Supplemental Report of the 2023-24 Budget Act

TO: AGENCY SECRETARIES DEPARTMENT HEADS BOARDS AND COMMISSIONS The Supplemental Report of the 2023-24 Budget Act contains statements of legislative intent that were adopted during deliberations on the 2023-24 budget package. Please distribute your responses to the supplemental report, and any other report or document you are required to submit, to the Joint Legislative Budget Committee (JLBC), as follows: An Electronic Copy of the Report and Transmittal Letter to Each of the Following: • Joint Legislative Budget Committee: Hans.Hemann@sen.ca.gov for distribution to the JLBC Members. Hon. Nancy Skinner, Chair, Joint Legislative Budget Committee 1020 N Street, Room 553, Sacramento, CA 95814 • Legislative Analyst's Office: LAO.Secretary@lao.ca.gov 925 L Street, Suite 1000, Sacramento, CA 95814 • Office of the Chief Clerk of the Assembly: Agency.Reports@asm.ca.gov Ms. Sue Parker, Chief Clerk of the Assembly Room 3196, State Capitol, Sacramento, CA 95814 • Secretary of the Senate: Senate.AgencyReports@sen.ca.gov Ms. Erika Contreras, Secretary of the Senate State Capitol, Room 307 Sacramento, CA 95814 • Legislative Counsel Bureau: Agency.Reports@lc.ca.gov Office of Legislative Counsel Indexing Division 925 L Street, Suite 1105, Sacramento, CA 95814-3703 In the report, as well as in your transmittal letter to Senator Skinner, please cite the 11-digit budget item number(s) and the budget year or other statutory reference to which the response relates. If you have any questions, you may contact the Legislative Analyst’s Office at (916) 445-4656. Supplemental Report of the 2023-24 Budget Act Containing Statements of Intent And Requests for Studies Adopted by the Legislature Compiled by the L E G I S L A T I V E A N A L Y S T ’ S O F F I C E September 2023 SUPPLEMENTAL REPORT OF THE 2023-24 BUDGET ACT T C able of onTenTs Legislative, Judicial, and Executive Item 0530-001-9745—Secretary for the California Health and Human Services Agency ..........3 Business, Consumer Services, and Housing Item 2245-111-0001—California Housing Finance Agency .........................................................5 Health and Human Services Item 4260-101-0001—Department of Health Care Services ......................................................6 Item 4300-001-0001—Department of Developmental Services ................................................7 Item 4440-011-0001—Department of State Hospitals ...............................................................8 Item 4560-001-3850—Universal Mental Health Screening of Children and Youth ....................9 Item 5180-001-0001—Department of Social Services .............................................................10 Items 5180-101-0001 and 5180-101-0890—Department of Social Services .............................14 Education Item 6100-194-0001 and 6100-196-0001—California Department of Education .....................15 General Government Item 8860-001-0001—Department of Finance .........................................................................16 LEGISLATIVE ANALYST’S OFFICE 2 SUPPLEMENTAL REPORT OF THE 2023-24 BUDGET ACT l , J , e egislaTive udiCial and xeCuTive Item 0530-001-9745—Secretary for the California Health and Human Services Agency 1. California Statewide Automated Welfare System (CalSAWS) Stakeholder Engagement. It is the intent of the Legislature that the administration and CalSAWS, in a manner consistent with Welfare and Institutions Code sections 10823.1 through 10823.3, shall minimize client burden in learning about, applying for, and keeping county-administered benefits through the continued solicitation and integration of feedback and input from stakeholders into the development, implementation, and maintenance of public-facing elements of CalSAWS. Furthermore, the Legislature intends for the administration and CalSAWS to improve their processes for soliciting and integrating feedback and input from stakeholders into the prioritization of enhancements to the public-facing elements of CalSAWS. It is also the intent of the Legislature that the administration and CalSAWS consider the feedback and input from stakeholders into the prioritization of enhancements within the context of other relevant information such as the level of existing funding and resources available, as well as existing commitments for the automation of policy changes. On or before January 10, 2024, the administration and CalSAWS shall submit a report to the relevant budget subcommittees and policy committees of each house of the Legislature on its efforts to improve its engagement with stakeholders to solicit and integrate their feedback and input into the public-facing elements of CalSAWS. The report shall include, but not be limited to, written updates on the following goals, including any requested supporting documentation: • Improved processes for solicitation and incorporation of stakeholder feedback and input into prioritization of enhancements to public-facing elements of CalSAWS. The report shall consider, at a minimum, the processes for the Collaboration Model group, monthly public meetings such as the Joint Powers Authority Board and Project Steering Committee meetings, and quarterly stakeholder meetings. – Supporting documentation: A list of the meetings in which stakeholder feedback and input on public-facing elements of CalSAWS is solicited, including descriptions for each meeting of how feedback and input solicited from stakeholders is being incorporated into the public-facing elements of CalSAWS. – Supporting documentation: A list of the roles and responsibilities for each entity that is involved in the facilitation of stakeholder feedback and input processes. – Supporting documentation: The most recent versions of the Collaboration Model group Charter, Enhancement Request Form, and Roadmap. – Supporting documentation: A list of the currently planned enhancements to the public-facing elements of CalSAWS, including the identification of enhancements submitted by stakeholders through the Collaboration Model group as their top priorities, and a description of current efforts and next steps on any remaining enhancements. • Consistent, effective communication with stakeholders to ensure meaningful, timely inclusion of their feedback and input on public-facing elements of CalSAWS. The report shall consider, LEGISLATIVE ANALYST’S OFFICE 3 SUPPLEMENTAL REPORT OF THE 2023-24 BUDGET ACT at a minimum, communication among Collaboration Model group members, explanation of decision-making on enhancement inclusion and prioritization, and sharing of client and community-based organization feedback and insights with stakeholders. – Supporting documentation: A description of the process(es) used to reach agreement on the Collaboration Model group documents including its Charter, Enhancement Request Form, and Roadmap. – Supporting documentation: Examples of how an administration and/or CalSAWS decision to not include or deprioritize planned enhancements to the public-facing elements of CalSAWS has been shared with stakeholders. – Supporting documentation: Examples of the client and community-based organization feedback and insights shared with stakeholders by the administration and CalSAWS. – Supporting documentation: A list of key definitions for terms relevant to the legislative report, such as “development, implementation, and maintenance” and “public-facing elements of CalSAWS.” • Examples of changes, enhancements, or other progress towards furthering the goal of minimizing the burden of the overall eligibility process for enrollment and retention of benefits for low-income Californians and streamlining interactions for both clients and eligibility workers, within existing technology, resources, and policy. The report shall consider, at a minimum, migration of the remaining California Work Opportunity and Responsibility to Kids Information Network (CalWIN) counties to CalSAWS, full post-migration implementation of CalSAWS and its ancillary systems as the single system, and ongoing CalSAWS and ancillary system development and operations activities. – Supporting documentation: A description of how the administration and CalSAWS incorporate the goal of minimizing the overall process burden, including client burden and streamlining client and worker interactions into their decision-making processes. – Supporting documentation: An explanation as to how current and future CalSAWS activities will minimize the overall process burden, including client burden and streamlining client and worker interactions, including planned enhancements to the public-facing elements of CalSAWS. – Supporting documentation: A list of key metrics to assess outcomes from stakeholder engagement activities, such as, of the enhancements to public-facing elements of CalSAWS that were identified by stakeholders as top priorities through the Collaboration Model group, (1) the enhancements implemented by CalSAWS in the reporting period, (2) the enhancements that were not included or deprioritized by CalSAWS in the reporting period, and (3) any preliminary measurements that are currently available to show how the enhancements are minimizing the burden of the overall eligibility process and streamlining associated interactions. The administration and CalSAWS shall provide subsequent updates to the report as requested by budget subcommittee and policy committee staff, particularly for hearing agendas and in testimony during the 2024-25 budget subcommittee process. A final updated report may be requested by budget subcommittee and policy committee staff at the end of fiscal year 2023-24. LEGISLATIVE ANALYST’S OFFICE 4 SUPPLEMENTAL REPORT OF THE 2023-24 BUDGET ACT b , C s , H usiness onsumer erviCes and ousing Item 2245-111-0001—California Housing Finance Agency 1. California Dream for All Program. The Legislative Analyst’s Office (LAO) will report to the budget committees of each house of the Legislature on the shared appreciation loans authorized in 2022-23 and 2023-24 through the California Dream for All Program. To the extent the necessary data is available, the report will include, but not be limited to, demographic information of loan recipients, geographic distribution of loans, lenders, and status of awarded loans. To the degree possible, the report will also include information about what stage of the home-buying process the loan recipient was in when the loan recipient applied to the program. First, by July 15, 2024, the LAO will report on the $300 million provided in 2022-23 for the first round of shared appreciation loans. Additionally, in 2023-24, the California Housing Finance Agency (CalHFA) was authorized to allocate an additional $200 million for the Dream for All Program. The LAO will provide an updated report six months after the CalHFA fully securitizes the second round of shared appreciation loans. CalHFA will provide anonymized data to the LAO to enable this reporting. LEGISLATIVE ANALYST’S OFFICE 5 SUPPLEMENTAL REPORT OF THE 2023-24 BUDGET ACT H H s ealTH and uman erviCes Item 4260-101-0001—Department of Health Care Services 1. California Community Transitions (CCT) Project. On or before February 5, 2024, the Department of Health Care Services (DHCS) shall submit a report on the CCT project to the relevant budget and policy committees of the Legislature and the Department of Finance. It is the intent of the Legislature that this report (1) improve transparency around CCT services, outcomes, and reimbursement rates; (2) allow policymakers to assess the relative cost-effectiveness of the CCT project in enabling individuals to receive care in their home or community as an alternative to institutional care; and (3) provide adequate fiscal information to adjust reimbursement rates. The report shall include, but not be limited to, the following items: (a) To the extent that data or other relevant information are available, information on reimbursement rates for CCT services, including: (i) Reimbursement rates for each year since 2014. For comparison, DHCS also shall provide for each year Medi-Cal reimbursement rates to skilled nursing facilities. (ii) A summary of the methodology used by DHCS. (iii) Past reviews and analyses of rates. (iv) Past adjustments to rates. (v) The transition coordination reimbursement rate in 2007, the first year of the CCT project. (b) To the extent that data or other relevant information are available, demographic information in the CCT project for each year since 2014, including: (i) The number of individuals in a skilled nursing facility, subacute, and/or hospital enrolled in CCT and receiving CCT services. (ii) The number of recipients of CCT services that transitioned to the home and community from a facility. (iii) Sections (i) and (ii) shall be broken out by age, ethnicity, and primary language; and gender identity and sexual orientation to the extent the data is available. (c) To the extent that data or other relevant information are available, fiscal information on the CCT project for each year since 2014 (broken out by General Fund, federal funds, and other funds), including: (i) Total spending on CCT services. (ii) For the 2024-25 fiscal year only, the estimated cost of each 1 percent increase in CCT reimbursement rates. If feasible, DHCS may factor the savings to the Medi-Cal program resulting from a CCT rate increase into its estimate to arrive at a net cost of each 1 percent increase. For the purposes of this report, “CCT services” shall refer to, at a minimum, all reimbursement codes and modifiers related to transition coordination, habilitation (including Home- and Community-Based Alternatives Waiver habilitation services linked to CCT), family and informal caregiver training, personal care services, home setup, home modification, vehicle adaptations, and assistance devices. LEGISLATIVE ANALYST’S OFFICE 6 SUPPLEMENTAL REPORT OF THE 2023-24 BUDGET ACT 2. 1115 Waiver—Medi-Cal Coverage of Diapers. On or before May 15, 2024, DHCS shall provide an update to staff in the relevant budget and policy committees of the Legislature and the Legislative Analyst’s Office, through a meeting to be conducted at mutually agreed upon times, on potential options for a federal Medicaid 1115 waiver to reimburse the cost of diapers for infants and toddlers under the age of three in Medi-Cal. The update may include a discussion of the following components: (a) A summary of existing 1115 waivers in other states that cover the cost of diapers for infants and toddlers in Medicaid. (b) Potential options for California to implement a program to cover the cost of diapers for infant and toddler Medi-Cal beneficiaries. (c) The potential steps and time line for the department to submit a waiver for such a program to the Centers for Medicare and Medicaid Services (CMS). (d) A multiyear fiscal estimate of the new program. 3. 1115 Waiver—Medi-Cal Coverage of Period Products. On or before May 15, 2024, DHCS shall provide an update to staff in the relevant budget and policy committees of the Legislature and the Legislative Analyst’s Office, through a meeting to be conducted at mutually agreed upon times, on potential options to submit a federal Medicaid 1115 waiver to reimburse the cost of period products for Medi-Cal beneficiaries. The update may include a discussion of the following components: (a) A summary of existing 1115 waivers in other states that cover the cost of period products for Medicaid beneficiaries. (b) Potential options for California to implement a program to cover the cost of period products for Medi-Cal beneficiaries, with consideration for the different needs of children and adults. (c) The potential steps and time line for the department to submit a waiver for such a program to CMS. (d) A multiyear fiscal estimate of the new program, broken out by the cost of services to children and adults. Item 4300-001-0001—Department of Developmental Services 1. Proposed Consumer Electronic Records Management System (CERMS) and Uniform Fiscal System Modernization (UFSM) Information Technology (IT) Projects. Beginning October 1, 2023, the Department of Developmental Services (DDS) shall submit quarterly written updates to both the relevant budget subcommittees and policy committees of each house of the Legislature, as well as the Legislative Analyst’s Office, on DDS’ proposed CERMS and UFSM IT projects. The written updates shall include, at a minimum: (a) The current status of the proposed projects in the California Department of Technology’s Project Approval Lifecycle. (b) The preliminary baseline cost, schedule, and scope of the proposed projects after Stage 2 Alternatives Analysis approval, and any updates thereafter. (c) The preliminary goals and outcomes for the two projects based on DDS’ planning efforts, including definitions for and measurements of the projects’ completion and success. LEGISLATIVE ANALYST’S OFFICE 7 SUPPLEMENTAL REPORT OF THE 2023-24 BUDGET ACT (d) A list of the activities undertaken by DDS during project planning to engage stakeholders, including consumers and their families, and any associated outcomes. (e) A list of organizational change management activities undertaken by DDS during project planning to prepare regional centers for any business process changes and/or changes in regional center resources and staff associated with the projects. (f) A list of project risks and issues identified by DDS during project planning and proposed mitigations and/or actions to address them. Item 4440-011-0001—Department of State Hospitals 1. Department of State Hospitals (DSH) Mental Health Services Staffing. On or before January 10, 2024, DSH shall submit to the relevant budget subcommittees of each house and to the Legislative Analyst’s Office a report on persistent vacancies and the use of contractors. The report shall include but not be limited to: (a) The number of treatment team (psychiatrist, psychologist, rehabilitation therapist, and social worker) and level-of-care nursing (registered nurse, licensed vocational nurse, and psychiatric technician) positions that have remained unfilled throughout the previous (2022-23) fiscal year, listed by job classification. Unfilled positions include positions filled by contractors. (b) The number of treatment team and level-of-care nursing positions that have been vacated during the previous fiscal year (2022-23), separated and listed by job classification. (c) The total amount of funding allotted for permanent, full-time treatment team and level-of-care nursing positions that went unspent in the previous fiscal year (2022-23). What specific programming was this funding repurposed for? (d) The total amount of hours logged by treatment team and level-of-care nursing contractors in the previous fiscal year (2022-23). (e) The total amount of funding spent on treatment team and level-of-care nursing contractors during the previous fiscal year (2022-23). (f) How much treatment team and level-of-care nursing contractors or contracting companies are paid per hour, separated and listed by job classification. How does this compare to the pay range for civil service positions of the same job classification? (g) Efforts by DSH to recruit treatment team and level-of-care nursing employees, including but not limited to: (i) Historically utilized recruitment methods. (ii) Recruitment tools or strategies implemented within the past three fiscal years. (iii) Implemented suggestions, if any, from existing employees and their representatives on how to be more competitive with the private sector. (h) Efforts by DSH to retain treatment team and level-of-care nursing employees, including but not limited to: (i) Implemented suggestions, if any, from existing employees on how to better retain employees. (i) The average length of civil service for treatment team and level-of-care nursing employees as of June 30, 2023, separated and listed by job classification. LEGISLATIVE ANALYST’S OFFICE 8 SUPPLEMENTAL REPORT OF THE 2023-24 BUDGET ACT (j) The average length of service, for treatment team and level-of-care nursing contractors as of June 30, 2023, separated and listed by job classification. Item 4560-001-3850—Universal Mental Health Screening of Children and Youth 1. Universal Mental Health Screening of Children and Youth. On or before March 1, 2024, the Mental Health Services Oversight and Accountability Commission (the Commission), in consultation with the Department of Health Care Services (DHCS), shall submit a report to the relevant budget and policy committees of the Legislature on universal mental health screenings of children and youth. It is the intent of the Legislature that the report may be used to inform future budget and policy considerations around expanding mental health screenings to children in California, with the goal of reducing adverse health and life outcomes later in life stemming from unaddressed mental health issues. (a) The following components of the report shall be in consultation with DHCS to the extent feasible: (i) A review of existing research on the effectiveness of universal mental health screening policies in identifying and addressing mental health issues for children and youth. (ii) Information on existing mental health screenings in Medi-Cal, other DHCS programs, and the Children and Youth Behavioral Health Initiative that may include, but is not limited to (1) what screenings are currently required or optional in various school and healthcare settings, as well as across age groups; (2) utilization of such mental health screenings, to the extent available; (3) how mental health screenings are reimbursed in various school and healthcare settings, as well as across age groups; (4) oversight and monitoring of mental health screenings; (5) current best or promising practices on mental health screenings; (6) protocols for referrals to ongoing mental health services in the case of a positive screen; and (7) what training and technical assistance has been provided. (iii) The legal considerations related to parental notification and consent for mental health screenings in a school setting. (iv) The data security and privacy framework needed for confidentiality of screening results. (v) Federal funding opportunities to at least partially cover the costs of administering universal mental health screenings in schools. (b) The following components of the report shall be completed by the Commission, to the extent feasible: (i) Other state or national best practices on mental health screenings from other governmental agencies and medical organizations specializing in the treatment of mental illness in children and youth. (ii) A review of the evidence on the effectiveness and cost of existing screening tools and how they are administered and used across various school and healthcare settings, as well as across age groups for non-Medi-Cal entities. (iii) Information on existing mental health screenings in California, outside Medi-Cal, that includes, but is not limited to (1) required or optional mental health screenings, LEGISLATIVE ANALYST’S OFFICE 9 SUPPLEMENTAL REPORT OF THE 2023-24 BUDGET ACT including school-based screenings, and (2) the percentage of children and youth who get screened each year for the last five years of available data. (iv) Information on universal mental health screening programs, like Sonoma County Office of Education, or other case studies of local governments, states, or other countries, including, but not limited to (1) what screening tool was used; (2) which age groups were screened; (3) in which locations were students screened (for example, at a school site or another site); (4) who administered the screenings; (5) what steps were taken following a positive screen; (6) was the program evaluated and if so, what were the results; (7) what was the overall cost of the program; and (8) what were the lessons learned? (v) Other information for the Legislature, to the extent feasible, including (1) the need to develop, and by whom, protocols for referrals to ongoing mental health services in the case of a positive screen; (2) which screening tools have been demonstrated to have increased efficacy and accuracy, (3) trade-offs of different screening administration methods, such as in-person or remote; (4) possible training and technical assistance needed for school-based personnel administering the screening; (5) possible training and technical assistance needed for school-based personnel to respond to a positive screen; (6) the continuum of services needed to address a positive screen; (7) estimated costs of implementing a statewide universal mental health screening in schools; (8) considerations for best practices of addressing cultural and linguistic disparities in early identification and access to mental health services; (9) estimated costs of providing sufficient services to address positive screens; and (10) considerations for monitoring and evaluating implementation and outcomes related to universal mental health screening in schools. Item 5180-001-0001—Department of Social Services 1. California Statewide Automated Welfare System (CalSAWS) Stakeholder Engagement. It is the intent of the Legislature that the administration and CalSAWS, in a manner consistent with Welfare and Institutions Code sections 10823.1 through 10823.3, shall minimize client burden in learning about, applying for, and keeping county-administered benefits through the continued solicitation and integration of feedback and input from stakeholders into the development, implementation, and maintenance of public-facing elements of CalSAWS. Furthermore, the Legislature intends for the administration and CalSAWS to improve their processes for soliciting and integrating feedback and input from stakeholders into the prioritization of enhancements to the public-facing elements of CalSAWS. It is also the intent of the Legislature that the administration and CalSAWS consider the feedback and input from stakeholders into the prioritization of enhancements within the context of other relevant information such as the level of existing funding and resources available, as well as existing commitments for the automation of policy changes. On or before January 10, 2024, the administration and CalSAWS shall submit a report to the relevant budget subcommittees and policy committees of each house of the Legislature on its efforts to improve its engagement with stakeholders to solicit and integrate their feedback and input into the public-facing elements of CalSAWS. The report shall include, but not be limited to, written updates on the following goals, including any requested supporting documentation: LEGISLATIVE ANALYST’S OFFICE 10 SUPPLEMENTAL REPORT OF THE 2023-24 BUDGET ACT • Improved processes for solicitation and incorporation of stakeholder feedback and input into prioritization of enhancements to public-facing elements of CalSAWS. The report shall consider, at a minimum, the processes for the Collaboration Model group, monthly public meetings such as the Joint Powers Authority Board and Project Steering Committee meetings, and quarterly stakeholder meetings. – Supporting documentation: A list of the meetings in which stakeholder feedback and input on public-facing elements of CalSAWS is solicited, including descriptions for each meeting of how feedback and input solicited from stakeholders is being incorporated into the public-facing elements of CalSAWS. – Supporting documentation: A list of the roles and responsibilities for each entity that is involved in the facilitation of stakeholder feedback and input processes. – Supporting documentation: The most recent versions of the Collaboration Model group Charter, Enhancement Request Form, and Roadmap. – Supporting documentation: A list of the currently planned enhancements to the public-facing elements of CalSAWS, including the identification of enhancements submitted by stakeholders through the Collaboration Model group as their top priorities, and a description of current efforts and next steps on any remaining enhancements. • Consistent, effective communication with stakeholders to ensure meaningful, timely inclusion of their feedback and input on public-facing elements of CalSAWS. The report shall consider, at a minimum, communication among Collaboration Model group members, explanation of decision-making on enhancement inclusion and prioritization, and sharing of client and community-based organization feedback and insights with stakeholders. – Supporting documentation: A description of the process(es) used to reach agreement on the Collaboration Model group documents including its Charter, Enhancement Request Form, and Roadmap. – Supporting documentation: Examples of how an administration and/or CalSAWS decision to not include or deprioritize planned enhancements to the public-facing elements of CalSAWS has been shared with stakeholders. – Supporting documentation: Examples of the client and community-based organization feedback and insights shared with stakeholders by the administration and CalSAWS. – Supporting documentation: A list of key definitions for terms relevant to the legislative report, such as “development, implementation, and maintenance” and “public-facing elements of CalSAWS.” • Examples of changes, enhancements, or other progress towards furthering the goal of minimizing the burden of the overall eligibility process for enrollment and retention of benefits for low-income Californians and streamlining interactions for both clients and eligibility workers, within existing technology, resources, and policy. The report shall consider, at a minimum, migration of the remaining California Work Opportunity and Responsibility to Kids Information Network (CalWIN) counties to CalSAWS, full post-migration implementation of CalSAWS and its ancillary systems as the single system, and ongoing CalSAWS and ancillary system development and operations activities. LEGISLATIVE ANALYST’S OFFICE 11 SUPPLEMENTAL REPORT OF THE 2023-24 BUDGET ACT – Supporting documentation: A description of how the administration and CalSAWS incorporate the goal of minimizing the overall process burden, including client burden and streamlining client and worker interactions into their decision-making processes. – Supporting documentation: An explanation as to how current and future CalSAWS activities will minimize the overall process burden, including client burden and streamlining client and worker interactions, including planned enhancements to the public-facing elements of CalSAWS. – Supporting documentation: A list of key metrics to assess outcomes from stakeholder engagement activities, such as, of the enhancements to public-facing elements of CalSAWS that were identified by stakeholders as top priorities through the Collaboration Model group, (1) the enhancements implemented by CalSAWS in the reporting period, (2) the enhancements that were not included or deprioritized by CalSAWS in the reporting period, and (3) any preliminary measurements that are currently available to show how the enhancements are minimizing the burden of the overall eligibility process and streamlining associated interactions. The administration and CalSAWS shall provide subsequent updates to the report as requested by budget subcommittee and policy committee staff, particularly for hearing agendas and in testimony during the 2024-25 budget subcommittee process. A final updated report may be requested by budget subcommittee and policy committee staff at the end of fiscal year 2023-24. 2. Level of Care Permanent Rates. As part of the January 10, 2024 Governor’s proposed 2024-25 budget, the Department of Social Services (DSS) shall include a schedule for stakeholder input and consultation on the Continuum of Care Reform Permanent Rates Proposal. This shall include a minimum of two meetings with the Legislative Analyst’s Office, child welfare advocacy groups, foster youth, counties, provider groups, and legislative policy and fiscal staff that shall take place prior to April 1, 2024. DSS shall provide a summary of the stakeholder consultation meetings, highlighting any concerns and opportunities associated with the administration’s proposal, with the 2024 May Revision, and no later than May 14, 2024. 3. CalFresh Oral Notice of Work Rules May Revision Request. DSS shall convene legislative staff, client representatives, counties, anti-poverty/anti-hunger stakeholders, and additional parties in the administration (for example, the Department of Finance) to review implementation details of complying with federal requirements related to the CalFresh Oral Notice of Work Rules. The discussion shall include information to further understanding of how the state and counties are implementing the rules such that they are being read only to the subset of CalFresh recipients to whom the federal rule applies, to avoid a chilling effect, and that this implementation is conducted in a trauma-informed manner, and is unbiased, inoffensive, and respectful to the recipient population impacted. The meeting shall occur by or before December 15, 2023. 4. California Work Opportunity and Responsibility to Kids (CalWORKs) Name Change. DSS and the Department of Finance shall provide a comprehensive fiscal estimate of the one-time and ongoing, if any, costs to change the name of the CalWORKs program. This estimate shall be submitted to the relevant policy and fiscal committees of the Legislature by March 1, 2024, with preliminary information provided to the Legislature as early as possible in the fall of 2023. LEGISLATIVE ANALYST’S OFFICE 12 SUPPLEMENTAL REPORT OF THE 2023-24 BUDGET ACT 5. Reporting on CalWORKs Families’ Needs and Barriers. DSS shall provide the following information pertaining to the CalWORKs program and CalWORKs recipients on at least an annual basis, starting February 1, 2024. If the information is reliant on being available through the CalWORKs Outcomes and Accountability Review (Cal-OAR) effort, then that data shall be forthcoming as soon as is possible through Cal-OAR, still on the February 1 schedule, and in the intervening months between each of the annual dates, as an update to the most recently shared February 1 information. Each subsequent reporting after the initial reporting will include the prior historical information and trend analysis to illuminate rates of increase or decrease in these metrics. A separate, unique meeting shall be convened with legislative staff annually, including the Legislative Analyst’s Office, where the department will present on the information outlined below, discuss the individual data elements with context and available trend analysis information, and be available to answer questions. The department shall work to centralize the data elements, for example, in a central pane on a public-facing dashboard on the department’s website. (a) Information on the program’s “take-up” rate, which is intended to capture the number of eligible families enrolled in the program against the number of eligible families estimated in the population. (b) Where available, the number of people and/or households and what portion/percentage of the caseload: (i) Do not receive an adult portion of the grant, breaking out types of cases. (ii) Lack a high school diploma or General Education Degree. (iii) Have been approved to receive Housing Support Program benefits. (iv) Have been approved to receive Homeless Assistance Program benefits. (v) Are engaged in supportive services as captured in Cal-OAR. (vi) Are in welfare-to-work sanction status. (vii) Are enrolled in the Home Visiting program. (viii) Are transitioning from Subsidized to Unsubsidized Employment. (ix) Are participating in Family Stabilization services. (x) Are referred to Stage 1 Child Care services. (xi) Are receiving good cause. (xii) Are entering the safety net (retaining the child-only grant) after exhausting their 60 months on aid for adults. (xiii) When available, trends on reasons for program exits, including, but not limited to, exits due to income. 6. Monitoring of Medi-Cal Redetermination Impacts for the In-Home Supportive Services (IHSS) Consumer Community. Once Medi-Cal redeterminations commence, DSS shall provide an update in writing on the impacts and outcomes of redeterminations on consumers of IHSS regarding (1) related Medi-Cal terminations and the subsequent loss of full-scope Medi-Cal, (2) the number of IHSS consumers who are in the IHSS Residual program, and (3) any other germane information regarding the impacts of Medi-Cal redeterminations on this population. This information shall be collected and reported on a quarterly basis to the Legislature, with each subsequent report after the initial report including the prior historical information and trend analysis to illuminate rates of increase or decrease in these metrics. This quarterly reporting shall commence September 1, 2023. DSS shall convene at least two meetings with legislative LEGISLATIVE ANALYST’S OFFICE 13 SUPPLEMENTAL REPORT OF THE 2023-24 BUDGET ACT staff, including the Legislative Analyst’s Office, in the fall of 2023 regarding this information, with the first meeting taking place by or before November 1, 2023. Items 5180-101-0001 and 5180-101-0890—Department of Social Services 1. Child Care and Development Program Fiscal Reporting. On or before March 1, 2024, the Department of Social Services shall provide the fiscal committees of the Legislature, the Legislative Analyst’s Office, and the Department of Finance with the following information: (a) Estimates of the amount of child care and development funding that may go unspent by the end of 2023-24 and what amount of unspent funds cannot be re-appropriated and would revert back to the state or federal government absent adjustments to expenditures or contracts. These estimates shall include funding yet to be allocated or committed into contracts with child care providers, as well as estimates of allocated or contracted funds that are likely to go unspent by the end of 2023-24. The department shall provide these estimates disaggregated by fiscal year and program, and shall include General Fund, one-time federal relief funds, federal Child Care and Development Fund, and Proposition 64 funds. (b) Point-in-time allocations and projected expenditure levels associated with provisions included in the 2023 memorandum of understanding (MOU) between the Child Care Providers United-CA (CCPU) and state of California and parity investments for non-represented child care providers receiving subsidies, including but not limited to monthly cost of care plus rate supplements, one-time transitional payments, CCPU health benefits, CCPU retirement benefits, CCPU training funds, and, to the extent feasible, change in part-time definition and reimbursements based on certified need. The department shall provide the point-in-time allocations and projected expenditure levels disaggregated by fiscal year, program, and MOU provision and parity investment. The department also shall provide point-in-time allocations and projected expenditure levels of administrative funds associated with child care MOU provisions and parity investments disaggregated by fiscal year, purpose of funds, and entity that received the funds. LEGISLATIVE ANALYST’S OFFICE 14 SUPPLEMENTAL REPORT OF THE 2023-24 BUDGET ACT e duCaTion Item 6100-194-0001 and 6100-196-0001—California Department of Education 1. State Preschool Fiscal Reporting. On or before March 1, 2024, the California Department of Education shall provide the fiscal committees of the Legislature, the Legislative Analyst’s Office, and the Department of Finance with point-in-time allocations and projected expenditure levels associated with provisions included in the 2023 memorandum of understanding between the Child Care Providers United-CA and state of California and parity investments for non-represented preschool providers receiving subsidies, including but not limited to monthly per-child cost of care plus rate, transitional payments, administrative costs, and, to the extent feasible, change in part-time definition. The department shall provide point-in-time allocations and projected expenditure levels disaggregated by fiscal year, fund source, purpose of funds, and entity that received the funds, inclusive of funds provided for administrative workload. LEGISLATIVE ANALYST’S OFFICE 15 SUPPLEMENTAL REPORT OF THE 2023-24 BUDGET ACT g g eneral overnmenT Item 8860-001-0001—Department of Finance 1. Administrative Procedures Act and Contracting Exemptions. It is the intent of the Legislature to minimize exemptions enacted via the budget process related to the Administrative Procedures Act and contract codes. As an alternative to such exemptions, the Governor may direct a department to identify a legislative author for and sponsor a bill via the policy committee legislative process to enact improvements to the Administrative Procedures Act and contract codes. LEGISLATIVE ANALYST’S OFFICE 16