BILL ANALYSIS                                                                                                                                                                                                    



                                                                  AB 885
                                                                  Page  1

          Date of Hearing:   April 21, 2009

                   ASSEMBLY COMMITTEE ON AGING AND LONG-TERM CARE
                               Bonnie Lowenthal, Chair
                   AB 885 (Nestande) - As Amended:  April 15, 2009
           
          SUBJECT  :   Area agencies on aging and independent living  
          centers: funding.

           SUMMARY  :   Allows for the continuous appropriation of federal  
          funds for Area Agencies on Aging (AAAs) and Independent Living  
          Centers (ILCs) in the absence of an enacted Budget Act.  
          Specifically,  this bill  :  

          1)Requires the continuous appropriation of federal funds from  
            the Federal Trust Fund to the California Department of Aging  
            (CDA) and the Department of Rehabilitation (DOR) for the  
            administration of programs operated by the AAAs and ILCs in  
            any fiscal year in which the state Budget Act is not enacted  
            by July 1st. 

          2)Allows the Department of Finance to reduce the applicable  
            Budget Act allocations by the amount of payments made pursuant  
            to this bill.

          3)Requires that payments made to AAAs and ILCs pursuant to this  
            section be made on July 15, and on the 15th of each month  
            thereafter, until the enactment of the annual Budget Act.

          4)Includes an urgency clause in order to ensure that AAAs and  
            ILCs will be able to prevent interruptions in important  
            services provided to older adults and persons with  
            disabilities.  

           EXISTING LAW  

          1)Establishes the federal Older Americans Act which provides a  
            national network of state units on aging and AAAs to deliver  
            home and community-based programs for older adults.  Programs  
            include nutrition, transportation, information and assistance,  
            elder abuse prevention, and caregiver support.

          2)Establishes the Mello-Granlund Older Californians Act which  
            provides state-funded programs and services for older adults  
            and people with disabilities including Alzheimer's Day Care  








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            Resource Centers and the Multipurpose Senior Services Program.

          3)Establishes CDA as the state unit on aging and oversight  
            entity for the 33 AAAs in California.

          4)Establishes the federal Rehabilitation Act which creates the  
            ILCs and independent living services.

          5)Establishes the DOR as the oversight entity for the 29  
            non-profit ILCs.

          6)Establishes the Medical Providers Interim Payment Fund to  
            continuously appropriate funds to Medi-Cal providers, the AIDS  
            drug assistance programs, and developmental services programs  
            in the event the state budget is not passed on time.

           FISCAL EFFECT  :   Unknown.  

           COMMENTS  :   
          California has 33 AAAs which provide services that are vital to  
          the well-being of older adults such as basic nutrition,  
          transportation, in-home assistance, and caregiver support.  AAAs  
          in communities across the state plan, coordinate and offer  
          services that help older adults remain in their home. 
           
           Funds for these programs come from the federal Older Americans  
          Act, the state level Older Californians Act, and county, city,  
          and grant sources.  Approximately 80% of the money for AAA  
          programs is from federal sources.  

          California also has 29 ILCs which provide services to people  
          with disabilities enabling them to remain in their own homes and  
          communities.  An ILC is a consumer-centered, community-based,  
          non-residential, private non-profit entity that is designed and  
          operated within a local community by individuals with  
          disabilities.  One hundred percent of the funding for ILCs is  
          from federal sources.  

          The stream of funds to both AAAs and ILCs is dependent upon the  
          passage of the state budget.  When the state budget is late, all  
          funds are frozen - including the federal funds.  The Independent  
          Living Partnership contends that the health, well-being, and  
          survival of many older Californians should not be held hostage  
          during a budget stalemate and that federal funds are available,  
          but cannot be accessed due to what amounts to a technicality.








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          Proponents argue that many of these programs operate on very  
          tight budgets and cannot continue unless their bills are paid in  
          a timely manner.  In some cases, AAAs or local service providers  
          must secure lines of credit from banks in order to avoid  
          shutting down vital services.  Although AAAs receive the funding  
          from the state after the budget is passed, they are not  
          reimbursed for the interest accrued on the lines of credit, nor  
          can they use the federal or state dollars to pay for the  
          interest accrued.  Consequently, AAAs and service providers are  
          unable to secure such lines of credit, and services in their  
          areas are forced to close until the budget is signed and funds  
          are released.

          According to the author, this bill ensures that vital services  
          to frail, elderly persons are not interrupted in the case of a  
          budget delay by continuing to appropriate federal funds for  
          these services if the annual state budget is not enacted by July  
          1 of the fiscal year. Specifically, federal funds will continue  
          to go to CDA for the AAAs and to the DOR for the ILCs.

           Prior Legislation:
           Previous measures similar to this bill have been held in both  
          the Senate and Assembly Appropriations Committees.  

          SB 657 (Ortiz) of 1999, AB 2552 (Daucher) of 2002, and AB 1  
          (Berg) of 2003, all allowed for the continuous appropriation of  
          federal funds for AAAs in the event of a state budget delay.  SB  
          657 was held in the Senate Appropriations Committee and both AB  
          2552 and AB 1 were held in the Assembly Appropriation Committee.

          AB 1928 (Berg) of 2006 and AB 322 (Anderson) of 2007 allowed for  
          the continuous appropriation of federal funds for both AAAs and  
          ILCs.  Both bills were held in Assembly Appropriations.

          AB 561 (Scott, Chapter 993, Statutes of 1998) enacted a funding  
          mechanism to protect Medi-Cal providers, developmental  
          disabilities service providers, and the AIDS drug assistance  
          program in the event of a budget delay.  This measure provided  
          for a loan of up to $1 billion in state General Funds and up to  
          $1 billion in federal funds to the Medical Providers Interim  
          Payment Fund to continue making payments to specified providers  
          until the state budget is passed.  

          In 2003, AB 41 (Daucher) was introduced to establish a similar  








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          mechanism, the Senior Citizens Interim Payment Fund.  AB 41 was  
          held in the Assembly Appropriations Committee.


           REGISTERED SUPPORT / OPPOSITION  :   

           Support 
           
          Aging Service of California
          Area 4 Agency on Aging
          Colorado River Senior Center
          Independent Living Partnership
          Kern County Commission on Aging
          Multi-Purpose Senior Services Program (MSSP) Association
          On-Lok Senior Health Services
          Planning and Service Area 2 Area Agency on Aging
          Professional Fiduciary Association of California
          Riverside County Office on Aging
          SCAN Social HMO
          Volunteer Center of Riverside County

           Opposition 
           
          None on file.
           
          Analysis Prepared by  :    Allison Ruff / AGING & L.T.C. / (916)  
          319-3990