BILL ANALYSIS                                                                                                                                                                                                    �



                                                                  AB 138
                                                                  Page  1

          Date of Hearing:   April 13, 2011

                        ASSEMBLY COMMITTEE ON APPROPRIATIONS
                                Felipe Fuentes, Chair

                  AB 138 (Beall) - As Introduced:  January 13, 2011 

          Policy Committee:                              Aging and Long 
          Term Care    Vote:                            4 - 2

          Urgency:     No                   State Mandated Local Program: 
          No     Reimbursable:              

           SUMMARY  

          This bill requires the California Department of Aging (CDA) and 
          Area Agencies on Aging (AAAs) to utilize Elder Economic Security 
          Standard Index (Elder Index) data to report in their state plan 
          on the effectiveness of the programs in each services area. 
          Specifically, this bill: 

          1)Requires CDA to report the Elder Index data for each service 
            area in its state plan.

          2)Requires each AAA to use the Elder Index to specify the costs 
            in the private market of meeting the basic needs of elders in 
            each planning and service area, and to specify the number of 
            elders living at or below the standard. 

          3)Requires each AAA to use the Elder Index to track the progress 
            of participants in the Senior Community Service Employment 
            program.

           FISCAL EFFECT  

          1)Unknown, likely minor administrative costs to the extent CDA 
            and AAAs are required to work with UCLA to disaggregate the 
            data in order to identify the standard and associated data for 
            each service area.

          2)No direct fiscal impact to CDA to administer the Index if the 
            data and analysis is provided by the University of California, 
            Los Angeles (UCLA) Center for Health Policy Research. 
           
          3)Unknown, likely minor administrative savings to AAA to the 








                                                                  AB 138
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            extent use of the Index reduces duplicative planning efforts 
            and increases the reliability of quantitative analyses of 
            local information. 

          4)While this bill clearly states that nothing in the bill shall 
            be construed to mandate changes in means tested programs or in 
            the current funding allocations, applying the Elder Index as a 
            standard measure for planning purposes would likely bring tens 
            of millions of dollars in cost pressure to bear on these 
            programs because under that measure approximately one-half of 
            the seniors in California fall below the specified economic 
            security threshold. 

           



          COMMENTS  

            1) Rationale  . This bill is co-sponsored by the Insight Center 
             for Community and Economic Development and the American 
             Association of Retired Persons (AARP) and supported by dozens 
             of advocacy groups. The Insight Center is a national 
             research, consulting, and legal organization dedicated to 
             building economic health in vulnerable communities. This 
             bill, by adding the Index to planning efforts, provides CDA 
             and AAA local agencies with more specific and uniform 
             demographic and financial data with respect to elderly 
             Californians and their service needs. 

            2) Background  . The 33 AAAs coordinate an array of services for 
             seniors and adults with disabilities at the community level 
             and serve as a focal point for local aging programs. Under 
             current law, local jurisdictions undertake periodic detailed 
             planning. Many of these efforts rely on the federal poverty 
             level (FPL), an index used by federal and state governments 
             in programs such as Medi-Cal, food stamps, and CalWORKs. The 
             FPL is based on a "basket" of living costs established 
             decades ago. 

           The proportion of spending, for example, attributable to 
             housing needs does not reflect the costs of living in many 
             Californians communities. In 2009, 100% of FPL was $10,830 
             for a single person in annual income. Because this FPL is so 
             low, many means-tested programs must rely on multipliers-200% 








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             and 300% of FPL, for example. According to the author and 
             sponsors FPL has lost much of its meaning in high-cost 
             California. The Index, in contrast, relies on numerous 
             factors to update such costs and demographic factors that 
             reflect local variation and needs of older Californians. This 
             bill, by shifting the focus to the Index, provides local 
             communities and the consumers served by programs with more 
             accurate information for planning efforts. 

            3) Committee Concern  . 10 of the AAAs in the state are in small 
             rural communities. The UCLA data combines larger geographic 
             areas in their analysis.  It is unclear that CDA or the AAAs 
             would be able to disaggregate the data so that it can be used 
             by the smaller AAAs. 

            4) Related Legislation  . AB 2114 (Beall) of 2010 would have 
             required CDA and AAA's to utilize the Elder Index in their 
             service planning. AB 2114 was held on the Senate 
             Appropriations Suspense File.
              
              AB 324 (Beall) in 2009 also addressed the Elder Index, but 
             included several other more substantial provisions than those 
             contained in AB 2114. AB 324 was vetoed. The veto message 
             indicated local agencies are already authorized to use the 
             Index in planning efforts. The author indicates AB 2114 is 
             needed to ensure uniform adoption of this approach to 
             planning. 

           Analysis Prepared by  :    Julie Salley-Gray / APPR. / (916) 
          319-2081