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AB-2268 Services for underserved populations: funding models.(2011-2012)

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AB2268:v98#DOCUMENT

Amended  IN  Assembly  March 29, 2012

CALIFORNIA LEGISLATURE— 2011–2012 REGULAR SESSION

Assembly Bill
No. 2268


Introduced  by  Assembly Member Eng

February 24, 2012


An act to add Section 35 to the Government Code, relating to health and human services.


LEGISLATIVE COUNSEL'S DIGEST


AB 2268, as amended, Eng. Services for underserved populations: funding models.
Under existing law, various state and local agencies fund or administer programs to provide services, such as public health information, social services, and education and child care resources, to eligible persons.

This bill would declare the intent of the Legislature to enact legislation to identify populations that are eligible for various community-based services, but that are underserved as a result of traditional place-based and regional funding models for providing these services, and to identify and implement strategies to ensure that the services are made available pursuant to a population-based model, where appropriate.

This bill would require state and local agencies to create and implement mechanisms to supplement place-based and regional funding strategies, as defined, to improve the equitable distribution of public resources in relation to funding community-based organizations, as defined, for the provision of health and human services and educational services. Because this bill would increase the duties of local officials, this bill would create a state-mandated local program.
The California Constitution requires the state to reimburse local agencies and school districts for certain costs mandated by the state. Statutory provisions establish procedures for making that reimbursement.
This bill would provide that, if the Commission on State Mandates determines that the bill contains costs mandated by the state, reimbursement for those costs shall be made pursuant to these statutory provisions.
Vote: MAJORITY   Appropriation: NO   Fiscal Committee: NOYES   Local Program: NOYES  

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


SECTION 1.

 (a) The Legislature finds and declares all of the following:
(1) Place-based and regional funding strategies share the similarity of defining specific geographic areas of moderate size and focusing resources to those places, typically through the funding of community-based providers, to achieve measurable outcomes over time.
(2) State and local agencies using place-based or regional funding strategies represent billions of dollars for California communities. Shortcomings of the approach have profound effects on community groups that find themselves outside of, or are underrepresented within, targeted neighborhoods.
(3) Place-based and regional funding strategies have had mixed results in terms of desired outcomes, such as reduction of poverty and economic revitalization of targeted neighborhoods. Despite the mixed outcomes, place-based and regional funding strategies remain attractive to state and local agencies and are experiencing a new wave of popularity.
(4) A growing number of community-based organizations are challenged with a disparate effect on access to resources, which results in inequitable capacity and infrastructure, which then perpetuates the limited access to resources.
(b) Therefore, it is the intent of the Legislature to require state and local agencies to create and implement new mechanisms to improve the equitable distribution of public resources to traditionally underserved populations.

SEC. 2.

 Section 35 is added to the Government Code, to read:

35.
 (a) For the purposes of this section, the following definitions shall apply:
(1) “Community-based organization” means a private nonprofit organization that is representative of a community group or a significant segment of a community group that directly provides health and human services or educational services to meet community needs.
(2) “Community group” means a population that is defined by affinity, not geography, which may include, but is not limited to, ethnic populations; persons with disabilities; veterans; the lesbian, gay, bisexual, and transgender community; and underserved communities that have demonstrated barriers to access to health and human services or educational services, or both.
(3) “Place-based funding” means the utilization of a framework that includes building upon local infrastructure and saturating an area with resources with the goal of achieving measurable outcomes and facilitating a community-driven investment in the regional plan and the identification of corresponding services.
(4) “Regional funding” means the utilization of specific geographic boundaries for the allocation of resources.
(b) (1) In relation to funding community-based organizations for the provision of health and human services and educational services, state and local agencies shall do both of the following:
(A) Create and implement a mechanism that allows community-based organizations outside of targeted boundaries established pursuant to placed-based or regional funding strategies to work with service-eligible community groups within those targeted boundaries.
(B) Create and implement a mechanism that allows service-eligible community groups outside of targeted boundaries established pursuant to placed-based or regional funding strategies to access services from community-based organizations within those targeted boundaries.
(2) It is the intent of the Legislature that the mechanisms created pursuant to this section be implemented to supplement placed-based and regional funding strategies utilized by state and local agencies.
(c) In creating the mechanisms described in subdivision (b), state and local agencies shall do all of the following:
(1) Ensure that culturally competent community-based organizations serving geographically dispersed cultural or language community groups can receive sufficient resources to meet critical community needs.
(2) Base needs analysis on disaggregated data that identify disparities in health care and other services, taking into consideration that communities are not always tied to a specific neighborhood.
(3) Engage community leaders and community members for their expertise and recommendations when developing these types of funding initiatives.
(4) Invest in community capacity and infrastructure building through supporting the development of community-based organizations serving underrepresented or high-need community groups.
(5) Ensure that language access and cultural considerations are at the forefront of program development and not an afterthought.
(6) Ensure that community-based organizations being funded demonstrate linguistic and cultural competency to serve and work with all service-eligible residents and communities within the targeted place or region.
(d) For the purposes of receiving funding under the mechanisms created pursuant to this section, community-based organizations that do not have a demonstrated capacity to serve a certain segment of the population may partner with other community-based organizations that do have that demonstrated competence.

SEC. 3.

 If the Commission on State Mandates determines that this act contains costs mandated by the state, reimbursement to local agencies and school districts for those costs shall be made pursuant to Part 7 (commencing with Section 17500) of Division 4 of Title 2 of the Government Code.
SECTION 1.

It is the intent of the Legislature to enact legislation that would develop an approach to do both of the following:

(a)Identify populations that are eligible for community-based services, including, but not limited to, public health services, social services, and educational services, but that are underserved as a result of traditional place-based and regional funding models for providing these services.

(b)Identify and implement strategies, for use by state and local agencies that provide or administer funding for the services described in subdivision (a), to ensure that the services are made available pursuant to a population-based model, where appropriate, and that input from community-based organizations is given priority.