BILL ANALYSIS                                                                                                                                                                                                    �



                                                                  SB 33
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          Date of Hearing:   June 21, 2011

                   ASSEMBLY COMMITTEE ON AGING AND LONG-TERM CARE
                                Mariko Yamada, Chair
                    SB 33 (Simitian) - As Amended:  June 15, 2011

           SENATE VOTE  :   39-0
           
          SUBJECT  :   Elder and dependent adult abuse.

           SUMMARY  :   SB 33 (Simitian/Wolk) repeals the sunset date 
          associated with various Welfare and Institutions code sections 
          (WIC), known as the Elder and Dependent Adult Financial Abuse 
          Act.   Specifically,  this bill  :   Makes permanent a series of 
          code sections which are scheduled to become inoperative on 
          January 1, 2013.  A description of current law affected by the 
          January 1, 2013 sunset date is as follows:

           WIC Section 15630.1  which provides a comprehensive mandate which 
          defines who 'mandated reporters' of known financial abuse are, 
          the settings in which their legal obligation to report reside, 
          and the activities which constitute a reportable offense.  WIC 
          section 15630.1 further details exceptions which would preclude 
          a 'mandated reporter' from reporting, penalties for failure to 
          report, and conditions under which suspected instances of 
          financial abuse may be reported.  

           WIC Section 15634  which offers immunity from criminal and civil 
          liability for mandated reporters who make reports of financial 
          abuse in good faith.  Though immune from liability, action may 
          still be brought against reporters, could force reporters to 
          incur costs associated with a response.  Senator Simitian 
          anticipated this in his original legislation and provided access 
          for reporters to the State Board of Control.  SB 33 identifies 
          the California Victim Compensation and Government Claims Board 
          as the appropriate entity from which reporters may seek 
          compensation in the event legal action is brought against them 
          for fulfilling their legal reporting responsibility.

           WIC Section 15640  which directs county adult protective services 
          (APS) on cross-reporting obligations for reports of financial 
          abuse which occur in the community, versus those that occur in a 
          long-term care facility.  SB 33, as amended June 15th, also 
          identifies the Department of Public Health as the licensing 
          agency for skilled nursing facilities.  When the originating 







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          legislation was passed in 2005, the department was known as the 
          Department of Health Services. 

           WIC Section 15655.5  which requires APS to provide financial 
          abuse reporting instructional materials to mandated reporters. 

           Recent Amendments  :
          Amendments adopted June 15th address the sunset date associated 
          with Government Code Section 7480 which empowers law enforcement 
          to obtain financial records related to criminal investigations.  
          The sunset date of that code section was repealed in 2010 and is 
          therefore no longer a subject of SB 33.

           FISCAL EFFECT  :   SB 33 merely repeals sunset dates associated 
          with existing code sections and therefore does not create 
          additional costs for the state. 

           COMMENTS  :   According to the author, "(I)t is important to 
          delete the 2013 sunset because mandated reporting for financial 
          institutions has increased the number of confirmed reports of 
          elder financial abuse. According to data collected by APS, the 
          number of confirmed cases of elder and dependent adult financial 
          abuse rose over 16% from 4,784 in 2006 to 5,568 in 2007 (the law 
          was implemented in 2007). The number of confirmed cases in 2010 
          was 5,602. 

          "Starting in April 2007, APS has counted the number of reports 
          of elder financial abuse submitted by financial institutions. 
          Between April 2007 and 2010, financial institutions submitted 
          26,402 reports of elder financial abuse. Between 2008 and 2010, 
          financial institutions, on average, submit almost 7,000 reports 
          of elder financial abuse annually. 

          "Finally, mandated reporting has not produced a significant 
          increase in the number of frivolous or illegitimate reports of 
          abuse. Of all reports of abuse received by APS (including types 
          other than financial), 41.9% were confirmed in 2006 before 
          mandated reporting, and 41.5% were confirmed in 2007 after 
          mandated reporting; the most recent confirmation percentage for 
          2010 was 38.3%.

           Related Legislation
           
          SB 1018 (Simitian), Chapter 140, Statutes of 2005, originated 
          the Elder and Dependent Adult Financial Abuse Reporting Act.  
          Scheduled to sunset January 1, 2013.  







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          AB 2105 (DeSaulnier), 2007-08 Session, would have expanded the 
          list of those who are mandated reporters of elder and dependent 
          adult financial abuse to include California Finance Lenders Law 
          and California Residential Mortgage Lending Act licensees, and 
          would have added coursework in elder and dependent adult abuse 
          detection and reporting to the list of elective continuing 
          education courses available to real estate licensees.  This 
          measure was vetoed by Governor Schwarzenegger. 

          AB 518 (Wagner), 2011-12 Session, is virtually identical to this 
          bill.  Assemblyman Wagner has agreed to drop AB 518 and become a 
          principle co-author of SB 33.

           Additional Background on elder and vulnerable adult financial 
          abuse:
           
          Although California has benefited significantly from the 
          enactment of SB 1018 in 2005, other challenges exist.  According 
          to the California Elder Justice Workgroup, elder and vulnerable 
          adult  "financial abuse ranges from simple theft, forgery, and 
          the misuse of legal documents to complex schemes or fraud 
          involving reverse mortgages, annuities, identity theft, health 
          care fraud, telemarketing scams, affinity crimes, and predatory 
          lending.  Residents of long-term care facilities may be 
          exploited by family members or trusted others who deplete their 
          bank accounts and appropriate assets, resulting in involuntary 
          discharge for nonpayment. These forms of abuse may have 
          catastrophic consequences, including the loss of homes, life 
          savings, and independence."

          APS, Ombudsman, law enforcement and others identify elder and 
          vulnerable adult financial abuse as some of their most difficult 
          cases.  Some of the challenges and needs identified by the 
          California Elder Justice Workgroup to address these concerns 
          include:

        1)Perpetrators adapt to changing environments: Perpetrators of 
          fraud, financial abuse, and exploitation have demonstrated 
          remarkable agility in changing practices in response to new 
          laws, regulations, and market forces. As a result, laws created 
          to respond to specific forms of abuse often quickly become 
          obsolete.

        2)Need for broader definitions: The current definition of 
          financial abuse may be too limited, and fails to include common 







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          practices that may have devastating consequences. These include 
          withholding critical care in order to preserve estates, defying 
          advance directives, playing upon vulnerabilities, and exercising 
          undue influence.

        3)Negative stereotypes and stigmas related to financial abuse 
          victims: Victims of financial abuse and exploitation are viewed 
          by some as gullible, na�ve, or complicit in their victimization. 
          These characterizations belie the fact that perpetrators are 
          often highly skilled manipulators who use coercion and 
          intimidation against victims.

        4)Service programs inadvertently facilitate abuse: Some aging 
          service programs fail to adequately screen employees, 
          volunteers, or persons they permit to make presentations. Of 
          particular concern is financial predators who claim to be 
          objective financial advisors are making presentations at senior 
          centers. Common topics include living trusts, Medi-Cal planning, 
          long-term care, annuities, reverse mortgages, veterans pensions, 
          and tax planning. The underlying purpose of these seminars is to 
          sell products, often worthless or overpriced ones, to 
          participants, many of whom mistakenly believe that speakers have 
          been vetted. An investigation by the Securities and Exchange 
          Commission (2007) of 110 senior financial seminars found that 
          100% were actually sales presentations.

           REGISTERED SUPPORT / OPPOSITION  :

           Support 
           
          The Arc
          AFSCME
          Alzheimer's Association
          AARP
          Area 12 Agency on Aging
          Berkeley-East Bay Gray Panthers
          Butte County Board of Supervisors
          California Advocates for Nursing Home Reform (CANHR)
          California Alliance for Retired Americans (CARA)
          California Association of Public Authorities for IHSS (CAPA)
          California Bankers Association (CBA)
          California Commission on Aging (CCoA)
          California Credit Union League (CCUL)
          California District Attorneys Association (CDAA)
          California Elder Abuse Forensic Centers of S.F., L.A., & Orange 
          County







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          California Long-Term Care Ombudsman Association (CLTCOA)
          California Professional Firefighters (CPF)
          California Psychiatric Association (CPA)
          California School Employees Association, AFL-CIO
          California Senior Legislature (CSL)
          California State Association of Counties (CSAC)
          California State Sheriff's Association (CSSA)
          Catholic Charities Diocese of Stockton
          Congress of California Seniors (CCS)
          Contra Costa County Advisory Council on Aging
          Council on Aging Orange County
          County Welfare Directors Association (CWDA)
          County of San Diego
          Humboldt County Board of Supervisors
          Huntington Hospital Senior Care Network
          In-Home Supportive Services (IHSS) Consortium of San Francisco
          Independence at Home
          Junior Leagues of California State Public Affairs Committee 
          (SPAC)
          Junior Leagues of Palo Alto State Public Affairs Committee 
          (SPAC)
          Los Angeles County Board of Supervisors
          Marin County Board of Supervisors
          Mother Lode Long-Term Care Ombudsman Program
          Multipurpose Senior Services Program Site Association (MSA)
          National Association of Social Workers, California Chapter 
          (NASW-CA)
          Older Women's League of California (OWL)
          Peace Officers Research of California (PORAC)
          Professional Fiduciary Association of California (PFAC)
          Planning & Service Area 2 Area Agency on Aging
          Sacramento County Board of Supervisors
          Sacramento Gray Panthers
          San Francisco Department of Aging and Adult Services
          San Joaquin County Commission on Aging
          San Luis Obispo County District Attorney
          San Mateo County Board of Supervisors
          San Francisco City and County
          Santa Clara County Board of Supervisors
          Santa Clara County Social Services Agency
          Silicon Valley Advisory Council on Aging
          Siskiyou County Human Services Agency
          Solano County Board of Supervisors
          Solano County Adult Protective Services 
          Sonoma County Board of Supervisors
          Sonoma County Area Agency on Aging







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          Stanislaus Elder Abuse Prevention Alliance
          State Treasurer of California
          United Cerebral Palsy 
          United Domestic Providers of America/AFSCME
          Vacaville Commission on Aging (COA)
          Ventura County Board of Supervisors
          Yolo County Sheriff's Department
           
            Opposition 
           
          None on file.

           Analysis Prepared by  :    Robert MacLaughlin / AGING & L.T.C. / 
          (916) 319-3990