BILL ANALYSIS Ó SENATE COMMITTEE ON APPROPRIATIONS Senator Ricardo Lara, Chair 2015 - 2016 Regular Session SB 547 (Liu) - Aging and long-term care services, supports, and program coordination ----------------------------------------------------------------- | | | | | | ----------------------------------------------------------------- |--------------------------------+--------------------------------| | | | |Version: January 4, 2016 |Policy Vote: Health 6-0 | | | | |--------------------------------+--------------------------------| | | | |Urgency: No |Mandate: No | | | | |--------------------------------+--------------------------------| | | | |Hearing Date: January 19, 2016 |Consultant: Brendan McCarthy | | | | ----------------------------------------------------------------- This bill meets the criteria for referral to the Suspense File. Bill Summary: SB 547 would create a Statewide Aging and Long-Term Care Services and Coordinating Council and would require the Council to develop and implement a plan to meet the needs of the state's elderly population. The bill would require the California Health and Human Services Agency to assume responsibility for the continued operation of the CalCareNet.org website. Fiscal Impact: Likely ongoing costs of about $300,000 per year for the Health and Human Services Agency to coordinate state policy and support the new Council (General Fund). In order to coordinate programs and activities between various state agencies and provide ongoing staff support to the newly created Council, the Health and Human Services Agency is likely to need additional staff positions. Likely one-time costs of about $600,000 and ongoing costs of SB 547 (Liu) Page 1 of ? about $125,000 per year to develop the required strategic plan (General Fund). Given the breadth of issues facing an aging population and the complexity of the current system for providing services to senior citizens, it is likely that the Agency will need to dedicate a significant amount of staff time to performing the necessary research, facilitating the Council's deliberations, and drafting the required strategic plan. In addition, the bill requires annual reporting on the status of the plan. Unknown costs to implement the strategic plan (General Fund and other unknown fund sources). The bill requires the Secretary of Health and Human Services to lead the development and implementation of the strategic plan. The costs to actually implement the plan are unknown. Given the size of the aging population in the state and the high costs to provide long-term services and supports to this population, additional state costs to implement the plan could be very large. One-time costs between $500,000 and $1 million to develop the website standards, compile information about existing services and programs, and develop the website (General Fund). Likely ongoing costs up to $150,000 per year for ongoing review of information for accuracy and completeness (General Fund). Background: Under current law and practice, the state operates numerous programs that relate to the elderly population of the state. Those programs are housed in a variety of state agencies. For example, the state provides health care services through the Medi-Cal program to low income senior citizens, the Departments of Public Health licenses and regulates health care facilities the provide services to the elderly, and the Department of Aging manages programs that target senior citizens. Under current law, the Health and Human Services Agency is required to develop a website, CalCareNet, to provide information to consumers about a variety of services for the elderly relating to long-term care services and programs. An initial version of that website was created in 2001, but was subsequently shut down. SB 547 (Liu) Page 2 of ? Currently, the California Health Care Foundation manages the CalQualityCare.org website. This website provides information to consumers on facilities and services available from doctors, hospitals, and long-term support service providers. The California Health Care Foundation has indicated that it does not wish to provide long-term financial support to maintain this public resource. Proposed Law: SB 547 would create a Statewide Aging and Long-Term Care Services and Coordinating Council and would require the Council to develop and implement a plan to meet the needs of the state's elderly population. The bill would require the California Health and Human Services Agency to assume responsibility for the continued operation of the CalCareNet.org website. Specific provisions of the bill would: Require the Secretary of Human Services to be responsible for coordinating state programs relating to the elderly population; Create a Statewide Aging and Long-Term Care Services and Coordinating Council; Require the new Council to develop and implement a strategic plan for meeting the needs of the state's aging population in 2020, 2025, and 2030; Specify the issues to be addressed in the strategic plan; Require the Secretary of Health and Human Services to contract with the University of California to operate the CalQualityCare.org website, in order to continue to provide information to consumers; Specify the kinds of information that must be included on CalQualityCare.org. Related Legislation: SB 571 (Liu) would have required the Health and Human Services Agency to create a new CalCareNet website to provide information to consumers about federal, state, and nongovernmental services for the elderly, including long-term care services. That bill was held on this committee's Suspense File. SB 547 (Liu) Page 3 of ? -- END --