BILL ANALYSIS                                                                                                                                                                                                    Ó



                                                                     SB 547  


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          Date of Hearing:  August 3, 2016


                        ASSEMBLY COMMITTEE ON APPROPRIATIONS


                               Lorena Gonzalez, Chair


          SB 547  
          (Liu) - As Amended August 1, 2016


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


          SUMMARY:


          This bill requires the California Health and Human Services  
          Agency to be responsible for inter- and intra-agency  
          coordination of state aging and long-term care services,  
          supports, and programs, and creates a Statewide Aging and  
          Long-Term Care Services Coordinating Council comprised of state  
          departments that is required to produce a state strategic plan  
          for aging and long-term care services by July 1, 2018.  It also  
          allows CHHSA to accept private or in-kind contributions for its  
          purposes.







                                                                     SB 547  


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          FISCAL EFFECT:


          1)One-time costs, potentially in the hundreds of thousands, in  
            staff or contract costs to convene the council and produce a  
            strategic plan that includes goals, timelines, and  
            cost-benefit analyses (GF, or potentially private or in-kind  
            funds). Staff time from a number of departments and agencies  
            will be required as well; however, no significant increased  
            staffing appears necessary (various funds).  The cost will  
            vary based on the robustness of the effort.  


          2)The creation of a legislatively mandated strategic plan may  
            result in unknown cost pressure (potentially  
            GF/federal/special funds) if various improvements to the  
            long-term care system are recommended as goals in the plan.   
            Improvements could also result in cost avoidance by increasing  
            efficiency and effectiveness of aging services and long-term  
            care services and supports.  The magnitude of any such costs,  
            and net effect on costs, are unknown.   


          COMMENTS:


          1)Purpose. The author indicates California lacks a strategic  
            vision for aging and long-term care.  According to the author,  
            California must begin now to organize our services and  
            supports delivery system and plan our investments in long term  
            care to maximize returns in the form of improved quality of  
            life and cost savings to consumers and taxpayers before we are  
            faced with an overwhelming crisis.


          2)Background.  California's population of residents 65 years old  
            and older will grow from about 13 percent of the population to  
            almost 20 percent of the population by 2030. The Little Hoover  
            Commission (LHC) and the Senate Select Committee on Aging and  
            Long Term Care both note, in recent reports, a lack of  






                                                                     SB 547  


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            integrated management and coordination of financing and  
            service delivery, and a lack of assessment and planning for  
            long-term care client needs.  This bill would develop a  
            council to coordinate aging-related services and make  
            recommendations for improvements.


          


          Analysis Prepared by:Lisa Murawski / APPR. / (916)  
          319-2081