CDCAN
CALIFORNIA DISABILITY COMMUNITY ACTION NETWORK
DISABILITY RIGHTS
NEWS REPORT

#036-2006  April 9, 2006

Advocacy Without Borders:
Connecting people with disabilities & seniors to rights and unified action

1225 8th Street Suite 480 - Sacramento, CA 95814  916/446-0013  Fax: 916/446-0026
Marty Omoto - director  email: martyomoto@rcip.com    website: www.cdcan.us

 

California State Budget

* Senate Budget Subcommittee Takes Action On Regional Center Issues
* Agnews Developmental Center Closure Delayed Until June 2008
* Rejects Gov's Proposal For New Cuts to Regional Center Funded Services
* Okays Governor's Proposed 3% Increase for Some Programs
* Hears Update on Delay of State Computer System & Loss of Federal Funds
* Approves Continuing Nearly All On-going Freezes and Reductions

SACRAMENTO -  The Senate Budget Subcommittee #3 on Health and Human Services, chaired by Sen. Denise Ducheny (D-San Diego), took action as expected on several budget issues impacting regional centers and developmental centers that impact over 200,000 children and adults with developmental disabilities in California in a hearing held on April 3, Monday at the State Capitol.
[Note: this CDCAN report was delayed due to logistic and technical problems] .  There was no surprise in any of the actions taken by the Senate Budget Subcommittee during the nearly 4 hour hearing that was packed with every seat in the audience taken by advocates, people with disabilities, family members and workers. 

The
subcommittee raised concerns regarding another delay of the long awaited statewide computer system, first proposed under the Davis Administration in 2002, that was supposed to operational by June 2004. The implementation date was subsequently pushed back to December 2004, and then to May 2006, with Schwarzenegger Administration officials uncertain at this point when - or if - the system will ever come up.  The subcommittee was told that the continued delay  will mean that the State will lose over $50 million in matching federal funds over the next two budget years and delays of the startup of new programs such as Self Directed Services. 

Major action taken was
* Regional Center Contract Language: Rejected by a vote of 2-1 (Sen. Dave Cox opposing)  the entire proposal by the Governor to include new contract language with the regional centers that would have reduced funding for the regional center budget that funds community-based services (also known as "purchase of services" or "POS") by $14.3 million in 2006-2007, and $28.6 million in 2007-2008 and another $42.9 million in 2008-2009 or a total of $85.8 million (both federal and state funds) for those three budget years. 
* Closure of Agnews Developmental Center:  As expected, Schwarzenegger Administration officials announced at the hearing that the closure of Agnews Developmental Center in Santa Clara County, originally slated for closure in June 2005, and later delayed to June 2007, will instead be closed by June 2008 to allow more time to implement transition programs and services for those residing at the facility who will be moving into the community.  No action specifically was taken on the announcement, though the subcommittee did approve the proposed budget for closure by a vote of 2-1 (Sen. Dave Cox opposing)
Advocates both for and against closure have largely praised the Department of Developmental Services' transition planning efforts that was developed in collaboration with the three regional centers in the area (Golden Gate Regional Center, Regional Center of the East Bay and San Andreas Regional Center), parent and family advocacy groups, community organizations and other advocates.  The transition planning is being closely watched across the state and nation because of that collaboration. 
Some advocates in favor of closing the remaining state institutions however have raised concerns about what the impact of another delay will mean regarding possible closures of another developmental center. 

* On-Going Community Based Freezes and Reductions: Approved by vote of 3-0 to continue the delay in regional center assessments (from 60 days to 120 days), and the elimination of the SSI/SSP (Supplemental Security Income/State Supplemental Payment) pass through to Community Care facilities, but left "open" the continued freeze on start-ups of new community-based programs (that are not related to moving people from a developmental center) pending the Governor's revisions to his proposed budget in mid-May.  Specific votes on the other on-going freezes and reductions were not needed because budget language continues those reductions for another year, or it is included in the overall regional center budget. 
* 3% (One-Time) Rate Increase: Approved by vote of 3-0 the Governor's proposal for a one-time 3% rate increase for specific regional center funded community-based providers.
* Delay of State Computer System and Rising Costs:  Heard report from Department of Developmental Services of on-going problems resulting in additional delays of implementation of the new statewide computer system, officially known as the "California Developmental Disabilities Information System" or "CADDIS". The failure of implementing the new system - delayed several times over past several years, will cost, according to the Schwarzenegger Administration, over $50 million in lost federal matching funds.  Administration officials could not commit to the subcommittee on any new date for implementation.  The subcommittee directed the Schwarzenegger Administration to provide an update and information before the release of the Governor's revisions in mid-May to his budget for July 2006-June 2007, and directed officials from the Department of Developmental Services to appear before the subcommittee on April 24th to provide an update on the status, recommendations and options.  Sen. Dave Cox requested specific cost information to be provided to all members of the subcommittee and staff.
* Update on US Department of Justice Investigation of Lanterman Developmental Center:  No action was taken, but the subcommittee requested that the Department of Developmental Services keep it informed of the US Department of Justice report, that found several violations of rights of people with developmental disabilities who reside currently at Lanterman Developmental Center in Pomona, with a total population of 550 people.  The original on-site inspection was done at Lanterman Developmental Center on October 24, 2004 under the federal Civil Rights of Institutionalized Persons Act (CRIPA).  The US Department of Justice sent a letter to Gov. Schwarzenegger, dated January 4, 2006, officially notifying the State of its findings from that on-site inspection.  The Department of Developmental Services says no settlement agreement is yet in  process.
* Autism Spectrum Disorder Initiative Expansion:  Approved 3-0 Governor's proposal to dedicate additional resources within regional centers and at the headquarters of the Department of Developmental Services, which oversees the 21 non-profit regional centers, to increase system capacity, ensure quality of treatment services and better outreach. 

Advocates Raise Concerns About Continued Funding Reductions
Advocates, including those representing professional organizations, statewide advocacy organizations, including the State Council on Developmental Disabilities, and many persons with developmental disabilities, family members, workers, and representatives of community-based organizations, testified before the Senate subcommittee and raised major concerns about impact of the on-going reductions and freeze on state reimbursements to community-based organizations who provide services to people with developmental disabilities.  All of the advocates who testified urged the subcommittee to take action to repeal the on-going reductions and freezes, citing the desperate state of community organizations that they say are reeling from soaring deficits, high staff turn-over and even program closures. 

Those same advocates however praised the Governor's proposal for a one-time 3% rate increase for several community-based programs, though pointed out that the increase does little to reverse the impact of the continued ongoing budget funding reductions and freezes in state reimbursements.

CDCAN VOTE RECORD REPORT
Senate Budget Subcommittee #3 on Health and Human Services
Members (3): Sen. Denise Ducheny (D-San Diego, 40th District), Chair;  Sen. Wes Chesbro (D-Arcata, 2nd District), and Sen. Dave Cox (R-Roseville, 1st District)

Budget Issue: Agnews Developmental Center Closure Plan
Action 04/03/06:  Approved as proposed by Governor in the budget - pending budget  revisions by Governor in May
Vote: 2-1
AYES Votes - 2
Democrats Voting Aye (2):  Chesbro, Duchney
Republicans Voting Aye (0): -none-
NO Votes - 1
Democrats Voting No (0): -none-
Republicans Voting No (1): Cox
ABSENT, ABSTAINING OR NOT VOTING- 0
Next:  Assembly Budget Subcommittee must also approve this proposal on 4/24, which is likely.

Budget Issue: Continuing Reductions and Freezes from Prior Budgets
Action 04/03/06:  Approved with Governor's proposal to continue delay of assessments (from 60 days to 120 days), and the elimination of the SSI/SSP pass through to community case facilities (licensed by the Department of Social Services), and adoption of budget related language for these two issues.  The Subcommittee did not take action - but left "open" pending the Governor's budget revisions in May, the proposal to continue the prohibition of start-up of new community-based programs (except for those directly for persons moving from developmental centers or "non-community placement" start-ups)
Vote: 3-0
AYES Votes - 3
Democrats Voting Aye (2):  Chesbro, Duchney
Republicans Voting Aye (1): Cox
NO Votes - 0
Democrats Voting No (0): -none-
Republicans Voting No (0): -none-
ABSENT, ABSTAINING OR NOT VOTING- 0
Next:  Assembly Budget Subcommittee must also approve this proposal on 4/24, and advocates believe there is some hope in getting the subcommittee to consider repealing most of the on-going rate freezes and reductions.  If that happens, this issue would go to a joint committee of both the Senate and Assembly in June - called a "budget conference committee" to resolve, unless the Senate Budget Subcommittee reverses its action and supports a different action by the Assembly.  . 

Budget Issue: Regional Center Contract Language/Budget Reduction
Action 04/03/06:  REJECTED the entire Governor's proposal to include new or modified contract language for regional centers as a means of controlling spending of the budget that funds community-based services (called "purchase of services") linked with specific yearly reductions and an increase for regional center staffing to implement this of $7.6 million.. Contract language covered vendor selection based on lowest cost; statement to consumers of regional center services, adherence by regional centers to existing laws and regulations in purchasing services, family's responsibility for services to a minor child, regional center clinical review and use of group modality.  By rejecting the proposal, the subcommittee eliminated the increase for regional center
staffing of $7.6 million, and restored $10.6 million in state funds that was cut from the regional center budget that funds community-based services (purchase of services). 
Vote: 2-1
AYES Votes - 2
Democrats Voting Aye (2):  Chesbro, Duchney
Republicans Voting Aye (0): -none-
NO Votes - 1
Democrats Voting No (0): -none-
Republicans Voting No (1): Cox
ABSENT, ABSTAINING OR NOT VOTING- 0
Next Steps: For this to be "final" the  Assembly Budget Subcommittee must also approve this proposal on 4/24, which is likely. [it should be noted that NO action by either house is actually absolutely final until a budget is passed by the Legislature and signed by the Governor]

Budget Issue: 3% Rate Increase For Specified Community Programs
Action 04/03/06:  Approved as proposed by Governor in the budget, and adopted yet-to-be drafted language for a budget related bill   (referred to as  "placeholder trailer bill language")  - pending budget  revisions by Governor in May. The increase excludes services and supports whose rates are established through the Department of Health Services under the Medi-Cal program's "Schedule of Maximum Allowances".  The 3% increase covers community care facilities, day programs, habilitation services (supported employment and work activity programs), transportation, supported living, look-a-like day programs, in-home respite.  The Department of Developmental Services noted that Out of Home Respite will also be included for the rate increase when the Governor submits his revisions to his budget in Mid-May. 
Vote: 3-0
AYES Votes - 3
Democrats Voting Aye (2):  Chesbro, Duchney
Republicans Voting Aye (1): Cox
NO Votes - 0
Democrats Voting No (0): -none-
Republicans Voting No (0): -none-
ABSENT, ABSTAINING OR NOT VOTING- 0
Next:  Assembly Budget Subcommittee must also approve this proposal on 4/24, which is almost certain. 

Budget Issue: Increased State Costs Due to Delays in ICF/DD Certification by Dept of Health Services
Action 04/03/06:  REJECTED Governor's proposal for increase of $2 million of state (general) funds needed as a result of delays in certification by the Department of Health Services of new Intermediate Care Facilities for persons with developmental disabilities that in makes those programs eligible for federal matching (Medi-Cal) funding).  Adopted yet-to-be-drafted language for a budget related
bill to require the Department of Health Services to certify the new ICF/DD facilities as a "priority". 
Vote: 3-0
AYES Votes - 3
Democrats Voting Aye (2):  Chesbro, Duchney
Republicans Voting Aye (1): Cox
NO Votes - 0
Democrats Voting No (0): -none-
Republicans Voting No (0): -none-
ABSENT, ABSTAINING OR NOT VOTING- 0
Next:  Assembly Budget Subcommittee must also approve this proposal on 4/24 - not certain what action they will take.
.

Budget Issue: Autism Spectrum Disorder Initiative Expansion
Action 04/03/06:  Approved as proposed by Governor in the budget which calls for an increase in $2.6 million in state funds to pay for regional center operations for staff resources and projects.  Of that amount, $1.8 million is for two new staff positions (an Autism Spectrum Disorder Clinical Specialist and a Autism Spectrum Disorder Program Coordinator) at each of the 21 regional centers,.  beginning as of January 1, 2007.  $780,000 is set aside for one-time costs including training, developing best practices and establishing state and regional Autism Spectrum Disorder Resource Centers.  The remaining $102,000 would fund a new Senior Psychologist position at the Department of Developmental Services in Sacramento, to serve as a resource to recruit and communicate with experts in the field; identify best
practices and review autism spectrum disorder materials and documents, etc.
Vote: 3-0
AYES Votes - 3
Democrats Voting Aye (2):  Chesbro, Duchney
Republicans Voting Aye (1): Cox
NO Votes - 0
Democrats Voting No (0): -none-
Republicans Voting No (0): -none-
ABSENT, ABSTAINING OR NOT VOTING- 0
Next:  Assembly Budget Subcommittee must also approve this proposal on 4/24, which is all but certain. Some advocates at the hearing, while supporting the proposal, raised concerns about the ongoing freezes and spending reductions for community based programs that serve children and adults with autism and their families.
.

Budget Issue: Habilitation Services
Action 04/03/06:  Approved as proposed Governor's proposal for continuation of Habilitation Services Program Implementation and Monitoring (this item was not controversial)
Vote: 3-0
AYES Votes - 3
Democrats Voting Aye (2):  Chesbro, Duchney
Republicans Voting Aye (1): Cox
NO Votes - 0
Democrats Voting No (0): -none-
Republicans Voting No (0):  -none-
ABSENT, ABSTAINING OR NOT VOTING- 0
Next:  Assembly Budget Subcommittee must also approve this proposal on 4/24, which is certain.

Budget Issue: Developmental Centers -  Adjustments to Proposed Budget
Action 04/03/06:  Approved as proposed Governor's "baseline" adjustments to the overall budget for developmental centers, pending the Governor's budget revisions in Mid-May.  This includes an estimate of total spending for July 2006-June 2007 of $706.6 million ($383.7 million in state funds) to provide services in five developmental centers, and two smaller state owned and operated facilities to 2,797 persons with developmental disabilities.  
Vote: 3-0
AYES Votes - 3
Democrats Voting Aye (2):  Chesbro, Duchney
Republicans Voting Aye (1): Cox
NO Votes - 0
Democrats Voting No (0): -none-
Republicans Voting No (0):  -none-
ABSENT, ABSTAINING OR NOT VOTING- 0
Next: This item was not controversial and the adjustments reflected a decrease in the developmental center population from 3,106 to 2,797 as of June 2007.  The Assembly Budget Subcommittee must also approve this proposal on 4/24, which is likely.

Budget Issue: Developmental Centers -  Porterville Intensive Behavioral Treatment Residence
Action 04/03/06:  Approved as proposed Governor's proposal for an increase of $1.225 million in state funds and 14 positions at Porterville Developmental Center (near Bakersfield) to staff a new Intensive Behavioral Treatment Residence (to be set up within the existing secure treatment area) for up to 30 persons with developmental disabilities identified as the most dangerous to the rest of the secure treatment population.
Vote: 3-0
AYES Votes - 3
Democrats Voting Aye (2):  Chesbro, Duchney
Republicans Voting Aye (1): Cox
NO Votes - 0
Democrats Voting No (0): -none-
Republicans Voting No (0):  -none-
ABSENT, ABSTAINING OR NOT VOTING- 0
Next: The Assembly Budget Subcommittee must also approve this proposal on 4/24.  This issue raised several questions from subcommittee members.

Budget Issue: Developmental Centers -  Office of Protective Services
Action 04/03/06:  Approved as proposed Governor's proposal for an overall increase of $1.4 million ($832,000 state funds) to pay for 81  positions at the Department of Developmental Services and at Developmental Centers to continue the restructuring of the existing Office of Protective Services in order to respond and address health, safety and security concerns raised by the Attorney General's office in 2001. Also approved the legislative language as proposed  for a budget related bill to implement these changes.   [the 81 position include 16 new positions of which 10 would be two year temporary positions, and 65 existing positions redirected for this program]
Vote: 3-0
AYES Votes - 3
Democrats Voting Aye (2):  Chesbro, Duchney
Republicans Voting Aye (1): Cox
NO Votes - 0
Democrats Voting No (0): -none-
Republicans Voting No (0):  -none-
ABSENT, ABSTAINING OR NOT VOTING- 0
Next: The Assembly Budget Subcommittee must also approve this proposal on 4/24.

RELATED BUDGET HEARINGS AND MEETINGS
What:  CDCAN Disability Rights Townhall Telemeeting
When
: April 18, 2006 - Tuesday  1:00 PM to 2:45 PM
Budget Issue:  Supported Living Regulations (proposed) and related housing issues
Priority: VERY HIGH
Who Should Be Interested: People with developmental disabilities who live independently with supported living staff (and often with In-Home Supportive Services staff too); their families, supported living staff; community-based organizations who provide supported living services and/or housing connected to supported living, regional centers, and other advocacy groups and people, including media, federal, state and local government staff. [see CDCAN website for more information at www.cdcan.us]

What:  CDCAN Disability Rights Townhall Telemeeting
When
: April 20, 2006 - Thursday  1:00 PM to 2:45 PM
Budget Issue:  Budget Update on upcoming 4/24 hearing - and also update on SSI/SSP, Medicare Part D Emergency Drug Coverage, etc. 
Priority: VERY HIGH
Who Should Be Interested: People with developmental disabilities and their families, workers, community-based providers, advocacy organizations, regional centers and other advocates and interested people, including media, federal, state and local government staff.  [see CDCAN website for more information at www.cdcan.us]

Who:  Senate Budget Subcommittee #3 on Health and Human Services
When
: April 24, 2006 - Monday morning at 10:00 AM
Budget Issue: Report by Department of Developmental Services (or other Schwarzenegger Administration officials) on status, recommendations and options of the state computer system to track services and spending for services and other data for people with developmental disabilities (known as the "California Developmental Disabilities Information System" or "CADDIS"). This report was to be made at this hearing as a result of the subcommittee directing Schwarzenegger Administration officials for this information at the April 3 hearing. 
Where: State Capitol - Room 4203
Priority: Important
Alert Issued: NO

Should People Come To Hearing: If they can - the delay of this computer system and the lack of an alternative (to date) will result in the loss of over $50 million in federal funding - and a cost of that amount in state funds, delay in the start-up of new programs such as "self directed services".  The main focus of THIS hearing however is on Medi-Cal (selected issues), public health programs under the Department of Health Services. 

Who:
  Assembly Budget Subcommittee #1 on Health and Human Services
When
: April 24, 2006 - Monday late afternoon at 4:00 PM
Budget Issue: Regional Centers and Developmental Centers under Dept of Developmental Services
Where: State Capitol - Room 127
Priority: VERY HIGH
Alert Issued: YES

Should People Come To Hearing: YES!  This is the first meeting of the Assembly Budget subcommittee on these issues that are the same issues (for the most part) heard by its counterpart in the Senate, on April 3. 

How To Receive CDCAN Capitol News Reports and Alerts
The California Disability Community Action Network is a non-partisan link to tens of thousands of Californians in every community, including people of color, people of every type of disability, including people with physical disabilities, people with developmental and other disabilities, people with traumatic brain and other injures, people with mental health needs, seniors, people with MS, Alzheimer's and others, and all of their families, community organizations and providers, direct care and other workers, and other advocates. These action alerts and news reports is for all of them.   If you would like to get on this distribution (and conversely, get off of  it) please send an email with that  request to:  martyomoto@rcip.com OR sign up via the NEW CDCAN website at www.cdcan.us  Sharing information is part of our organizing effort. Please feel free to forward or copy  this (attribution is nice but not necessary). We're all in this together!
MANY THANKS to Training Toward Self Reliance, UCP, California NAELA, The University Affiliated Programs, CHANCE Inc, Parents Helping Parents, Arriba, Strategies Toward Empowering People, Parents Helping Parents, Asian American parents groups, Resources for Independent Living and many other Independent Living Centers, several regional centers, People First chapters, IHSS workers, other self advocacy and family support groups California Disability Rights Inc , developmental center families, and hundreds of individuals like Maureen Fitzgerald, Terri Lantz, Christal Hopkins, Lisa Brown, Anna Wang, Dennis Dishaw, Bob Benson, David Engberg, Connie Arnold, and so many others who through their support and contributions, make the non-partisan CDCAN reports and townhall telemeetings possible.  Thanks also to partnerships and the good people with the State Council on Developmental Disabilities, and also the Department of Health Services, the Department of Developmental Services, Department of Social Services and the CA Health and Human Services Agency and other agencies, and the State Legislature and staff, the Legislative Analyst Office.  Good people who do good things can make a difference
together