Tuesday, September 1, 2015

Financing Child Protective Services

Information Request of the Month

Question: How Are State Child Welfare Programs Funded?
Answer: Child Welfare Financing 101
Funding state child welfare services involves a complicated web of funding streams, including federal, state and local money. The largest source of funding dedicated to child welfare comes from the federal government, specifically, Titles IV-B and IV-E of the Social Security Act. Title IV-B includes the Stephanie Tubbs Jones Child Welfare Services Program and Title IV-E includes Foster Care, Adoption Assistance, Guardianship Assistance and the John H. Chaffee Foster Care Independence programs. While all states may receive these funds to use for their designated purposes, some states have been granted Title IV-E Waivers, which allow them to operate innovative demonstration projects to improve the safety, permanency and well-being of children in out-of-home care, and in some instances work to prevent the need for foster care altogether.
Title IV-E
The Title IV-E foster care maintenance payments program allows states to be reimbursed by the federal government for maintenance payments made to provide shelter, food and clothing for eligible children. In addition, it covers administrative costs, training of child welfare staff and foster parents, recruitment of foster parents and data collection. A child is eligible for these payments if he or she entered foster care through a voluntary placement or judicial determination, was considered “needy” by Aid to Families with Dependent Children (AFDC) standards prior to removal, and currently resides in licensed or approved foster care. Traditionally these payments would cease upon the child’s 18th birthday. In 23 states and the District of Columbia, however, payments may be continued until the child reaches 21.This extension was authorized by the Fostering Connections to Success and Increasing Adoptions Act of 2008 (Fostering Connections Act).
Title IV-E Adoption Assistance funds must be used to place children with adoptive families in a timely manner, provide for financial and medical assistance, reimburse states for associated administrative costs, and train employees and adoptive parents. Children are eligible for adoption assistance funds if they meet one of five criteria:
  • They are considered needy, according to the AFDC.
  • They remained in the pre-removal situation.
  • They are eligible for Social Security income.
  • They are the children of minor parents who are receiving Title IV-E foster care maintenance payments.
  • They were eligible for adoption assistance previously but their adoptive parents died or had their parental rights terminated.
The Fostering Connections Act increased the overall amount of federal spending on adoption assistance payments to adoptive families by phasing out the income eligibility requirements for those payments over time (de-linking eligibility from income). As federal spending on adoption assistance payments was expected to increase and state spending was expected to decline, Congress required states to reinvest any state savings from this change in child welfare programs. However, according to the latest Child Trends survey, federal expenditures from the Title IV-E Adoption Assistance Program actually declined for the first time, probably because states no longer receive enhanced reimbursed rates through the American Recovery and Reinvestment Act, and a decrease in the number of eligible children. 
Title IV-E Guardianship Assistance is similar to adoption assistance and foster care maintenance in that it also covers the training of child welfare staff and guardians in addition to administrative expenses.
The primary purpose of guardianship assistance is to provide federal reimbursement to kinship guardians, or relatives, who serve as legal guardians and have previously served as foster parents for the child. For the child to be eligible for these payments, he or she must be leaving foster care in exchange for a legal guardianship with relatives and meet four further criteria:
  • The child must be eligible for Title IV-E foster care maintenance payments while residing in a prospective kinship placement for six consecutive months.
  • The state must determine that returning home and adoption are not appropriate permanency goals for the child.
  • It must be demonstrated that there is a strong attachment between the child and the prospective relative guardian and that the guardian is committed to the guardianship.
  • Children age 14 or older must be consulted about the potential placement.
The Fostering Connections Act provides states the option to use federal Title IV-E funds for reimbursement for kinship guardianship assistance payments on behalf of eligible grandparents and other relatives who have assumed legal guardianships of children. Since passage of the Fostering Connections to Success and Increasing Adoptions Act in 2008, at least nine states and the District of Columbia have enacted provisions related to subsidized guardianship.
Title IV-E Waiver Demonstration Projects, discussed in more detail below, allow states to apply for more flexibility in the use of Title IV-E federal reimbursement. These demonstration projects must aim to increase permanency for all children in foster care and/or help children make a successful transition out of care when they reach 18, or in some states, 21; improve child welfare outcomes by focusing on safety and well-being; and prevent child abuse and neglect through early intervention, while also reducing the instances of re-entry into foster care by reducing instances of maltreatment.
The Title IV-E John H. Chafee Foster Care Independence Program funds are designed to help older youth in foster care achieve independence and self-sufficiency. The program targets children who are expected to be in care when they turn 18, those who are 16 or older and are placed in kinship care or adoptive placements, and youth ages 18-21 who have aged out of foster care. Assistance with education, employment, financial management, housing, emotional support and assured connections to caring adults are just a few of the services to which these funds are dedicated.
Title IV-B, CAPTA, TANF and SSBG
Other federal funding for state child welfare services includes Title IV-B of the Social Security Act, the Child Abuse Prevention and Treatment Act (CAPTA), Temporary Assistance for Needy Families (TANF) and the Social Services Block Grant (SSBG).
Title IV-B, Subpart 1 of the Social Security Act, titled the Stephanie Tubbs Jones Child Welfare Services, offers states flexibility in creating or expanding child and family services, in partnership with community-based agencies, to ensure that kids can stay safely at home. Some services include preventive intervention to reduce the need for foster care, alternative placements including kinship care or adoption, and reunification efforts to keep the child at home whenever possible.
Title IV-B, Subpart 2 of the Social Security Act, Promoting Safe and Stable Families, encourages family support and preservation; time-limited family reunification services and services to support adoption. This flexible-use funding allows states to develop, establish or expand community-based programs to support family preservation.
The Child Abuse Prevention and Treatment Act  (CAPTA) State Grantsfirst enacted 40 years ago, and re-enacted most recently in 2010, seeks to improve child protective systems with an emphasis on collaboration between child protective services, health, mental health, juvenile justice, education, and other public and private agencies. As part of the CAPTA amendments, the Community-Based Grants for the Prevention of Child Abuse and Neglect was created in 2003 to provide states with funding to “develop, operate, expand and enhance community-based, prevention-focused programs to strengthen and support families in order to prevent child abuse and neglect.”
Temporary Assistance for Needy Families (TANF), Title IV-A of the Social Security Act, provides federal block grants to states. This flexible funding stream can be used for any purpose, so long as it furthers one of the four main goals of TANF, including providing assistance to families so children can be safely cared for in their own homes. These funds may also be used for foster care or adoption assistance for children who are not Title IV-E eligible. 
The Social Services Block Grants (SSBG)allow states to implement locally appropriate social services  to increase self-sufficiency and independence, reducing dependence on social services. With five policy goals, including reducing and preventing child abuse, and 28 service categories, states are allowed to tailor services to meet the needs of their residents. Categories include foster care, substance abuse, case management, adoptive services, counseling, protective services, housing, employment services and more.
Medicaid
Medicaid is an important source of funding for health services—which can include medically necessary health care and mental health— for children and youth in foster care. It is an open-ended entitlement. States must provide a match based on their population. Key services include Early and Periodic Screening, Diagnosis and Treatment (EPSDT) and optional targeted case management (limited), rehabilitation services, Medicaid-funded therapeutic foster care and certain administrative costs. All children eligible for Title IV-E are eligible for Medicaid, and states may extend Medicaid to adopted children or former foster youth ages 18-21 who are not eligible for Title IV-E.  As of Jan. 1, 2014, the Affordable Care Act extends Medicaid coverage for former foster youth up to age 26. Medicaid is an open-ended entitlement equal to each state’s Federal Medical Assistance Percentage (FMAP) rate.
State and Local Funds
State and local funds are typically used to match federal funds or to draw down federal dollars. The use of state and local funds for child welfare services varies depending on the state and whether it operates a state- or county-run child welfare system.  

Thursday, August 27, 2015

Digest of Bills - 2015 HUMAN SERVICES - SOCIAL SERVICES

Digest of Bills - 2015

HUMAN SERVICES - SOCIAL SERVICES


S.B. 15-12 Colorado works program - child support pass through to assistance recipients - appropriation.Pursuant to the Colorado works program, while a recipient is receiving assistance, the recipient must assign to the department of human services (state department) his or her right to receive child support for purposes of reimbursing the state for the assistance paid to the recipient. Effective January 1, 2017, upon the state department's notification that the relevant human services case management systems, including the automated child support enforcement system and the Colorado benefits management system, are capable of managing the distribution process for the pass-through, the act requires the state department to pass through to the recipient current child support collected by the state department pursuant to the assignment.
The act requires the state department to annually report to the joint budget committee the amount of child support passed through to recipients. Further, the amount of the child support pass-through will not be included in income for purposes of calculating the amount of the applicant's or participant's basic cash assistance paymenthowever, the child support payments, with applicable disregards, are considered income for purposes of determining eligibility.
The general assembly may appropriate to the state department moneys sufficient to reimburse the counties for fifty percent of child support collections and the federal government for its share of child support collections. In any fiscal year in which the general assembly does not appropriate the full amount necessary to reimburse the county for the pass-through, the county is not required to, but may, implement the child support pass-through.
The act appropriates $315,509 in general fund moneys to the state department for changes to the automated child support enforcement system and for implementation contractor costs. In addition, the act anticipates that the state department will receive $553,386 in federal funds for use by the office of self sufficiency. The federal funds will be used for the same purposes as the general funds.
APPROVED by Governor June 5, 2015
EFFECTIVE August 5, 2015
NOTE: This act was passed without a safety clause. For further explanation concerning the effective date, see page vi of this digest.
S.B. 15-65 Use of electronic benefit cards - prohibited locations. Federal law requires states to prevent recipients of public benefits from using electronic benefits transfer cards (EBT cards) at liquor stores, gambling establishments, and adult-oriented entertainment establishments. Current Colorado statutes prohibit the use of EBT cards by recipients at automated teller machines (ATM) in liquor stores, gambling establishments, and firearms dealers. The act extends the Colorado prohibitions to establishments licensed to sell marijuana or marijuana-infused products and to adult-oriented entertainment establishments.
The act requires the owner of an ATM to reprogram the machine to allow recipients to use the machine when it is moved from a prohibited location.
APPROVED by Governor May 1, 2015
EFFECTIVE May 1, 2015
S.B. 15-87 Foster care - emergency placement - placement with noncertified kin - criminal background checks and other background checks - rules. A county department of human services or of social services (county department) or child placement agency is required to perform and document that the following 5 types of background checks have been performed of the applicant, an employee, or any adult residing in the foster care home prior to placing a child in a foster care home and when certifying or recertifying the applicant or operator of a foster care home:
  • A fingerprint-based criminal history record check with the CBI;
  • A fingerprint-based criminal history record check with the FBI;
  • A comparison check of the criminal history records on the state judicial department's ICON system;
  • A check that the individual is not a registered sex offender on the state's sex offender registry or in another state as checked on the national sex offender public registry operated by the U.S. department of justice; and
  • A check through the state department of human services' automated database system that the individual has not been identified as having a finding of child abuse or neglect.
These background checks must be performed for any adult residing in the foster care home, not just those who reside in the home and are acting as a caregiver for the child.
The act revises the definition of "foster care" to clarify that it includes a kinship foster care home. The act defines "kin", "kinship foster care home", and "noncertified kinship care". The act revises the definition of "county department" to reflect that county departments are referred to as county departments of human or social services. The act repeals the definition of salaried foster parent related to a pilot program repealed in 2009.
The act amends the existing list of disqualifying criminal offenses for persons providing foster care or other types of out-of-home placement to include any offense involving unlawful sexual behavior, not just felony offenses.
The state board of human services (state board) shall adopt rules governing the background checks and documentation for foster care homes and concerning what the county department or child placement agency must do if a disqualifying factor or problem is found from the background checks. The rules must also specify sanctions that the state department of human services (state department) may place upon a county department or child placement agency that fails to perform or document background checks for foster care homes.
The act requires the county department to share with the guardian ad litem the reports of fingerprint-based criminal history record checks from the CBI and the FBI if the court orders the county department to share that information with the guardian ad litem.
The act clarifies what background checks are required and the sequence of steps for background checks when a child is taken into temporary custody and placed with a relative in emergency placement. The county department or a local law enforcement agency must immediately perform the initial criminal history record check prior to placing the child in temporary custody with the relative. The local law enforcement agency is required to immediately provide the county department with a verbal response regarding the person's criminal history based on the initial criminal history record check. The child may not be placed with the relative if the initial criminal history record check reflects a criminal history of committing certain disqualifying crimes. If the relative has not been disqualified as an emergency placement, then the relative shall report to a local law enforcement agency, or to the county department, if the county department has a fingerprint machine, to submit fingerprints for a fingerprint-based criminal history record check used to determine if the child may remain in that emergency placement. The county department is required to confirm within 15 days that the relative has self-reported to a law enforcement agency to obtain a fingerprint-based criminal history record check. If the relative is found to have committed certain crimes, the county department or law enforcement agency must remove the child from the relative's care.
If the relative was not disqualified as a continued emergency placement after the fingerprint-based criminal history record check, the bill requires the county department to conduct the following background checks of the relative and of any person residing with the relative:
  • A check of the judicial department's ICON system to determine the status or disposition of any criminal charges;
  • A check of the state department's automated database to determine if the person has been identified as having a finding of child abuse or neglect and whether such finding presents an unsafe placement for the child; and
  • A check of the state sex offender registry and the national sex offender public registry to see if the person is a registered sex offender.
If information is found from the additional background checks of the relative that indicate that continued placement with the relative would no longer be safe for the child, the county department is required to remove the child from that placement.
The county department is required to request that a local law enforcement agency perform a fingerprint-based criminal history record check of any person residing in the home. The local law enforcement agency is required to provide the results of the criminal history record checks within 48 hours. If the fingerprint-based criminal history record check indicates that a person residing in the home has committed certain disqualifying crimes or the other background checks raise issues about the safety of the child in the home, the county department shall evaluate the continued placement of the child in the home and develop a plan to address the issues within 14 days. The county department shall remedy the situation as quickly as possible and no later than 2 weeks after placement. The state board shall promulgate rules to address child safety and what must be considered in the evaluation.
The county department does not need to repeat fingerprint-based criminal history record checks of relatives or other persons residing in the home if those checks have been performed within the preceding 3 months; except that the county department shall repeat the other background checks and contact local law enforcement to verify if there were any new charges for offenses filed against the relative or other persons residing in the home. The county department may also request flagging of the fingerprints and automatic notification of new arrests when the person is also applying for foster care certification.
A county department is required to conduct background checks for a relative who is providing noncertified kinship care when the placement with a relative is not an emergency placement. A county department shall not place a child in noncertified kinship care if the kin or an adult who resides with the kin at the home:
  • Has been convicted of certain disqualifying criminal offenses;
  • Is a registered sex offender in the state sex offender registry or national sex offender registry; or
  • Has been identified as having a finding of child abuse or neglect through a check of the state department's automated database and that finding has been determined to present an unsafe placement for the child.
However, a county department may make a placement with noncertified kin that would otherwise be disqualified or allow continued placement with noncertified kin if an adult residing in the home would otherwise be disqualified if such placement occurs according to rules on reviewing placement and addressing safety issues promulgated by the state board or if there is county-initiated court involvement and an order of the court affirming placement of the child with the kin.
The state board shall adopt rules on reviewing the placement of children in noncertified kinship care, including rules requiring the performance and documentation of criminal background checks and other background checks of relatives and residents in the home, reviewing placement and addressing safety issue when there are disqualifying factors or safety issues, and identifying alternative remedies to removal of the child from the placement.
The court is directed to inquire whether there is documentation that a foster care provider or family member who is seeking to care for a child and any person residing with the foster care provider or family member have had the required criminal and other background checks when a child is in out-of-home placement and the court is placing a child in the legal custody of a family member or, after termination of the parent-child legal relationship, when the court is placing the child in the legal custody of a county department for placement in a foster care home, or when a family member requests that a child be placed with the family member.
APPROVED by Governor June 2, 2015
EFFECTIVE June 2, 2015
S.B. 15-178 Colorado commission for the deaf and hard of hearing - membership - duties - terms of office - continuation under sunset law. In accordance with the recommendation of the department of regulatory agencies contained in its sunset review, the act continues the Colorado commission for the deaf and hard of hearing for 9 years, until 2024. In addition, the act:
  • Requires the commission to report to the general assembly annually, on or before September 1 of each year, with recommendations for administrative and legislative changes that would benefit the deaf and hard of hearing community;
  • Limits the terms of commissioners to 2 consecutive 4-year terms;
  • Repeals the requirement for senate confirmation of commissioner appointments;
  • Clarifies that the commission also serves persons who are deaf-blind;
  • Changes the membership of the commission to add a commissioner who is deaf-blind in place of the existing position for a member of the public; and
  • Makes technical changes to the commission's enabling statute to remove obsolete or conflicting language.
APPROVED by Governor May 1, 2015
EFFECTIVE July 1, 2015
S.B. 15-204 Child protection services - abuse and neglect - office of the child protection ombudsman - appropriation. Currently, the office of the child protection ombudsman (office) operates within the department of human services (department), with the administration of the program and office awarded by the department through a contract. The act removes the office from the department and establishes it within judicial department as an independent agency. An independent nonpartisan child protection ombudsman board (board) is established and membership criteria set forth.
The board's duties include overseeing personnel decisions related to the child protection ombudsman (ombudsman); ensuring accountability and consistency in the operating policies and procedures for the office; working cooperatively with the ombudsman to provide fiscal oversight for the office; assisting with the memorandum of understanding, to be signed no later than November 1, 2015, between the office and the department; and collaborating with the judicial department and the office on the creation of an administrative memorandum of understanding between the judicial department and the office, to be signed no later than November 1, 2015, with an effective date of no later than January 1, 2016.
The current contract under which the office operates may be extended until December 31, 2015, and may be revoked earlier upon the agreement of all parties, but no sooner than the effective date of the memorandum of understanding between the judicial department and the office.
The office is given the authority to make direct funding recommendations to the joint budget committee of the general assembly for the office's operations. The office is required to submit its own annual SMART performance report to the general assembly.
For the 2015-16 state fiscal year, $351,086 is appropriated to the judicial department for an additional 2.2 FTE for administrative matters related to the office, capital and infrastructure maintenance related to the office, and actual operations of the office.
APPROVED by Governor June 2, 2015
EFFECTIVE June 2, 2015
S.B. 15-240 Individuals with disabilities - independent living centers - funding. The act instructs the state department of human services to promulgate a rule for the distribution of state moneys to independent living centers.
APPROVED by Governor May 1, 2015
EFFECTIVE May 1, 2015
S.B. 15-241 Collaborative management of multi-agency services program - appropriation. With respect to collaborative management of multi-agency services provided to children and families (program), the act:
  • Clarifies that children or families do not need to be in the child welfare or foster care system to receive services under the program;
  • Clarifies that the department of human services (department) is responsible for ensuring statewide consistency relating to the requirements for program memoranda of understanding;
  • Clarifies the definition of the target population for the program;
  • Requires the department and specified persons to develop performance measures for the system of collaborative management, which measures may be modified biennially;
  • Requires parties to a program memorandum of understanding to identify performance measures, report to the department concerning those measures, and participate in an annual program evaluation of their success in meeting the identified performance measures;
  • Clarifies that incentive funding is provided to parties to a memorandum of understanding who have successfully met or exceeded the identified performance measures as reported to the department;
  • Removes references to "elements of collaborative management"; and
  • Authorizes the department to use general fund moneys for program incentives.
The act appropriates $1,856,635 to the department for use by the division of child welfare for implementation of the program, administration, program incentives, and annual program evaluations.
APPROVED by Governor May 1, 2015
EFFECTIVE May 1, 2015
S.B. 15-242 Child welfare - staffing - funding - allocation formula - appropriation. The act directs the child welfare allocations committee (committee) to develop a formula to allocate additional funding (allocation) to counties in addition to the child welfare block grant for the specific purpose of hiring new child welfare staff at the county level. Any county receiving such an allocation shall continue to fund any child welfare staff existing as of January 1, 2015, through its child welfare block grant. Each county that receives an allocation shall provide a 10% match to state and federal moneys; except that a county that qualifies as tier 1 or tier 2 for purposes of the county tax base relief fund shall be funded at 100% of state and federal funds provided.
The state department of human services (department) is authorized and required to contract for an external study concerning the child welfare caseload by county. The results of the study shall be provided to the committee, which shall modify the formula as necessary after receiving the results of the child welfare caseload study.
The act appropriates $6,320,443 to the department to implement the act.
APPROVED by Governor May 1, 2015
EFFECTIVE May 1, 2015
S.B. 15-243 Medicaid - regional centers - prohibition on transfer of state-operated beds. The act prohibits the department of human services (department) from closing or selling, prior to May 16, 2016, state-operated beds licensed pursuant to the Medicaid home- and community-based services for individuals with developmental disabilities waiver. Further, individuals transitioned to the community unsuccessfully within the preceding six months must be permitted to return to a state-operated regional center, and the department shall maintain an adequate number of beds at the regional centers for these individuals.
APPROVED by Governor May 1, 2015
EFFECTIVE August 5, 2015
NOTE: This act was passed without a safety clause. For further explanation concerning the effective date, see page vi of this digest.
H.B. 15-1078 Child welfare - missing children - report to law enforcement.The act requires the state department of human services or a county department of human or social services that has legal custody of a child or youth to report the child's or youth's disappearance to the National Center for Missing and Exploited Children and to law enforcement immediately, or no later than 24 hours after learning of the disappearance. Law enforcement authorities shall notify the Colorado bureau of investigation for transmission to the federal bureau of investigation for entry into the national crime information center database.
APPROVED by Governor March 20, 2015
EFFECTIVE January 1, 2016
NOTE: This act was passed without a safety clause. For further explanation concerning the effective date, see page vi of this digest.
H.B. 15-1188 Vocational rehabilitation. The act addresses concerns identified by a recent audit of the state vocational rehabilitation program for persons with disabilities (program). Several areas of statute are repealed because they did not comply with federal regulations. The act clarifies that the program does not entitle an eligible person with a disability to unlimited services from the program. Numerous duties are statutorily assigned to the state department of human services, including the responsibility to complete a comprehensive assessment and develop employment outcomes or goals, including time frames, for each person with a disability receiving services; the requirement to develop a fee schedule for goods and services; and the requirement to close the record of services in a timely manner for a person with a disability after he or she has achieved his or her employment outcomes or goals. The state department of human services shall also establish a review process to allow for exceptions to the new requirements in unique cases. Language concerning recovery of state moneys for vocational rehabilitation services received through misrepresentation, fraud, collusion, or criminal conduct is added to statute.
APPROVED by Governor March 30, 2015
EFFECTIVE March 30, 2015
H.B. 15-1248 Screening foster care parents - child placement agencies - access to reports of child abuse and neglect - appropriation. The act allows a designated person at each child placement agency, in accordance with certain conditions outlined in the act, to access records and reports of child abuse or neglect (TRAILS system) for the purpose of screening current or prospective foster parents, any adult residing in the home of a current or prospective foster parent, and specialized group facilities. The department of human services shall monitor the child placement agencies' access to TRAILS to ensure compliance with statute.
The act appropriates $37,138 to the department of human services for use by the division of child welfare to monitor TRAILS usage by child placement agencies and for information technology services for TRAILS.
APPROVED by Governor June 5, 2015
EFFECTIVE July 1, 2015
H.B. 15-1255 Electronic benefit transfer cards - reports on improper use - rules for prohibited establishments. The act requires the department of human services (department) and the department of revenue to submit reports to specified committees of the general assembly on improper use of electronic benefits transfer cards (EBT cards) at certain prohibited locations.
The act requires the department to adopt rules enforcing the prohibition against the use of EBT cards at prohibited establishments, including increasing penalties for repeated violations.
The act requires the department of revenue to promulgate rules for establishments regulated by the department of revenue:
  • Requiring the operators of establishments in which EBT cards are prohibited and in which an automated teller machine (ATM) is located to post a sign notifying users that they are prohibited from accessing benefits with an EBT card at the ATM. The bill specifies a statement that must appear on the sign.
  • Requiring operators of such establishments to take measures to prevent clients from using EBT cards at ATMs in their establishments;
  • Establishing methods to enforce measures by operators to prohibit clients from using an ATM at prohibited locations, including increasing penalties; and
  • Exempting an establishment from the above requirements if it provides to the department of revenue a statement from the owner or operator of each ATM in the establishment that the ATM will not accept EBT cards, but authorizing the department of revenue to impose sanctions for unauthorized use.
APPROVED by Governor May 1, 2015
EFFECTIVE May 1, 2015
NOTE: Certain sections of the act are contingent on whether or not Senate Bill 15-065 becomes law. Senate Bill 15-065 was signed by the governor May 1, 2015.
H.B. 15-1358 Child abuse or neglect - differential response program. The differential response pilot program for child abuse or neglect cases of low or moderate risk was created in 2010 and scheduled for repeal on July 1, 2015. The act establishes the pilot program as a permanent program by removing the repeal. Participation in the program by county departments of human or social services is voluntary. The reporting requirements for the pilot program are repealed.
APPROVED by Governor May 14, 2015
EFFECTIVE May 14, 2015
H.B. 15-1365 Tony Grampsas youth services program - membership. The act adds 2 youth members to the Tony Grampsas youth services board and allows the youth members to receive a per diem compensation for their service.
APPROVED by Governor May 29, 2015
EFFECTIVE August 5, 2015
NOTE: This act was passed without a safety clause. For further explanation concerning the effective date, see page vi of this digest.
H.B. 15-1370 Records - county human or social services departments - access by county auditor. Access to or publication of certain records containing personal identifying information that are held by a county department of human or social services is prohibited or limited under current law. This includes county department records relating to public assistance and welfare, at-risk adults, and child abuse and neglect. The state department of human services also has authority to establish rules restricting the use and disclosure of this information.
The act requires a county department of human or social services to provide an auditor who is conducting a financial or performance audit of the county department access to these records, including any personal identifying information necessary to achieve the purposes of the audit. The authorization applies to an auditor retained by a county or authorized pursuant to a county charter or ordinance.
The act prohibits an auditor from disclosing or releasing to any person or in an audit report any information, including personal identifying information, that is obtained pursuant to a county department audit and required to be kept confidential by law. A person who unlawfully releases this confidential information is subject to the applicable criminal penalty.
APPROVED by Governor June 5, 2015
EFFECTIVE June 5, 2015


Digest of Bills - 2014 HUMAN SERVICES - SOCIAL SERVICES


Digest of Bills - 2014

HUMAN SERVICES - SOCIAL SERVICES

S.B. 14-3 Child care - child care assistance program - cliff effect pilot program - appropriation. The act makes several changes to the statute that created a pilot program to address the cliff effect that occurs when working parents in the Colorado child care assistance program (CCCAP) receive a minor increase in their income that makes them ineligible for child care assistance and the increase in wages is not enough to cover the costs for child care without the child care assistance. The cliff effect pilot program was designed to allow families to remain in the CCCAP program notwithstanding the increase in income. The changes to the statute governing the pilot program include:
  • Extending the duration of the cliff effect pilot program;
  • Allowing counties to limit participation in the pilot program to a reasonable percentage of their CCCAP caseload instead of having to cover all of their CCCAP caseload;
  • Allowing counties to limit participation in the pilot program to families who enter CCCAP with children who are 36 months of age or younger;
  • Allowing counties to have more flexibility in designing a pilot program that best addresses their specific community needs;
  • Clarifying the data collection and reporting responsibilities of the county departments of human services and the department of human services (department) about the pilot program.
A county department selected to participate in the pilot program may apply for a grant through a grant program funded through the newly created Colorado child care assistance cliff effect pilot program fund (fund). Grant moneys may be used at the county's discretion for administrative costs and the costs of providing continued benefits to families participating in the pilot program. The state department may adopt rules as necessary concerning the application process for the grant program.
The cliff effect program is repealed, effective July 1, 2020.
The department is directed to report annually about CCCAP and the results of the pilot program to the public health care and human services committee of the house of representatives and to the health and human services committee of the senate, or any successor committees. The act lists the items that should be included in the annual report.
For the 2014-15 fiscal year, the act appropriates:
  • $1,200,000 to the fund for the implementation of the fund;
  • $1,200,000 from the fund to the department of human services; and
  • $69,453 and 1.0 FTE to the department of human services for implementation of the cliff effect pilot program.
APPROVED by Governor May 22, 2014
EFFECTIVE May 22, 2014

S.B. 14-12 Aid to the needy disabled - increase in assistance payment - pilot program - rules - appropriations.The act requires the department of human services (department), by rule, to increase the assistance payment under the program for aid to the needy disabled to an amount equal to the amount of the payment for the 2013-14 state fiscal year increased by 10%. For state fiscal years 2015-16 through 2018-19, subject to available appropriations, the department is encouraged to restore the assistance payment to the state fiscal year 2006-07 level and to adjust the assistance payment for increases in the cost of living.
The act permits the department to promulgate rules describing the conditions under which a county department may waive the requirement that a person apply for federal supplemental security income benefits prior to receiving aid to the needy disabled assistance payments.
The act creates the federal supplemental security income application assistance pilot program (pilot program) in the department to assist persons applying for the program for aid to the needy disabled in completing federal applications for supplemental security income benefits and social security disability insurance benefits. The department shall award a competitive contract to a nonprofit organization to implement the pilot program. The pilot program repeals in 2 years.
The act amends the state supplemental security income stabilization fund to require that an amount not exceeding 20% of the total appropriation for the applicable fiscal year in the annual general appropriations act for the program for aid to the needy disabled remain in the stabilization fund at the end of the fiscal year.
The act makes the following appropriations to implement the act:
  • Decreases the appropriation in the 2014 long bill to the controlled maintenance trust fund by $1,240,067;
  • $1,495,144 to the department, for the program for aid to the needy disabled and the pilot program and reappropriated funds for modifications to the Colorado benefits management system;
  • $4,697 to the department of health care policy and financing for modifications to the Colorado benefits management system; and
  • $13,764 to the office of state planning and budgeting for information technology out of reappropriated funds from the department.
APPROVED by Governor May 22, 2014
EFFECTIVE August 6, 2014
NOTE: This act was passed without a safety clause. For further explanation concerning the effective date, see page vi of this digest.

H.B. 14-1015 Transitional job program - appropriation. Current law directs the department of human services (department) to administer a transitional jobs program (program) through December 30, 2014. The act extends the program through June 30, 2017, but prohibits offering new transitional jobs after December 31, 2016.
The act authorizes $800,000 of the appropriation for the program in 2013-14 to be carried forward to 2014-15 and appropriates an additional $395,270 to the department for the 2014-15 fiscal year.
APPROVED by Governor May 15, 2014
EFFECTIVE August 6, 2014
NOTE: This act was passed without a safety clause. For further explanation concerning the effective date, see page vi of this digest.

H.B. 14-1317 Child care - Colorado child care assistance program - rules - appropriation. The act makes several modifications to the Colorado child care assistance program (program), including:
  • The state department of human services (state department) shall establish provider rates for each county every other year;
  • The state-established provider reimbursement rates must include a system of tiered reimbursement for providers that enroll children in the program;
  • After notice to the state department, a county may opt out of the state-established provider reimbursement rates and negotiate its own rates with providers, so long as the county-established provider reimbursement rates include a system of tiered reimbursement for providers that enroll children in the program;
  • Subject to available appropriations, the state department shall conduct a study to examine private payment tuition rates and how those rates compare to the program rates set by the state and the counties and whether those rates achieve the federal requirement of equal access. The study must also examine reasons why licensed providers choose to limit or deny access to program-subsidized families.
  • Subject to available appropriations, counties are directed to provide child care assistance to a person or family whose income is not more than 165% of the federal poverty level;
  • The board shall adopt new rules for determining the amount of copayment a participant in the program must pay. The rules must include a provision that for a family living at 100% of the federal poverty level, the copayment must be restricted to 1% of the family's gross annual income.
  • The rules concerning participant copayment must also establish a tiered copayment schedule that increases the copayment gradually as the participant's income approaches self-sufficiency income levels. The participant's income should reflect an average of income over time to account for variations in wages, work schedules, or seasonal employment.
  • A county shall set the exit-income-eligibility threshold at a level higher than the entry-income-eligibility level, at an income level needed for a family of the size receiving the child care assistance to achieve a self-sufficiency standard of living in that county, at a level not to exceed 85% of the state median income for a family of the same size, and in a manner so that a family does not lose child care assistance due to a modest increase in the parents' income above their entry-income-eligibility level;
  • In current rule, a participant in the program who loses employment can remain in the program for only 30 days while actively searching for employment. The act increases that time to at least 60 days, assuming all other eligibility criteria are met.
  • The act creates a new eligibility activity by allowing a parent who is not employed but who is either enrolled in a postsecondary or workforce training program to participate in the program for up to 2 years that he or she is enrolled in the postsecondary or workforce training program;
  • A county may give priority for services to a working family over a family enrolled in postsecondary education or workforce training;
  • The act makes it a statutory requirement that the hours for the provision of child care services through the program must not be directly linked to a participant's employment, education, or workforce training schedule, and the number of hours authorized for child care should be based on the number of hours the parent is participating in an eligible activity and the child's needs for care;
  • The act requires a county to allow for presumptive eligibility of a participant for at least 30 days while awaiting verification of an application to the program;
  • To the extent practicable, and with certain exceptions, the duration of a child care authorization notice for a child enrolled in the program must be the same as the child care eligibility period for the child's family;
  • Income received during the past thirty days must be used in determining eligibility unless, on a case-by-case basis, the prior thirty-day period does not provide an accurate indication of anticipated income, in which case a family may provide evidence of up to 12 of the most recent months of income if it more accurately reflects the family's current income level;
  • Counties are given the authority to develop a voucher system for relative or unlicensed child care for families enrolled in the program;
  • Counties are given permission to use their program allocations to provide direct contracts or grants to early care and education providers for a county-determined number of program slots for a 12-month period to increase the supply and improve the quality and continuity of child care for infants and toddlers, children with disabilities, after-hours care, and children in underserved neighborhoods;
  • Counties are required to provide participants and child care providers with at least 45 days' notice prior to the effective date of any change in income-eligibility levels;
  • Counties are required to post eligibility, authorization, and administration policies and procedures so they are easily accessible to a layperson;
  • Administrative changes in the act include allowing a county to use eligibility determination information from other public assistance programs and systems to determine program eligibility, allowing a child care provider to accept a participant's program application and submit it to the county on behalf of the family seeking enrollment in the program, and requiring each county to maintain a current and accurate program waiting list;
  • Counties shall reimburse providers, separate from regular reimbursement rates according to the following schedule: for providers in the first level of the state department's quality-rating and improvement system (system) for no fewer than 6 absences or holidays per year; for providers in the second level of the system for no fewer than 10 absences or holidays per year; and for providers in the top 3 levels of the system for no fewer than 15 absences or holidays per year; and
  • The state department is directed to prepare an annual report on the program.
The act appropriates $9,922,744 to the state department to implement the act and $44,529 to the department of health care policy and financing for charges to the Colorado benefits management system.
APPROVED by Governor May 22, 2014
EFFECTIVE May 22, 2014

H.B. 14-1358 Medicaid - home- and community-based services - in-home support services - continuation of program. The act continues in-home support services until September 1, 2019, and requires a review of the program by the department of regulatory agencies prior to repeal.
The act permits persons who are participating in the spinal cord injury waiver program to receive in-home support services.
APPROVED by Governor May 22, 2014
EFFECTIVE August 6, 2014
NOTE: This act was passed without a safety clause. For further explanation concerning the effective date, see page vi of this digest.


Session Laws of ColoradoDigest of BillsGeneral Assembly