BILL ANALYSIS                                                                                                                                                                                                    Ó



                                                                  SJR 4
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          Date of Hearing:   May 7, 2013

                   ASSEMBLY COMMITTEE ON AGING AND LONG-TERM CARE
                                Mariko Yamada, Chair
                 SJR 4 (Monning) - As Introduced:  February 21, 2013

           SENATE VOTE  :   32-0
           
          SUBJECT  :   Reauthorization of the federal Older Americans Act of  
          1965.

           SUMMARY  :   Memorializes the President of the United States and  
          the United States Congress to enact appropriate legislation  
          reauthorizing the federal Older American's Act of 1965 (OAA)   
          Among others, this resolution makes the following findings that:

          1)Congress re-authorized the OAA in 2006, effective through  
            2011.

          2)Besides an update in 2009, the OAA has not been reauthorized  
            since 2006, and is currently operating under temporary funding  
            resolutions.

          3)A substantial number of Californians will be at risk if there  
            are significant reductions in state allocations for OAA  
            programs and services.

          4)Continuing delay in the reauthorization of the act will erode  
            the capacity of the act's various structures to deliver  
            services to meet the needs of Older Californians.

          5)The reauthorization of the OAA is necessary in order to  
            preserve the aging network's role in home- and community-based  
            services, maintain advocacy and consumer directed focus, and  
            give area agencies on aging increased flexibility in planning  
            and delivering services to vulnerable older Americans.

          6)The OAA should be funded in the same manner that is has been  
            funded for 48 years.

           EXISTING LAW:  

          1)Establishes the federal OAA of 1965, as amended, that provides  
            states money and guidelines to perform community planning for  
            services and supports, research and development projects, and  








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            personnel training, in the field of aging.  

          2)Establishes the Older Californians Act (OCA) to represent the  
            policy mandates and directives of the Older Americans Act, and  
            set forth the state's commitment to the older population.

           FISCAL EFFECT  :   None

           AUTHORS STATEMENT:  It is vital that Congress and the President  
          reauthorize the OAA.  Without it, our senior population would  
          not have access to programs such as home-delivered nutrition  
          services, family caregiver support, community service  
          employment, the long-term care ombudsman program, and services  
          to prevent abuse, neglect, and exploitation.  Reauthorization of  
          the Act is important to ensure that programs and services  
          continue for our senior population.
           ARGUMENTS IN SUPPORT:  The California Senior Legislature, sponsor  
          of SJR 4, indicates that reauthorization of the OAA will help  
          preserve the aging network's role in home- and community-based  
          services, maintain the advocacy and consumer focus of the act,  
          and give area agencies on aging increased flexibility in  
          planning and delivering services to vulnerable older  
          Californians.

          The AARP believes that the OAA should be reauthorized as soon as  
          possible.  According to the AARP, the OAA provides essential  
          programs, information, services and guidance to a growing older  
          population, and that only minor adjustments are recommended to  
          improve efficiency. 

          The California Commission on Aging writes in support to stress  
          that California's population of older adults is the largest in  
          the nation.  The continuation of critical programs like  
          Meals-on-Wheels, Family Caregiver Support, and other programs  
          are all dependent upon funding provided through the OAA.
           
          COMMENTS  :   Congress passed the OAA in 1965 as a response to a  
          lack of community and social services for older people. The OAA  
          establishes grants to states for community planning and social  
          services, research and development projects, and personnel  
          training, in the field of aging. The law also established the  
          Administration on Aging to administer the newly created programs  
          and to serve as the federal focal point on matters concerning  
          older persons.  
          Older people may receive services under a range of other federal  








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          programs (i.e.: Medicare, Social Security, etc.)   The OAA  
          authorizes funding for critical services that keep older adults  
          healthy and independent, and is considered the impetus for the  
          coordination of social and nutrition services to beneficiaries,  
          their caregivers and their communities.  It authorizes a wide  
          array of programs through a national network of state agencies  
          on aging, California Department of Aging (CDA), area agencies on  
          aging (AAA), and native populations' agencies.  Well known for  
          home delivered meals and the Ombudsman program, the OAA is also  
          responsible for community service employment opportunities for  
          low-income older Californians; training, research, and  
          demonstration activities in the field of aging; as well as the  
          development of a state plan, and a community level "area plan"  
          to support the needs of local and state planners, service  
          providers and policy makers. 

          The CDA is the designated state agency on aging in California,  
          and partners with 33 AAA to coordinate and deliver OAA  
          programmatic resources.  The 33 AAAs cover the entire state and  
          follow county or multi-county boundaries, with a single  
          exception for the City of Los Angeles AAA, which is separated  
          out of the County of Los Angeles AAA.  CDA administers funds  
          allocated under the federal OAA, the OCA, and through the  
          Medi-Cal program.  AAAs directly manage the array of federal and  
          state-funded services that help elders live as independently as  
          possible in their communities, promote healthy aging, and assist  
          family care givers.  CDA also contracts directly with agencies  
          that operate the Multipurpose Senior Services Program through  
          the Medi-Cal home and community-based waiver for the elderly,  
          and certifies Adult Day Health Centers for participation in  
          Medi-Cal program for purposes of the Community-Based Adult  
          Services.

          Over the decades, the OAA has been adapted to meet the changing  
          needs of the aged population, the changing role of family  
          supports, and expanding research and technological advances.  On  
          September 19th, 2012, Senator Bernie Sanders (I-VT) introduced a  
          comprehensive Older Americans Act reauthorization bill, along  
          with fourteen other Senators as original co-sponsors.  This  
          legislation was not considered by Congress during the 112th  
          Congress, and no further action has been taken in the current  
          113th Congress to reauthorize this crucial law. 

          Under sequestration, the OAA will authorize approximately  
          $126,614,000 of funding for home- and community-based supportive  








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          services, home delivered and congregate nutrition programs,  
          preventative health and wellness activities, the Long-Term Care  
          Ombudsman program, and the Family Caregiver Support Services  
          program in FFY 2013.  This represents the 5% sequester cut for  
          non-defense discretionary programs and 5.1% for non-defense  
          mandatory programs at spending levels established in 2006 when  
          the OAA was last re-authorized.   
           
          RELATRED LEGISLATION:

           S. 2037, S 3562 by US Senator Bernie Sanders (I-Vt.), in 2012.   
          These bills would have reauthorized the OAA with improvements  
          that would have included a homecare consumer's bill of rights,  
          the expansion of Aging and Disability Resource Centers, better  
          coordination of dental care to low-income older Americans, a  
          focus upon diversity, and special assistance to veterans. The  
          legislation also includes increased support for family  
          caregivers and would have made gerontologists and geriatricians  
          eligible for the National Health Services Corps.

          SJR 10 (Dunn) (State Resolution Chapter 57, 1999) urged the  
          President and Congress to enact legislation reauthorizing the  
          Older Americans Act of 1965.
           
          REGISTERED SUPPORT / OPPOSITION  :

           Support 
           
          California Senior Legislature (CSL) - Sponsor

          AARP
          American Federation of State, County and Municipal Employees  
          (AFSCME)
          Area 4 Agency on Aging (A4AA)
          California Commission on Aging (CCoA)
          California Parks and Recreation Society (CPRS)
           
            Opposition 
           
          None on file.

           Analysis Prepared by  :    Robert MacLaughlin / AGING & L.T.C. /  
          (916) 319-3990 










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