Health Care

Governor Vetoes Out-Of-Home Care Background Check Bill

Written by Michael Klazema | Sep 24, 2024 7:29:30 AM

Governor Gavin Newsom recently vetoed the proposed Out-of-Home Care Worker Background Check Bill. The new law (AB 2704) has generated much debate about balancing the safety and affordability of caregiving. The bill aimed to strengthen background checks for out-of-home caregivers in California. These roles involve caregiving in foster homes, group homes, and residential care facilities for older adults or persons with disabilities.

More in-depth careworker background checks were proposed; for example,

  1. More comprehensive searches for any past criminal activity
  2. Confirming previous employment details
  3. Checking the authenticity of academic records
  4. In some positions involving financial responsibilities, reviewing an individual’s credit report to assess their financial reliability.
  5. Implementing drug tests

Background Check Fees

Additionally, the act was designed to prevent background check fees charged to individual providers or organizations under the In-Home Supportive Services (IHSS) program. Fiscal concerns considerably influenced the governor’s veto decision. The necessity for fiscal discipline amidst California’s significant budget deficit was critical to his stance against AB 2704.

It is essential to comprehend the complexity of this bill. It addresses two main issues:

  1. The financial obstacles low-income caregivers confront
  2. Ensuring the safety of vulnerable people in out-of-home care settings. 

Understanding Out-of-Home Care Workers 

Out-of-home care workers are essential in assisting individuals with disabilities and elderly individuals who require help with daily living activities. These professionals provide critical support services that enable vulnerable populations to maintain their independence and quality of life.

The In-Home Supportive Services (IHSS) program is a cornerstone of California’s long-term care system. It allows eligible individuals to receive necessary support from paid caregivers within the comfort of their own homes. This program is particularly significant for low-income residents, offering them a viable alternative to institutional care and promoting a higher standard of living.

By understanding the responsibilities and impact of out-of-home care workers, stakeholders can better appreciate the importance of measures like background checks to ensure the safety of clients and the integrity of caregiving service providers. 

The Proposed Background Check Bill (AB 2704) 

The bill sought to address significant barriers low-income caregivers face in obtaining background checks.

Key objectives of the bill included:

  • Enhancing safety protocols for individuals receiving care services.
  • Reducing financial burdens on low-income caregivers. 

Key Provisions 

The bill proposed several important provisions related to financial responsibilities:

  • Prohibition of Fees: Fees for caregiver background checks would not be charged to providers or individuals wishing to become providers under the In-Home Supportive Services (IHSS) program.
  • State Funding: It sought to prevent the California Department of Justice from charging counties for conducting these checks. This measure aimed to alleviate financial pressure on local governments and ensure that costs do not inhibit the availability of qualified caregivers. 

Financial Implications of Background Checks

Analyzing the costs associated with standard background checks required under the proposed bill reveals significant financial burdens. On average, these checks amount to approximately $75 per applicant. This fee can represent a considerable barrier for low-income workers, who are often already navigating substantial economic challenges. 

Impact on Low-Income Workers

The $75 fee equates to several hours of work at minimum wage, making it a significant obstacle for those seeking employment in the caregiving sector. This financial strain could deter many potential caregivers from entering the field, exacerbating the shortage of available workers. 

Potential Reduction in Caregivers

With fewer individuals able to afford these background checks, there is a risk of diminishing the pool of available caregivers. This reduction directly impacts those most in need of out-of-home care services, particularly vulnerable populations such as individuals with disabilities and older people. 

Exploring Alternatives

Addressing the veto decision requires a nuanced approach. Policymakers must balance fiscal discipline against the need for stringent safety measures in out-of-home care settings. Here are some potential alternatives:

  • State-Subsidized Background Checks: Implement subsidies to cover background check costs for low-income workers, thus alleviating financial pressure while maintaining safety standards.
  • Sliding Scale Fees: Introduce a tiered fee system based on income levels. This ensures that caregivers with limited financial means aren’t disproportionately burdened.
  • Public-Private Partnerships: Engage private entities to sponsor or partially fund background checks. This reduces state expenditure and ensures thorough vetting processes remain intact.
  • Streamlined Processes: Simplify the administrative procedures involved in background checks to reduce associated costs, making it more affordable without compromising safety.

By considering these alternatives, policymakers can address the financial concerns highlighted during deliberations over AB 2704 while safeguarding vulnerable individuals receiving out-of-home care. 

Broader Context and Future Considerations

The California Department of Justice (DOJ) is crucial in comprehensively screening out-of-home care workers. Their primary objective is to identify individuals with criminal histories who may pose risks to vulnerable populations, such as the elderly and those with disabilities. These screenings are essential for maintaining the safety and integrity of caregiving environments. 

Necessity of Background Checks

  • Safety Assurance: Comprehensive background checks help ensure that only qualified individuals without criminal records are entrusted with caregiving responsibilities.
  • Trust Building: Establishing a trustworthy network of caregivers by excluding those with serious criminal backgrounds enhances confidence among care recipients and their families.
  • Legal Compliance: Adhering to state regulations that mandate healthcare background checks ensures compliance and reduces liability for care agencies. 

Challenges

Despite the benefits, the process presents significant challenges:

  • High Costs: Approximately $75 per applicant can be prohibitive for low-income caregivers.
  • Administrative Burdens: Completing thorough background checks involves complex administrative procedures that can delay hiring processes.

Addressing these challenges while maintaining high safety standards remains a priority for policymakers. This balance is vital for ensuring both the protection of vulnerable individuals and the support of caregivers in California’s long-term care system. 

Engaging with local representatives about equitable solutions is essential. Emphasizing caregiver support systems and client protection measures ensures a balanced approach. Understanding the complexities surrounding legislation like AB 2704 is crucial for advocating for policies that do not compromise the safety and affordability of out-of-home care work arrangements.