BILL ANALYSIS                                                                                                                                                                                                    



                                                                  AB 2629
                                                                  Page  1

          Date of Hearing:   May 12, 2010

                        ASSEMBLY COMMITTEE ON APPROPRIATIONS
                                Felipe Fuentes, Chair

                  AB 2629 (Lowenthal) - As Amended:  April 26, 2010 

          Policy Committee:                              Aging & LTC  
          Vote:5-0

          Urgency:     No                   State Mandated Local Program:  
          Yes    Reimbursable:              No 

           SUMMARY  

          This bill modifies admission and retention requirements for  
          individuals in adult residential facilities and residential care  
          facilities for the terminally ill to increase uniformity between  
          patient care settings. Specifically, this bill: 

          1)Modifies the definition of bedridden to exclude a recovery  
            from surgery that lasts for less than 14 days.

          2)Establishes requirements to be met if a bedridden resident is  
            authorized to remain in a facility.

          3)Prohibits a client from remaining in a residential facility if  
            the individual requires 24-hour care, unless the facility is a  
            residential facility for the terminally ill. 

           FISCAL EFFECT  

          Absorbable workload to the California Department of Social  
          Services to continue licensing oversight of residential  
          facilities for adults addressed in this bill. 

           COMMENTS  

           1)Rationale  . This bill clarifies laws related to fire clearance  
            for residents who have difficulty moving in and out of bed,  
            which causes major risk if fire strikes. Under current law,  
            health and safety codes address numerous aspects of  
            residential fire safety for dependent children, disabled  
            adults, and the elderly. 








                                                                  AB 2629
                                                                  Page  2


          AB 762 (Lowenthal), Chapter 471, Statutes of 2009, clarified the  
            fire clearance requirements for bedridden residents to  
            distinguish between residents who are nonambulatory and  
            residents who are unable to turn or reposition in bed in  
            residential care facilities for the elderly (RCFE). This bill  
            increases uniformity between RCFE, adult residential  
            facilities (ARF) and residential care facilities for the  
            terminally ill (RCFCI). 

           2)Residential Care Settings  . RCFE generally serve clients 60  
            years of age and older who are unable to live by themselves,  
            but who do not require 24-hour nursing care. ARF are  
            facilities that provide 24-hour non-medical care for  
            non-elderly adults who are unable to provide for their daily  
            needs. Adults may be physically handicapped, developmentally  
            disabled, or have mental health issues. RCFCI are facilities  
            with a maximum licensed capacity of 25. Care and supervision  
            is provided to adults who are HIV-positive or have been  
            diagnosed with AIDS.


           Analysis Prepared by  :    Mary Ader / APPR. / (916) 319-2081