BILL ANALYSIS                                                                                                                                                                                                    Ó



                                                                  AB 581
                                                                  Page  1

          Date of Hearing:   May 1, 2013

                        ASSEMBLY COMMITTEE ON APPROPRIATIONS
                                  Mike Gatto, Chair

                   AB 581 (Ammiano) - As Amended:  April 22, 2013 

          Policy Committee:                              JudiciaryVote:10  
          - 0 
                        Human Services                          7 - 0 

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

           SUMMARY  

          This bill prohibits a community care facility licensee or a  
          residential facility for the elderly (RCFE) licensee, or any  
          officer or employee of the licensee, from discriminating or  
          retaliating against a resident or employee.

           FISCAL EFFECT  

          Minor nonreimbursable local law enforcement costs offset to some  
          extent by fine revenues, to the extent anyone is charged with a  
          misdemeanor violation.

           COMMENTS  

           1)Purpose  . This bill clarifies current law to ensure that  
            employees of an RCFE licensee are neither discriminating  
            against nor retaliating against residents in RCFE facilities  
            who file complaints against the facility. Unfortunately, the  
            author notes, current law is not specific as to whether a  
            complainant is protected from retaliation from a staff person  
            or other representative of the licensee.  This measure  
            attempts to clarify that the retaliation prohibition  
            protections afforded under the RCFE Act applies to the staff  
            in addition to the licensee, and would also establish these  
            same protections under the Community Care Facilities Act for  
            Adult Residential Facilities.   

           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  








                                                                  AB 581
                                                                  Page  2

            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.


            Current law provides the Long-Term Care Ombudsman specific  
            authority to investigate and resolve complaints filed by  
            residents and employees of facilities that care for the  
            elderly or infirm. Additionally the law provides protections  
            for residents from retaliation by a licensee when they file a  
            complaint.  However, current law only provides protection for  
            retaliation by  the licensee, not their staff.  In many cases,  
            the licensee is a single individual who is listed on the  
            facility's license as the owner or proprietor, and who may  
            have limited or no interaction with residents of the facility.  
             The staff members of the licensee are more likely to operate  
            the facility and have day-to-day direct care interaction with  
            a resident by whom or for whom a complaint could be filed. 



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