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