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.  








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           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  








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            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  








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               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  








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            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.   








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               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  








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          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.









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          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  








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          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  








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               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,  








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          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  








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          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  








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          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):










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               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