BILL ANALYSIS                                                                                                                                                                                                    �




                   Senate Appropriations Committee Fiscal Summary
                           Senator Christine Kehoe, Chair

                                          AB 138 (Beall)
          
          Hearing Date: 8/25/2011         Amended: 8/15/2011
          Consultant: Katie Johnson       Policy Vote: Human Services 4-3
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          ____
          BILL SUMMARY: AB 138 would establish the Elder Economic Security 
          Act of 2011 and would require the California Department of Aging 
          (CDA) to report the Elder Economic Security Standard Index 
          (Index) for each service area in its state plan and use it as a 
          reference when making decisions about allocating its existing 
          resources. Each area agency on aging (AAA) would be required to 
          use the Index as a reference when making decisions about 
          allocating existing resources to specify the costs in the 
          private market of meeting the basic needs of elders in each 
          planning and service area and to identify the number or 
          percentage of elders who are living at or below the Index.
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          ____
                            Fiscal Impact (in thousands)

           Major Provisions         2011-12      2012-13       2013-14     Fund
           
          Cost pressure to       unknown, potentially significant General/
          increase services                                       Federal/
          available for elders                                    Local

          *AAAs purchase services with a variety of funding sources 
          including mainly federal funds, but also with state and local 
          penalty and fine revenue and the State HICAP Fund.
          _________________________________________________________________
          ____

          STAFF COMMENTS:  SUSPENSE FILE. AS PROPOSED TO BE AMENDED.

          This bill would define the Elder Economic Security Standard 
          Index (Index) 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. 
          This bill states that the Index is updated biennially by the 
          University of California, Los Angeles Center for Health Policy 
          Research using publicly available data sources on the cost of 








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          living in each county in California. The costs of updating the 
          Index would not be borne by the state.

          This bill would require:

             1)   The California Department of Aging (CDA) to report the 
               Index score for each of its service areas in its state plan 
               and to use it as a reference when making decisions about 
               allocating its existing resources. CDA would be required to 
               implement this bill only to the extent that the data needed 
               to update the Index is available and is made available to 
               the department in a format that displays each county's 
               specific data. 
             2)   The 33 area agencies on aging (AAAs) to utilize the 
               Index data in its area service plan. The AAAs would be 
               required to use the Index as a reference when making 
               decisions about allocating existing resources to specify 
               the costs of meeting basic needs for elders in each 
               planning and service area and to identify the number or 
               percentage of elders who are living at or below the Index. 

          This bill would state that it is the intent that the Index, when 
          updated and available, be used as a planning tool in the 
          development of local area plans and as a guide in allocating 
          exiting resources that support senior services in their 
          communities. This bill would state that it should not be 
          construed to advocate for or to mandate changes in the current 
          funding allocations to AAAs nor to affect means tested programs.

          Cost Pressure to Increase Services and Resources for Elder 
          Californians
          In the FY 2009-2010 Budget Act and subsequent line-item vetoes 
          by the Governor, all General Fund support for 9 months of 
          funding for 5 community-based services programs and their state 
          and local administration was eliminated for a total savings of 
          $10.5 million. The remaining General Fund support for CDA is 
          necessary to draw down federal funds. AAAs purchase services 
          with a variety of funding sources that consist mainly federal 
          funds, but also include state and local penalty and fine revenue 
          and the State HICAP Fund.

          Although this bill states that the Index should be used by CDA 
          and AAAs to prioritize services within existing resources, the 
          Index currently available online shows that the federal poverty 








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          level (FPL), as of 2007, covers less than half of the basic 
          costs experienced by older California adults and that that gap 
          is roughly $10,000 per elder. Additionally, the AAAs would be 
          required to identify the number or percentage of elders who live 
          at or below the Index. By referencing the Index and identifying 
          the number of elders living at or below the Index, this bill 
          would imply that elder Californians are in need of additional 
          resources and programs. Thus, there would be unknown, but 
          significant, cost pressure 1) on existing AAA programs to the 
          extent that this bill were to move AAAs or CDA to fund one 
          program instead of another, and 2) to respond to the Index's 
          illustration that existing resources available to elders through 
          current sources are inadequate to meet an elder's basic needs. 
          There are over 4 million Californians aged 60 and up, of which 
          about 10 percent live below the poverty line. There would be 
          cost pressure to bring at least those individuals up to the 
          Elder Index.

          This bill is similar to AB 2114 (Beall, 2010), which died on the 
          Senate Appropriations Committee's Suspense File.

          AS PROPOSED TO BE AMENDED. The committee's proposed amendment 
          would delete the requirement that AAAs would need to include in 
          their plans the number or percentage of elders who live at or 
          below the Index. By removing this requirement, it would decrease 
          cost pressure, but would not eliminate it.