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
          
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          |Version: January 4, 2016        |Policy Vote: Health 6-0         |
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          |Urgency: No                     |Mandate: No                     |
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          |Hearing Date:  January 19, 2016 |Consultant: Brendan McCarthy    |
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          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  







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            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. 










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          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.









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