BILL ANALYSIS Ó AB 753 Page 1 Date of Hearing: May 8, 2013 ASSEMBLY COMMITTEE ON APPROPRIATIONS Mike Gatto, Chair AB 753 (Lowenthal) - As Amended: April 18, 2013 Policy Committee: HealthVote:19-0 Aging and Long Term Care 7-0 Urgency: Yes State Mandated Local Program: No Reimbursable: No SUMMARY This bill repeals and recasts statutes related to the system of caregiver resource centers (CRCs) and the recent transfer of the program from the former Department of Mental Health (DMH) to the Department of Health Care Services (DHCS) pursuant to recent legislation (AB 1467, Statutes of 2012). FISCAL EFFECT Negligible state costs. COMMENTS 1)Rationale . The Association of California CRCs has sponsored AB 753 to update CRC statutes for the first time in 30 years. By doing, AB 753 recasts obsolete code sections reflecting the program's transition from the former Department of Mental Health to the Department of Health Care Services. 2)Background . CRCs were first authorized in 1984. The "Comprehensive Act for Family Caregivers of Brain-Impaired Adults" established 11 regional agencies known as Caregiver Resource Centers under the Department of Mental Health. CRCs were legislatively mandated to assist families providing care for loved ones with Alzheimer's Disease, stroke, Parkinson's, Huntington's Disease, Traumatic Brain Injury (TBI), Multiple Sclerosis and other brain disorders acquired after the age of 18. The CRC system was the first of its kind in the nation and was looked to as a model for the development of similar services now available in all 50 states. AB 753 Page 2 3)Funding . CRC funding has been reduced by 74% since 2009. As a result of these budget reductions, all CRCs maintain waiting lists for various services; the CRC serving the Los Angeles area has a waiting list of over 900 people for respite services alone. The Governor's 2012-13 Budget proposed to eliminate all funding for CRCs. In rejecting this proposal, the Legislature noted CRCs are a valuable component of the state's overall safety net that allows caregivers to continue providing long-term care in homes, thereby enabling many disabled Californians to continue living in the community rather than in nursing facilities, hospitals, or institutionalized settings. Analysis Prepared by : Debra Roth / APPR. / (916) 319-2081