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SB-1104 Developmental services.(1999-2000)

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SB1104:v95#DOCUMENT

Passed  IN  Assembly  September 09, 1999
Passed  IN  Senate  September 10, 1999

CALIFORNIA LEGISLATURE— 1999–2000 REGULAR SESSION

Senate Bill
No. 1104


Introduced  by  Senator Chesbro, Speier
(Principal Coauthor(s): Senator Burton, Sher, Solis)
(Principal Coauthor(s): Assembly Member Aroner, Wildman)
(Coauthor(s): Senator O'Connell, Rainey)
(Coauthor(s): Assembly Member Dutra, Hertzberg, Honda, Lempert, Machado, Maldonado, Shelley, Strom-Martin)

February 26, 1999


An act to amend Section 14672.9 of the Government Code, and to amend Sections 4690.3, 4690.4, and 4691.5 of the Welfare and Institutions Code, relating to developmental services, making an appropriation therefor, and declaring the urgency thereof, to take effect immediately.


LEGISLATIVE COUNSEL'S DIGEST


SB 1104, Chesbro. Developmental services.
Existing law, the Lanterman Developmental Services Act, requires the State Department of Developmental Services to contract with regional centers for the provision of various services and support to persons with developmental disabilities. Existing law also establishes ratesetting methodology for in-home respite services and community-based day programs provided to persons with developmental disabilities.
This bill would provide for a rate adjustment for in-home respite service agencies, or individuals providing those services, and for community-based day program agencies for the 1999–2000 fiscal year, effective retroactive to July 1, 1999, and would require those agencies to reimburse their direct care service workers at no less than the increased amount in their rate.
Existing law requires the department, in consultation with stakeholder organizations, to develop performance-based consumer outcome rate systems for community-based day programs and in-home respite services.
This bill would require the department to provide the Legislature, no later than April 1, 2000, with options and recommendations regarding restructuring efforts designed to develop those systems.
Existing law authorizes the Director of General Services, with the consent of the State Department of Developmental Services, to lease certain real property on the grounds of the Agnews State Hospital to a nonprofit corporation. Under existing law, in addition to the rent paid by the nonprofit corporation to the state, the nonprofit corporation is required to pay the state 50% of the gross rental income resulting from certain subleases through June 30, 2024, and 75% of the gross rental income from July 1, 2024 to July 1, 2053, for deposit in the Developmental Disabilities Services Account. Under existing law, funds in the account are held without regard to fiscal year. Existing law requires the department to report annually to certain committees of the Legislature regarding the account.
This bill would appropriate $1,000,000 from the account to the department for expenditure through a request for proposals process for projects that expand the availability of affordable housing for persons with developmental disabilities. This bill would also change the content required to be submitted in the annual report to committees of the Legislature.
This bill would also appropriate $13,336,000 in augmentation of appropriations made in the Budget Act of 1999, to provide for a 4% increase for direct care service workers’ salary, wages, and benefits.
This bill would declare that it is to take effect immediately as an urgency statute.
Appropriation: YES  

The people of the State of California do enact as follows:


SECTION 1.

 Section 14672.9 of the Government Code is amended to read:

14672.9.
 (a) Notwithstanding Section 14670, the Director of General Services, with the consent of the State Department of Developmental Services, may let in the best interests of the state to a nonprofit corporation, for the purposes specified in this section, real property not exceeding 45.3 acres located within the grounds of the Agnews State Hospital. Of this amount, up to 27 acres may be leased for a period not to exceed 79 years beginning in 1974 and ending July 1, 2053, for the purpose of constructing a business development park. In addition, no more than five acres, of the remaining acres, required by the local government agency for offsite improvements and roadways to support the business development park, may be leased for a period not to exceed 79 years beginning in 1974 and ending July 1, 2053. The remaining acres shall be leased for a period not to exceed 50 years beginning in 1974 and ending on July 1, 2024, for the purpose of conducting an educational and work program for developmentally disabled and other handicapped persons. In the event the nonprofit corporation fails to substantially commence construction of the business development park by July 1, 1988, the terms of the lease allowing construction of a business development park and roadways and offsite improvements shall be null and void, and the lease shall revert to a 50-year period terminating July 1, 2024.
The Department of General Services may provide a one-year extension to the deadline for commencement of construction if the department determines the nonprofit corporation has reasonable grounds for failure to commence construction.
(b) The lease authorized by this section shall be subject to periodic review every five years. The review shall require submission of a report every five years by the lessee. The report shall be reviewed by the Director of General Services, who shall assure the state that the original purposes of the lease are being carried out.
(c) Subject to the approval of the Director of General Services and the State Department of Developmental Services, a lease executed under subdivision (a) may be revised to provide any of the following:
(1) That the nonprofit corporation may assign its interest in the leased property, in whole or in part.
(2) That the nonprofit corporation may sublet all or any portion of the leased property.
(3) That the nonprofit corporation may enter into joint ventures with any other person, firm, partnership, or corporation to construct facilities or to conduct programs and activities on the leased property.
(d) Any revision of the nonprofit corporation’s lease pursuant to subdivision (c) shall be subject to the requirement that all activities, assignments, and subleases shall be in furtherance of the purposes specified in subdivision (a).
(e) Any sublease or partial assignment or transfer of the nonprofit corporation’s interest in the leased property, whether voluntary, involuntary, or by operation of law, shall not terminate the nonprofit corporation’s remaining interest in the leased property.
(f) In addition to rent paid by the nonprofit corporation to the state, the nonprofit corporation shall pay the state 50 percent of the gross rental income resulting from any subleases pursuant to subdivision (c) through June 30, 2024, and 75 percent of the gross rental income from July 1, 2024, to July 1, 2053.
(g) (1) Any proceeds received by the state shall be deposited in a special account within the General Fund to be known as the Developmental Disabilities Services Account. All funds within this account shall be held without regard to fiscal year. Any interest accruing to moneys deposited in the account also shall accrue to the account.
(2) Funds within this account shall be expended by the department, through a request for proposals process, for projects that expand the availability of affordable housing for persons with developmental disabilities. Prior to expenditure, the department shall do all of the following:
(A) Consult with stakeholder groups, as designated by the State Department of Developmental Services, in the development of criteria for requests for proposals.
(B) Consult with stakeholder groups, as designated by the State Department of Developmental Services, in ranking proposals and awarding funds.
(3) For the 1999–2000 fiscal year, one million dollars ($1,000,000) is hereby appropriated from the Developmental Disabilities Services Account to Item 4300-101-0496 for expenditure by the State Department of Developmental Services for the purposes of this subdivision.
(4) At least one project shall be located on the site previously known as the West Campus of Agnews Developmental Center.
(5) In no case shall funds be awarded directly to a regional center for the development or management of housing projects or to fund regional center staff required in paragraph (4) of subdivision (c) of Section 4640.6 of the Welfare and Institutions Code.
(h) On or before April 15 of each year, the State Department of Developmental Services shall submit a report to the appropriate legislative policy and budget committees. The report shall include, but not be limited to, the following information:
(1) A description of projects funded in the previous fiscal year.
(2) A description of the process used to select projects, including the criteria used to select projects and stakeholder groups which were consulted.
(i) Any profits to the nonprofit corporation from the proceeds of a sublease executed pursuant to paragraph (2) of subdivision (c) shall be directed into programs for persons with disabilities for the purpose of directly benefiting clients of the nonprofit corporation.
(j) A minimum of 15 percent of the total number of jobs created as a result of the sublease shall be reserved for handicapped employees and placed by the nonprofit corporation.

SEC. 2.

 Section 4690.3 of the Welfare and Institutions Code is amended to read:

4690.3.
 (a) For the 1998–99 fiscal year, rates for in-home respite services agencies that are vendored pursuant to Section 4690.2 and the department’s regulations to provide in-home respite services shall be increased based on the amount appropriated in the Budget Act of 1998 for the purpose of increasing the salary, wage, and benefit portion of the rate for in-home respite services workers. Agencies shall reimburse their respite workers at no less than the increased amount in their rate for the 1998–99 fiscal year and thereafter.
(b) For the 1998–99 fiscal years an individual who provides in-home respite services, pursuant to vendorization pursuant to the department’s regulations, shall also receive a rate increase pursuant to subdivision (a).
(c) For the 1999–2000 fiscal year, and effective retroactive to July 1, 1999, rates for in-home respite service agencies that are vendored pursuant to Section 4690.2 and the department’s regulations to provide in-home respite services shall have their existing rates adjusted, using the 1995–96 cost statement information, to provide a 4-percent increase for the direct care service workers’ salary, wages, and benefits. Agencies shall reimburse their direct care service workers at no less than the increased amount in their 1999–2000 fiscal year rate.
(d) For the 1999–2000 fiscal year, and effective retroactive to July 1, 1999, an individual who provides in-home respite services, pursuant to vendorization under the department’s regulations, shall also receive an increase in his or her rate consistent with subdivision (c).

SEC. 3.

 Section 4690.4 of the Welfare and Institutions Code is amended to read:

4690.4.
 (a) Sections 4690.2, 4691, and 4691.5, which relate to in-home respite service agencies and community-based day programs, shall apply in the 1998–99 fiscal year with the following exceptions:
(1) The 1997–98 fiscal year allowable costs and consumer attendance data submitted to the department by September 30, 1998, shall not be utilized by the department to determine a new mean rate and allowable range of rates, pursuant to regulations, but may be used only in developing a new rate system.
(2) The allowable range of rates and mean rate established for the 1997–98 fiscal year shall be continued.
(3) The rate for new programs shall be the mean rate determined for the same type of program and staff-to-consumer ratio for the 1997–98 fiscal year.
(b) The department shall, in consultation with stakeholder organizations, develop performance-based consumer outcome rate systems for community-based day programs and in-home respite services. If rates for community-based day programs are increased in the 1998–99 fiscal year pursuant to paragraphs (1) to (3), inclusive, of subdivision (e) of Section 4691.5, and rates for in-home respite services are increased in the 1998–99 fiscal year pursuant to paragraph (5) of subdivision (b) of Section 4690.2, as added by the act adding this section to the Welfare and Institutions Code, then effective September 1, 1998, and until such time as the new rate systems are implemented, or unless funds are otherwise appropriated for rate adjustments, rates shall be frozen.
(c) The department shall provide the Legislature with options and recommendations regarding the restructuring efforts, designed to develop performance-based consumer outcome rate systems for community-based day programs and in-home respite services, by no later than April 1, 2000.

SEC. 4.

 Section 4691.5 of the Welfare and Institutions Code is amended to read:

4691.5.
 The ratesetting methodology, to be established pursuant to subparagraph (C) of paragraph (3) of subdivision (b) of Section 4691 shall include, but need not be limited to, all of the following:
(a) A process for establishing rates during fiscal year 1990–91 for new programs and existing programs receiving a provisional or permanent rate.
(1) The rate for new programs shall be the mean rate determined for the same type of day program and staff-to-client ratio. This rate shall be a temporary rate. Determination of the mean rate for new programs shall be based on the program, cost, and other information of existing programs receiving a permanent rate, using allowable costs and client attendance information of those existing programs. In order to establish rates pursuant to this paragraph existing programs receiving a permanent rate shall submit to the department, the program, cost, and other information specified by the department for either calendar year 1988 or fiscal year 1988–89. The specified information shall be submitted on forms developed by the department, not later than 45 days following receipt of the required forms from the department, after the effective date of this section. Programs which fail to submit the required information within the time specified shall have payment of their permanent rate suspended until the required information has been submitted.
(2) Except as provided in paragraph (4) the rate for existing programs receiving a provisional rate, whose rate would otherwise expire during fiscal year 1990–91, shall be extended at the provisional rate until September 1, 1991.
(3) Except as provided in paragraph (4) below, the rate for existing programs receiving a permanent rate shall be reestablished at the permanent rate until June 30, 1991.
(4) The rate for existing programs receiving a provisional or permanent rate as specified in paragraph (2) and paragraph (3) shall be increased for all programs eligible for the increase. Eligible programs shall include only those programs which received a deficiency adjustment in their permanent or provisional rate for fiscal year 1989–90, based on calendar year 1988 program and cost information submitted to the department, pursuant to the stipulated order in the case of California Association of Rehabilitation Facilities et al. v. State of California, Sacramento County Superior Court Case No. 355326, and the adjustment was insufficient to fund the entire deficiency. The amount of funds available for the increase is limited to the one million dollars ($1,000,000) appropriated for that purpose for fiscal year 1990–91, and it shall be distributed proportionately among all eligible programs. The amount of increase which each eligible program shall receive toward its remaining deficiency, based on calendar year 1988 program and cost information, shall be equal to the percentage that one million dollars ($1,000,000) represents of the total deficiency, based on calendar year 1988 program and cost information, for all eligible programs.
(b) A process for establishing rates during fiscal year 1991–92 for new programs and existing programs receiving a temporary, provisional, or permanent rate.
(1) The rate for existing programs receiving a permanent rate, shall be determined based on fiscal year 1989–90 program, cost, and other information submitted to the department and regional center. The ratesetting process shall include, but shall not be limited to, all of the following:
(A) A process for determination of a mean rate and an allowable range of rates for the same type of day program and staff-to-client ratio. The mean rate shall be determined using those programs’ allowable costs and client attendance and the allowable range of rates shall be defined as the rates of those programs included between the 10th and 90th percentiles.
(B) The rates for existing programs receiving a permanent rate shall be increased or decreased to their allowable costs for fiscal year 1991–92, as follows:
(i) The rate shall be decreased if the program’s allowable costs and client attendance, for fiscal year 1989–90, determined pursuant to the regulations, would result in a rate that is lower than its existing permanent rate.
(ii) The rate shall be increased if the program’s allowable costs and client attendance for fiscal year 1989–90, determined pursuant to the regulations, would result in a rate that is higher than its existing permanent rate and its existing permanent rate is below or within the allowable range of rates.
(iii) No rate increase shall be provided that would result in the rate exceeding the allowable range of rates. No increase shall be provided for programs whose existing permanent rate is above the allowable range of rates. The amount of funds appropriated for that purpose for fiscal year 1991–92 shall be distributed only to those programs eligible for the increase.
(C) A process for the reduction or increase in the rate of any program whose existing permanent rate is not within the allowable range of rates. This process shall be based upon all of the following:
(i) For programs whose existing permanent rates are above the allowable range of rates, their existing permanent rate shall be reduced by 5 percent or to the allowable range, whichever is less.
(ii) For programs whose existing permanent rates are below the allowable range of rates, after the increase specified in clause (ii) of subparagraph (B) their rate shall be increased, up to the allowable range, in proportion to the amount of funds obtained from reducing the rate of programs whose rates are above the range.
(2) The rate for new programs shall be the mean rate determined pursuant to the process in paragraph (1) for the same type of day program and staff-to-client ratio using the program, cost, and other information submitted by providers receiving a permanent rate.
(3) The rate for existing programs receiving a provisional rate, whose rate expired during fiscal year 1990–91 and was extended until September 1, 1991, shall be determined pursuant to the process specified in paragraph (1) for permanent rates, except that the determination shall be based upon 12 consecutive months of representative costs incurred by the program during the period it was receiving its provisional rate. The program shall submit these costs and other program information, designated by the department, to the department within the timeframes specified in the regulations. If the program has not incurred or cannot provide 12 consecutive months of representative costs, the department may determine the rate based on less than 12 consecutive months of representative costs.
(4) The rate for existing programs receiving a provisional rate, whose rate will expire in July or August of 1991, shall be extended until September 1, 1991, and then determined pursuant to the process specified in paragraph (3).
(c) A process for establishing rates during fiscal year 1992–93 for new programs and existing programs receiving a temporary or permanent rate:
(1) The rate for new programs shall be the mean rate, determined pursuant to the process in paragraph (2) of subdivision (b) for fiscal year 1991–92, for the same type of day program and staff-to-client ratio.
(2) The rate for existing programs receiving a temporary rate shall be continued at the rate established for fiscal year 1991–92, until the rate expires or a permanent rate is established pursuant to the process in paragraph (4) of subdivision (b) for fiscal year 1991–92.
(3) The rate for existing programs receiving a permanent rate shall be reestablished at the rate established for fiscal year 1991–92, except for programs whose rates are not within the allowable range of rates. For those programs whose rates are not within the allowable range, their rates shall be reduced or increased pursuant to the process in subparagraph (C) of paragraph (1) of subdivision (b) for fiscal year 1991–92.
(d) A process for establishing rates during fiscal year 1993–94 for new programs and existing programs receiving a temporary or permanent rate:
(1) The rate for existing programs receiving a permanent rate shall be determined based on fiscal year 1991–92 program, cost, and other information submitted to the department and regional center. The ratesetting process shall include the process specified in paragraph (1) of subdivision (b) for fiscal year 1991–92, except that the allowable range of rates shall be determined by computing 50 percent of the mean rate for fiscal year 1993–94 and converting that amount into a range of rates, distributed equally above and below the mean. This process shall compare the range of rates computed for fiscal year 1993–94 with the range of rates calculated for fiscal year 1991–92 based on 80 percent of the programs, and shall use the lesser of the two ranges in the comparison as the allowable range of rates. Once established, this range shall be permanent.
(2) The rate for new programs shall be the mean rate determined pursuant to the process in paragraph (1) for the same type of day program and staff-to-client ratio using the program, cost, and other information submitted by providers receiving a permanent rate.
(3) The rate for existing programs receiving a temporary rate shall be continued at the established rate until the program has incurred 12 consecutive months of representative costs within the timeframes specified in the regulations. Once the representative costs have been incurred, the rate shall be determined pursuant to the process specified in paragraph (1) for permanent rates.
(e) A process for establishing rates, during fiscal year 1994–95 and each alternative fiscal year thereafter, for new programs and existing programs receiving a temporary or permanent rate. The process shall be the same as that specified in subdivision (c) for determining, continuing, and reestablishing rates, but shall be based on the program, cost, and other information submitted to the department and regional center for establishment of rates for fiscal year 1993–94 and each alternative fiscal year thereafter, except for the following:
(1) For the 1998–99 fiscal year, the rates for existing community-based day programs receiving a permanent rate shall be increased if the program’s allowable costs and client attendance, for the 1995–96 fiscal year, determined pursuant to the regulations, would result in a rate that is higher than its existing permanent rate and its existing permanent rate is below or within the allowable range of rates. The rate shall not be decreased if the program’s allowable costs and client attendance for the 1995–96 fiscal year, determined pursuant to the regulations, would result in a rate that is lower than its existing permanent rate.
(2) For the 1998–99 fiscal year, existing community-based day programs receiving a permanent rate, and whose permanent rate is still below the lower limit of the allowable range of rates for like programs after receiving an increase pursuant to paragraph (1), shall receive an increase in their permanent rate up to the lower limit of the allowable range of rates.
(3) The requirements of subdivision (c) of Section 4691, which specify that any rate increases shall be subject to the appropriation of sufficient funds in the Budget Act, shall also apply to rates governed by paragraphs (1) and (2).
(4) For the 1999–2000 fiscal year, and effective retroactive to July 1, 1999, rates for community-based day program agencies that are vendored pursuant to Section 4691 and the department’s regulations to provide community-based day program services shall have their existing rates adjusted, using the 1995–96 cost statement information, to provide a 4-percent increase for the direct care service workers’ salary, wages, and benefits. Agencies shall reimburse their direct care service workers at no less than the increased amount in their rate for the 1999–2000 fiscal year and thereafter.
(f) A process for establishing rates, during fiscal year 1995–96 and each alternative fiscal year thereafter, for new programs and existing programs receiving a temporary or permanent rate. The process shall be the same as that specified in subdivision (d) except for the following:
(1) The rate for programs receiving a permanent rate shall be based on program, cost, and other information submitted to the department and regional center for fiscal year 1993–94 and each alternative fiscal year thereafter.
(2) The allowable range of rates, permanently established during fiscal year 1993–94, shall be applied to the mean rate determined for fiscal year 1995–96 and each alternative fiscal year thereafter.
(3) Existing programs receiving a permanent rate whose rates are not within the allowable range of rates shall, by September 1, 1995, have their rates reduced or increased as follows:
(A) For programs whose existing permanent rates are above the allowable range of rates, their rate shall be reduced to the allowable range.
(B) For programs whose existing rates are below the allowable range of rates, their rate shall be increased up to the allowable range in proportion to the amount of funds obtained from reducing the rate of programs whose rates are above the range.
(g) A process for establishing a uniform supplemental rate of reimbursement for programs serving nonambulatory clients, as determined by the department.
(h) A process for notifying the program of the established rate.

SEC. 5.

 The sum of thirteen million three hundred thirty-six thousand dollars ($13,336,000) is hereby appropriated in augmentation of the appropriations made in the Budget Act of 1999, to provide for a 4-percent increase for direct care service workers’ salary, wages, and benefits for in-home respite service agencies, individuals who provide in-home respite services pursuant to the department’s regulations, and community-based day programs, as follows:
(a) The sum of three million two hundred twenty-four thousand dollars ($3,224,000) is hereby appropriated from the General Fund to the State Department of Health Services in augmentation of Item 4260-101-0001.
(b) The sum of three million four hundred forty-four thousand dollars ($3,444,000) is hereby appropriated from the Federal Trust Fund to the State Department of Health Services in augmentation of Item 4260-101-0890.
(c) The sum of six million six hundred sixty-eight thousand dollars ($6,668,000) is hereby appropriated from the General Fund to the State Department of Developmental Services in augmentation of Item 4300-101-0001, scheduled as follows:
10.10–Regional Centers
_____
 (b)10.10.020 Purchase of Services
$13,336,000
 (e)Reimbursements
 -$  6,668,000

SEC. 6.

 This act is an urgency statute necessary for the immediate preservation of the public peace, health, or safety within the meaning of Article IV of the Constitution and shall go into immediate effect. The facts constituting the necessity are:
In order to ensure that vital services provided by direct care service workers are appropriately funded at the earliest possible time, it is necessary for this act to take effect immediately.