated and comprehensive health and human services system. In 1996, the San Diego County Board of Supervisors merged five local organizations into a super-agency comprised of the former Departments of Health Services, Social Services, Veteran Services, Area Agency on Aging, and the Commission on Children Youth and Family. In 1998 the Public Administrator and Public Guardian was also placed in the Health and Human Services Agency. The Health and Human Services Agency has authority over a broad array of services including aging and independence services, behavioral health, child welfare, public health, and self-sufficiency. Merging the services into one comprehensive system has enabled a more streamlined and effective client-focused delivery of health and social services for almost two decades. State law authorizes the Counties of Humboldt, Mendocino and Alameda to implement a program for the funding and delivery of services and benefits through an integrated and comprehensive county health and human services system, subject to certain limitations. This bill would authorize San Diego County to operate an integrated and comprehensive health and human services system.
- Integrated health and human services system and 2011 Realignment. Legislation that enacted 2011 Realignment shifts over $6 billion in state revenues and funding responsibilities to local governments. Revenue from realignment comes from state sales tax and state and local vehicle license fee. Realignment establishes various accounts, and subaccounts within those accounts.
One of the realignment accounts is the Support Services Account, which includes the County Intervention Support Services Subaccount, the Protective Services Subaccount and the Behavioral Health Subaccount. Under existing law, counties can annually reallocate money between subaccounts in the Support Services Account, except that the reallocation cannot exceed 10% of the amount deposited in the immediately preceding fiscal year in the subaccount in the Support Services Account with the lowest balance.
SB 1020 (Committee on Budget and Fiscal Review, Chapter 40, Statutes of 2012), furthers the implementation of the 2011 Realignment. One of the provisions of SB 1020 allowed any county authorized to operate an integrated and comprehensive county health and human services system to reallocate money between the Protective Services Subaccount and the Behavioral Health Subaccount without being subject to the 10% limit in existing law. In 2014-15, San Diego County received over $190 million in revenue in these two accounts.
Programs in the Protective Services Subaccount and the Behavioral Health Subaccounts are as follows:
Protective Services Subaccount | Behavioral Health Subaccount |
Adult protective services | Residential perinatal drug services and treatment |
Foster care grants and services | Drug court operations and services |
Administrative costs of foster care services | Nondrug Medi-Cal substance abuse treatment programs |
Child welfare services | Drug Medi-Cal program |
Adoptive services | Medi-Cal specialty mental health services, including the Early and Periodic Screening, Diagnosis, and Treatment Program and mental health managed care |
Child abuse prevention, intervention and treatment | Women and Children’s Residential Treatment Services program* |
Administrative costs of family adopting children with special needs |
|
* From funds in the Women and Children’s Residential Treatment Services Special Account, which is a subaccount of the Behavioral Health Account. |
- Double referral. This bill is double referred. Should this bill pass out of this committee, it will be referred to the Senate Human Services Committee.
- Prior legislation.
- AB 1846 (Leslie, Chapter 899, Statutes of 1996), required Placer County to implement a pilot program similar to the county integrated health and human services program, and set a sunset date for the pilot program of July 1, 2001.
- AB 866 (Thomson, Chapter 265, Statutes of 1997), required Solano County to implement a pilot program similar to the county integrated health and human services program, with a sunset date for the pilot program of July 1, 2002.
- AB 1259 (Strom-Martin, Chapter 705, Statutes of 1999), established the county integrated health and human services program for Humboldt, Mendocino and Alameda Counties, with a sunset date of January 1, 2005.
- AB 1881 (Berg, Chapter 655, Statutes of 2004), extended the county integrated health and human services program sunset to January 1, 2009, and authorized additional counties to participate in the program if approved by the Secretary of Health and Human Services Agency.
- AB 315 (Berg, Chapter 264, Statutes of 2007), eliminated the county integrated health and human services program repeal date of January 1, 2009 established in AB 1881 (Berg, of 2004).
- Support. This bill is sponsored by San Diego County, which argues it has a long-standing designation as an integrated and comprehensive health and human services system. San Diego County writes that it approved the merger of multiple organizations into a single Health and Human Services Agency, which has authority over a broad array of services, including aging and independence services, behavioral health services, child welfare services, public health services and self-sufficiency services. San Diego County writes that this bill would allow San Diego County to utilize the benefit of being recognized as an integrated and comprehensive county health and human services system as the counties of Humboldt, Mendocino and Alameda already are.
- Policy issues.
- Bill limited to San Diego County. Existing law authorized any county to establish an integrated and comprehensive county health and human services system upon approval of the county board of supervisors. However, implementation of such a program had to occur before January 1, 2009, and was subject to conditions, including an evaluation had to be completed prior to July 1, 2008. In effect, the authority in realignment to reallocate money between the Protective Services Subaccount and the Behavioral Health Subaccount above 10% across accounts is limited to those counties that already have such a system, and under this bill, San Diego County. Should the authority in this bill be extended to other counties?
- Recommended technical amendment. As drafted, this bill is contained in a chapter that requires implementation of the integrated and comprehensive county health and human services system prior to January 1, 2009, and an evaluation prior to July 1, 2008. Staff recommends a technical amendment to this bill that would “notwithstand” the section of law with those dates.
SUPPORT AND OPPOSITION:
Support: San Diego County (sponsor)
California State Association of Counties
Urban Counties of California
Oppose: None received
-- END --
Date of Hearing: April 26, 2016
ASSEMBLY COMMITTEE ON HUMAN SERVICES
Susan Bonilla, Chair
ABPCA Bill Id:AB 2568 (
Author:Atkins) – As Introduced Ver:February 19, 2016
SUBJECT: Integrated health and human services program
SUMMARY: Authorizes the County of San Diego to, upon approval of the county board of supervisors, operate an integrated and comprehensive health and human services system.
EXISTING LAW:
- Permits Humboldt County, Mendocino County, Alameda County, and any additional county or counties, as determined by the Secretary of the California Health and Human Services Agency, as specified, to implement a program, upon approval of the county board of supervisors, for the funding and delivery of services and benefits through an integrated and comprehensive county health and human services system. (WIC 18986.86)
- Places a number of requirements on participating counties regarding their county integrated health and human services programs, including, but not limited to:
- Observing disclosure and privacy requirements related to medical information, as specified;
- Including programs or services only to the extent that federal funding will not be reduced, and/or General Fund expenditures will not be increased, as a result;
- Seeking federal approval of the program as may be needed to ensure funding and allow for the integrated provision of services, as specified; and
- Utilizing any and all state general and county funds that the county is legally allocated or entitled to receive and further, maximizing federal matching funds.
FISCAL EFFECT: Unknown.
COMMENTS:
County integrated health and human services programs: In 1996 and 1997, respectively, California authorized Placer and Solano Counties to operate integrated health and human services pilot projects via AB 1846 (Leslie), Chapter 899, Statutes of 1996, and AB 866 (Thomson), Chapter 265, Statutes of 1997. A similar program was adopted for Humboldt, Mendocino, and Alameda counties in 1999 by AB 1259 (Strom-Martin), Chapter 705, Statutes of 1999. Subsequent legislation extended the sunset date (AB 1881 (Berg), Chapter 655, Statutes of 2004) and later made the programs permanent by repealing the sunset (AB 315 (Berg), Chapter 264, Statutes of 2007). AB 1881 also allowed additional counties to be included if approved by the Secretary of the Health and Human Services Agency.
County integrated health and human services programs cover a wide range of health and human services, including adoption, child welfare, foster care, drug and alcohol, mental health, eligibility determination, public health, housing and medically indigent health care. These programs employ a variety of assessment and service-delivery methods, including universal intake, coordinated service plans, and integrated case management and reporting. These programs enable information to be shared between programs; however, limitations are placed on the disclosure of medical information without authorization of the client, and memoranda of understanding must be developed between affected agencies.
Regarding AB 315 (Berg), Assembly Member Berg stated that, “by consolidating such services, counties are able to demonstrate cost savings and increase efficiency while providing quality services…. In an era where health and human services are targeted to be cut, innovation and cost savings are key to maintaining an adequate level of service to those in need.”
San Diego County health and human services: According to the author’s office, the County of San Diego Health and Human Services Agency has utilized an integrated agency approach to offering Behavioral Services and Protective Services since 1996, when the San Diego County Board of Supervisors approved the merging of five local organizations into a single super-agency composed of the former Department of Health Services, Department of Social Services, Department of Veteran Services, Area Agency on Aging, and the Commission on Children Youth and Family. According to the author, this Agency has authority over a broad array of services including those dealing with aging and independence services, behavioral health, child welfare, public health, and self-sufficiency services, and, “bringing these many services together into one comprehensive system has enabled a more streamlined and effective client-focused delivery of health and social services in San Diego County for almost two decades.”
Need for this bill: This bill seeks to officially designate San Diego County’s utilization of an integrated approach to offering Behavioral Services and Protective Services in order to allow for greater flexibility between the two accounts.
According to the author, “Existing law authorizes the Counties of Humboldt, Mendocino and Alameda to implement a program for the funding and delivery of services and benefits through an integrated and comprehensive county health and human services system, subject to certain limitations. [This bill] would authorize the County of San Diego, upon approval of the County Board of Supervisors, to operate an integrated and comprehensive health and human services system.”
Staff comments: As currently written, this bill differs from other statutorily authorized integration efforts by not including details such as requiring county compliance with disclosure and privacy requirements related to medical information, placing a prohibition on the inclusion of programs that will reduce federal funding or increase General Fund expenditures, and requiring counties to seek federal approval of the program, as specified. Part of this difference arguably results from the fact that the agency in San Diego County already employs an integrated model, whereas previous efforts were constructed after enactment. However, should this bill move forward, the author may wish to consider including San Diego County in already-existing provisions of law regarding other counties’ integrated health and human services programs, thereby reducing confusion and, more importantly, avoiding disparate treatment of various county programs by ensuring that all programs are held to the same standards and requirements.
PRIOR LEGISLATION:
AB 315 (Berg), Chapter 264, Statutes of 2007, eliminated the January 1, 2009, repeal date for the Humboldt, Mendocino, and Alameda County integrated health and human services programs.
AB 1881 (Berg), Chapter 655, Statutes of 2004, extended the sunset for the Humboldt, Mendocino, and Alameda County integrated health and human services programs to January 1, 2009, and authorized additional counties to participate in the program if approved by the Secretary of the Health and Human Services Agency.
AB 1259 (Strom-Martin), Chapter 705, Statutes of 1999, established the Humboldt, Mendocino, and Alameda County integrated health and human services programs, with a sunset date of January 1, 2005.
AB 866 (Thomson), Chapter 265, Statutes of 1997, required Solano County to implement an integrated health and human services pilot program, with a sunset date of July 1, 2002.
AB 1846 (Leslie), Chapter 899, Statutes of 1996, required Placer County to implement an integrated health and human services pilot program, with a sunset date of July 1, 2001.
REGISTERED SUPPORT / OPPOSITION:
Support
County of San Diego – sponsor
Opposition
None on file.
Analysis Prepared by: Daphne Hunt / HUM. S. / (916) 319-2089
Discussed in Hearing
53SEC
Assembly Floor
2MIN
Senate Floor
4MIN
Senate Standing Committee on Human Services
5MIN
Senate Standing Committee on Health
Bill Author
Bill Co-Author(s):