SB 547, as amended, Liu. Aging and long-term care services, supports, and program coordination.
Existing law establishes the California Health and Human Services Agency consisting of the Departments of Aging, Child Supportbegin delete services,end deletebegin insert Services,end insert Community Services and Development, Developmental Services, Health Care Services, Managed Health Care, Public Health, Rehabilitation, Social Services, and Statebegin delete Hospitals.end deletebegin insert Hospitals, among other entities.end insert
Existing law sets forth legislative findings and declarations regarding long-term care services, including that consumers of those services experience great differences in service levels, eligibility criteria, and service availability that often result in inappropriate and expensive care that is not responsive to individual needs. Those findings and declarations also state that the laws governing long-term care facilities have established an uncoordinated array of long-term care services that are funded and administered by a state structure that lacks necessary integration and focus.
This bill, among other things, would create the Statewide Aging and Long-Term Care Services Coordinating Council, chaired by the Secretary of California Health and Human Services, and would consist of the heads, or their designated representative, of specified departments and offices. The secretary would have specified responsibilities, including, but not limited to, leading the council in the development of a state aging and long-term care services strategic plan to address how the state will meet the needs of the aging population in the years 2020, 2025, and 2030. The bill would require the strategic plan to be submitted to the Secretary of the Senate, the Chief Clerk of the Assembly, and the chairs of specified policy and fiscal committees of the Legislature by July 1, 2018.begin insert The bill would authorize the Secretary of California Health and Human Services to accept grants or donations, real or in-kind, to support the operation of the Statewide Aging and Long-Term Care Services Coordinating Council and the development of the state aging and long-term care services strategic plan.end insert
Vote: majority. Appropriation: no. Fiscal committee: yes. State-mandated local program: no.
The people of the State of California do enact as follows:
The Legislature finds and declares all of the
2following:
3(a) The California Health and Human Services Agency consists
4of the following departments: the California Department of Aging,
5the Department of Community Services and Development, the
6State Department of Developmental Services, the State Department
7of Health Care Services, the Department of Managed Health Care,
8the State Department of Public Health, the Department of
9Rehabilitation, the State Department of Social Services, and the
10State Department of State Hospitals.
11(b) The agency also includes the Emergency Medical Services
12Authority,
the Office of Health Information Integrity, the Office
13of Patient Advocate, the Office of Statewide Health Planning and
14Development, the Office of Systems Integration, the Office of Law
15Enforcement Support, and the State Council on Developmental
16Disabilities.
17(c) California baby boomers are turning 65 years of age at the
18highest rate in the nation, and over 20 percent of California’s
19population will be 65 years of age or older by 2030.
P3 1(d) Among persons 65 years of age and older, an estimated 70
2percent will use long-term services and supports (LTSS).
3(e) Persons who are 85 years of age or older are the fastest
4growing segment of the United States population, and they are
5four times more likely to need LTSS than persons
who are 65 years
6of age or older, but younger than 85 years of age.
7(f) People are living longer, and the aging population is
8increasingly diverse.
9(g) A report by the Senate Select Committee on Aging and Long
10Term Care on Januarybegin insert 5,end insert 2015, called, “A Shattered System:
11Reforming Long-Term Care in California. Envisioning and
12Implementing an IDEAL Long-Term Care System in California,”
13found that the state’s system of 112 agingbegin insert andend insert long-term care
14programs administered by 20 agencies and departments is almost
15impossible for consumers to navigate.
16(h) Other deficiencies of the system include the lack of
17person-centered care, poor transitions from hospital to home or to
18other institutions, limited access to a range of services that enable
19aging in place, deficiency of services and supports in rural areas,
20limited cultural competency, skilled workforce shortages across a
21range of disciplines, the lack of uniform data, the lack of a universal
22assessment tool, and limited caregiver supports.
Division 121 (commencing with Section 152000) is
24added to the Health and Safety Code, to read:
25
The Secretary of California Health and Human
30Services shall be responsible for all of the following:
31(a) Inter- and intra-agency coordination of state aging and
32long-term care services, supports, and programs.
33(b) Ensuring efficient and effective use of state funds.
34(c) Maximizing the drawdown, and the efficient and effective
35use of federal funds.
There is hereby created a Statewide Aging and
37Long-Term Care Services Coordinating Council, chaired by the
38Secretary of California Health and Human Services, and consisting
39of the heads, or their designated representative, of all of the
40following:
P4 1(a) The California Department of Aging.
2(b) The Department of Community Services and Development.
3(c) The Department of Consumer Affairs.
4(d) The Department of Food and Agriculture.
5(e) The Department of Human Resources.
6(f) The Department of Insurance.
7(g) The Department of Justice.
8(h) The Department of Motor Vehicles.
9(i) The Department of Rehabilitation.
10(j) The Department of Transportation.
11(k) The Department of Veterans Affairs.
12(l) The Emergency Medical Services Authority.
13(m) The Employment Development Department.
14(n) The Office of Health Information Integrity.
15(o) The Office of Law Enforcement Support.
16(p) The Office of Patient Advocate.
17(q) The Office of Statewide Health Planning and Development.
18(r) The Office of Systems Integration.
19(s) The State Department of Developmental Services.
20(t) The State Department of Health Care Services.
21(u) The State Department of Public Health.
22(v) The State Department of Social Services.
(a) The secretary shall lead the council in the
24development of a state aging and long-term care services strategic
25plan to address how the state will meet the needs of the aging
26population in the years 2020, 2025, and 2030. The strategic plan
27shall incorporate clear benchmarks and timelines for achieving the
28goals set forth in the strategic plan
and a cost and benefit analysis
29for each goal or recommendation included in the plan. In
30developing the strategic plan, the council shall consult with all of
31the following:
32(1) Experts, researchers, practitioners, service providers, and
33facility operators in the field of aging and long-term care.
34(2) Consumer advocates and stakeholders, including the
35Olmstead Advisory Committee, the California Commission on
36Aging, area agencies on aging, the State Council on Developmental
37Disabilities, the California Foundation for Independent Living
38Centers, and the Milton Marks “Little Hoover” Commission on
39California State Government Organization and Economy.
P5 1(3) Rural and urban communities, in order to identify
2
infrastructure capacity issues, the need for uniform access standards
3for home and community-based services, and mechanisms for
4supporting coordination of regional and local service access and
5delivery.
6(4) The California Task Force on Family Caregiving, the
7findings and recommendations of which shall be incorporated into
8the strategic plan.
9(b) Technical support for the development of the strategic plan
10shall be provided by the Office of Health Equity in the State
11Department of Public Health and by the California Department of
12Aging.
13(c) The strategic plan shall address all of the following:
14(1) Integration and coordination of services that support
15independent
living, aging in place, social and civic engagement,
16and preventative care.
17(2) Long-term care financing.
18(3) Managed care expansion and continuum of care.
19(4) Advanced planning for end-of-life care.
20(5) Elder justice.
21(6) Care guidelines for Alzheimer’s disease, dementia,
22Amyotrophic Lateral Sclerosis (ALS), and other debilitating
23diseases.
24(7) Caregiver support.
25(8) Data collection, consolidation, uniformity, analysis, and
26access.
27(9) Affordable housing.
28(10) Mobility.
29(11) Workforce.
30(12) The alignment of state programs with the federal
31Administration for Community Living.
32(13) The potential for integration and coordination of aging and
33long-term care services with services and supports for people with
34disabilities.
35(d) In developing the strategic plan, the council shall examine
36model programs in various cities, counties, and states. The strategic
37plan shall consider how to scale up local, regional, and state-level
38best practices and innovations designed to overcome
the challenges
39related to long-term care services delivery.
P6 1(e) Notwithstanding Section 10231.5 of the Government Code,
2the strategic plan shall be submitted to the Secretary of the Senate
3and the Chief Clerk of the Assembly, to the appropriate chairs of
4the policy committees of the Legislature with jurisdiction over any
5aging and long-term care related issues, and to the chairs of the
6fiscal committees of the Legislature by July 1, 2018.
The secretary may accept grants or donations, real
8or in-kind, to support the operation of the council and the
9development of the state aging and long-term care services
10strategic plan.
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