BILL ANALYSIS                                                                                                                                                                                                    Ó






                                  SENATE HUMAN
                               SERVICES COMMITTEE
                          Senator Leland Y. Yee, Chair


          BILL NO:       AB 261                                       
          A
          AUTHOR:        Chesbro                                      
          B
          VERSION:       June 18, 2013
          HEARING DATE:  June 25, 2013                                
          2
          FISCAL:        Yes                                          
          6
                                                                      
          1
          CONSULTANT:    Tepring Piquado                             

          

                                     SUBJECT
           
             Residential care facilities for the elderly: fees and  
                                    charges

                                     SUMMARY  

          This bill prohibits Residential Care Facilities for the  
          Elderly (RCFE) from requiring advance notice to terminate  
          an admission agreement upon death of a resident, prohibits  
          RCFEs from assessing fees once the personal property of a  
          deceased resident is removed and requires that within three  
          days of a patient's death the RCFE provide a written notice  
          of the facility's polices involving contract termination  
          and refunds, as specified. This bill requires RCFEs to  
          refund any fees paid in advance that cover the time after  
          the resident's property has been removed. It also makes  
          other conforming changes.

                                     ABSTRACT  

           Existing law:

              1)   Establishes California Residential Care Facilities  
               for the Elderly Act. (HSC§1569 et seq.)

                                                         Continued---



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             2)   Defines "Residential care facility for the elderly"  
               as a housing arrangement chosen voluntarily by persons  
               60 years of age or over, or their authorized  
               representative, where varying levels and intensities  
               of care and supervision, protective supervision,  
               personal care, or health-related services are  
               provided, based upon their varying needs, as  
               determined in order to be admitted and to remain in  
               the facility. (HSC§1569.2 (l))

             3)   Requires the Department of Social Services (DSS) to  
               inspect and license Residential Care Facilities for  
               the Elderly (RCFEs). (HSC§1569.11)

             4)   Establishes that an "admission agreement" shall  
               include all documents that a resident or his or her  
               representative must sign at the time of, or as a  
               condition of, admission to a RCFE. (HSC§1569.880)

             5)   Requires the admission agreement include the  
               facility's policy concerning refunds and conditions  
               under which the admission agreement may be terminated,  
               among other things, as detailed. (HSC§1569.884)

             6)   Requires RCFEs to implement a theft and loss  
               program which includes an inventory and surrender of  
               personal effects and valuables following the death of  
               a resident to the authorized representative in  
               exchange for a signed receipt and immediate written  
               notice to the public administrator of the county upon  
               the death of a resident whose heirs are unable or  
               unwilling to claim the property. (HSC§1569.153(f))

             7)   Permits RCFEs to charge a fee for the services  
               provided, which shall include, but not be limited to,  
               supervision, room, leisure activities, and meals.  
               (HSC§1569.5)

             8)   Provides that any fee charged by a licensee of a  
               residential care facility for the elderly, whether  
               prior to or after admission, shall be clearly  
               specified in the admission agreement.  
               (HSC§1569.651(d))

             9)   Provides that any person who violates this chapter,  




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               or who willfully or repeatedly violates any rule or  
               regulation adopted under this chapter, is guilty of a  
               misdemeanor and upon conviction thereof shall be  
               punished by a fine not to exceed one thousand dollars  
               ($1,000), by imprisonment in the county jail for a  
               period not to exceed one year, or by both the fine and  
               imprisonment. (HSC§1569.40)

             10)  Defines "Equity project" as a continuing care  
               retirement community where residents receive an equity  
               interest in the continuing care retirement community  
               property. (HSC§1771 (e)(6))

             11)  Defines "Refundable contract" as a continuing care  
               contract that includes a promise, expressed or  
               implied, by the provider to pay an entrance fee refund  
               or to repurchase the transferor's unit, membership,  
               stock, or other interest in the continuing care  
               retirement community when the promise to refund some  
               or all of the initial entrance fee extends beyond the  
               resident's sixth year of residency. (HSC§1771 (r)(2))

           Existing state regulation:
                
             1)   States the admission agreement shall be  
               automatically terminated by the death of the resident,  
               whose relatives shall not be liable for any payment  
               beyond that due at the date of death, unless agreed to  
               in writing or ordered by the court. (MPP CCL Title 22,  
               Title 22, Division 6, Chapter 8 § 87507)



           This bill:


              1)   Prohibits a Residential Care Facility for the  
               Elderly (RCFE) from requiring advanced notice for  
               terminating an admission agreement upon death of a  
               resident. 


             2)   Prohibits an RCFE from assessing fees once all  
               personal property belonging to the deceased resident  
               is removed from the living unit.




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             3)   Prohibits an RCFE from impeding the removal of the  
               deceased resident's personal property, as specified.


             4)   Establishes that an RCFE must refund any fees paid  
               in advance covering the time after the belongings were  
               removed from the facility within 15 days, as  
               specified. 


             5)   Requires that, if fees are assessed while a  
               resident's property remain in a unit after the  
               resident is deceased, the licensee shall, within three  
               days of becoming aware of the resident's death,  
               provide to the resident's responsible person or other  
               individuals identified in the admissions agreement,  
               with written notice of the facility's policies  
               regarding contract termination upon death and refunds.  
                


             6)   States that this section does not apply to fees  
               charged by a continuing care equity project or amounts  
               deducted from entrance fee refunds or repayments, as  
               specified in statute.


             7)   Requires the RCFE's admission agreement to include  
               the facility's policy concerning refunds, including  
               the conditions under which a refund for advanced  
               monthly fees will be returned in the event of a  
               resident's death.

                                  FISCAL IMPACT  

          An Assembly Appropriations Committee analysis indicates  
          that costs associated with this legislation should be minor  
          and absorbable within existing resources.

                            BACKGROUND AND DISCUSSION
           
           Purpose of the bill





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           According to the author, AB 261 brings additional clarity  
          and fairness to a certain billing practice with regard to  
          assessing fees upon the death of a resident in Residential  
          Care Facilities for the Elderly (RCFEs). This bill  
          prohibits an RCFE from requiring advanced notice before  
          terminating an admission agreement when the resident has  
          died. It also requires that fees stop once the deceased  
          resident's personal property has been removed from the  
          resident's apartment.

           Residential Care Facility for the Elderly

           Residential Care Facilities for the Elderly (RCFEs) provide  
          a housing arrangement chosen voluntarily by the resident,  
          the resident's guardian, conservator or other responsible  
          person. RCFEs provide care, supervision and assistance with  
          activities of daily living, such as bathing and grooming to  
          people 60 years of age and over and people under 60 with  
          compatible needs. RCFEs may also be known as assisted  
          living facilities, retirement homes and board and care  
          homes. RCFEs can range in size from six beds or less to  
          more than 100 beds. The residents in these facilities  
          require varying levels of personal care and protective  
          supervision. RCFEs also may provide incidental medical  
          services under special care plans. RCFEs are licensed by  
          the Community Care Licensing branch of DSS.

          According to DSS, as of May 2013, there were 7,500 licensed  
          RCFEs in the state with a total capacity of 143,459  
          residents. According to the organization California  
          Registry, the cost of residential care for an elderly  
          person can range from $1,500 to $4,500 a month, depending  
          on the care needs, the quality of the accommodations and  
          the location of the facility. 

           Admission Agreements

          California Statute provides that an admission agreement  
          contract between an RCFE and a resident shall include all  
          documents that a resident or responsible person must sign  
          at the time of, or as a condition of, admission into an  
          RCFE. 

          Specifically, the admission agreement includes, among other  
          requirements: 




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               (a) A comprehensive description of any items and  
               services provided under a single fee, such as a  
               monthly fee for room, board, and other items and  
               services.

               (b) A comprehensive description of, and the fee  
               schedule for, all items and services not included in a  
               single fee. In addition, the agreement shall indicate  
               that the resident shall receive a monthly statement  
               itemizing all separate charges incurred by the  
               resident.

               (c) A comprehensive description of billing and payment  
               policies and procedures.

               (d) The facility's policy concerning refunds.

               (e) Conditions under which the agreement may be  
               terminated.

          According to the author, there is currently no statutory  
          prohibition on RCFEs requiring a cancellation notice even  
          in cases where a resident has passed away, provided the  
          policy is disclosed and agreed to in writing in the  
          admission agreement. 
           
          California Regulations

           California regulation states that "the admission agreement  
          shall be automatically terminated by the death of the  
          resident, whose relatives shall not be liable for any  
          payment beyond that due at the date of death, unless agreed  
          to in writing or ordered by the court." (MPP CCL Title 22,  
          Title 22, Division 6, Chapter 8 § 87507)
           
           While this legislation would largely codify the state  
          regulation that requires admission agreements to be  
          terminated at the date of death, it would not permit any  
          exceptions, such as orders by the court. 
           Prior Legislation

           AB 1142 (Chesbro, 2011) was substantively similar  
          legislation. It addressed the termination of the admissions  
          agreement and prohibited the assessment of fees after all  




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          personal property was removed from the RCFE. The bill was  
          held without hearing in Senate Human Services.

                                   PRIOR VOTES  

          Assembly Floor:          76 - 0
          Assembly Appropriations:   7 - 0
          Assembly Human Services:   7 - 0 

                                    POSITIONS  

          Support:       California Assisted Living Association  
          (CALA) (sponsor)
                         Alzheimer's Association
                         AARP
                         California Advocates for Nursing Home Reform  
                    (CANHR)
                         California Assisted Living Association
                         California Association for Health Services  
          at Home
                         California School Employees Association,  
                    AFL-CIO
                         County Welfare Directors Association of  
                    California (CWDA)

          Oppose:   None received


          
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