BILL ANALYSIS Ó AB 2034 Page 1 Date of Hearing: March 25, 2014 ASSEMBLY COMMITTEE ON JUDICIARY Bob Wieckowski, Chair AB 2034 (Gatto) - As Amended: March 19, 2014 As Proposed to be Amended SUBJECT : FAMILY RELATIONS: ADULT CHILD VISITATION AND CONSERVATORSHIPS KEY ISSUES : 1)Should A NEW COURT PROCESS BE CREATED TO ALLOW ADULT CHILDREN TO SEEK visitation with THEIR PARENT IF SUCH VISITS ARE BEING DENIED DESPITE THE PARENT'S DESIRE TO VISIT WITH THEIR CHILDREN? 2)SHOULD A CONSERVATOR BE REQUIRED TO NOTIFY RELATIVES WHEN THE CONSERVATEE DIES OR IS ADMITTED TO THE HOSPITAL? SYNOPSIS This bill is in response to several high profile instances where adult children were reportedly denied visitation with their ailing parent because of the contentious relationship between the children and the ailing parent's spouse. California law - both statutory and case law - currently provides little guidance on how to address these difficult situations. While it is hoped that most of these family conflicts can be resolved without recourse to the courts, supporters argue that some conflicts cannot. This bill creates a new judicial remedy to resolve these family disputes and, according to the author, gives "justice to adult children separated from their parents." The bill seeks to help adult children of infirm parents in several ways. First, if the parent is already the subject of a conservatorship, this bill requires the conservator to notify close relatives when the person dies or is hospitalized. Second, this bill establishes a new legal procedure to allow adult children to petition the court for visitation with their parents. The court process includes the involvement of the probate court investigator who is charged with interviewing the parent and others in order to determine whether the parent is competent and whether the parent wants the requested visitation. AB 2034 Page 2 Under the process set forth in the bill, the court can never prohibit visitation, but could, in certain situations, issue an order compelling visitation, provided the parent wants the visit. The bill also amends the statutory Advance Health Care Directive to allow people an opportunity to list those with whom they would want to visit and those they would not. This list is not meant to be an enforceable list that could be used either to admit or deny those listed to the individual's home, facility or bedside. It is simply meant to be some indication of what the person executing the form desires, at least as of the date of execution of the form. The bill is supported by the Kasem Cares Foundation because it fills "a gap in the current law which leaves adult children without a defined process for securing the right to visit their adult parents with whom they have maintained a loving relationship. . . . As a practical matter a child has little choice under current law but to seek a conservatorship over the parent against the second spouse's objection. That is not only more of a remedy than is needed for visitation, but it is a difficult and expensive case to make." The bill is opposed by California Advocates for Nursing Home Reform (CANHR), which argues that while the bill purports to expand visitation rights, the process "actually restricts them by implying that a court order is needed in order to visit an adult who is not objecting to visitation but has had visitation prohibited by some third party." CANHR also opposes expanding the Advance Health Care Directive to include desired and undesired visitors: "Asking a principal to list people they would or would not want to see, ten or twenty years in advance of an incapacitating event, seems like a perilous venture. Amicable feelings for friends and family ebb and flow while choices made long ago ? tend to endure." SUMMARY : Establishes a court process to allow adult children to petition to visit their parents and requires conservators to notify relatives when conservatees die or are hospitalized. Specifically this bill : 1)Requires a conservator of the person to notify specified relatives of the conservatee when the conservatee dies or is AB 2034 Page 3 admitted to a hospital for three days or more. If the conservatee dies, requires the conservator to inform the relatives of any funeral arrangements and the conservatee's final resting place. 2)Creates a court procedure to allow an adult child to petition the court to compel visitation with his or her parent if that parent does not have a conservator. Requires notice of the hearing to be provided to specified relatives. 3)Prior to a hearing on the petition in # 2), above, requires the court investigator to: a) Interview the proposed visitee (the parent sought to be visited), the petitioners, relatives of the proposed visitee within the first degree, and, if practical, neighbors and close friends; b) Inform the proposed visitee of the petition; c) Determine whether the proposed visitee has capacity to consent to the visitation; d) Determine whether the proposed visitee desires the requested visitation; and e) Report in writing to the courts and mail the report, which is required to be kept confidential, to the petitioner, his or her attorney, and relatives within the first degree, as provided. 4)Requires the court, in ruling on a petition by an adult child to compel visitation with a parent, to determine if the proposed visitee has sufficient capacity to make a knowing and intelligent visitation decision. a) If the court finds that proposed visitee has capacity and desires the visitation, requires the court to grant the visitation, unless the court finds that such visitation is not in the proposed visitee's best interest. If the proposed visitee has capacity, but does not desire the visitation, provides that the court may not grant the visitation. b) If the court finds that the proposed visitee lacks the capacity to make the decision, then the court must determine if the proposed visitee would want the visitation. In determining that, the court must consider: (i) The history of the relationship between the parent and the adult child; (ii) any statement made by the parent AB 2034 Page 4 expressing his or her desire to have visitation with the adult child; (iii) any estate planning document that expresses an opinion on visitation; and (iv) the court investigator's report, discussed in # 3), above. c) Provides that any capacity determination made as part of the visitation determination may not be cited as evidence in any other legal proceeding. 5)Set forth procedures for bringing a petition to compel visitation with a parent, including the appropriate venue for such a proceeding, what must be included in the petition, and notice requirements. 6)Provides that the court has continuing jurisdiction to revoke or modify any visitation order. 7)Adds to the statutory Advance Health Care Directive form a section allowing the person executing the document, if that person so chooses, to list those with whom that person would like to visit and those with whom he or she would not. States in the instructions to the Advance Health Care Directive that the list is only evidence of some of the people with whom the person executing the document, at the time of execution, would want or not want to visit. Provides that the list does not give the agent under the advanced directive or any facility any additional power to allow or disallow visitors. EXISTING LAW : 1)Allows the court to appoint a conservator to act on behalf of a person who is unable to adequately provide for his or her personal needs (a conservator of the person) or incapable of managing his or her property or other financial assets (a conservator of the estate). Requires the court investigator to personally interview the proposed conservatee prior to the hearing and make specified determinations. (Probate Code Section 1800 et seq. Unless stated otherwise, all further statutory references are to that code.) 2)Allows the court, upon showing of good cause, to appoint a temporary conservator or guardian to serve pending the appointment of a permanent conservator or guardian for a limited period of time, with five days' notice, but such notice may be waived by the court for good cause. Unless the court orders otherwise, provides the temporary conservator or AB 2034 Page 5 guardian with only those powers and duties that are necessary to provide for temporary care of the conservatee or ward and to preserve and protect the property of the conservatee or ward from loss or injury. (Section 2250 et seq.) 3)Provides that a conservator of the person has the care, custody and control of the conservatee. However, provides that this control does not extend to the personal rights retained by the conservatee, including, but not limited to, the right to receive visitors, telephone calls and personal mail, unless specifically limited by court order. (Section 2351.) 4)Requires conservator to file a notice of change of residence with the court, served on specified individuals, within 30 days of a change of the ward or conservatee's residence. Requires the conservator to include in the notice a declaration that the change in residence is the least restrictive alternative available and that the change is in the best interests of the conservatee. (Section 2352.) 5)Allows a petition to be filed to determine if a patient has the capacity to make a health care decision and, if the patient is unable to consent, to appoint a person to make the health care decision, as provided. (Section 3200 et seq.) 6)Provides a statutory Advance Health Care Directive form. (Section 4700 et seq.) FISCAL EFFECT : As currently in print this bill is keyed fiscal. COMMENTS : This bill is in response to several high profile instances where adult children were denied visitation with their ailing parent because of the contentious relationship between the children and the ailing parent's spouse. The author explains the need as follows: As divorce and remarriage become more prevalent in today's society, there is a greater possibility of conflicts between a second spouse and children from a first marriage, for any number of reasons. These conflicts can become very contentious when a parent is incapacitated, enters into a conservatorship and the current spouse cuts off access between the parent and children from a previous marriage. AB 2034 Page 6 Even more contentious are instances where there is no conservatorship in place. Currently, the laws provide all rights relating to the care of loved ones to spouses, which leaves children without a legal avenue to arrange visitations with their ailing parents, to receive notice of hospitalizations or the death of a parent, or to be provided information regarding the burial of a parent. There is no legal process to settle such matters such as exists with children in divorce cases. This was the case for Catherine Falk, the daughter of actor Peter Falk. Mr. Falk divorced Catherine's mother when she was 6 years old and remarried the following year. For 30 years, Mr. Falk maintained a loving relationship with Catherine despite conflicts with his second spouse. In 2008, Mr. Falk became completely incapacitated as a result of advanced dementia. Mrs. Falk, however, failed to inform Mr. Falk's children of his condition and refused to allow his children to visit their ailing father. A similar situation has presented itself with the family of radio icon Casey Kasem, who is gravely ill and has left the public eye. Kasem's daughters, Kerri and Julie Kasem, were barred by their stepmother from seeing their ailing father after regularly seeing him for more than 30 years. Julie's lawyer advised her that the courts have no jurisdiction to grant visitation rights, so she undertook the expensive and difficult process of petitioning for a conservatorship under a medical power of attorney Casey Kasem had given to Julie's physician husband. California law - both statutory and case law - currently provides no guidance on how to address these cases. Other state courts that addressed similar situations have found that adult children have a right to visit their infirm parents if the parents' consent to the visitation. (See, e.g., Granger v. Johnson (1997) 367 A.2d 1062 (RI); Smith v. Markham (1996) 41 Va. Cir. 166.) Under California law, the only legal option available to an adult child who is denied visitation with his or her parent (other than seeking help from adult protective services, which AB 2034 Page 7 will not get involved in a family dispute where the parent is not being abused) is to seek a conservatorship. In the absence of a procedure to seek visitation, supporters report that in some cases, adult children have sought conservatorships of their parents simply to be able to visit with them. Certainly, it is not in the best interest of, particularly, the parents, but also the courts to seek highly restrictive and expensive conservatorships, which appropriately require significant court oversight, just to secure visitation. A conservatorship is a far-reaching step that transfers many legal rights from the adult conservatee to the conservator. It is a drastic step simply to secure visitation. While it is highly desirable for these cases to be resolved outside the court system, the author and supporters argue that in some instances such resolution is impossible. They argue that there is no alternative but to seek resolution in court. This bill provides families with such a process. New Court Process for Adult Children to Seek Visitation With Their Parents : The key part of the bill is the establishment of a new legal process to allow adult children to petition to visit with their parents. This bill provides a process for an adult child to seek visitation with his or her parent. However, there is no right for adult children to visit with their parents if the parents do not want the visit - and this bill does not create such a right. It simply creates a process to determine the adult's wishes and then seeks to honor those wishes with a court order. The process is modeled, at least in part, on the existing process to make health care decisions for adults who do not have a conservator but who otherwise may lack the capacity to make such decisions for themselves. (Section 3200 et seq.) It is important to note that this bill does not seek to create a process to make it harder for would-be visitors to see their loved ones. Adults - whether they are in their own home or in a facility - can choose to visit with whomever they want, and they cannot be denied that right. Even adults who are conserved can visit with the friends and loved ones of their choosing, absent a court order to the contrary. This bill does not in any way seek to limit those visits. AB 2034 Page 8 The Petition: The process set forth in the bill begins when an adult child files a petition for visitation. The bill provides that the appropriate venue for the action is the county in which the proposed visitee (the parent with whom visitation is sought) resides, whether permanently or temporarily. The petition must set forth: The condition of the proposed visitee's health, to the extent known; The proposed visitation that is to be considered; The efforts made to obtain visitation; The deficit or deficits, if any, in the proposed visitee's mental functions and the link between the deficit or deficits and the proposed visitee's inability to respond knowingly and intelligently to queries about the requested visitation; and The names and addresses, so far known, of the proposed visitee's relatives within the second degree. The petition must be personally served on the parent and his or her attorney, and a copy mailed to his or her spouse or domestic partner and relatives within the second degree, similar to the notice requirements for the health care decision action. As currently drafted, the notice is not required to be served on the parent's caregiver, if this person is not a close relative, or the parent's housemates, again assuming they are not close relatives. This lack of notice and opportunity to participate in the court hearing could raise due process and enforcement issues. The author has agreed to work with all interested stakeholders to address this important issue and has agreed to bring the bill back to this Committee should it change significantly from its current form or should any constitutional questions remain. Investigation by Probate Court Investigator: Since the court process is designed to determine the parent's wishes and then help carry out those wishes, the bill helps determine those wishes by requiring the probate investigator - who reviews each proposed conservatorship - to investigate the petition. The AB 2034 Page 9 probate investigator is required to interview the parent, the petitioners, the parent's relatives within the first degree, and, if practical, neighbors and close friends. The investigator is then required to determine whether the parent has capacity to consent to the visitation and whether he or she wants the requested visitation. Finally, the bill requires that the investigator report the findings in writing to the courts and, prior to the hearing, mail that report, which is required to be kept confidential, to the petitioner, his or her attorney, and relatives of the proposed visitee. In order to reduce the workload that could be caused by particularly vexatious family members, the court investigator may not have to perform another investigation if one was done within the last year and the court finds there is good cause not to do another investigation. The Court Order: The order established by this bill is an order to compel visitation, not an order to deny visitation. The court, when ruling on a motion for visitation by an adult child, must first determine if the parent has sufficient capacity to make a knowing and intelligent visitation decision. However, to protect against this action being the basis of any future action, the bill specifically provides that any capacity determination made as part of the visitation determination cannot be cited as evidence in any other legal proceeding. If the court finds that parent with whom visitation is sought has capacity and wants the visitation, the bill requires that the court grant the visitation, unless the court finds that visitation with the adult child is not in the parent's best interest. Such an order would certainly not stop the parent from visiting with his or her children. It would simply prevent the court from compelling that visit. If the court finds that the parent with capacity does not want to visit with his or her adult child, the court would be prevented from ordering the visitation. Again, the parent could still decide to visit with that child. The court would just be prohibited from requiring such visitation, but could not issue an order prohibiting the visit. If the court finds that the parent lacks the capacity to make a knowing and intelligent visitation decision, then the court is required to determine if the parent wants the visitation. To determine that, the court must consider: The history of the relationship between the parent and AB 2034 Page 10 the adult child; Any statement made by the parent expressing his or her desire to have visitation with the adult child; Any estate planning document that expresses an opinion on visitation; and The court investigator's report. If the court finds that the parent wants to visit with his or her adult child, the court is required to grant reasonable visitation, provided the court determines that visitation is in the parent's best interest. If not, the court may not compel the requested visitation. Again, this does not prevent the parent from visiting with his or her children. It simply prevents the court from requiring such visitation if the court determines that it is not in the parent's best interest. Again, this is not the same as an order prohibiting the visit. Concerns have been raised that allowing the court to order a competent adult to visit with anyone - even someone with whom the adult requests visitation - implicates significant constitutional issues. As a general matter, adults have the freedom to associate with whomever they choose. It is important to note that this bill does not seek to limit with whom a competent adult may visit, and the process set forth in this bill will never result in an order prohibiting visitation, but only, if the court determines that is what the parent wants, a possible order compelling the visitation. The author states that he is committed to continue working with all interested stakeholders to ensure the proposed new court process functions appropriately and meets constitutional requirements. As noted above, the author has also agreed to bring the bill back to this Committee should it change significantly from its current form or should any constitutional questions remain. Continuing Jurisdiction: The bill provides that the court in which the petition was filed has continuing jurisdiction to revoke or modify any visitation order made under the bill, provided a new petition is filed and noticed in the same manner as the original petition. Bill Provides the Ability for Individuals to Provide Guidance as to Whom They Want to Visit With and Whom They Do Not : The court visitation petition process, discussed above, is based on the court determining whether the parent actually wants to visit with his or her adult children. For parents who lack capacity, AB 2034 Page 11 it may be hard for the court and the probate investigator to determine their true wishes. To make it easier to determine those wishes, the bill allows individuals to list those with who they would like to visit and those with whom they would not like to visit in their Advance Health Care Directive. As recently amended, this is not meant to be an enforceable list and one that could be used either to admit or deny those listed to the individual's residence, facility or bedside. Moreover, as recently amended, it is not meant to give the agent for health care decisions any additional powers, or be anything the agent should, or even could, seek to enforce. It is simply meant to be some indication of what the person executing the form desires, at least as of the date of execution of the form. Bill Creates New Requirements for Conservators to Keep Relatives Informed About the Condition of the Conservatee : In California, if an adult is unable to manage his or her financial matters, a conservator of the estate may be appointed by a court to manage the adult's or conservatee's financial matters. If the adult is unable to manage his or her medical and personal decisions, a conservator of the person may be appointed. While a conservator has charge of the care, custody and control of the conservatee, that power is not absolute. Just last year, the Legislature passed AB 937 (Wieckowski), Chap. 127, Stats. 2013, which clarified that, unless limited by court order, a conservatee retains his or her personal rights, including the right to receive visitors, personal mail and telephone calls. If an adult child, or any other person, attempts to visit a conservatee, but is denied access, that person has the ability to go to court and challenge the actions of the conservator. Thus, there is no need to establish a special process to allow for visitation when a person is conserved, and this bill does not do so. However, while the conservator has the obligation to notify relatives when the conservatee is moved, there is currently no requirement that the conservator notify the same relatives if the conservatee is hospitalized or dies. This bill requires AB 2034 Page 12 that the conservator notify specified relatives when the conservatee dies or is admitted to a hospital for at least three days. The relatives specified in the bill are the same relatives who must today be notified when the conservatorship is first sought and when the conservatee is moved. While the notification proposed by the bill is an additional duty on the conservator, it is limited to truly significant notifications - death or serious hospitalization of the conservatee. In fact, some have expressed surprise that this is not already one of the conservator's duties. Author's Amendment : The bill currently uses a term to describe hospitals that is not used elsewhere in the code. To ensure there is no confusion about what is meant by hospital, the author proposes to amend the bill to properly define hospital as follows: On page 2, line 5, delete "medical facility for acute care" and insert: general acute care hospital, as defined in Section 1250 of the Health & Safety Code ARGUMENTS IN SUPPORT : The Kasem Cares Foundation strongly supports the bill because it fills "a gap in the current law which leaves adult children without a defined process for securing the right to visit their adult parents with whom they have maintained a loving relationship. Given the widespread incidence of divorce and remarriage in our society, there are increasing possibilities for conflict between the second spouse and the children of the first marriage. These conflicts can become very painful when the second spouse refuses to let the children even occasionally visit their parent - even when the parent desires such visits. As a practical matter a child has little choice under current law but to seek a conservatorship over the parent against the second spouse's objection. That is not only more of a remedy than is needed for visitation, but it AB 2034 Page 13 is a difficult and expensive case to make. We think AB 2034 strikes the appropriate balance by creating a right to petition the court for visitation, and granting the court the authority to have a court investigator interview the parent to ascertain his or her wishes regarding the proposed visitation. If the parent does not want visitation, or if the court decides visitation is not in the best interests of the parent, the case is closed. However, if the parent wants visitation, the court can order it in a way that is not unnecessarily intrusive for the second spouse." ARGUMENTS IN OPPOSITION : California Advocates for Nursing Home Reform (CANHR) strongly opposes the bill, arguing that while the bill purports to expand visitation rights, the process "actually restricts them by implying that a court order is needed in order to visit an adult who is not objecting to visitation but has had visitation prohibited by some third party." CANHR continues: AB 2034 ill-advisedly overturns California's presumption in favor of visitation by implying that anyone may prohibit visitation with an adult, even when that adult specifically states they want to be visited. By creating a petition process to vindicate rights without including any provision for punishing those who wrongfully bar visits (there's not even a fee-shifting provision for visitors who are granted their petition), AB 2034 contributes to the idea that visitors need to go to court whenever someone has denied visitation. While the bill does not require such petitions, in our experience, caregivers and law enforcement officers will err on the side of caution and prohibit visits whenever there is any question about visitation rights and tell the proposed visitor to go to court. CANHR also raises concerns about listing names of desired and undesired visitors in the statutory Advance Heath Care Directive (AHCD): AB 2034 Page 14 Giving principals a list for approved and disapproved potential visitors is highly problematic. Myriad studies show that opinions about decisions typically made in AHCDs, such as end-of-life care options, evolve over time, so that preferences in the document often do not reflect the principal's most recent thinking in the matter. Asking a principal to list people they would or would not want to see, ten or twenty years in advance of an incapacitating event, seems like a perilous venture. Amicable feelings for friends and family ebb and flow while choices made long ago in AHCDs tend to endure. REGISTERED SUPPORT / OPPOSITION : Support (to current version of the bill) Kasem Cares Foundation National Association of Social Workers Opposition (to current version of the bill) California Advocates for Nursing Home Reform Analysis Prepared by : Leora Gershenzon / JUD. / (916) 319-2334