CDCAN
CALIFORNIA DISABILITY COMMUNITY ACTION NETWORK
DISABILITY RIGHTS
NEWS REPORT

#044-2006  April 26, 2006 Wednesday morning

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 Legislature
*  Several In-Home Supportive Services Bills Acted On
*  Assembly Budget Subcommittee May 3rd Hearing Includes Update on IHSS
*  Dept of Social Service's Public Hearing On Proposed IHSS Regulations 5/17
*  Advocates Raise Concerns on IHSS Quality Assurance in 4/25 Townhall

SACRAMENTO -  Several bills impacting In-Home Supportive Services (IHSS) -  the federal, state and local funded program that provides in-home care to children and adults with disabilities (including those with developmental disabilities) - were acted on in three different State legislative committees yesterday (April 25) including legislation that calls for paid IHSS worker training, background checks, and payment for assistance in medical appointments. 

Also yesterday (April 25) was a CDCAN Disability RIghts Townhall Telemeeting that attracted over 200 or more persons with disabilities, family members, IHSS workers, Public Authorities, advocacy groups, community organizations and other workers and advocates from across the state, that focused on the impact of changes to In-Home Supportive Services and the implementation of the IHSS Quality Assurance Program, and the release of new proposed state IHSS regulations.  Advocates raised concerns about the implementation of the Quality Assurance program and proposed regulations. Christian Griffith, Assembly Budget Committee staff who covers IHSS and also SSI/SSP (Supplemental Security Income/State Supplemental Program) budget issues was one of the guest speakers, along with several advocates from across the State.  See separate CDCAN report later today on the Townhall and special CDCAN Action Advisory regarding the IHSS proposed regulations and May 17 public hearing on those regulations or go to the CDCAN website to listen to the audio archive of that telemeeting at www.cdcan.us  The deadline for the public to make comments on those proposed IHSS regulations is May 17 and must be received by the Department of Social Services by 5 PM on that day.  See CDCAN Action Advisory for specific information and copy of the proposed regulations or go to the CDCAN website at www.cdcan.us or to these other websites: 
Hourly Task Guidelines Proposed Regulations:   http://www.dss.cahwnet.gov/getinfo/pdf/d120521r.pdf
IHSS Quality Assurance Program Website:         www.dss.cahwnet.gov/dapd/

Assembly Budget Subcommittee Plans May 3 Hearing To Include IHSS
The Assembly Budget Subcommittee #1 on Health and Human Services is planning to include the issue of IHSS, and also an update on the implementation of the IHSS Quality Assurance program, as part of a larger hearing on other budget issues, on May 3, Wednesday afternoon at 1:30 PM , at the State Capitol in Room 444.  Christian Griffith briefed persons on the CDCAN Townhall Telemeeting about the hearing and mentioned that the room, if a large crowd is expected, might change.   (See CDCAN Action Advisory on this budget hearing).  The IHSS Quality Assurance program was created as part of the 2003-2004 State Budget  (SB 1104) to establish among other things, statewide standards and guidelines on how hours were assessed to persons needing IHSS services, training for county social workers who do those assessments, streamlining IHSS regulations, implement anti-fraud and abuse efforts, and monitoring. 

CDCAN SUMMARY OF BILLS IMPACTING IHSS ACTED IN COMMITTEE APRIL 25

AB 2014 - Consolidating Senior/Adult Programs In New Adult & Aging Services Dept
Author: Assemblymember Patty Berg (
Democrat - Eureka)
What  Bill Would Do: (Note: this summary does not reflect changes/amendments made when the committee passed the bill out on April 25) The March 23, 2006 version of the bill would establish the California Department of Adult and Aging Services and would consolidate several of programs serving the adults and older adults including those with disabilities from the following departments: California Department of Aging, Department of Social Services, Department of Health Services, Department of Mental Health, and the Department of Rehabilitation.  
Action Taken 04/25/06: Passed with amendments by Assembly Human Services Committee and referred to Assembly Appropriations Committee for further action

AB 2469 - IHSS: Personal Care Services In Counties With Small Populations
Author: Assemblymember Noreen Evans (Democrat - Santa Rosa)
What  Bill Would Do(Summary does not reflect latest amendments made 4/25) Would authorize a county, with a population of less than 250,000,  to receive from the State advance payments from a specific state fund (Sales Tax Growth Account) equal to that county's share of the cost for IHSS services as specified in the bill.  Counties currently impacted by this bill with populations less than 250,000  (based on latest US Census) are: Alpine, Amador, Butte, Calaveras, Colusa, De Norte, El Dorado, Glenn, Humboldt, Imperial, Inyo, Kings, Lake, Lassen, Madera, Mariposa, Mendocino, Merced, Modoc, Napa, Nevada, Tehama, Plumas,  San Benito, Shasta, Sierra, Siskiyou, Sutter, Trinity, Tuolumne, Yolo  and Yuba.
Action Taken 04/25/06:  Passed with amendments by Assembly Human Services Committee and referred to Assembly Appropriations Committee for further action. 

AB 2486 - IHSS - Background Checks
Author: Assemblymember Mark Ridley-Thomas (Democrat - Los Angeles)
What  Bill Would Do: Would authorize criminal background checks of  IHSS workers (providers) by IHSS Public Authorities or nonprofit consortium contracted by counties and prohibits charging any fee to the IHSS worker, potential worker or to the person receiving IHSS services, for the cost of background checks .
Action Taken 04/25/06:  Passed by Assembly Human Services Committee and referred to Assembly Appropriations Committee for further action. 

AB 2494 - IHSS Worker (Provider) Training
Author: Assemblymember Mark Ridley-Thomas (Democrat - Los Angeles)
What  Bill Would Do: Authorizes an IHSS workers, providing specific conditions are met,  to receive wages for up to 6 hours of training and that those training hours not count against a IHSS consumer's assessed hours of services.  The conditions that must be met to authorize payment of wages for training are:
* The training is under the supervision of a registered nurse, licensed vocational nurse, or a certified nurse assistant
* The training is part of the union collective bargaining, and the training is approved by the Department of Social Services and qualifies for the maximum amount of federal matching funds
* Covers any of the following areas: basic safety and emergency procedures; personal care skills and assisting with Activities of Daily Living; promoting the independence and respecting the rights of IHSS consumers; communication and interpersonal skills; basic infection prevention and control procedures; elder abuse identification; and recognition of the symptoms of Alzheimer's disease.
* Would allow training hours to be authorized for a IHSS worker (provider) who provides transitional training for another IHSS worker in order to meet the specific needs of a IHSS consumer who is changing providers.
* Exempts cost of training from the state's contribution to the county's IHSS program beyond the funds already appropriated for the program in the State budget every year.
* Requires that the Secretary of the California Health and Human Services Agency actively pursue the use of all federal funds;
*  States that  training hours
do not count against a IHSS consumer's assessed hours of services

Action Taken 04/25/06:  Passed by Assembly Human Services Committee and referred to Assembly Appropriations Committee for further action. 

AB 2697 -  IHSS Worker (Provider) Direct Deposit System
Author: Assemblymember Bonnie Garcia (Republican-Cathedral City)
What  Bill Would DoWould replace existing state law that required the State to
determine the cost of developing and implementing the direct deposit program, and collect the cost from a nongovernmental 3rd-party contractor or the organization, entity, or individual
requesting payment and instead would require
that the costs of developing and implementing a direct deposit system for IHSS workers (providers) be paid for out of funds appropriated to the Department of Social Services for the administration of the IHSS program.
Action Taken 04/25/06:  Passed by Assembly Human Services Committee and referred to Assembly Appropriations Committee for further action. 

AB 3048 - IHSS: Medical Appointments
Author: Assemblymember Mervyn Dymally (Democrat - Compton)
What  Bill Would DoAuthorizes IHSS workers (providers) to receive wages up to one hour per month to provide assistance to persons receiving IHSS and that the one hour per month not be counted against the hours of service the IHSS consumer is eligible to receive. 
Action Taken 04/25/06:  Passed  by Assembly Human Services Committee and referred to Assembly Appropriations Committee for further action. 

SB 1435 - IHSS: Purchase of Services By Persons Not Eligible
Author: Senator Deborah Ortiz (Democrat - Sacramento)
What  Bill Would Do: Would require the Department of Social Services to conduct a 4 year pilot project that would authorize persons  not eligible to receive IHSS services or Medi-Cal due to income, but with an income less than 300% above the federal poverty level, to purchase those services in the three counties that agree to participate in the pilot. 
Action Taken 04/25/06:  Passed  by Senate Human Services Committee and referred to Assembly Appropriations Committee for further action. 

SB 1660 - IHSS Worker Wages & Benefits
Author: Senator Gloria Romero (Democrat - Los Angeles)
What  Bill Would DoReplaces existing state law enacted in 2000, that provides for a $1 per hour raise for IHSS workers (providers) each year for five years, with a overall wage cap, and a formula of what the state and counties each contribute to cover the wage increase and instead deletes that law but keeps the funding formula of what the state contributes  (65%) and what the counties contribute (35%) for any wage increase. 
Action Taken 04/25/06:  Passed  by Senate Human Services Committee and referred to Assembly Appropriations Committee for further action. 
 
NEXT STEPS
Assembly Appropriations Committee: bills introduced in the Assembly and referred to this committee must be heard and passed out and sent to the Assembly Floor on or before May 26 (or the bill is considered "dead"). 
Senate  Appropriations Committee: bills introduced in the Senate and referred to this committee must be heard and passed out and sent to the Assembly Floor on or before May 26 (or the bill is considered "dead"). 

CDCAN Capitol News Reports and Alerts
These CDCAN Reports are partially funded by a small grant from the USC UCEDD, Grant #90DD0540 from the Administration on Developmental Disabilities.  The opinions expressed or content in these reports do not necessarily reflect the views or opinions of the USC UCEDD.
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, Californians for Disability Rights, Inc (CDR), 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, developmental center families, and hundreds of individuals including Bob Scrivano, 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.