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<ns0:ActionText>INTRODUCED</ns0:ActionText>
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<ns0:AuthorText authorType="LEAD_AUTHOR">Introduced by Assembly Member Aguiar-Curry</ns0:AuthorText>
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<ns0:Name>Aguiar-Curry</ns0:Name>
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<ns0:Title> An act to amend Section 10227.6 of the Welfare and Institutions Code, relating to childcare.</ns0:Title>
<ns0:RelatingClause>childcare</ns0:RelatingClause>
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<ns0:Subject>Subsidized childcare: reimbursement rates: reporting.</ns0:Subject>
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<html:p>Existing law requires the State Department of Social Services, in collaboration with the State Department of Education, to implement a reimbursement system plan that establishes reasonable standards and assigned reimbursement rates for subsidized childcare and development services, and to develop and conduct an alternative methodology for ratesetting, as specified.</html:p>
<html:p>Existing law requires the Governor and the Legislature to, by no later than July 1, 2025, establish reimbursement rates based on the alternative methodology, as specified. If the new reimbursement rates do not take effect on July 1, 2025, existing law requires the department to provide the Legislature with a timeline for transitioning from the rates that are in effect on July 1, 2025, to the new established rates.</html:p>
<html:p>This bill would instead, under
those circumstances, require the department to provide the Chairperson of the Joint Legislative Budget Committee with the department’s anticipated timeline for the above-described rate transition. The bill would require that the information be sent no later than January 31, 2027, and every subsequent year until the established rates are in effect.</html:p>
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<ns0:Preamble>The people of the State of California do enact as follows:</ns0:Preamble>
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<ns0:Num>SECTION 1.</ns0:Num>
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Section 10227.6 of the
<ns0:DocName>Welfare and Institutions Code</ns0:DocName>
is amended to read:
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<ns0:Num>10227.6.</ns0:Num>
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<html:p>
(a)
<html:span class="EnSpace"/>
It is the intent of the Legislature to use an alternative methodology, as defined in subdivision (ak) of Section 10213.5, to inform the setting of reimbursement rates for subsidized childcare.
</html:p>
<html:p>
(b)
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Reimbursement rates are subject to agreement and codification by the Legislature.
</html:p>
<html:p>
(c)
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The department, in collaboration with the State Department of Education, shall develop and conduct an alternative methodology. The department shall begin the process of data collection and analysis pursuant to developing an alternative methodology by July 1, 2023, and consult with the State Department of Education on data collection, analysis, and methodology for preschool programs. The alternative methodology shall
build on the recommendations of the working group established pursuant to Section 10280.2 and shall be aligned with the recommendations of the Joint Labor Management Committee established pursuant to subdivision (a) of Section 10280.2.
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<html:p>
(d)
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No later than February 15, 2024, the department, in collaboration with the State Department of Education and the Joint Labor Management Committee established pursuant to subdivision (a) of Section 10280.2, using information from the cost estimation model, shall define elements of the base rate and any enhanced rates to inform the state’s proposed single rate structure and rates. These elements shall be subject to the mandated public engagement state plan process and legislative review. The department shall report to the Senate Health and Human Services budget subcommittees, Assembly and Senate Education budget subcommittees, and the Legislative Analyst’s Office on progress made to conduct an alternative
methodology and cost estimate model.
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<html:p>
(e)
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No later than May 15, 2024, the department shall report on the status of the draft Child Care and Development Fund state plan to the Senate Health and Human Services budget subcommittees, Assembly and Senate Education budget subcommittees, and the Legislative Analyst’s Office on the state’s proposed single rate structure to be submitted to the United States Department of Health and Human Services, Administration for Children and Families.
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<html:p>
(f)
<html:span class="EnSpace"/>
No later than July 1, 2024, the department shall submit necessary information to support use of a single rate structure using the alternative methodology to the United States Department of Health and Human Services, Administration for Children and Families in the Child Care and Development Fund state plan or an amendment to the state plan. The department shall provide a copy of the Child Care and
Development Fund state plan or amendment to the state plan submitted to the United States Department of Health and Human Services, Administration for Children and Families to the Senate Health and Human Services budget subcommittees, Assembly and Senate Education budget subcommittees, and the Legislative Analyst’s Office no later than July 10, 2024.
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<html:p>
(g)
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(1)
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Within 60 days of federal approval of the single rate structure utilizing the alternative methodology in the state plan, the department, in collaboration with the State Department of Education, shall provide the Assembly Committee on Budget, the Senate Committee on Budget and Fiscal Review, and the Legislative Analyst’s Office with a report that outlines the implementation components for the approved single rate structure. For a period of 30 days, the Legislature shall have the opportunity to review and provide feedback regarding draft guidance for implementation of
policies. The report shall include all of the following:
</html:p>
<html:p>
(A)
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The department’s plan to set new reimbursement rates under the alternative methodology by no later than July 1, 2025.
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<html:p>
(B)
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The estimated costs and estimated timelines associated with the implementation components of the approved single rate structure, including, but not limited to, state operations resources, technology and infrastructure changes, and any regulatory or statutory changes necessary to implement the approved single rate structure.
</html:p>
<html:p>
(2)
<html:span class="EnSpace"/>
The department shall, from October 1, 2024, to July 1, 2027, inclusive, provide the Assembly Committee on Budget, the Senate Committee on Budget and Fiscal Review, and the Legislative Analyst’s Office with quarterly updates on the implementation of the new reimbursement rates set under the alternative methodology.
The quarterly updates shall include any changes to the information provided in the report described in paragraph (1).
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<html:p>
(h)
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Beginning October 1, 2025, and through July 1, 2027, inclusive, the department shall update the Legislature not more frequently than quarterly, to the extent information is available or reported to the department by contractors, regarding progress on implementation of prospective payment and paying based on enrollment, in keeping with the goals set for funds appropriated pursuant to Provision 19 of Item 5180-101-0001 of the Budget Act of 2025 and with subparagraph (i) of paragraph (2) of subdivision (m) of Section 98.45 of Subpart E of Part 98 of Subchapter A of Subtitle A of Title 45 of the Code of Federal Regulations.
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<html:p>
(i)
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The Governor and the Legislature shall, by no later than July 1, 2025, establish reimbursement rates based on the alternative methodology.
Provider reimbursement rates shall not be reduced from the reimbursement rates that were in effect on June 30, 2024, pursuant to Sections 10280 and 10374.5 of this code and Section 8242 of the Education Code, inclusive of the cost of care plus rates established pursuant to subdivision (b) of Section 10277.1 and subdivision (b) of Section 10277.2.
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<html:p>
(j)
<html:span class="EnSpace"/>
(1)
<html:span class="EnSpace"/>
(A)
<html:span class="EnSpace"/>
If the new reimbursement rates established pursuant to subdivision (i) do not take effect on July 1, 2025, the department shall
provide the Chairperson of the Joint Legislative Budget Committee with the department’s anticipated timeline for transitioning from the rates that are in effect on July 1, 2025, to the new rates established pursuant to subdivision (i).
</html:p>
<html:p>
(B)
<html:span class="EnSpace"/>
The information required to be provided in subparagraph (A) shall be sent no later than January 31, 2027, and every subsequent year until the rates established pursuant to subdivision (i) are in effect.
</html:p>
<html:p>
(2)
<html:span class="EnSpace"/>
Any temporary reimbursement rates established as part of the transition timeline required by paragraph (1) shall be, at
minimum, equivalent to the reimbursement rates established pursuant to Sections 10280 and 10374.5 of this code and Section 8242 of the Education Code, inclusive of the cost of care plus rates established pursuant to subdivision (b) of Section 10277.1 and subdivision (b) of Section 10277.2.
</html:p>
<html:p>
(k)
<html:span class="EnSpace"/>
The single rate structure shall apply to all programs funded by the State Department of Social Services under Chapter 3 (commencing with Section 10225), Chapter 6 (commencing with Section 10235), Chapter 7 (commencing with Section 10240), Chapter 8 (commencing with Section 10250), Chapter 9 (commencing with Section 10260), Chapter 21 (commencing with Section 10370), and Chapter 2 (commencing with Section 11461.6) of Part 2, and the State Department of Education under Chapter 2 (commencing with Section 8200) of Part 6 of Division 1 of Title 1 of the Education Code.
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(
<html:i>l</html:i>
)
<html:span class="EnSpace"/>
(1)
<html:span class="EnSpace"/>
Except as required by subdivision (n), it is the intent of the Legislature, beginning July 1, 2025, to cease using a regional market rate survey pursuant to Section 10436, and instead use an alternative methodology, as defined in subdivision (ak) of Section 10213.5, for the purpose of informing the setting of future childcare rates.
</html:p>
<html:p>
(2)
<html:span class="EnSpace"/>
It is the intent of the Legislature that:
</html:p>
<html:p>
(A)
<html:span class="EnSpace"/>
Reimbursement rates are set pursuant to statute and informed by the alternative methodology, as defined in subdivision (ak) of Section 10213.5.
</html:p>
<html:p>
(B)
<html:span class="EnSpace"/>
Under the single rate structure, all programs described in subdivision (k) shall be reimbursed under a unified structure that takes into account a common set of rate elements.
</html:p>
<html:p>
(C)
<html:span class="EnSpace"/>
Rate levels shall be informed by
the costs associated with meeting health and safety requirements and program requirements.
</html:p>
<html:p>
(D)
<html:span class="EnSpace"/>
Base rates shall be administered as a per-child amount, and programs shall be able to claim reimbursement for services they deliver consistent with enhanced rates, if any.
</html:p>
<html:p>
(E)
<html:span class="EnSpace"/>
Rates shall vary based on all of the following:
</html:p>
<html:p>
(i)
<html:span class="EnSpace"/>
Geography.
</html:p>
<html:p>
(ii)
<html:span class="EnSpace"/>
Type of care setting.
</html:p>
<html:p>
(iii)
<html:span class="EnSpace"/>
Regulatory requirements applicable to each type of care setting.
</html:p>
<html:p>
(iv)
<html:span class="EnSpace"/>
Time categories.
</html:p>
<html:p>
(v)
<html:span class="EnSpace"/>
Child age.
</html:p>
<html:p>
(m)
<html:span class="EnSpace"/>
Commencing July 1, 2026, rates
for all programs described in subdivision (k) shall receive the cost-of-living adjustment granted by the Legislature annually pursuant to Section 42238.15 of the Education Code as a minimum annual rate increase for all subsidized childcare providers.
</html:p>
<html:p>
(n)
<html:span class="EnSpace"/>
If the United States Department of Health and Human Services, Administration for Children and Families does not approve the alternative methodology developed pursuant to this section, the department shall develop and conduct a survey of the market rates for childcare services.
</html:p>
<html:p>
(o)
<html:span class="EnSpace"/>
If the provisions of this section are in conflict with the provisions of a memorandum of understanding reached pursuant to Section 10426, the memorandum of understanding shall be controlling without further legislative action, except that if such provisions of a memorandum of understanding require the expenditure of funds, the provisions shall not become
effective unless approved by the Legislature in the annual Budget Act.
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