BILL ANALYSIS                                                                                                                                                                                                    Ó



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          Date of Hearing:  May 5, 2015


                   ASSEMBLY COMMITTEE ON AGING AND LONG-TERM CARE


                                 Cheryl Brown, Chair


          AJR 8  
          (Brown) - As Amended April 15, 2015


          SUBJECT:  Older Americans Act of 1965.


          SUMMARY:  Recognizes the 50th Anniversary of the Older Americans  
          Act of 1965, affirms support thereof, and encourages the  
          reauthorization of the Act with adequate funding to reflect the  
          growing population that benefits from its services.   
          Specifically, this bill:  


          1)Finds that the State Legislature acknowledges the 50th  
            anniversary of the Older Americans Act (OAA);


          2)Acknowledges the OAA's influence upon the improved economic,  
            well-being and improved quality of life for elders in the  
            state;


          3)Highlights the establishment of the "aging network," which  
            consists of local area agencies on aging and their partner  
            community-based organizations and lead by the Administration  
            on Aging (AoA) in Washington D.C.;


          4)Acknowledges the OAA's focus upon elders in greatest economic  








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            and/or social need by targeting their needs and services that  
            keep them independent longer, offer employment opportunities  
            to low income older adults, as well as targeted research,  
            education and training;


          5)Acknowledges the special attention to Native Populations,  
            while paying tribute to the generation of new beneficiaries,  
            also known as "baby-boomers," and the influences they will  
            create;


          6)Resolves that the Legislature memorialize the 50th anniversary  
            of the implementation of the OAA, commends the many  
            contributions of it, supports the reauthorization of the OAA  
            with adequate funding; and,  


          7)Directs the Chief Clerk to distribute copies of AJR 8 to the  
            President and Vice President, the Speaker of the House, and  
            the Majority Leader of the Senate, and to every member of the  
            California Legislative Delegation to Washington D.C.  


          EXISTING LAW:  


          1)Establishes the Older Americans Act of 1965 (as amended in  
            2006, Public Law 109-365) in order to preserve the inherent  
            dignity of older individuals and assure equal opportunity to  
            the full and free enjoyment of, among other things:  


               a.     adequate income in retirement; 

               b.     the best possible physical and mental health which  
                 science can make available and without regard to economic  
                 status; 









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               c.     obtaining and maintaining suitable housing at costs  
                 which older citizens can afford; 

               d.     full restorative services for those who require  
                 institutional care;

               e.     a comprehensive array of community-based, long-term  
                 care services adequate to appropriately sustain older  
                 people in their communities and in their homes,  
                 including:

                     i.          support to family members and other  
                      persons providing voluntary care to older  
                      individuals needing long-term care services; 

               f.     retirement in health, honor, and dignity, after  
                 years of contribution to the economy; 

               g.     participation in and contribution to meaningful  
                 activity within the widest range of civic, cultural,  
                 educational and training, and recreational opportunities;  


               h.     freedom, independence, and the free exercise of  
                 individual initiative in planning and managing their own  
                 lives; 

               i.     full participation in the planning and operation of  
                 community-based services and programs provided for their  
                 benefit; and, 

               j.     protection against abuse, neglect, and exploitation.  
                  

          2)Existing state law establishes the Mello-Granlund Older  
            Californians Act (OCA) that sets forth the state's commitment  
            to its older population and other populations served by the  
            programs administered by the California Department of Aging  
            (CDA), and that older individuals constitute a fundamental  








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            resource of the state that previously has been undervalued and  
            poorly utilized, and encourages that ways must be found to  
            enable older individuals to apply their competence, wisdom,  
            and experience for the benefit of all Californians.  The Act  
            acknowledges that there is a continuing increase in the number  
            of older individuals in proportion to the total population,  
            that:



               a.     By the year 2010, the first influx of baby boomers  
                 will constitute 29.2 percent of California's total  
                 population over 60 years of age.  By the year 2020, baby  
                 boomers will constitute 70.2 percent of California's  
                 total population over 60 years of age, that;

               b.     By the year 2020, older individuals will represent  
                 21 percent of California's total population, that;

               c.     While the number of persons over 60 years of age is  
                 increasing rapidly, the number of older women, minorities  
                 and persons over the age of 75 are increasing at an even  
                 greater rate, that;

               d.     Among persons over 75 years of age, there is a  
                 higher incidence of functional disabilities, that;

               e.     The social and health problems of the older  
                 individual are further compounded by inaccessibility to  
                 existing services and by the unavailability of a complete  
                 range of services, that;

               f.     Services to older individuals are administered by  
                 many different agencies and departments at both the state  
                 and local level, that;

               g.     The planning and delivery of these services is not  
                 carried out with any degree of coordination among those  
                 agencies, that;








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               h.     Enhanced coordination reduces duplication,  
                 eliminates inefficiencies, and enhances service delivery  
                 for the consumer, that;

               i.     The ability of the constantly increasing number of  
                 aged in the state to maintain self-sufficiency and  
                 personal well-being with the dignity to which their years  
                 of labor entitle them and to realize their maximum  
                 potential as creative and productive individuals are  
                 matters of profound importance and concern for all of the  
                 people of this state., and that;

               j.     The OCA specifies that CDA shall ensure that  
                 programs and services provided through the Older  
                 Americans Act and the Older Californians Act in each  
                 planning and service area are available to all older  
                 adults regardless of physical or mental  disabilities,  
                 language barriers, cultural or social isolation,  
                 including that caused by actual or perceived racial and  
                 ethnic status, ancestry, national origin, religion, sex,  
                 gender, identity, marital status, familial status, sexual  
                 orientation, or by any other basis set forth in Section  
                 12921 of the Government Code, or by association with a  
                 person or persons with one or more of these actual or  
                 perceived characteristics, that restrict an individual's  
                 ability to perform normal daily tasks or that threaten  
                 his or her capacity to live independently.  




          3)By Presidential Proclamation, designates May as Older  
            American's Month, and establishes a theme for 2015; "Get into  
            the Act" to assure the benefits of community living become a  
            reality for more "senior" Americans, and to promote healthy  
            aging, increased community involvement, and to tackle  
            important issues like the prevention of elder abuse.  
          FISCAL EFFECT: This measure has not yet been analyzed by a  








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          fiscal committee.


          COMMENTS:  


          Author's Statement:  "The 50th anniversary of the Older  
          Americans Act (OAA) of 1965 warrants formal recognition by the  
          legislative body of California.  AJR 8 would affirm the  
          important role the OAA has played in the lives of older  
          Americans throughout our nation and in our state.  It will also  
          memorialize Congress to reauthorize the Act.  





          "Congress passed the Older Americans Act (OAA) in 1965 in  
          response to concerns by policymakers about a lack of community  
          social services for older persons.  The original legislation  
          established authority for 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 (AoA) to administer the  
          newly created grant programs and to serve as the Federal focal  
          point on matters concerning older persons.





          "During the past 50 years, the OAA has been instrumental in  
          contributing to the well-being of millions of older Americans.   
          More importantly, the Act has improved the quality of life for  
          some 4.5 million older Californians and has helped the neediest  
          of our seniors; however, over the past ten years state funding  
          for senior programs within the OAA has been slashed.










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          "Since 2004, approximately $25 million has been cut, resulting  
          in the elimination or dramatic reduction of critical  
          community-based programs and services provided through the  
          state's Area Agencies on Aging, including the Alzheimer's Day  
          Care Resource Centers, Senior Companion, Linkages, Respite Care,  
          Brown Bag, Caregiver Resource Centers, and the Long-term Care  
          Ombudsman.





          "The state's older population is on the rise. The AoA projects  
          that, in 2030, there will be approximately 72.1 million older  
          persons in the United States; which is more than twice the  
          number of seniors that were counted in 2000.  People aged 65 or  
          older represented 12.4% of the population in the year 2000 but  
          are expected to be 19% of the population by 2030.  The Older  
          Americans Act is needed more than ever in order to bring  
          attention to senior issues and prepare for the 'silver  
          tsunami'."


          Background:  The author underscores the current demographic  
          realities for the state of California which indicates that for  
          about the next 14 years, roughly 1,000 people in the state will  
          turn 65 each day.  Life-spans continue to be extended, and  
          health care advances continue to reduce risk of conditions that  
          once contributed to shorter life-spans.  The 65+ cohort is  
          currently growing at a rate about three-times that of those  
          under age 65.  This phenomenon will continue until the 65+  
          population reaches about 24% of the total population around  
          2050.  Today, the 65+ population represents about 12.5% of the  
          population, and stands at about 5.1 million people.  Within 10  
          years, those over the age of 65 will represent about 18% of the  
          population.  Supporting the needs of elders during the next  








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          several decades remains a concern.  Nonetheless, numerous  
          reports, hearings, and legislative proposals have pointed out  
          the inadequacies of California's patchwork of long-term care  
          (LTC) programs, services, and policies to support a growing  
          cohort of older people.  The combination of fragmented  
          jurisdictions which places the programs that seniors need under  
          the direction of multiple administrators all of whom operate  
          under separate authorities and mandates, coupled with resource  
          constraints, and programmatic overlap, diffused accountability,  
          creates the impression that a great deal of work is being  
          performed, but the degree to which the same amount of work could  
          be done with focused leadership, coordination and accountability  
          remains untested.  Absent substantial reform of the state's  
          aging and long-term care system, the costs of  
          over-institutionalization, lost productivity, and degraded  
          quality of life will remain the hallmark of California's efforts  
          to serve older people.  





          The state's economic recovery offers an opportunity to address  
          an unanswered call to action to build an LTC infrastructure that  
          meets the needs of aging and disabled adults, as well as those  
          who care for them.  The data are clear that a crisis is  
          potentially eminent: adults age 65 and older currently comprise  
          12.5% of California's population, with projections showing that  
          almost 20% of the population will be over age 65 in 2030.  





           Previous Legislation:


           SCR 84 (Alquist/Resolution Chapter 54, Statutes of 2006).  This  
          resolution recognized the month of May 2006 as Older Americans  








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          Month.





          ACR 36 (Wayne, et.al./Resolution Chapter 17, Statutes of 1999).   
          This resolution declared the month of May 1999 as Older  
          Californians Month.





          ACR 192 (Zettle, et. al./Resolution Chapter 75, Statutes of  
          2002)  Declared the month of 


          May 2002 as Elder Abuse Prevention Month in California.



          ACR 94 (Berg, et.al./Resolution Chapter 47, Statutes of 2003).   
          This resolution declared the month of May 2003 as Older  
          Americans Month.





          ACR 226 (Berg/Resolution Chapter 86, Statutes of 2004).  This  
          resolution declared the month of May 2004 as Older Americans  
          Month.





          ACR 111 (Huffman, Berg/Resolution Chapter 34, Statutes of 2008)   








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          Recognized the month of May 2008 as Senior Volunteer Month to  
          honor the contributions of California senior volunteers.





          ACR 78 (Galgiani/Resolution Chapter 116, Statutes of 2011).   
          This resolution declared the month of November 2011 as  
          California Senior Center Month





          REGISTERED SUPPORT / OPPOSITION:




          Support


          California Association of Area Agencies on Aging (C4A) -  
          Co-Sponsor


          California Association of Public Authorities for IHSS (CAPA) -  
          Co-Sponsor


          American Association of Retired Persons (AARP)


          California Assisted Living Association (CALA)


          California Long-Term Care Ombudsman Association (CLTCOA)









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          California PACE Association (CalPACE)


          California School Employees Association (CSEA)




          Opposition


          None on file.




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