BILL ANALYSIS                                                                                                                                                                                                    Ó



                                                                  AB 261
                                                                  Page  1

          CONCURRENCE IN SENATE AMENDMENTS
          AB 261 (Chesbro)
          As Amended  June 18, 2013
          Majority vote
           
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          |ASSEMBLY:  |76-0 |(April 25,      |SENATE: |38-0 |(August 15,    |
          |           |     |2013)           |        |     |2013)          |
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           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
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             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
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           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 


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