Bill Text: CA SB199 | 2015-2016 | Regular Session | Amended

NOTE: There are more recent revisions of this legislation. Read Latest Draft

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Bill Title: In-home supportive services: reading services for blind and visually impaired recipients.

Spectrum: Slight Partisan Bill (Democrat 7-4)

Status: (Vetoed) 2016-04-25 - Last day to consider Governors veto pursuant to Joint Rule 58.5. [SB199 Detail]

Download: California-2015-SB199-Amended.html

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BILL NUMBER: SB 199	AMENDED
	BILL TEXT

	AMENDED IN SENATE  JUNE 2, 2015
	AMENDED IN SENATE  APRIL 7, 2015

INTRODUCED BY   Senator Hall
   (Principal coauthor: Senator Beall)
   (Coauthor: Senator Anderson)
   (Coauthors: Assembly Members Bonilla, Gonzalez, Lackey, Rodriguez,
Steinorth, and Waldron)

                        FEBRUARY 10, 2015

   An act to amend Section 12300 of the Welfare and Institutions
Code, relating to public social services.


	LEGISLATIVE COUNSEL'S DIGEST


   SB 199, as amended, Hall. In-home supportive services: reading
services for blind and visually impaired recipients.
   Existing law provides for the Medi-Cal program, which is
administered by the State Department of Health Care Services, and
under which qualified low-income individuals receive health care
services. The Medi-Cal program is, in part, governed and funded by
federal Medicaid program provisions.
   Existing law provides for the county-administered In-Home
Supportive Services (IHSS) program, under which, either through
employment by the recipient, or by or through contract by the county,
qualified aged, blind, and disabled persons receive services
enabling them to remain in their own homes. Existing law requires the
provision of personal care services under the Medi-Cal program to
eligible IHSS recipients. Under existing law, county welfare
departments are required to provide visually impaired applicants and
recipients with information on, and referral services to, entities
that provide reading services to visually impaired persons. Existing
law defines "supportive services" for purposes of the IHSS program.
   This bill would, commencing January 1, 2017, include within the
definition of supportive services  up to 2 hours per month of
 assistance in reading and completing financial and other
documents for a recipient of services under the IHSS program who is
blind. By expanding the scope of available services under the IHSS
program, this bill would impose a state-mandated local program. The
bill would also require the Director of Health Care Services to seek
any federal approvals necessary to ensure that Medicaid funds may be
used in implementing this provision. The bill would authorize the
department to implement the provision through all-county letters or
similar instructions from the director until emergency regulations
are filed, and would require the adoption of emergency regulations by
January 1, 2018, and final regulations by January 1, 2019, to
implement this provision, as specified.
   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: yes.
State-mandated local program: yes.


THE PEOPLE OF THE STATE OF CALIFORNIA DO ENACT AS FOLLOWS:

  SECTION 1.  Section 12300 of the Welfare and Institutions Code is
amended to read:
   12300.  (a) The purpose of this article is to provide in every
county in a manner consistent with this chapter and the annual Budget
Act those supportive services identified in this section to aged,
blind, or disabled persons, as defined under this chapter, who are
unable to perform the services themselves and who cannot safely
remain in their homes or abodes of their own choosing unless these
services are provided.
   (b) Supportive services shall include domestic services and
services related to domestic services, heavy cleaning, personal care
services, accompaniment by a provider when needed during necessary
travel to health-related appointments or to alternative resource
sites, yard hazard abatement, protective supervision,  up to two
hours per month of assistance in reading and completing financial and
other documents for a recipient who is blind,  teaching and
demonstration directed at reducing the need for other supportive
services,  and  paramedical services that make it possible
for the recipient to establish and maintain an independent living
 arrangement, and assistance in reading and completing
financial and other documents, for up to two hours per month, for a
recipient who is blind, when that assistance is necessary for the
recipient to remain in his or her home, or abode of his or her own
choosing, as defined by the department.   arrangement.

   (c) Personal care services shall mean all of the following:
   (1) Assistance with ambulation.
   (2) Bathing, oral hygiene, and grooming.
   (3) Dressing.
   (4) Care and assistance with prosthetic devices.
   (5) Bowel, bladder, and menstrual care.
   (6) Repositioning, skin care, range of motion exercises, and
transfers.
   (7) Feeding and assurance of adequate fluid intake.
   (8) Respiration.
   (9) Assistance with self-administration of medications.
   (d) Personal care services are available if these services are
provided in the beneficiary's home and other locations as may be
authorized by the director. Among the locations that may be
authorized by the director under this subdivision is the recipient's
place of employment if all of the following conditions are met:
   (1) The personal care services are limited to those that are
currently authorized for a recipient in the recipient's home and
those services are to be utilized by the recipient at the recipient's
place of employment to enable the recipient to obtain, retain, or
return to work. Authorized services utilized by the recipient at the
recipient's place of employment shall be services that are relevant
and necessary in supporting and maintaining employment. However,
workplace services shall not be used to supplant any reasonable
accommodations required of an employer by the federal Americans with
Disabilities Act of 1990 (42 U.S.C. Sec. 12101 et seq.; ADA) or other
legal entitlements or third-party obligations.
   (2) The provision of personal care services at the recipient's
place of employment shall be authorized only to the extent that the
total hours utilized at the workplace are within the total personal
care services hours authorized for the recipient in the home.
Additional personal care services hours may not be authorized in
connection with a recipient's employment.
   (e) When supportive services are provided by a person who has the
legal duty pursuant to the Family Code to provide for the care of his
or her child who is the recipient, the provider of supportive
services shall receive remuneration for the services only when the
provider leaves full-time employment or is prevented from obtaining
full-time employment because no other suitable provider is available
and when the inability of the provider to provide supportive services
may result in inappropriate placement or inadequate care.
   These providers shall be paid only for the following:
   (1) Services related to domestic services.
   (2) Personal care services.
   (3) Accompaniment by a provider when needed during necessary
travel to health-related appointments or to alternative resource
sites.
   (4) Protective supervision only as needed because of the
functional limitations of the child.
   (5) Paramedical services.
   (f) To encourage maximum voluntary services, so as to reduce
governmental costs, respite care shall also be provided. Respite care
is temporary or periodic service for eligible recipients to relieve
persons who are providing care without compensation.
   (g) A person who is eligible to receive a service or services
under an approved federal waiver authorized pursuant to Section
14132.951, or a person who is eligible to receive a service or
services authorized pursuant to Section 14132.95, shall not be
eligible to receive the same service or services pursuant to this
article. In the event that the waiver authorized pursuant to Section
14132.951, as approved by the federal government, does not extend
eligibility to all persons otherwise eligible for services under this
article, or does not cover a service or particular services, or does
not cover the scope of a service that a person would otherwise be
eligible to receive under this article, those persons who are not
eligible for services, or for a particular service under the waiver
or Section 14132.95 shall be eligible for services under this
article.
   (h) (1) All services provided pursuant to this article shall be
equal in amount, scope, and duration to the same services provided
pursuant to Section 14132.95, including any adjustments that may be
made to those services pursuant to subdivision (e) of Section
14132.95.
   (2) Notwithstanding any other provision of this article, the rate
of reimbursement for in-home supportive services provided through any
mode of service shall not exceed the rate of reimbursement
established under subdivision (j) of Section 14132.95 for the same
mode of service unless otherwise provided in the annual Budget Act.
   (3) The maximum number of hours available under Section 14132.95,
Section 14132.951, and this section, combined, shall be 283 hours per
month. Any recipient of services under this article shall receive no
more than the applicable maximum specified in Section 12303.4.
   (i) The Director of Health Care Services shall, by January 1,
2017, seek all federal approvals necessary to ensure that Medicaid
funds may be used in implementing the amendments to this section made
by the act that added this subdivision during the 2015-16 Regular
Session of the Legislature. These amendments include assistance in
reading and completing financial and other documents for a recipient
who is blind.
   (j) The authorization to provide the service added by the
amendments to this section made by the act that added this
subdivision during the 2015-16 Regular Session of the Legislature
shall become operative on January 1, 2017. Provision of the service
shall be implemented only if, and to the extent that, federal
financial participation is available, and any necessary federal
approvals have been obtained.
   (k) Pursuant to Sections 12300.5 and 12301.6, the state and
counties shall be immune from any liability, including negligence or
intentional torts of providers, associated with the delivery of the
service specified in subdivision (b) that includes assistance in
reading and completing financial documents for recipients who are
blind.
   (l) (1) Notwithstanding the rulemaking provisions of the
Administrative Procedure Act (Chapter 3.5 (commencing with Section
11340) of Part 1 of Division 3 of Title 2 of the Government Code),
until emergency regulations are filed with the Secretary of State,
the department may implement the amendments made to this section by
the act that added this subdivision during the 2015-16 Regular
Session of the Legislature through all-county letters or similar
instructions from the director.
   (2) On or before January 1, 2018, the department shall adopt
regulations to implement the amendments to this section made by the
act that added this subdivision during the 2015-16 Regular Session of
the Legislature. The initial adoption, amendment, or repeal of a
regulation authorized by this subdivision is deemed to address an
emergency, for purposes of Sections 11346.1 and 11349.6 of the
Government Code, and the department is hereby exempted for that
purpose from the requirements of subdivision (b) of Section 11346.1
of the Government Code. After the initial adoption, amendment, or
repeal of an emergency regulation pursuant to this section, the
department may twice request approval from the Office of
Administrative Law to readopt the regulation as an emergency
regulation pursuant to Section 11346.1 of the Government Code. The
department shall adopt final regulations on or before January 1,
2019.
  SEC. 2.  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.