BILL ANALYSIS
SENATE COMMITTEE ON VETERANS AFFAIRS
JEFF DENHAM, CHAIRMAN
Bill No: AB 1593
Author: Yamada
Version: May 28, 2010
Hearing Date: June 22, 2010
Fiscal: Yes
SUBJECT OF BILL
Adult day health care for veterans
PROPOSED LAW
1. Exempts the William J. "Pete" Knight Veterans Home
in Lancaster from the moratorium on certification and
enrollment in Medi-Cal programs.
2. Exempts the Veterans' Home Ventura from the
moratorium on certification and enrollment in Medi-Cal
programs.
3. Makes these provisions subject to funding by the
budget act.
EXISTING LAW AND BACKGROUND
1. Due to fraud concerns, the State of California has
a moratorium on issuing new Medi-Cal licenses.
2. Establishes Adult Day Health Care (ADHC) services
as a Medi-Cal benefit for Medi-Cal beneficiaries who
generally meet certain criteria, including being 18
years of age or older, having a request for ADHC
services from a health care provider, having one or
more chronic or post acute medical, cognitive, or
mental health conditions, and having functional
impairments in two or more activities of daily living,
instrumental activities of daily living, or one or
more of each, and requires assistance or supervision
in performing these activities.
3. ADHC is an organized day program of therapeutic,
social and health activities and services provided to
elderly persons or other persons with physical or
mental impairments for the purpose of restoring or
maintaining optimal capacity for self-care.
4. The end of 2009 saw the opening of the Ventura and
Lancaster homes within the Greater Los Angeles and
Ventura County homes system, which were constructed
with the ability to administer ADHC services.
5. The Ventura and Lancaster Homes were built to
accommodate ADHC. ADHC at the homes would have been
funded by last year's AB 369 (Yamada), but it was
vetoed by the governor.
COMMENT
1. ADHC is a cheaper form of care than full-time
nursing care and also gives more independence to the
patient.
2. By opening the facilities at the two homes, more
veterans will be served without the same increase in
cost that would be incurred by serving those veterans
in beds.
3. This bill is the same as AB 369 of 2009 (Yamada),
which every member of this committee supported.
PRIOR ACTIONS
Assembly Health 18-0
Assembly Appropriations 17-0
Assembly Floor 75-0
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AB 369 (Yamada) 9/2/2009
Denham Aye
Correa Aye
Cedillo Aye
Negrete McLeod Aye
Wyland Aye
SUPPORT
California Association of Adult Day Services (Sponsor)
Aging Services of California
California Association of County Veteran Service Officers
National Association of Social Workers, California Chapter
OPPOSE
None received
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