BILL ANALYSIS                                                                                                                                                                                                    



                                                                  AB 2920
                                                                  Page  1

          Date of Hearing:   May 17, 2006

                        ASSEMBLY COMMITTEE ON APPROPRIATIONS
                                   Judy Chu, Chair

                    AB 2920 (Leno) - As Amended:  April 27, 2006 

          Policy Committee:                              AgingVote:3-1

          Urgency:     No                   State Mandated Local Program:  
          No     Reimbursable:              No

           SUMMARY  


          This bill requires the California Department of Aging (CDA) to  
          ensure that all programs administered by CDA are available to  
          all older adults, and requires Area Agencies on Aging (AAAs) to  
          include the needs of lesbian, gay, bisexual, and transgender  
          (LGBT) elders in their area plans.  Specifically, this bill:


          1)Requires CDA to ensure that programs and services provided  
            through the Older Americans Act and the Mello-Granlund Older  
            Californians Act in each planning and service area are  
            available to all older adults regardless of physical or mental  
            disabilities, language barriers, cultural or social isolation,  
            including that caused by actual or perceived racial and ethnic  
            status, ancestry, national origin, religion, sex, gender  
            identity, marital status, familial status, sexual orientation,  
            medical condition, color, or by association with a person with  
            one or more of these actual or perceived characteristics that  
            restrict an individual's ability to perform normal daily tasks  
            or that threaten his or her capacity to live independently. 


          2)Requires CDA to require that each area AAA include the needs  
            of lesbian, gay, bisexual, and transgender (LGBT) seniors in  
            their needs assessment and area plans. 


          3)Requires CDA to provide technical assistance to the AAAs for  
            the training of all program staff, contractors, and volunteers  
            regarding the unique needs of LGBT seniors. 









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          FISCAL EFFECT  

          1)Increased GF costs to CDA to provide technical assistance of  
            around $60,000.

          2)Increased GF costs of around $330,000 to AAAs to include the  
            needs of LBGT seniors in their needs assessments and area  
            plans.

           COMMENTS  

           1)Purpose  .  This bill is intended to ensure that the needs of  
            LGBT seniors are addressed in the planning and development of  
            programs and services administered by CDA and the AAAs. The  
            author argues this bill would greatly strengthen the state's  
            ability to respond to the needs of this population by  
            including LGBT seniors in the planning and development of  
            services administered by the AAAs and CDA.  Proponents argue  
            that there is a clear need for public policy measures to  
            better protect LGBT seniors, who constitute an underserved  
            population at high risk for health disparities, isolation,  
            poverty, homelessness and premature isolation.  By including  
            LGBT seniors in the needs assessment and Area Plan process,  
            CDA and the AAAs can ensure they are responding to the needs  
            of all older adults and adults with disabilities in each  
            community.  The author argues having to rely on the health  
            care system, a nursing home facility, or any other social  
            institution understandably provokes anxiety and fear in aging  
            LGBT Californians, and many avoid accessing services  
            altogether, even when their health, safety, and security  
            depend on it. 

           2)Background  .  California has 33 AAAs that provide a wide range  
            of services designed to keep older adults and adults with  
            disabilities independent and in their own homes and  
            communities for as long as possible.  AAAs serve as the focal  
            point for local aging issues and concerns.  The services are  
            funded through the Older Americans Act, the Older Californians  
            Act, local entities and grants.  

          To ensure that programs and services funded by the AAA  
            adequately serve the older adults within each community, AAAs  
            are required to conduct a needs assessment every four years to  
            document the service needs of community residents and any gaps  








                                                                  AB 2920
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            in the service network.  The needs assessment process  
            typically includes a community-wide survey, community  
            meetings, and information received from stakeholders and key  
            informants.  

          Existing regulations require that each needs assessment include  
            all of the following:  the target populations, the types of  
            existing and potential needs of older individuals in the  
            community, the services or resources currently available, as  
            well as any constraints (waiting lists, geographic  
            limitations, quality), an estimate of unmet needs or barriers  
            to access, demographic information, and data from other  
            agencies.  The information received through the needs  
            assessment process guides the AAA in identifying the service  
            priorities for the Area Plan.  Every four years, CDA is  
            required by federal law to submit a State Plan on Aging to the  
            federal Administration on Aging.  When approved, CDA receives  
            federal funds to administer the State Plan. 

           

          Analysis Prepared by  :    Scott Bain / APPR. / (916) 319-2081