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6.
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| LEGISLATION COMMITTEE |
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| Information |
| Referral History: |
AB 2043 (Arambula): Foster Youth: Family Urgent Response System and AB 2083 (Cooley): Foster Youth: Trauma-Informed System of Care were considered by the Legislation Committee at their April 9, 2018 meeting. The Committee requested further information from staff; no votes were taken on the bills at that time. EHSD staff is providing the Committee additional information for the Committee's reconsideration of the bills.
AB 2043 requires, by January 1, 2020, county child welfare, probation, and behavioral health agencies to establish county-based Family Urgent Response Systems for the provision of mobile crisis-response services to current or former foster youth and their caregivers, and, by that same date, requires the Department of Social Services (DSS) to establish a statewide hotline, to be available 24 hours per day, seven days per week to respond to caregiver or youth calls when a crisis arises.
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Disposition: |
Pending |
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Location: |
Assembly Appropriations Committee |
AB 2083 requires county-level Memorandums of Understanding (MOUs) between agencies directly responsible for the most-traumatized children in foster care and requires the Secretary of California Health and Human Services and the Superintendent of Public Instruction (SPI) to implement and review aspects of the MOUs.
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Disposition: |
Pending |
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Location: |
Assembly Appropriations Committee |
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| Referral Update: |
Employment and Human Services Department (EHSD) staff offers the following additional information for the Supervisors reconsideration of the bills. Unfortunately, they were not able to confirm the funding details that were of special concern to the Supervisors, as the legislative process for these bills is still in motion.
Staff recommends supporting the Bay Area regional counties for AB 2043 (Urgent Response System), “contingent upon the requisite funding being approved in the State budget.”
AB 2043 (Arambula): (The text of the bill can be found at: http://leginfo.legislature.ca.gov/faces/billNavClient.xhtml?bill_id=201720180AB2043
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Approximately 525 organizations have signed on to support this bill vs. a normal range of 40 – 50 supporters.
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There is language in the bill that indicates bill will only be implemented to the extent that funding is provided.
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Any cost that would occur would not be attached to county (as a state-mandated program at state/federal cost).
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It is acknowledged that there would be a significant cost associated with implementation of AB 2043, even though not to be picked up by the county.
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As a result, CWDA et al are pursuing a budget appropriation through the state budget.
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With respect to “county flexibility,” AB 2043 was modeled after Seneca’s mobile response. (Contra Costa County has a contract with Seneca for its Mobile Response Team, through Health Services Department.)
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The bill calls for counties to develop local plans for implementation and for DSS to develop guidance to counties based on stakeholder feedback that includes counties. So counties would have some flexibility in how to structure services locally.
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Estimates of potential volume:
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In the year 2017, there were approximately 655 calls to the Contra Costa County Mobile Response Team (Seneca).
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In answer to the Supervisors’ question, there are face-to-face responses as well as phone-only.
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We are not able to extrapolate from this an estimate of volume under AB 2043, but the 2017 figures provide a current order of magnitude.
AB 2083 (Cooley): (The text of the bill can be found at: http://leginfo.legislature.ca.gov/faces/billNavClient.xhtml?bill_id=201720180AB2083
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There is language in the bill (as in AB 2034) that attends to the Prop 30 protections, meaning that the bill will only be implemented to the extent that funding is provided.
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AB 2083 does not have a high fiscal cost, but any cost that would occur, would not be attached to county (as a state-mandated program at state/federal cost).
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In answer to Supervisor Mitchoff’s question: the MOU template would be provided by the State Interagency Team, modeled after what was adopted through the CCR State/County Team.
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| Recommendation(s)/Next Step(s): |
| CONSIDER recommending to the Board of Supervisors a position of "Support, if funded" for AB 2043 (Arambula): and "Support" for AB 2083 (Cooley) and sending to the Board for their consent. |
| Fiscal Impact (if any): |
AB 2043: (Fiscal impact on State)
1) Estimated first-year costs of $15 million (GF) to DSS to establish the statewide hotline and implement mobile response services.
2) Estimated ongoing annual total costs of $30 million (GF) to DSS to maintain the system -- approximately $2.3 million to staff and administer the hotline, and $27.7 million for county mobile response teams. The total cost estimate assumes, once the system is established, at least 80% of county response services would be eligible for matching funds under the federal Medicaid program.
3) Costs of $159,000 (GF/federal funds) in FY 2018-19 and $225,000 (GF/federal funds) in FY 2019-20 and ongoing to the Department of Health Care Services (DHCS) for two additional positions.
(The bill's author submitted a budget request for a $15 million appropriation as an initial state investment in the Family Urgent Response System described in this bill.)
AB 2083:
1) Unknown onetime costs, likely less than $1 million (local funds/GF) statewide, for counties to develop and implement the required MOUs.
2) Unknown onetime costs, likely less than $1 million (GF), to the California Health and Human Services Agency and the SPI to establish the joint interagency resolution team and perform the required duties, including assisting counties with developing their MOUs, developing a multi-year plan, and reporting to the Legislature. |
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