BILL ANALYSIS                                                                                                                                                                                                    






                                  SENATE HUMAN
                               SERVICES COMMITTEE
                        Senator Elaine K. Alquist, Chair


          BILL NO:       AB 2920                                      
          A
          AUTHOR:        Leno                                         
          B
          VERSION:       June 20, 2006
          HEARING DATE:  June 27, 2006                                
          2
          FISCAL:        Appropriations                               
          9
                                                                      
          2
          CONSULTANT:                                                 
          0
          Sue North
                                        

                                     SUBJECT
                                         
                                    Seniors

                                     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.

                                     ABSTRACT  

          Specifically, this bill:

          1)  Makes findings and declarations which include:

          a)  The effects of 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;
                                                         Continued---



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          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)  The state needs to ensure 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 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.

          5)  Empowers CDA to adopt any regulations necessary to  
          implement to the provisions of the bill.




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                                  FISCAL IMPACT  

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

                            BACKGROUND AND DISCUSSION  

          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  
          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 address gaps in the service network.  The needs  
          assessment process typically includes a community-wide  
          survey, community meetings, and information received from  
          stakeholders.  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  




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          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.

           Prior Vote History:
           
          Assembly Floor           48-32
          Assembly Appropriations       13-5
          Assembly Aging & Long Term Care3-1

                                    POSITIONS  

          Support:       Equality California (Sponsor)
                         Lambda Letters Project
                         The Center of Orange County
                         NASW, California Chapter
                         San Francisco AIDS Foundation
                         American Society on Aging
                         Gay and Lesbian Alliance of the Central  
          Coast
                         Spectrum Center
                         National Association of Social Workers,  
          California Chapter
                         National Center for Lesbian Rights
                         Lavender Seniors of the East Bay
                         City of West Hollywood


          Oppose:   California Family Council









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