BILL ANALYSIS                                                                                                                                                                                                    



                                                                     AB 563


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          Date of Hearing:  May 13, 2015


                        ASSEMBLY COMMITTEE ON APPROPRIATIONS


                                 Jimmy Gomez, Chair


          AB  
          563 (Lopez) - As Amended May 4, 2015


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          |Policy       |Human Services                 |Vote:|7 - 0        |
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          |             |Aging and Long Term Care       |     |6 - 0        |
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          Urgency:  No  State Mandated Local Program:  NoReimbursable:  No


          SUMMARY:  This bill establishes a pilot program to address the  
          needs of aging individuals with developmental and intellectual  
          disabilities. Specifically, this bill:


          1)Requires the Department of Developmental Services (DDS) and  
            the California Department of Aging to develop, by January 1,  








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            2017, guidelines and protocols establishing best practices for  
            providing culturally competent services and supports to aging  
            consumers with developmental and intellectual disabilities. 


          2)Requires DDS to conduct a two-year pilot program that  
            implements those guidelines and protocols in three regional  
            centers, and requires DDS to submit a report to the  
            Legislature evaluating the pilot program by January 1, 2020,  
            as specified.


          3)Establishes a January 1, 2021, sunset date for the pilot  
            program.


          FISCAL EFFECT:


          1)Annual costs to DDS of approximately $184,000 ($110,000 GF)  
            for 1.5 positions to develop best practices and guidelines for  
            the pilot projects.


          2)Unknown, but potentially significant costs to DDS to implement  
            the pilot projects.  The bill lacks sufficient detail to know  
            the extent of the work required.


          3)Additional unknown costs to DDS to compile and produce a  
            report evaluating the pilot program and determining whether  
            the pilot program should be implemented statewide.


          COMMENTS:


          1)Purpose.  According to the author, "Under existing law, the  
            Department of Developmental Services is required to contract  








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            with the Regional Centers to provide needed services to  
            individuals with developmental disabilities through all stages  
            of their lives. Currently the Regional Center system provides  
            specific services for infants, children, adolescents and  
            adults.  There is no specific Regional Center unit that  
            addresses the unique needs of older adults.  Within the  
            developmental disability system, several individuals and  
            programs have independently attempted to fill the service gap  
            that is not met by the current DDS/Regional Center system.   
            This is indicative of the significant needs of older adults  
            with intellectual and developmental disabilities, as the  
            population continues to increase."



          2)Background. The Lanterman Act guides the provision of services  
            and supports for Californian's with developmental  
            disabilities. Implementation of the Lanterman Act service  
            system is shared by DDS and a system of 21 regional centers  
            and four developmental centers.  Separately, the California  
            Department of Aging contracts with 33 Area Agencies on Aging.   
            Geographically, both systems cover the entire state.  Services  
            and programs within both systems intersect more and more as  
            families caring for developmental center clients become  
            eligible for area agency on aging services due to age, and  
            caregiving responsibilities. 



            The U.S. Census Bureau expects the nation's population to grow  
            from 314 million in 2012 to 400 million in 2050 (a 27%  
            increase), while the population of individuals age 65 and  
            older is expected to increase by 94%, and to make up more than  
            20% of the projected US population by 2050.  Studies indicate  
            that the number of individuals over age 60 living in the  
            community with developmental disabilities will increase  
            considerably in the coming decades, reaching 1.4 million  
            nationwide by 2030.  Increased life expectancy is one of the  
            major factors contributing to the growing number of older  








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            individuals with developmental disabilities, with the mean age  
            of death being 66 years in 1993, compared to 59 years in the  
            1970s and 33 years in the 1930s. 


            According to the DDS, "(T)he aging of parents or family  
            members directly affects the demand for developmental  
            services."  For instance: "?an aging caregiver may require an  
            increased level of services and supports to maintain their  
            family member in the home.  When these caregivers die, or are  
            no longer able to support their loved ones, alternative living  
            arrangements must be developed or located."  DDS notes that  
            almost all forms of out-of-home care are more expensive than  
            supporting a person in their own home, and their own data  
            shows that the percentage of consumers living out of home  
            increases as they age.





            This bill seeks to promote the interaction of the benefits and  
            best practices of the DDS and Department of Aging systems.


          


          Analysis Prepared by:Jennifer Swenson / APPR. / (916)  
          319-2081

















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