BILL ANALYSIS                                                                                                                                                                                                    �



                                                                  AB 533
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          Date of Hearing:   March 29, 2011

                   ASSEMBLY COMMITTEE ON AGING AND LONG-TERM CARE
                                Mariko Yamada, Chair
                 AB 533 (Yamada) - As Introduced:  February 15, 2011
           
          SUBJECT  :   Area agencies on aging: independent living centers: 
          funding.

           SUMMARY  :   AB 533 creates a pass-through mechanism enabling a 
          continuous appropriation of federal funds appropriated to the 
          State of California for the purposes of supporting independent 
          living centers (ILC's) and area agencies on aging (AAA's).  
          Specifically,  this bill  : 

          1)Creates a continuous appropriation of federal funds that have 
            already been appropriated to the State of California from the 
            United States Treasury, and have been deposited in the state's 
            Federal Trust Fund for support of ILC's and AAA's.  This 
            continuous appropriation would provide the California 
            Department of Aging, (CDA) and the California Department of 
            Rehabilitation (DOR) the funds necessary to administer 
            programs operated by AAA's and ILC's during fiscal years in 
            which the state Budget Act is not enacted by July 1.

          2)Allows the Department of Finance to reduce the applicable 
            Budget Act appropriations by the amount of any payment made by 
            the Federal Trust Fund to CDA and DOR under this statute.

          3)Provides that if the state Budget Act is not enacted by July 1 
            and the continuous appropriation is triggered, that the first 
            payment will be made to CDA and DOR by July 15.  Subsequent 
            payments are to be made by the 15th of each month, until the 
            state Budget Act is enacted.

          4) Declares this act to be an urgency statute in order that 
            AAA's and ILC's may avoid interruptions and disruptions of 
            service if the Budget Act of 2011 is not enacted in a timely 
            manner.

           EXISTING LAW  

          1)Existing federal law establishes the Rehabilitation Act, 
            which, among other things, empowers individuals with 
            disabilities to maximize employment, economic 








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            self-sufficiency, independence, inclusion and integration into 
            society through statewide workforce investment systems, 
            independent living centers and services, research, training, 
            demonstration projects and the guarantee of equal opportunity.

          2)Establishes the DOR as the overseer of the 29 Independent 
            Living Centers and independent living services.

          3)Existing federal law establishes the Older American's Act, 
            which, among other things, establishes a nation-wide network 
            of state units on aging and AAA's to deliver home and 
            community-based programs for older adults and their 
            caregivers.  Programs include nutrition, information and 
            assistance, elder abuse prevention and caregiver support.



          4)Establishes the Mello-Grandlund Older Californians Act which 
            provides state-funded programs and services for older adults 
            and people with disabilities.

          5)Establishes CDA as the state unit on aging, and overseer of 
            California's 33 area agencies on aging.

          6)Establishes continuous appropriations via the Medical 
            Providers Interim Payment Fund to Medi-Cal providers, the AIDS 
            drug assistance programs, and developmental services programs 
            in the event the state budget is not passed by July 1. 
            (Government Codes Section 16531.1) 

          7)OLMSTEAD V. L. C. (98-536) 527 U.S. 581. 1999

           FISCAL EFFECT  :   Unknown.

           COMMENTS  :   California has 33 AAA's which provide services that 
          are essential to the health and well-being of older adults, such 
          as basic nutrition, transportation, in-home assistance, and 
          caregiver support.  AAA's in communities across the state are 
          charged to 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's Older Californians Act, and county, city, and 
          grant sources.  Approximately 80% of the money for AAA programs 
          is appropriated to the state from the federal government.  








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          California also has 29 ILC's which provide services to people 
          with disabilities enabling them to remain in their own homes and 
          communities by supporting projects and activities carried out in 
          a manner consistent with the principles of respect for 
          individual dignity, personal responsibility, and 
          self-determination.  Additionally, ILC's support the pursuit of 
          meaningful careers, based upon informed choice of individuals 
          with disabilities.  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 ILC's 
          is from federal sources.  

          The stream of funds to both AAA's and ILC's is dependent upon 
          the passage of the state budget.  When the state budget is late, 
          all funds - even those already received from the federal 
          government for the express purposes of supporting AAA's and 
          ILC's are frozen.  The author contends that the health, 
          well-being, and survival of Californians living with 
          disabilities of any age should not be held hostage during a 
          budget stalemate and that federal funds are available, but 
          cannot be accessed unless a continuous appropriation mechanism 
          is adopted.

          Proponents argue that many of these programs operate on very 
          tight budgets and cannot continue unless bills are paid in a 
          timely manner.  In some cases, local service providers must 
          secure lines of credit from banks in order to avoid shutting 
          down vital services.  Although AAA's 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.  

          According to the author, this bill ensures that vital services 
          to people living with disabilities and striving for independence 
          through personal responsibility and self-determination, along 
          with the vast population of frail, elderly persons are not 
          forced into temporary segregation and isolation when the budget 
          is delayed.  AB 533 would avoid this 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 
          AAA's and to the DOR for the ILC's.








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           REGISTERED SUPPORT / OPPOSITION  :   

           Support 
           
          AARP
          Congress of California Seniors (CCS)
          National Association of Social Workers, California Chapter 
          (NASW-CA)

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