BILL ANALYSIS                                                                                                                                                                                                    Ó



                                                                     SB 196


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          Date of Hearing:  July 7, 2015


                   ASSEMBLY COMMITTEE ON AGING AND LONG-TERM CARE


                                 Cheryl Brown, Chair


          SB  
          196 (Hancock) - As Amended June 25, 2015


          SENATE VOTE:  38-0


          SUBJECT:  Elder and dependent adult abuse: protective orders.


          SUMMARY:  SB 196 grants authority to Adult Protective Services  
          (APS) program representatives to request protective orders for  
          elder or dependent adults who have been physically abused,  
          financially abused, or both; modernizes the definition of "abuse  
          of an elder or dependent adult" to include financial abuse; and  
          provides for delayed implementation six months after the bill  
          goes into effect.  Specifically, this bill:  


          1)Clarifies and streamlines the current definition of "elder and  
            dependent adult abuse," which currently includes a general  
            reference to "financial abuse," by consolidating definitions,  
            and sunsetting the current definition on July 1, 2016.


          2)Beginning on July 1, 2016, grants authority to APS program  
            representatives to seek protective orders on behalf of elder  
            or dependent adults who have experienced abuse, under two  
            specific situations:









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             a.   If an elder or dependent adult has been abused and has  
               an impairment which may compromise the elder or dependent  
               adult's ability to understand and appreciate the abuse  
               which they experienced.


             b.   If the elder or dependent adult has granted authority to  
               the APS program to act on their behalf to assist in their  
               protection.


          1)Requires the APS program to refer the case to the public  
            guardian, if not already referred.  


          EXISTING LAW:  


          1)Establishes the Elder and Dependent Adult Civil Protections  
            Act (EADACPA) which recognizes:



             a.   That elders and dependent adults may be subjected to  
               abuse, neglect, or abandonment and that this state has a  
               responsibility to protect these persons;



             b.   That most elders and dependent adults who are at the  
               greatest risk of abuse, neglect, or abandonment by their  
               families or caretakers suffer physical impairments and  
               other poor health that place them in a dependent and  
               vulnerable position;



             c.   That factors which contribute to abuse, neglect, or  








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               abandonment of elders and dependent adults are economic  
               instability of the family, resentment of caretaker  
               responsibilities, stress on the caretaker, and abuse by the  
               caretaker of drugs or alcohol;



             d.   That this state shall foster and promote community  
               services for the economic, social, and personal well-being  
               of its citizens in order to protect those persons described  
               in this section;



             e.   That uniform state guidelines, which specify when county  
               adult protective service agencies are to investigate  
               allegations of abuse of elders and dependent adults and the  
               appropriate role of local law enforcement is necessary in  
               order to ensure that a minimum level of protection is  
               provided to elders and dependent adults in each county;  
               and,



             f.   That infirm elderly persons and dependent adults are a  
               disadvantaged class, that cases of abuse of these persons  
               are seldom prosecuted as criminal matters, and few civil  
               cases are brought in connection with this abuse due to  
               problems of proof, court delays, and the lack of incentives  
               to prosecute these suits.  



          2)Defines "Elder and Dependent Adult Abuse" within the Elder and  
            Dependent Adult Civil Protections Act (Chapter 11 or Part 3 of  
            Division 9 of the Welfare and Institutions Code) as either:











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             a.   Physical abuse, neglect, financial abuse, abandonment,  
               isolation, abduction, or other treatment with resulting  
               physical harm or pain or mental suffering; and,



             b.   The deprivation by a care custodian of goods or services  
               that are necessary to avoid physical harm or mental  
               suffering.  



          3)Provides for a public guardian or public conservator to take  
            possession or control of real or personal property of a person  
            that is subject to loss, injury, waste, or misappropriation,  
            and, may deny use of, access to, or prohibit residency in, the  
            real or personal property, as specified.  



          FISCAL EFFECT:  This measure has not been analyzed by a fiscal  
          committee.  SB 196 was not subject to review by the Senate  
          Committee on Appropriations pursuant to Senate Rule 28.8.


          COMMENTS:  


          1)Author's Statement:  "SB 196 was developed to provide a narrow  
            ability for county Adult Protective Services agencies to file  
            a petition for a protective order when a referral for  
            conservatorship has been made, but there is a need to petition  
            the court for an order in the meantime to step-in and stop  
            abuse in the most egregious cases while the conservatorship  
            process, which can be lengthy, is decided.  



            "Until a criminal case is filed, or a temporary  








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            conservatorship is in place, county agencies must rely on  
            protective orders that are not adapted to the unique issues of  
            adult abuse.  Those protective orders include an Emergency  
            Protective Order (EPO) or a restraining order (e.g. TRO, PRO).  
             However, those orders are mainly designed to prevent physical  
            harm in domestic violence or physical abuse.  And in the case  
            of restraining orders, it presumes the victim has the ability  
            to initiate the request.  





            "Many elder abuse cases are not the result of domestic  
            violence or physical abuse, but are instances of financial  
            abuse.  The victim is often unable to advocate on their behalf  
            but has not yet been conserved.  In these cases, time can be  
            of the essence in protecting assets and stopping the abuse.   
            Lack of access to financial information and financial  
            protective intervention measures are among the biggest  
            existing holes in the tools for APS agencies.  Situations have  
            occurred where bank accounts and even homes are stolen out  
            from under incapacitated or hospitalized elders and dependent  
            adults.  





            "Cases of elder and dependent adult abuse are often complex.   
            In many instances, it takes law enforcement officers and  
            detectives several days or weeks to gather adequate evidence  
            to file a case with the District Attorney's office or a  
            prosecutor.  While the process of charges being filed and a  
            criminal case initiated is being worked out, protective orders  
            need to be available to prevent further abuse.  











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            "Current law authorizes that a protective restraining order  
            may be initiated by the victim or a petition may be brought on  
            behalf of an abused elder or dependent adult by:





                     a conservator or a trustee of the elder or dependent  
                 adult, 
                     an attorney-in-fact of an elder or dependent adult  
                 who acts within the authority of the power of attorney, 


                     a person appointed as a guardian ad litem for the  
                 elder or dependent adult, or


                     another person "legally authorized to seek such  
                 relief."





            "There is question regarding who qualifies under "another  
            person legally authorized to seek such relief".  In fact,  
            Counties realized that they weren't sure, and it was being  
            inconsistently interpreted, whether Adult Protective Services  
            agencies are included.  





            "While it was recognized that the code needed to be clarified,  
            it was also understood that it was not appropriate, nor did  








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            the counties want, to give Adult Protective Services this  
            blanket authorization, especially when an elder or dependent  
            adult simply does not want to seek the order.  APS is a  
            voluntary program today, and APS agencies would only step in  
            under 


            SB 196 in very narrow circumstances, preserving the voluntary  
            nature of the program.  



            "SB 196 only applies when someone either asks for assistance  
            or when the APS agency is confident enough that the individual  
            has an impaired ability to understand the harm he or she is at  
            risk of suffering, and a referral has been made to the public  
            guardian for a conservatorship process to begin.  These checks  
            and balances guard against over-use of this provision."


          1)EADACPA:  The Elder and Dependent Adult Civil Protection Act  
            was established when the Legislature recognized that elders  
            and dependent adults may be subjected to abuse, neglect, or  
            abandonment and that the state has a responsibility to protect  
            them.  In doing so, the Legislature statutorily declared a  
            desire to direct special attention to the needs and problems  
            of elder and dependent adults, recognizing that they  
            constitute a significant and identifiable segment of the  
            population and that they are more subject to risks of abuse,  
            neglect, and abandonment, and that mental and verbal  
            limitations, physical impairments, place them in a dependent  
            and vulnerable position, vulnerable to abuse and incapable of  
            asking for help and protection.  Therefore, the state has  
            established statutory objectives to foster and promote  
            community services for the economic, social, and personal  
            well-being of its citizens.  EADACPA further states that  
            infirm elderly persons and dependent adults are a  
            disadvantaged class, that cases of abuse of these persons are  
            seldom prosecuted as criminal matters, and few civil cases are  








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            resolved due to problems of proof, court delays, and the lack  
            of incentives to prosecute.  



          2)APS:  Each county in California has an Adult Protective  
            Services (APS) agency to help elder adults (65 years and  
            older) and dependent adults (18-64 who are disabled), when  
            they are unable to meet their own needs, or are victims of  
            abuse, neglect or exploitation.  County APS agencies  
            investigate reports of abuse of elders and dependent adults  
            who live in private homes, apartments, or hotels.  


            APS is the cornerstone of elder and dependent adult abuse  
            prevention in California and fuses two simultaneous roles of  
            addressing the needs of incapacitated and isolated adults  
            living in communities, and addressing elder and dependent  
            adult abuse and neglect.  Since the passage of Title XX of the  
            U.S. Social Security Act's Block Grants to states for Social  
            Service and Elder Justice, interest has grown steadily as  
            congressional and state legislative hearings have revealed the  
            extent and depth of elder and dependent adult abuse and  
            exploitation.  


            Adult Protective Services are voluntary, which means that  
            generally, when clients refuse help or fail to cooperate in  
            investigations, unlike child protective services (CPS),  
            workers are obligated to respect their wishes.  SB 196 focuses  
            upon an exception to the general rule: when an adult is too  
            impaired to protect themselves.  In such cases, society can  
            assume responsibility to protect them.  Public agencies, as an  
            example, can provide guardianship, and in extreme cases,  
            involuntary protection in psychiatric settings for people who  
            pose a threat to themselves or others.  Police powers may also  
            be authorized so that officers may intervene to stop or  
            prevent harm, the loss of assets or property, and public  
            nuisances.  California remains somewhat behind the curve with  








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            regard to empowering APS to act in order to reduce the  
            unnecessary impact of a growing cohort of increasingly  
            vulnerable, older adults, and the corresponding increasing  
            likelihood that they will impact agencies and systems of care,  
            as victims.  SB 196 offers a tool to APS, local government,  
            and indirectly, the state to manage the person or the affairs  
            of clients when the risk of abuse is clear and present.  


          3)Recent Budget Action:  The Legislature recently advocated for,  
            and achieved a $1.25 million training budget for APS staff,  
            including enhanced training days for new APS workers,  
            curriculum development, and training for supervisors.   
            Although APS was recently "realigned" (2011), the State  
            remains legally responsible for the training of county-level  
            APS workers.  For comparison purposes, child welfare workers  
            are allocated approximately $7,333 per worker, per year, for  
            training.  APS workers are allocated less than $350 per  
            worker, per year.  With additional complexities to APS duties  
            proposed by SB 196, the legislature may wish to reassess  
            whether training resources are adequate to accommodate county  
            workers who may have significant capacity to reduce the impact  
            upon a range of social and health services for which the state  
            expends significant amounts of public resources.  



          4)Support:  The California School Employees Association supports  
            SB 196 because they acknowledge the mandate to protect elders  
            and other dependent adults that APS has within communities,  
            though the authorities which APS has to draw from are limited.  
             SB 196 grants APS an important and timely tool to allow APS  
            to take a leadership role and initiate a protective order,  
            though the courts are still significantly involved in order to  
            balance and check APS authority.  The California Welfare  
            Directors Association (CWDA) cites that when a conservatorship  
            is sought, there is no authority to "act" upon the evidence  
            and material which instigated the conservatorship in the first  
            place, forcing an incapacitated adult to endure abuse until  








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            the court has officially authorized conservatorship.  This  
            "gap" can be minimized or eliminated by SB 196.  The National  
            Association of Social Workers, California Chapter (NASW-CA)  
            cites that existing protective orders were designed to address  
            traditional domestic abuse situations, and are inadequate to  
            address the unique issues associated with adult abuse where a  
            victim is potentially incapable of sufficiently advocating on  
            their own behalf.  



          5)Related Legislation:


                 AB 2034 (Gatto, 2014) would have authorized a  
               first-degree relative to file a petition for a visitation  
               order to enjoin a respondent from keeping an elder or  
               dependent adult (proposed visitee) in isolation from  
               contact with the petitioner.  AB 2034 died in the Senate  
               Rules Committee.



                 AB 454 (Silva, Chapter 101, Statutes of 2011) added due  
               process procedures regarding termination or modification of  
               a protective order issued under the Elder Abuse and  
               Dependent Adult Civil Protection Act (EADACPA).





                 AB 1596 (Hayashi, Chapter 572, Statutes of 2010) enacted  
               recommendations from the Judicial Council's Protective  
               Orders Working Group for statutory procedural changes to  
               the protective orders statutes and provided clarity and  
               consistency for requests for protective orders.










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                 AB 225 (Beall, Chapter 480, Statutes of 2008) provided  
               that an elder or dependent adult who petitions for a  
               protective order under the EADACPA is not required to pay a  
               fee for law enforcement to serve an order issued by the  
               court.  





                 AB 1081 (Quirk, 2015), among other things, would  
               authorize any party to an elder or dependent adult  
               protective order proceeding to request a continuance of a  
               hearing, as specified, and automatically extend a temporary  
               protective order until the end of the continuance of the  
               hearing.  AB 1081 is currently on the Senate Floor.





                 AB 494 (Maienschein, 2015), among other things, would  
               authorize a court, in concert with the issuance of an elder  
               or dependent adult protective order, to grant the  
               petitioner exclusive care, possession, or control of an  
               animal owned, possessed, leased, kept, or held by the  
               petitioner, or residing in the residence or household of  
               the petitioner and order the respondent to stay away from  
               the animal, as specified.  AB 494 is currently on the  
               Senate Floor.  





          REGISTERED SUPPORT / OPPOSITION:








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          Support


          County Welfare Directors Association of California (CWDA) -  
          Sponsor


          American Federation of State, County and Municipal Employees  
          (AFSCME), AFL-CIO


          The Arc and United Cerebral Palsy California Collaboration


          California Association for Health Services at Home (CAHSAH)


          California Association of Public Authorities (CAPA)


          California Commission on Aging


          California Communities United Institute


          California District Attorneys Association (CDAA)


          California Police Chiefs Association Inc.


          California School Employees Association (CSEA), AFL-CIO










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          California State Association of Counties (CSAC)


          California State Retirees (CSR)


          Congress of California Seniors (CCS)


          LIUNA Locals 777 & 792


          National Association of Social Workers, California Chapter  
          (NASW-CA)


          Santa Clara County Board of Supervisors


          Urban Counties Caucus (UCC)




          Opposition


          None on file.




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













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