BILL ANALYSIS                                                                                                                                                                                                    Ó



                                                                  AB 261
                                                                  Page  1

          Date of Hearing:   April 17, 2013

                        ASSEMBLY COMMITTEE ON APPROPRIATIONS
                                  Mike Gatto, Chair

                    AB 261 (Chesbro) - As Amended:  April 1, 2013 

          Policy Committee:                              Human  
          ServicesVote:7 - 0 

          Urgency:     No                   State Mandated Local Program:  
          Yes    Reimbursable:              No

           SUMMARY  

          This bill clarifies the termination of an admission agreement  
          and the refunding of fees upon the death of a resident of a  
          residential care facility for the elderly (RCFE). Specifically,  
          this bill: 

          1)Prohibits an RCFE from requiring advance notice for the  
            termination of an admission agreement upon the death of a  
            resident.

          2)Requires an RCFE to cease charging fees when all personal  
            property of a deceased resident is removed from the living  
            unit.

          3)Prohibits an RCFE from impeding the removal of a deceased  
            resident's belongings by the resident's authorized  
            representative(s).

          4)Requires an RCFE to issue a refund of any fees paid in advance  
            that cover time after the deceased resident's belongings have  
            been removed from the facility to the resident's authorized  
            representative(s) within 15 days of removal of the belongings.

          FISCAL EFFECT  

          Costs associated with this legislation should be minor and  
          absorbable within existing resources. 

           COMMENTS  

           1)Rationale  . Current regulations allow for RCFE admission  








                                                                  AB 261
                                                                  Page  2

            agreements to include a 30-day cancellation notice even in  
            cases where a resident has died if it is disclosed and agreed  
            to in writing (Title 22, Section 87507(h)). In some cases,  
            this has meant that the admission agreement does not provide  
            for a refund after the belongings are removed from the  
            apartment. While this does not appear to be common, there is  
            currently no prohibition on the practice.

            The author hopes this bill will resolve that problem by  
            prohibiting advance notice for terminating the admission  
            agreement due to death of the resident and requiring that fees  
            stop once the personal property belonging to the deceased  
            resident has been removed from the resident's apartment.

           2)Background  . RCFEs serve persons 60 and older. They provide  
            room, board, housekeeping, supervision, and assistance with  
            basic activities like personal hygiene, dressing, eating, and  
            walking. These facilities often store their residents'  
            medication in a central location and assist the residents with  
            self-administering their medication.

            These facilities are designed for people who are unable to  
            live by themselves but who do not need 24-hour nursing care.  
            They are considered non-medical facilities and are not  
            required to have nurses, certified nursing assistants or  
            doctors on staff.

            The Department of Social Services Community Care Licensing  
            Division is responsible for licensing and monitoring all RCFEs  
            in the state.  According to recent data, there are  
            approximately 7,800 RCFEs throughout the state, housing  
            165,000 residents.

           3)Related Legislation  . In 2011, AB 1142 (Chesbro), a  
            substantially similar bill, was held without a hearing in the  
            Senate Human Services Committee. 


           Analysis Prepared by  :    Julie Salley-Gray / APPR. / (916)  
          319-2081