BILL ANALYSIS Ó AB 261 Page 1 CONCURRENCE IN SENATE AMENDMENTS AB 261 (Chesbro) As Amended June 18, 2013 Majority vote ----------------------------------------------------------------- |ASSEMBLY: |76-0 |(April 25, |SENATE: |38-0 |(August 15, | | | |2013) | | |2013) | ----------------------------------------------------------------- Original Committee Reference: HUM. S. SUMMARY : Provides clarification on the termination of an admission agreement and the charging of fees when a residential care facility for the elderly (RCFE) resident passes away. Specifically, this bill : 1)Prohibits a RCFE from requiring advance notice for the termination of an admission agreement upon the death of a resident. 2)Requires a RCFE to cease charging fees when all personal property of a deceased resident is removed from the living unit. 3)Prohibits a RCFE from impeding the removal of a deceased resident's property by the resident's authorized representative(s). 4)Requires a RCFE to issue a refund of any fees paid in advance that cover time after the deceased resident's property has been removed from the facility to the resident's authorized representative(s) within 15 days of removal of the belongings, as specified. 5)Requires a RCFE licensee to provide a deceased resident's representative written notice regarding contract termination upon death and refunds within three days of becoming aware of the resident's death if fees are assessed while a deceased resident's belongings remain in the facility. The Senate amendments : 1) Clarify references to a resident's personal "property" rather than "belongings." AB 261 Page 2 2) Clarify that a resident's personal property may be removed by a court-appointed executor or administrator of the decedent's estate. 3) Make other nonsubstantive technical and clarifying changes. AS PASSED BY THE ASSEMBLY , this bill provided clarification on the termination of an admission agreement and the charging of fees when a RCFE resident passes away. FISCAL EFFECT : According to the Senate Appropriations Committee, pursuant to Senate Rule 28.8, negligible state costs. COMMENTS : Background : It is the intent of the Legislature, in creating RCFEs as its own separate licensing category under the RCFE Act, to help provide a system of residential care to allow older persons to remain as independent as possible while not forcing them to move between medical and nonmedical services. Commonly referred to as assisted living facilities, retirement homes and board and care homes, RCFEs are licensed facilities under the California Community Care Facilities Act (CCFA) that provide services to individuals who are 60 years of age and over and persons under the age of 60 with compatible needs. RCFEs provide a wide array of care, which can include varying levels of personal care and protective supervision, based upon the needs of the resident. Under the CCFA, RCFEs are required to provide each resident with an "admission agreement." An admission agreement generally refers to all documents that resident or his or her authorized representative must sign at the time of, or as a condition of, admission to the RCFE. Admission agreements are required to meet explicit and specific requirements as to what may and may not be included. In regards to termination of the admission agreement, current law provides for two methods of termination. The first is through the resident moving out of the facility voluntarily or involuntarily, i.e., eviction, and the other is through the death of the resident. AB 261 Page 3 Past legislation : AB 1142 (Chesbro) was pursued during the 2011-12 legislative session to address a conflict between existing statute and regulations regarding how an admission agreement may be canceled when a resident passes away. As noted in the Assembly Human Services Committee analysis of AB 1142: The author points out that administrative regulations pertaining to RCFEs allow for admission agreements to include a 30-day cancellation notice. The RCFE regulations also provide that the agreement is "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 court." 22 CCR Section 87507(h). Although, the author notes, it appears to be an uncommon practice, some RCFEs apparently apply these regulations together to include provisions in admission agreements holding relatives responsible for payment of fees for 30 days, even after the death of the resident. According to the author, "the policy needs to be clarified to eliminate confusion or distress for residents and their families." Need for the bill : This bill is a reintroduction of AB 1142 with similar intent but a simpler approach. Whereas AB 1142 introduced new terminology to the CCFA, this bill uses existing terminology and builds upon current law to address the conflict in the interpretation of how and when facility-related fees may be charged to a deceased resident's authorized representative(s). Analysis Prepared by : Chris Reefe / HUM. S. / (916) 319-2089 FN: 0001526