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F I S C A L I M P A C T R E P O R T
SPONSOR Picraux
ORIGINAL DATE
LAST UPDATED
2-2-06
HB 728
SHORT TITLE CYFD THERAPEUTIC CHILD CARE
SB
ANALYST Lucero
APPROPRIATION (dollars in thousands)
Appropriation
Recurring
or Non-Rec
Fund
Affected
FY06
FY07
$300.0
Recurring
General Fund
(Parenthesis ( ) Indicate Expenditure Decreases)
Duplicates SB653,
Relates to Appropriation in the General Appropriation Act
SOURCES OF INFORMATION
LFC Files
Responses Received From
Developmental Disabilities Planning Council (DDPC)
Children, Youth and Families Department (CYFD)
SUMMARY
Synopsis of Bill
House Bill 728 appropriates $300.0 from the general fund to Children, Youth and Families De-
partment for the purpose of providing therapeutic child care for low income families with chil-
dren from birth to age six who have a diagnosed and documented special need, at a care provider
that has a teacher-to-child ratio not exceeding three-to-one and operates a full-day year-round
program.
FISCAL IMPLICATIONS
The appropriation of $300.0 contained in this bill is a recurring expense to the general fund. Any
unexpended or unencumbered balance remaining at the end of fiscal year 2007 shall revert to the
general fund.
SIGNIFICANT ISSUES
The bill specifies that the childcare provider shall serve low-income families, have a teacher-to-
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House Bill 728 – Page 2
child ratio not exceeding three-to-one and operate a full-day year round program. This restrictive
language will preclude many providers from participating in this pilot.
Currently, regulations governing licensed child care providers require them to maintain
staff to child ratios ranging from 1:5 to 1:12, depending upon the age of the children.
There may not be many providers with a staff to child ratio of 3:1 much less a teacher to
child ratio of 3:1.
Not all providers operate a full-day year round program.
The bill does not define “low-income” as an eligibility criterion. Current regulations for
childcare have income eligibility up to 150% of poverty. Is the eligibility standard less
than 150% in this bill.
Year round, day long child care is a much needed resource for low income families with children
with severe developmental disabilities. However, as used in this bill, “Special need” is not de-
fined. It is unclear what kind of diagnoses the target population has.
Additionally, the number of children to be served and the geographic area where the services
would be provided is not described in the bill.
The bill should encourage matching funds from charitable sources, local governments, and
AmeriCorps’ VISTA program.
The bill may want to address the type of qualifications the staff/teachers should have. Children
with special needs may need staff that are degreed and or have experience.
PERFORMANCE IMPLICATIONS
The bill could positively impact the CYFD performance measure of “number of children receiv-
ing subsidized child care services.” The bill also supports the CYFD program goal of serving
children whenever possible in full-inclusion settings.
ADMINISTRATIVE IMPLICATIONS
In order to develop and implement the proposed child care service, CYFD would be required to
revise and publish service standards and regulations. CYFD would also need to develop criteria
for the diagnoses and “documented special needs” that would qualify for the new service.
CYFD would absorb any additional administrative impact associated with passage of the bill.
CONFLICT, DUPLICATION, COMPANIONSHIP, RELATIONSHIP
Duplicates SB653
TECHNICAL ISSUES
The bill seems to limit the appropriation to child care services; however, other states provide
transportation to and from therapeutic child care for children with special needs.
The bill does not specify what the expected expenditure outcome will be. Other states, such as
Utah’s therapeutic program has five goals:
Group readiness (being able to function in groups),
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House Bill 728 – Page 3
Relationships with adults,
Pro-social peer relationships,
Emotional regulation (i.e. tantrums and rages)
Communication skills (identifying feelings and thoughts in order to problem solve and to
practice conflict resolution and anger management).
The Utah program allows the children to receive help earlier in order to moderate their be-
havior so that they can become more successful in the community.
The bill does not specify an age group or age limit for which special needs children can par-
ticipate in the program.
Developmental Disabilities Planning Council provides the following statement:
As an agency that advocates for persons with developmental disabilities and their families, it is
difficult to assess implications of this bill on children with developmental or other disabilities as
it is written.
OTHER SUBSTANTIVE ISSUES
CYFD currently provides child care subsidy to 24,827 children and licenses 1,080 child care cen-
ters and homes. The regulations governing licensed child care providers require them to main-
tain staff to child ratios ranging from 1:5 to 1:12, depending upon the age of the children. The
reimbursement rate paid to child care providers also is set in regulations and varies according to
the type of provider, number of hours of care and the age of the child. Meetings/hearings con-
cerning the regulation changes would have to occur.
ALTERNATIVES
Funds could be distributed and contracted through the competitive bidding process, requiring a
Request for Proposals (RFP).
WHAT WILL BE THE CONSEQUENCES OF NOT ENACTING THIS BILL
Children with special needs will not get the specialized care they need.
AMENDMENTS
Define low-income.
Add language to emphasize having children served in full-inclusion settings whenever possible.
Address or clarify what “special needs” means or how the concerns could be addressed; such as,
“special needs as defined by regulation”.
Placement preference should be given to children referred from other CYFD child care provid-
ers.
DL/yr