BILL ANALYSIS                                                                                                                                                                                                    �



                                                                 AB 1823
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         CONCURRENCE IN SENATE AMENDMENTS
         AB 1823 (Yamada)
         As Amended  June 14, 2012
         Majority vote
          
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         |ASSEMBLY:  |72-0 |(May 3, 2012)   |SENATE: |38-0 |(July 2, 2012) |
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          Original Committee Reference:    V. A.  

          SUMMARY  :  Makes changes to the content of the statement for fees 
         and charges that is presented to residents of the veterans' home.  
         Specifically,  this bill  specifies that residents' quarterly 
         statements shall include, in clear terms, all of the following:

         1)A statement that the charges for the excess costs of care are 
           provided to the member for information purposes only.

         2)A statement that, if the veteran is a resident of the home at 
           the time of death, the home may use his or her money or personal 
           property that is in possession of the home for payment of 
           unreimbursed excess costs of care.

         3)A statement that advises the member to seek counsel from a legal 
           expert to protect his or her assets.

          The Senate amendments  : 

         1)Delete the requirement that the statement include language 
           specifying that the terms and conditions upon which the member's 
           fees and costs can be changed.

         2)Add a requirement that the statement be written in plain, 
           straightforward language, avoiding technical terms as much as 
           possible and using a coherent and easily readable style.

          EXISTING LAW  :  

         1)Requires a member of a veterans' home to pay fees and charges as 
           determined by the California Department of Veterans Affairs 
           (CDVA).  Upon admission to a California veterans' home, the 
           administrator of each home must provide written notice to the 
           veteran informing him or her of costs of care that may be 
           incurred in excess of the member contribution fee.  The 
           notification must:







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            a)   Include an explanation of circumstances under which the 
              member may incur costs that are in excess of the contribution 
              fee;

            b)   Specifically indicate that these excess costs of care are 
              costs in addition to, or above and beyond, the member 
              contribution fee;

            c)   Provide examples of "excess costs of care that are 
              frequently incurred by veterans;"

            d)   Inform the member that he or she will receive a quarterly 
              accounting statement of the total excess costs of care, but 
              that the statement is provided for informational purposes 
              only;

            e)   Inform the veteran that, if he or she is a resident of the 
              home at the time of death, the home may disburse his or her 
              moneys or personal property for payment of unreimbursed 
              excess costs of care;

            f)   Include a statement advising the member to seek counsel 
              from a legal expert to protect his or her assets;

            g)   Include the terms and conditions upon which the member 
              fees and costs can be changed;

            h)   The notification shall require the signature of the 
              veteran that acknowledges that he or she has read and 
              understands the notification;

            i)   The notification shall be written in plain, 
              straightforward language, avoiding technical terms as much as 
              possible, and using a coherent and easily readable style; 
              and,

            j)   A copy of the notification, containing all the information 
              specified above and titled in large font "NOTICE TO 
              RESIDENTS," shall be conspicuously posted in each veteran's 
              home by the administrator of the veterans' home.

         2)States that the administrator of the home must provide each 
           member with a quarterly statement or accounting of all charges 
           for the costs of care rendered to the member in excess of the 
           member fee, as defined.







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         3)Specifies that the CDVA may recover costs from the estate of the 
           veteran for payment of funeral expenses or any obligation owed 
           to the home, including the cost of any care rendered by the home 
           in excess of the fees paid by the veteran to the home. 

         AS PASSED BY THE ASSEMBLY  , this bill was substantially similar to 
         the version passed by the Senate, but included an additional 
         reminder that the terms and conditions on which costs are based 
         can be changed.  The bill lacked an explicit direction to use 
         plain language and writing.

          FISCAL EFFECT  :  According to the Assembly Senate Appropriations 
         Committee, pursuant to Senate Rule 28.8, negligible state costs.  

          COMMENTS  :  Residents are already given a notice substantially 
         similar to the one contemplated in the bill when they become a 
         member of the home.  However, most of the residents of the home 
         are elderly and/or disabled and they might benefit from additional 
         reminders located on their quarterly statements.  The additional 
         burden/cost of adding the advisory language to the statement is 
         "negligible" and the language might bring some peace of mind 
         and/or avoid surprises for the residents.  It will also give 
         residents more opportunities to plan the disposition of their 
         assets should they wish to do so.

         The Senate amendments do not substantially alter the bill.  The 
         statement will still provide an enhanced reminder for residents.


          Analysis Prepared by  :    John Spangler / V. A. / (916) 319-3550 


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