BILL ANALYSIS                                                                                                                                                                                                    




                   Senate Appropriations Committee Fiscal Summary
                           Senator Christine Kehoe, Chair

                                           324 (Beall)
          
          Hearing Date:  8/27/2009        Amended: 8/24/2009
          Consultant: Katie Johnson       Policy Vote: Hum. Serv. 4-1
          _________________________________________________________________ 
          ____
          BILL SUMMARY:  AB 324 would require the California Department of  
          Aging to establish and annually update the Elder Economic  
          Security Standard Index, a tool that would quantify the basic  
          living costs of elders in California based on their counties of  
          residence.
          _________________________________________________________________ 
          ____
                            Fiscal Impact (in thousands)

           Major Provisions         2009-10      2010-11       2011-12     Fund
           
          CDA EESSI implementation          $30         $60       $60  
          Private
          and annual calculation

          CDA administration     unknown, but potentially in the  
          hundredsGeneral/
                                 Of thousands; eventually offset by  
          Private
                                 private donations

          Cost pressure on state unknown, but potentially in the  
          millionsGeneral/
          means tested programs  of dollars annually              Federal
          _________________________________________________________________ 
          ____

          STAFF COMMENTS: SUSPENSE FILE.

          Existing law, the Mello-Granlund Older Californians Act,  
          establishes the California Department of Aging (CDA).
          
          This bill would define the Elder Economic Security Standard  
          Index (EESSI) to mean an index that quantifies the costs that  
          elders face in meeting their basic needs, including, but not  
          limited to, food, shelter, health care, transportation,  
          utilities, and essential household items, in the private market.  










          The EESSI is derived by applying the methodology developed by  
          the Wider Opportunities for Women and Gerontology Institute to  
          publicly available data sources on the costs to live in each  
          county of the state.

          This bill would redefine "greatest economic need" as the need  
          resulting from an income level at or below the thresholds  
          established by the EESSI. Under existing law, "greatest economic  
          need" is defined as the need resulting from an income level at  
          or below the poverty threshold established by the Bureau of the  
          Census.

          This bill would require CDA to report the EESSI data for each  
          service are in its state plan as part of its mission as a  
          department.


          Page 2
          AB 324 (Beall)

          Commencing in the 2010 calendar year, this bill would require  
          CDA to annually update the EESSI using the methodology developed  
          for the 2008 EESSI for each of California's 58 counties.  
          Utilizing the most recent demographic data available, this bill  
          would require CDA to annually calculate, beginning in 2010, the  
          number, percentage, and demographic profile of elders living  
          below the updated EESSI for that year. 

          Staff recommends that the bill be amended to specify an  
          implementation date instead of the ambiguous phrase "the 2010  
          calendar year". 

          This bill would require CDA to analyze the number and percentage  
          of elders living below the current EESSI for that year by  
          county, race, ethnicity, gender, age, housing, and other  
          relevant demographic factors. This bill would authorize CDA to  
          contract with the President of the University of California (UC)  
          for this purpose. If CDA were to contract with the UC to perform  
          the analysis, it would be an ongoing annual General Fund cost of  
          approximately $60,000. If CDA were to complete the analysis  
          in-house, it could cost approximately $85,000 in FY 2009-2010  
          and $100,000 - $150,000 ongoing in General Funds to provide for  
          research analysts, training in the EESSI and statistical  
          software, annually locating and gathering the most current  
          demographic and economic data within CA's counties, and annually  
          updating the EESSI.











          This bill would require the 33 area agencies on aging (AAAs) to  
          annually update the Linkages Program intake form to include the  
          most current EESSI with the purpose of identifying elders in  
          economic need and to refer those elders to other resources and  
          programs. This bill would delete the existing requirement to  
          grant priority enrollment and services to low-income individuals  
          within the Linkages Programs. 

          According to an August 6, 2009, CDA Program Memo, among other  
          General Fund budget cuts, 9 months of funding for the Linkages  
          Program and 4 other programs was eliminated in FY 2009-2010, and  
          all funding was eliminated for FY 2010-2011. Although statutory  
          authority will continue to exist for Linkages, it is unknown  
          which AAAs will continue to operate the program. 

          Additionally, if an AAA chooses to close its Linkages Program,  
          it would be unreasonable for the AAA to annually update the  
          Linkages intake form, as required by this bill. Staff recommends  
          that the bill be amended to clarify that if an AAA chooses to  
          operate a Linkages Program, it would annually update the  
          program's intake form to include the most current EESSI.

          This bill would provide that nothing in this act should be  
          construed to mandate changes in the current funding allocations  
          to AAAs. However, since this bill would connect more elders to  
          local resources and programs, there would be unknown, but  
          potentially significant, cost pressure on those programs to  
          accommodate the increased number of elders seeking services,  
          which could result in the need to expand the 




          Page 3
          AB 324 (Beall)

          services. AAAs administer various community-based programs  
          funded primarily by the General Fund and federal funds.

          The August 24 amendments would request that the University of  
          California (UC) update the Elder Economic Security Standard  
          Index (EESSI) and provide it to the AAAs for purposes of  
          developing the area plan. They would permit CDA to accept  
          voluntary contributions to fund the UC's work to update the  
          EESSI and would require that any donations be deposited into the  










          continuously appropriated California Elder Economic Security  
          Standard Index Fund (EESSI Fund), which this bill would create  
          in the State Treasury. 5 percent of funds in the EESSI Fund  
          would be available for CDA's administrative costs and would  
          provide that any CDA start-up costs would be refunded by the  
          EESSI Fund. Staff recommends that the bill be amended to specify  
          that funds in the California Elder Economic Security Standard  
          Index Fund be available upon appropriation by the Legislature,  
          and not continuously appropriated, to ensure Legislative  
          oversight of the program. The amendments would prohibit the use  
          of state funds for purposes of updating the EESSI and would also  
          prohibit CDA from applying for grants or soliciting private  
          funds in order to pay for the update costs.

          The amendments would provide that in the event the UC declines  
          to update the EESSI, AAAs would not be required to use the EESSI  
          in updating their area plans. The amendments would require the  
          Director of Finance to determine whether or not there are  
          sufficient moneys from private donations available in the EESSI  
          Fund for purposes of updating the EESSI each year an AAA's area  
          plan is updated. If the Director of Finance determines that  
          there are insufficient funds in the EESSI Fund, the fund would  
          cease to exist. If the EESSI fund ceases to exist, all  
          provisions in this bill related to the EESSI updates would be  
          repealed. The amendments would state that this bill should not  
          be construed, based on the use of the EESSI, to affect  
          means-tested programs administered through the Mello-Granlund  
          Older Californians Act. However, to the extent that the EESSI  
          data reveals that a significant number of elderly Californians  
          are below the EESSI, there would be pressure on the government  
          to change eligibility criteria for means-tested programs, such  
          as Medi-Cal, which provides health coverage to the aged, blind,  
          and disabled, among others, and increase access to assistance.