BILL ANALYSIS                                                                                                                                                                                                    �



                                                                  AB 533
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          Date of Hearing:   April 26, 2011

                        ASSEMBLY COMMITTEE ON HUMAN SERVICES
                                Jim Beall Jr., Chair
                 AB 533 (Yamada) - As Introduced:  February 15, 2011
           
          SUBJECT  :  Area agencies on aging: independent living centers: 
          funding

           SUMMARY  :  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 (ILCs) and area agencies on aging (AAAs).  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 ILCs and AAAs.  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 AAAs and ILCs 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 AAAs 
            and ILCs may avoid interruptions and disruptions of service if 
            the Budget Act of 2011 is not enacted in a timely manner.

           EXISTING LAW  

          1)Establishes the federal Rehabilitation Act, which, among other 
            things, empowers individuals with disabilities to maximize 
            employment, economic self-sufficiency, independence, inclusion 
            and integration into society through statewide workforce 







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            investment systems, independent living centers and services, 
            research, training, demonstration projects and the guarantee 
            of equal opportunity.

          2)Establishes DOR as the overseer of the 29 ILCs and independent 
            living services.

          3)Establishes the federal Older American's Act, which, among 
            other things, establishes a nation-wide network of state units 
            on aging and AAAs 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 Code Section 16531.1.) 

           FISCAL EFFECT  :  Unknown

           COMMENTS  :  California has 33 AAAs, 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.  AAAs 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.  

          California also has 29 ILCs, which provide services to people 
          with disabilities enabling them to remain in their own homes and 







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          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, ILCs 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 ILCs 
          is from federal sources.  

          The stream of funds to both AAAs and ILCs 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 AAAs and ILCs 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 AAAs 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.  This bill 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 
          AAAs and to the DOR for the ILCs.

           Prior Legislation  :

          In recent years, a number of bills creating a continuous 
          appropriation for DOR or CDA have been introduced.  Each bill 







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          was held on the Suspense File of the Appropriations Committee of 
          its house of origin.  These include:

                 SB 657 (Ortiz) of 1999, AB 2552 (Daucher) of 2002, and 
               AB 1 (Berg) of 2003, all allowed for the continuous 
               appropriation of federal funds for AAAs in the event of a 
               state budget delay.  SB 657 was held in the Senate 
               Appropriations Committee and both AB 2552 and AB 1 were 
               held in the Assembly Appropriation Committee.

                 AB 1928 (Berg) of 2006, AB 322 (Anderson) of 2007, and 
               AB 885 (Nestande) of 2009 all allowed for the continuous 
               appropriation of federal funds for both AAAs and ILCs.  
               Each bill was held in the Assembly Appropriations 
               Committee.

                 AB 2608 (Davis) of 2008 allowed for a continuous 
               appropriation for DOR.  AB 2608 was held in the Assembly 
               Appropriations Committee.

          AB 561 (Scott), Chapter 993, Statutes of 1998, enacted a funding 
          mechanism to protect Medi-Cal providers, developmental 
          disabilities service providers, and the AIDS drug assistance 
          program in the event of a budget delay.  This measure provided 
          for a loan of up to $1 billion in state General Funds and up to 
          $1 billion in federal funds to the Medical Providers Interim 
          Payment Fund to continue making payments to specified providers 
          until the state budget is passed.  In 2003, AB 41 (Daucher) was 
          introduced to establish a similar mechanism, the Senior Citizens 
          Interim Payment Fund.  AB 41 was held in the Assembly 
          Appropriations Committee.

           SECOND COMMITTEE OF REFERENCE  .  This bill was previously heard 
          in the Assembly Aging and Long Term Care Committee on March 29, 
          2011, and was approved on a 6-0 vote.

           REGISTERED SUPPORT / OPPOSITION  :   

           Support 
           
          AARP
          Alzheimer's Association
          California Commission on Aging (CCoA)
          Congress of California Seniors
          National Association of Social Workers, California Chapter







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          The California Long-Term Care Ombudsman Association (CLTCOA)

           Opposition 
           
          None on file.
           
          Analysis Prepared by  :    Eric Gelber / HUM. S. / (916) 319-2089