BILL ANALYSIS                                                                                                                                                                                                    



                                                                  AB 2555
                                                                  Page  1

          Date of Hearing:   April 6, 2010

                   ASSEMBLY COMMITTEE ON AGING AND LONG-TERM CARE
                                Mariko Yamada, Chair
                 AB 2555 (Feuer) - As Introduced:  February 19, 2010
           
          SUBJECT  :   Ombudsman programs: appropriations.

           SUMMARY  :   Appropriates $1.6 million to the California  
          Department of Aging (CDA) for the Long-Term Care Ombudsman  
          Program (LTCOP).  Specifically,  this bill  :  

          1)Appropriates $1.6 million from the State Health Facilities  
            Citation Penalties Account to CDA to fund local ombudsman  
            programs.

          2)Specifies that the funds may be used through the end of the  
            2010-11 fiscal year, at which time the remaining unencumbered  
            funds will revert to the State Health Facilities Citation  
            Penalties Account.

           EXISTING LAW  

          1)Establishes the LTCOP which is authorized through the federal  
            Older Americans Act and its state companion, the  
            Mello-Granlund Older Californians Act.  The primary  
            responsibility of the program is to investigate and attempt to  
            resolve complaints made by, or on behalf of, individual  
            residents in long-term care facilities.  

          2)Requires the LTCOP staff and volunteers to serve as mandated  
            reporters of suspected elder or dependent adult abuse and to  
            investigate cases of suspected abuse in long-term care  
            facilities.

          3)Authorizes the Office of the State Long-Term Care Ombudsman to  
            develop policy and provide guidance to the local LTCOP  
            providers.

          4)Requires the Department of Public Health (DPH) to license  
            long-term care facilities and monitor their compliance with  
            state and federal law.

          5)Authorizes DPH to assess penalties on long-term care  
            facilities that it finds in violation of state and federal  








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            requirements.

          6)Establishes the State Health Facilities Citation Penalties  
            Account into which monies derived from civil penalties levied  
            against long-term care facilities for violations of state law  
            are deposited.

          7)Establishes the Federal Health Facilities Citation Penalties  
            Account, into which monies derived from civil penalties levied  
            against long-term care facilities for violations of federal  
            law are deposited.

           FISCAL EFFECT  :   $1.6 million transfer of funds from the State  
          Health Facilities Citation Penalties Account to CDA for the  
          LTCOP; however, this bill has not yet been analyzed by a fiscal  
          committee.
           COMMENTS  :   

           Program Background:
           The LTCOP is administered by CDA and includes 35 local programs  
          that extensively utilize volunteers.  Under federal law, the  
          primary responsibility of the LTCOP is to investigate and  
          endeavor to resolve complaints made by, or on behalf of,  
          individual residents in long-term care facilities. These  
          facilities include nursing homes, residential care facilities  
          for the elderly, and assisted living facilities. In addition,  
          California places an additional responsibility upon LTCOP staff  
          and volunteers - the investigation of elder and dependent adult  
          abuse complaints in long-term care facilities.

          According to CDA's web site, the goal of the LTCOP is to  
          advocate for the rights of all residents of long-term care  
          facilities. The individual ombudsman's advocacy role takes two  
          forms: 1) to receive and resolve individual complaints and  
          issues by, or on behalf of, these residents; and 2) to pursue  
          resident advocacy in the long-term care system, its laws,  
          policies, regulations, and administration through public  
          education and consensus building. Residents or their family  
          members can file a complaint directly with the local Long-Term  
          Care Ombudsman or by calling the CRISISline. All long-term care  
          facilities are required to post, in a conspicuous location, the  
          phone number for the local Ombudsman office and the Statewide  
          CRISISline number 1-800-231-4024. This CRISISline is available  
          24 hours a day, 7 days a week to take calls and refer complaints  
          from residents.








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          In 2008, the Governor vetoed all state funding, approximately  
          $3.8 million or nearly half of the program's overall funding,  
          for the LTCOP.  Advocates maintain that the loss of funds  
          created a devastating impact on local programs and greatly  
          compromised the program's ability to investigate complaints,  
          monitor facilities, and advocate on behalf of residents, putting  
          vulnerable Californians at risk of abuse and neglect.

           Citation Penalty Accounts:
           Fines imposed on facilities as a result of DPH monitoring can  
          range from $100 to $100,000 for violations of state requirements  
          and $50 to $10,000 per day and from $1,000 to $10,000 per  
          instance, for other violations of federal requirements.  State  
          law provides the authority to deposit moneys collected as a  
          result of state and federal civil penalties imposed against  
          health facilities by DPH for non-compliance with state and  
          federal laws into two accounts:  the State Health Facilities  
          Citation Penalties Account, and the Federal Health Facilities  
          Citation Penalties Account.  Monies from these accounts are to  
          be used for the protection of the health or property of  
          residents of long-term care facilities, including relocation  
          expenses incurred by the state in the event of a facility  
          closure, maintenance of a facility, including temporary  
          management or receivership,or resident reimbursement for funds  
          lost. There is a $10 million cap on the allowable fund balance  
          for the state account, and no cap on the fund balance for the  
          federal account.

          State law requires DPH to produce reports on a quarterly basis  
          regarding the funds in both accounts.  The report ending June  
          30, 2009 stated a fund balance of $4.8 million in the state  
          account and projected a fund balance of $4.510 million at the  
          end of June 30, 2010.  The federal account balance on June 30,  
          2009 was $1.931 million and the projected fund balance for June  
          30, 2010 was $172,000, following the transfer of $1.6 million to  
          CDA pursuant to AB 392 (Feuer), Chapter 102, Statutes of 2009.

          In January, several legislators requested an audit of the two  
          accounts by the State Auditor through the Joint Legislative  
          Audit Committee, citing inconsistent reports from DPH on the  
          fund balances and large retroactive adjustments that have  
          greatly reduced those fund balances.

           Arguments in Opposition:








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           The California Association of Health Facilities (CAHF) expresses  
          concerns about shifting funds from the penalties account to pay  
          for ongoing costs and argues that monies in the State Health  
          Facilities Citation Penalties Account should remain available to  
          DPH for their use in critical programs for the protection of the  
          health or property of residents of long-term care facilities.   
          In addition, CAHF contends that the account is not a sustainable  
          source to continue to fund another state agency's programs.

          Both CAHF and Crestwood Behavioral Health, Inc. suggest that  
          instead of the transfer of $1.6 million from the state account  
          to the LTCOP, proponents could direct that any funds in excess  
          of the $10 million cap on the state account go toward funding  
          the LTCOP.

           Arguments in Support:
           California Advocates for Nursing Home Reform (CANHR), one of the  
          co-sponsors of the bill, argues that AB 2555 would prevent  
          further damaging cuts to the LTCOP by maintaining the $1.6  
          million appropriation established by AB 392 (Feuer), Chapter  
          102, Statutes of 2009.  CANHR contends that it is fitting that  
          the fines paid by substandard facilities be used to support the  
          ombudsman program given its critical role in protecting  
          residents' health and safety.

          According to the author, the LTCOP protects vulnerable residents  
          of nursing homes and assisted living facilities from abuse and  
          neglect through unannounced monitoring visits and investigations  
          of the thousands of abuse cases reported to them each year.   
          These programs are the front line in the provision of immediate  
          investigative services for the isolated and frail residents of  
          long-term care facilities.  Because of the significant risk to  
          these vulnerable members of society, AB 2555 is an urgency bill  
          that would immediately appropriate another $1.6 million in  
          funding to the LTCOP by using existing, and unused, penalties  
          paid by facilities that fail to comply with state laws for the  
          protection of residents.

           Related Legislation:
           AB 392 (Feuer), Chapter 102, Statutes of 2009 -  transferred  
          $1.6 million to the LTCOP from the Federal Health Facilities  
          Citation Penalties Account.

           REGISTERED SUPPORT / OPPOSITION  :   









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           Support 
           
          Advocacy, Inc.
          AARP
          Alzheimer's Association
          California Advocates for Nursing Home Reform (CANHR)
          California Association of Area Agencies on Aging (C4A)
          Catholic Charities of California United
          California Long-Term Care Ombudsman Association
          Golden Agers for Progress
          Ombudsman & HICAP Services of Northern California

          4 individuals
           
          Opposition 
           
          California Association of Health Facilities (CAHF)
          Crestwood Behavioral Health, Inc.
           
          Analysis Prepared by  :    Allison Ruff / AGING & L.T.C. / (916)  
          319-3990