BILL ANALYSIS                                                                                                                                                                                                    



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          ASSEMBLY THIRD READING
          AB 2920 (Leno)
          As Amended April 27, 2006
          Majority vote 

           AGING               3-1         APPROPRIATIONS                  
                                                  (vote not available)
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          |Ayes:|Berg, Berm?dez,           |     |                          |
          |     |Canciamilla               |     |                          |
          |     |                          |     |                          |
          |-----+--------------------------+-----+--------------------------|
          |Nays:|Walters                   |     |                          |
          |     |                          |     |                          |
           ----------------------------------------------------------------- 

           SUMMARY  :  Requires the California Department of Aging (CDA) to  
          ensure that all programs administered by CDA and the Area  
          Agencies on Aging (AAAs) account for the needs of lesbian, gay,  
          bisexual, and transgender (LGBT) elders.  Specifically,  this  
          bill  :  

          1)Makes findings and declarations including the following:

             a)   Recent studies have shown that lifelong experiences of  
               marginalization place LGBT seniors at high risk for  
               isolation, poverty, homelessness, and premature  
               institutionalization;
             b)   Many LGBT seniors avoid accessing elder programs and  
               services, even when their health and safety and security  
               depend on it;
             c)   LGBT seniors often lack social and family support  
               networks available to non-LGBT seniors;
             d)   LGBT seniors are denied many vital financial benefits  
               provided to heterosexual married couples including Social  
               Security benefits and equal long-term care insurance  
               protections;
             e)   The number of people 65 years of age and older in  
               California is expected to double to 6.5 million by the year  
               2020, thereby increasing the number of LBGT seniors who are  
               receiving inadequate services;
             f)   Ensuring that the needs of LGBT seniors as well as other  
               underrepresented groups are adequately assessed during the  
               planning and development of programs and services will  








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               increase access to the programs administered by CDA and the  
               AAAs; and, 
             g)   California leads the nation in the protections it  
               affords to LGBT persons.  Including the needs of LGBT  
               seniors and other underrepresented groups in the needs  
               assessment and Area Plan process will help the state to be  
               a model for change in other states and at the federal  
               level.

          2)Specifies that CDA shall ensure that programs and services  
            provided through the Older Americans Act and the 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,  
            or by any other basis set forth in Section 12921 of the  
            Government Code, or by association with a person or persons  
            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.

          3)Specifies that CDA shall require each AAA to include the needs  
            of LGBT seniors in their needs assessments and Area Plans.

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

           FISCAL EFFECT  :  According to the Assembly Appropriations  
          Committee, increased General Fund (GF) costs to CDA to provide  
          technical assistance of around $60,000 and increased GF costs of  
          around $330,000 to AAAs to include the needs of LGBT seniors in  
          their needs assessments and area plans.

           COMMENTS  :  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.  

          To ensure that programs and services funded by the AAA  








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          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  
          in the service network.  The needs assessment process typically  
          includes a community-wide survey, community meetings, and  
          information received from stakeholders and key informants.   
          California Code of Regulations (Title 22, Division 1.8, Chapter  
          3, Article 3) requires 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 that currently are 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.  The  
          2005-2009 State Plan on Aging includes a summary of AAA needs  
          assessment findings.  Statewide, AAAs have indicated that older  
          adults often do not know how to secure available services and  
          that information on what services exist and how to access them  
          is one of the most pressing needs.  The promising practices to  
          expand outreach and information identified in the State Plan on  
          Aging includes establishing many more activities targeting  
          diverse cultural and ethnic groups, which in some areas included  
          creating neighborhood partnerships with African American, Asian  
          Pacific Islander, and LGBT groups.

          In addition, the State Plan on Aging includes in its priorities  
          for 2005-2009 the facilitation of diversity training for CDA  
          staff and external stakeholders to promote cultural competence  
          and sensitivity in providing services so that ethnic and  
          cultural differences are not a barrier to accessing services.   
          The technical assistance requirement included in this bill could  
          potentially be included in this priority area.
           

          Analysis Prepared by  :    Allison Ruff / AGING & L.T.C. / (916)  
          319-3946










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