BILL NUMBER: AB 2568AMENDED BILL TEXT AMENDED IN SENATE JUNE 30, 2016 AMENDED IN SENATE JUNE 13, 2016 INTRODUCED BY Assembly Member Atkins FEBRUARY 19, 2016 An act to add Section 18986.89 to the Welfare and Institutions Code, relating to health and human services. LEGISLATIVE COUNSEL'S DIGEST AB 2568, as amended, Atkins. Integrated health and human services program. Existing law authorizes the Counties of Humboldt, Mendocino, andAlameda,Alameda to implement a program for the funding and delivery of services and benefits through an integrated and comprehensive county health and human services system, subject to certain limitations. This bill would authorize the County of San Diego, upon approval of the county board of supervisors, to operate an integrated and comprehensive health and human servicessystem.system, as specified. Vote: majority. Appropriation: no. Fiscal committee:noyes . State-mandated local program: no. THE PEOPLE OF THE STATE OF CALIFORNIA DO ENACT AS FOLLOWS: SECTION 1. Section 18986.89 is added to the Welfare and Institutions Code, to read: 18986.89. (a) Notwithstanding the dates provided in subdivisions (a) and (b) of Section 18986.87, the County of San Diego may, upon approval of the county board of supervisors, operate an integrated and comprehensive health and human services system. (b) In providing services through an integrated system to families and individuals, the system may, among other things, do both of the following: (1) Maintain and evaluate a system of administration that integrates and coordinates the management and support of client services. (2) Maintain a system of reporting and accountability that provides for the combined provision of services without the loss of state or federal funds provided under current law. (c) The integrated and comprehensive county health and human services system may include, but not be limited to, any or all of the following: (1) Adoption services. (2) Child abuse prevention services. (3) Child welfare services. (4) Delinquency prevention services. (5) Drug and alcohol services. (6) Mental health services. (7) Eligibility determination. (8) Employment and training services. (9) Foster care services. (10) Health services. (11) Public health services. (12) Housing services. (13) Medically indigent program services. (14) Veteran's services. (15) Aging services. (16) Any other related program as designated by the board of supervisors. (d) The county shall comply with all applicable state and federal privacy laws that govern medical and social service information, including, but not limited to, the Confidentiality of Medical Information Act (Part 2.6 (commencing with Section 56) of Division 1 of the Civil Code), the federal Health Insurance Portability and Accountability Act (HIPAA), and Sections 827, 5328, and 10850. (e) Programs or services shall be included in the system only to the extent that federal funding to either the state or the county will not be reduced as a result of the inclusion of the services in the project. (f) This chapter shall not authorize the county to discontinue meeting its obligations under current law to provide services or to reduce its accountability for the provision of these services. (g) The county shall utilize any and all state general funds and county funds that it is legally allocated or entitled to receive. Through the creation of integrated health and social services structures, the county shall maximize federal matching funds. This integration shall not result in increased expenditures from the General Fund. (h) The appropriate state departments, as designated by the Secretary of Health and Human Services, that are assisting, participating, and cooperating in the program authorized by this chapter shall have the authority to waive regulations, with the concurrence of the county, regarding the method of providing services and the method of reporting and accountability, as may be required to meet the goals set forth in subdivision (b). However, the departments shall not waive regulations pertaining to privacy and confidentiality of records, civil service merit systems, or collective bargaining. The departments shall not waive regulations if the waiver results in a diminished amount or level of services or benefits to eligible recipients as compared to the benefits and services that would have been provided to recipients absent the waiver.