BILL ANALYSIS                                                                                                                                                                                                    Ó



                                                                  SB 718
                                                                  Page  1

          Date of Hearing:   June 21, 2011

                   ASSEMBLY COMMITTEE ON AGING AND LONG-TERM CARE
                                Mariko Yamada, Chair
                     SB 718 (Vargas) - As Amended:  May 24, 2011

           SENATE VOTE  :   38-0
           
          SUBJECT  :   Elder and dependent adult abuse: mandated reporting.

           SUMMARY  :   Allows counties or the Ombudsman, to voluntarily 
          adopt a secure and confidential electronic elder and dependent 
          adult abuse reporting system which would manage the transfer of 
          information otherwise contained in telephonic initial phone 
          abuse reports, or subsequent written abuse reports.  The bill 
          also calls for reports to legislative committees on changes in 
          the numbers of reports, numbers of dropped calls, and other 
          criteria which would demonstrate success, or a lack thereof, of 
          an electronic abuse reporting mechanism.    Specifically,  this 
          bill  :   

          1)Creates an option for "mandated reporters" (WIC 15630) to 
            either report telephonically (as they do under current law) 
            their initial, immediate report to Adult Protective Services 
            (APS), Ombudsman, or law enforcement, or to report through a 
            confidential internet reporting tool, instead of 
            telephonically, to APS, Ombudsman, or law enforcement. 

          2)Creates an option for "mandated reporters of financial abuse" 
            (WIC 15630.1) to report telephonically (as they do under 
            current law) their initial immediate report to APS, Ombudsman, 
            or law enforcement, or report through a confidential internet 
            reporting tool, instead of telephonically, to APS, Ombudsman, 
            or law enforcement.

          3)If the mandated reporter chooses to make their immediate, 
            initial report via the confidential internet electronic 
            reporting tool, they are relieved of making any further 
            report.  If the mandated reporter chooses to make their 
            immediate, initial report via telephone their obligation to 
            make a follow-up written report remains, but they have the 
            option to make their written report in writing, or through a 
            confidential internet reporting tool.

          4)Provides for an internet reporting tool developed and 







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            implemented in a manner that ensures the confidentiality and 
            security of all information contained in the reports.

          5)Requires counties and Ombudsman programs that use confidential 
            internet reporting tools to report to appropriate legislative 
            committees, criteria that will help the Legislature determine 
            whether internet reporting of elder abuse is successful.

           EXISTING LAW  

          1)Defines a "mandated reporter" as any person who has assumed 
            the care or responsibility of an elder, or the care or 
            responsibility for "dependent adults," as well as, 
            administrators, supervisors and licensed staff in care 
            facilities, health care providers, the clergy, APS staff and 
            law enforcement.

          2)Defines "mandated reporter of suspected financial abuse of an 
            elder or dependent adult" as an officer or employee of a 
            financial institution. 

          3)Defines "physical abuse," "abandonment," "abduction," 
            "isolation," "financial abuse and neglect" for purposes of 
            elder and dependent adult abuse reporting. 

          4)Requires mandated reporters to report physical abuse, 
            abandonment, abduction, isolation, financial abuse or neglect 
            via telephone, and as soon as practicable, but not less than 
            48 hours later, in writing.

          5)Requires mandated reporters to report to the local APS agency 
            or local law enforcement when the abuse, abandonment, 
            abduction, isolation, financial abuse or neglect occurs in the 
            community.  

          6)Requires mandated reporters to report to the local ombudsman 
            office or law enforcement if abuse, abandonment, abduction, 
            isolation, financial abuse or neglect occurred in a long-term 
            care facility. 

          7)Provides that failure to report elder abuse under the mandated 
            reporting requirements is a misdemeanor, and punishable by up 
            to six months in a county jail, by a fine of up to $1,000, or 
            both.  Failure to report abuse that results in a death or 
            great bodily injury may result in up to one year in a county 







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            jail, a fine of up to $5,000, or both.   

          8)Defines an elder as any person residing in this state who is 
            65 years of age or older.  

          9)Defines "dependent adult" as any person between the ages of 18 
            and 64 who resides in this state and who has physical or 
            mental limitations that restrict his or her ability to carry 
            out normal activities or to protect his or her rights, such 
            as: persons who have physical or developmental disabilities or 
            whose physical or mental abilities have diminished because of 
            age.  

           FISCAL EFFECT  :   SB 718 was passed out of Senate Appropriations 
          Committee under Senate Rule 28.8: (Any bill referred to the 
          Committee on Appropriations pursuant to Joint Rule 10.5 that 
          does not appropriate money may not be set for hearingand shall, 
          along with any non-substantive amendments, promptly be reported 
          to the Senate with the recommendation it be placed on second 
          reading if the chair of the committee determines that (a) any 
          additional state costs are not significant and do not and will 
          not require the appropriation of additional state funds, and (b) 
          the bill will cause no significant reduction in revenues.)

           COMMENTS  :   California's population is shifting rapidly.  In 
          addition to California's population of adults living with 
          disability, nearly 4 million Californians are now over the age 
          of 65, and are potential subjects of California's elder and 
          dependent adult abuse reporting statutes.  By 2030 this number 
          65+ Californians will grow to nearly 8 million.  Reduced county 
          budgets and the growth in California's aging population are 
          conspiring to frustrate the efforts of mandated reporters of 
          elder and dependent adult abuse.  Counties which field the phone 
          calls mandated by state law are reporting longer and longer wait 
          times which may be contributing to an increased number of 
          dropped calls, and potentially lost opportunities to protect 
          vulnerable adults.  Testimony at a recent Assembly Aging and 
          Long-Term Care Committee hearing indicates that the minimum wait 
          time for mandated reporters reporting abuse to the San Diego 
          County APS office is roughly 20 minutes, and is fast becoming 
          counterproductive as dropped calls may be translating to lost 
          opportunities for APS, Ombudsman and law enforcement to 
          intervene and protect vulnerable adults.  

           Proposed Amendments







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           Staff recommends the following clarifying amendments to SB 718:

           Amendment #1:  Section 3 of SB 718 deals with WIC section 15658 
          which describes the forms used for reporting elder and dependent 
          adult abuse to the Department of Social Services.  SB 718 amends 
          this codes section to accommodate secure and confidential 
          internet reporting of elder and dependent adult abuse, and to 
          request a report to appropriate legislative policy committees 
          one year after full implementation.  Staff recommends amendments 
          that would specify the committees within the legislature to 
          which those reports would be referred.

          On Page 11, lines 3-12, amend as follows:

          (A) A county or long-term care ombudsman program that chooses to 
          implement this system shall report to the  Assembly Committee on 
          Aging and Long-Term Care, the Assembly and Senate committees on 
          Human Services and the Assembly and Senate committees on Public 
          Safety   appropriate   policy committees of the Legislature one year 
          after full implementation. The report shall include changes in 
          the number of mandated reporters reporting through the 
          confidential Internet reporting tool, changes in the number of 
          abandoned calls, and any other quantitative or qualitative data 
          that indicates the success, or lack thereof, in employing a 
          confidential Internet reporting tool to better protect the 
          safety and financial security of elder and dependent adults.

           REGISTERED SUPPORT / OPPOSITION  :

           Support 
           
          Alzheimer's Association of California
          California Association of Marriage and Family Therapists (CAMFT)
          California Long-Term Care Ombudsman Association (CLTCOA)
          California State Association of Counties (CSAC)
          California State Sheriff's Association (CSSA)
          Sacramento County Board of Supervisors
          San Diego County
          San Diego County Sheriff's Department
          Santa Clara County Board of Supervisors
          Urban Counties Caucus
          
            Opposition 
           







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          None on file.

           Analysis Prepared by  :    Robert MacLaughlin / AGING & L.T.C. / 
          (916) 319-3990