BILL ANALYSIS                                                                                                                                                                                                    �






                             SENATE JUDICIARY COMMITTEE
                             Senator Noreen Evans, Chair
                              2011-2012 Regular Session


          SB 180 (Corbett)
          As Introduced
          Hearing Date: April 26, 2011
          Fiscal: No
          Urgency: No
          TW   
                    

                                        SUBJECT
                                           
            Consumer Transactions:  Public Social Services:  Unreasonable 
                                        Fees

                                      DESCRIPTION  

          Existing law, the Consumer Legal Remedies Act, provides 
          consumers with a civil cause of action against individuals or 
          entities charging or receiving unreasonable fees to prepare, 
          aid, or advise consumers regarding public social services aid.  
          This bill would add to the definition of "public social 
          services" activities and functions administered or supervised by 
          the United States Department of Veterans Affairs and the 
          California Department of Veterans Affairs.  

                                      BACKGROUND  

          In 2003, the Senate Insurance Committee held an informational 
          hearing entitled "Financial Planning or Fleecing of Seniors?:  
          Insurance Products and Investments."   This hearing highlighted 
          many instances where senior citizens were preyed upon by 
          "Medi-Cal advocates," who would convince seniors to spend down 
          their assets through the purchase of annuities so that the 
          seniors would qualify for Medi-Cal.  These "advocates" received 
          a commission for the sale of the annuity, and the senior 
          purchased a product that may not be appropriate for their life 
          expectancy and financial circumstances.

          To combat this financial predatory scheme, in 2008, the 
          Legislature extended consumer protections under the Consumer 
          Legal Remedies Act (Act) for unreasonable fees charged for the 
          preparation, aid, or advice regarding applications for public 
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          social services.  (SB 1136 (Alquist, Ch. 479, Stats. 2008).)  
          The Act prohibits unfair and deceptive commercial conduct, and 
          authorizes a consumer to commence a civil action for damages 
          resulting from violations of the Act.  The existing definition 
          of public social services under the Act includes activities and 
          functions of state and local government administered or 
          supervised by the State Department of Public Health or the State 
          Department of Social Services.  
          Although existing law protects consumers in their applications 
          for MediCal and Medicaid, there are no similar protections for 
          consumers regarding their applications for veteran's benefits.  
          In 2007, the United States Department of Veterans Affairs 
          (USDVA) reported that private companies were targeting the 
          elderly at assisted living facilities, and these companies would 
          offer to assist elderly veterans qualify for veteran's benefits. 
           (Acting Director Bradley G. Mayes, Letter to All VA Regional 
          Offices and Centers, Jan. 3, 2007.)  The USDVA noted that 
          companies were charging fees related to veteran's benefits 
          applications even though these companies had not been authorized 
          by USDVA to perform such services.  

          Further, veterans' associations around California are reporting 
          an increase in predatory practices on elderly veterans.  
          "Veterans advocates" are offering services to redistribute the 
          veteran's finances so that the veteran will qualify for the 
          Veterans Aid and Attendance program.  As with the MediCal and 
          Medicaid schemes, these "advocates" reorganize a veteran's 
          finances through the purchase of financial products that may not 
          be appropriate for their life expectancy and financial 
          circumstances.

          This bill would provide consumer protections regarding 
          unreasonable fees charged or received for assistance in 
          procuring veterans benefits provided by the United States 
          Department of Veterans Affairs and the California Department of 
          Veterans Affairs.

          (This analysis reflects author's amendments to be adopted in 
          Committee.)

                                CHANGES TO EXISTING LAW
           
           Existing federal law  prohibits the preparation, presentation, or 
          prosecution of any claim under laws administered by the 
          Secretary of Veterans Affairs unless that individual has been 
          recognized for such purposes by the Secretary.  (38 U.S.C. Sec. 
                                                                      



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          5901.)  Existing federal law prohibits charging fees for the 
          aid, assistance, or preparation of veteran's benefits 
          applications.  (38 U.S.C. Sec. 5904.)
          
           Existing law  provides that it is an unfair or deceptive trade 
          practice for any person to charge or receive an unreasonable 
          fee, as defined, to prepare or aid an applicant or recipient in 
          the procurement, maintenance, or securing of public social 
          services.  (Civ. Code Sec. 1770(24).)  Existing law defines 
          "public social services" as those activities and functions of 
          state and local government administered or supervised by the 
          State Department of Health Care Services, the State Department 
          of Public Health, or the State Department of Social Services, 
          and involved in providing aid or services, or both, including 
          health care services and medical assistance, to those persons 
          who, because of their economic circumstances or social 
          condition, are in need of that aid or those services and may 
          benefit from them.  (Id.)

           Existing law  requires the court to award treble damages to the 
          plaintiff whenever it is proven by a preponderance of the 
          evidence that a defendant has charged or received an 
          unreasonable fee for those services.  (Civ. Code Sec. 1780.)

           This bill  would include in the definition of "public social 
          services" activities and functions administered or supervised by 
          the United States Department of Veterans Affairs and the 
          California Department of Veterans Affairs involved in providing 
          aid or services to veterans, including pension benefits.

                                        COMMENT
           
          1.  Stated need for the bill  
          
          The author writes:
          
            The Aid and Attendance Program administered by the federal 
            Veterans Administration (VA) is a safety net for low wealth 
            veterans and their spouses who cannot afford to pay for 
            medical supplies or in-home healthcare.  

            Financial predators target high wealth veterans who otherwise 
            would not qualify for the �Aid and Attendance Program] and 
            counsel them how to move their assets into "safe harbors" such 
            as irrevocable trusts and deferred annuities.  These advisors 
            charge $10,000 or even more for their services.
                                                                      



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            SB 180 prohibits anyone from charging an unreasonable fee for 
            assisting a person to qualify for a federal pension benefit 
            program, such as Veterans Aid and Attendance.  SB 180 
            diminishes the incentive of financial advisors who counsel 
            seniors to artificially impoverish themselves to qualify for a 
            government benefit.

           California Advocates for Nursing Home Reform (CANHR), the 
           sponsor of this bill, writes:

            The Veterans Aid and Attendance Pension was designed to assist 
            low wealth veterans and their spouses to pay for in-home care 
            or for care in an assisted living facility.  This is a needs 
            based program and the Veteran Administration does not charge 
            seniors to apply for the benefits.  Financial predators are 
            targeting high wealth veterans who otherwise will not qualify 
            for the benefit. . . . The advice given by these financial 
            predators results in the seniors artificially impoverish�ing] 
            themselves by moving their assets into irrevocable trusts or 
            deferred annuities.  Often these advisors make commissions on 
            the annuities they counsel the seniors to purchase.

            SB 180 diminishes the incentive of financial advisors who 
            counsel seniors to artificially impoverish themselves to 
            qualify for a government benefit. . . . SB 180 is an important 
            senior consumer bill that protects the interest of seniors and 
            the state.

          2.  Expanding consumer protections for veterans and veteran's 
            spouses  

          This bill would prohibit unreasonable fees charged to veterans 
          and their spouses in the preparation, aid, or advice regarding 
          veteran's benefits applications.  Existing federal law allows 
          authorized agents and attorneys to charge reasonable fees for 
          representation of veteran's benefit applicants before the Board 
          of Veteran's Appeals, but prohibits charging any fee for 
          services related to veteran's benefits applications.  (38 U.S.C. 
          Sec. 5904.)  Yet, the sponsor argues, "veterans advocate" 
          companies are charging veterans and their spouses $10,000 or 
          more for assistance in preparing and qualifying for needs-based 
          veteran's benefits, including the Veterans Aid and Attendance 
          program.  The Veterans Aid and Attendance program, administered 
          by the United States Department of Veterans Affairs, provides 
          supplemental income to veterans or their surviving spouses if 
                                                                      



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          their combined income is less than $15,493 per year and they own 
          assets less than $80,000, excluding a residence.  Veterans or 
          their surviving spouses may also qualify for placement in 
          assisted living facilities operated by the California Department 
          of Veterans Affairs.

          Existing law prohibits charging unreasonable fees in connection 
          with the preparation, aid, or advice regarding public social 
          services benefits such as Medicaid and MediCal.  (Civ. Code Sec. 
          1770.)  Proponents of this bill argue that the same predatory 
          companies that were charging unreasonable fees for Medicaid and 
          MediCal applications are now charging veterans and their spouses 
          unreasonable fees associated with veteran's benefits 
          applications.  These companies, the proponents argue, sell to 
          veterans or their spouses financial services and products such 
          as irrevocable trust preparation and deferred annuities for the 
          purpose of hiding the veteran's assets to qualify for veteran's 
          benefits.  In addition to the application assistance fee, the 
          "veterans advocate" may receive a commission on the sale of 
          deferred annuities.  This bill would provide veterans and their 
          surviving spouses with civil protections against unscrupulous 
          "veterans advocates" charging exorbitant fees for assistance 
          with veteran's benefit applications.    

          3.  Private right of action for an individual who has been charged 
            unreasonable fees for assistance in procuring veteran's 
            benefits
           
          This bill would provide a private right of action to an 
          individual who has been charged unreasonable fees for assistance 
          in procuring veteran's benefits.  Under existing law, public 
          social services, including veteran's benefits, are offered to 
          individuals in the state who are most in need of assistance from 
          the state and local government.  These services range from 
          subsidies for living expenses to assisted living facilities.  
          Because public social services are need-based, no application 
          fees are charged, as that would be contrary to the purpose of 
          offering the services in the first place.  Accordingly, any fee 
          that is charged to individuals for assistance in applying for 
          public social services should be nominal as the assistance would 
          largely consist of filling out necessary forms.   

          Consistent with the goal of helping the general public, many 
          local entities and non-profit organizations already provide free 
          services to individuals who need help in determining which 
          services they are eligible for and in the application process.  
                                                                      



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          However, needy individuals may not be aware of these resources 
          and end up paying huge sums to estate planning companies for 
          services they could have obtained for free.  

          Existing law prohibits charging unreasonable fees in connection 
          with the preparation, aid, or advice regarding public social 
          services benefits such as Medicaid and MediCal.  (Civ. Code Sec. 
          1770.)  These prohibitions currently do not extend to veteran's 
          benefits.  Current law provides civil remedies for individuals 
          who have suffered damages as a result of fraud or deceit.  (Civ. 
          Code Secs. 1572-1573 and 1709-1710.)  A fraudulent 
          misrepresentation is one made with the knowledge that it is or 
          may be untrue and with the intention that the person to whom it 
          is made act in reliance on it.  (Wilke v. Coinway, Inc. (1967) 
          257 Cal.App.2d 126, 136.)  
           
          Individuals who have been charged exorbitant amounts of money 
          for assistance in procuring veteran's benefits may be able to 
          proceed with a civil action on the basis of fraud or deceit.  In 
          addition, senior veterans may also be able to pursue a cause of 
          action under the Elder Abuse and Dependent Adult Civil 
          Protection Act. (Welf. & Inst. Code Sec. 15600 et seq.)  
          However, the availability of these remedies would largely depend 
          on the specific facts of the case and, in some instances, leave 
          individuals with no legal recourse, particularly in those cases 
          where the victims are not senior citizens.  

          This bill would make it an unfair or deceptive trade practice 
          for any person to charge or receive an unreasonable fee to 
          assist an applicant in procuring veteran's benefits, thereby 
          providing a civil right of action for all individuals under the 
          Consumer Legal Remedies Act.  
           
           4.  This bill would utilize existing factors to be considered in 
            determining whether a fee is unreasonable

           This bill would predicate a consumer's right to a civil cause of 
          action based upon whether a consumer was charged an unreasonable 
          fee in the procurement of veteran's benefits.  Because the 
          proportionality of a fee is largely dependent on the type of 
          service provided, it would be difficult to define a specific 
          amount that would be considered overly high in every single 
          circumstance.  

          Existing law provides criteria for determining whether or not a 
          fee is reasonable, including:  (1) the time and effort, and 
                                                                      



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          skill required to perform the service; (2) the novelty and 
          difficulty of the service; (3) the nature and length of the 
          professional relationship; and (4) the experience, reputation, 
          and ability of the individual providing the services.  (Civ. 
          Code Sec. 1770(24)(B)(ii).)  These provisions allow legitimate 
          organizations to continue providing services to individuals in 
          the community so long as their fees are reasonable under the 
          circumstances.   Similarly, these provisions would allow 
          legitimate organizations to continue providing services to 
          veterans and their spouses in connection with veteran's benefits 
          so long as the fees are reasonable under the circumstances.

          5.  This bill would provide remedies, including treble damages, 
            for violations proven by a preponderance of the evidence
             
          This bill would authorize an award of treble damages whenever a 
          defendant is found to have violated its provisions by a 
          preponderance of the evidence.  Under the Consumer Legal 
          Remedies Act (CLRA), an injured consumer is entitled to recover 
          actual damages, injunctive relief, restitution of property, 
          punitive damages, and any other relief that the court deems 
          proper.  (Civ. Code Sec. 1780.)  Existing law also provides for 
          treble damages for individuals charged unreasonable fees in 
          connection with the procurement of public social services.  
          (Civ. Code Sec. 1780(c).)  However, there is currently no 
          consumer protection for unreasonable fees charged in connection 
          with the procurement of veteran's benefits, so treble damages 
          are not currently available to these victims.

          The authorization of treble damages permits a court to triple 
          the amount of the actual/compensatory damages to be awarded to a 
          prevailing plaintiff, generally in order to punish the losing 
          party for willful conduct.  Treble damages are a multiple of, 
          and not an addition to, actual damages.  Thus, where a person 
          received an award of $100 for an injury, a court applying treble 
          damages would raise the award to $300.  

          Generally, punitive damages are awarded when it is proven by 
          clear and convincing evidence that the defendant has been guilty 
          of oppression, fraud, or malice.  (Civ. Code Sec. 3294(a).)  
          However, the Legislature is free to provide for additional 
          statutory remedies where it deems appropriate.  These statutory 
          damages may, for example, take the form of civil penalties or 
          provide for the doubling or trebling of actual damages found by 
          the trier of fact.  

                                                                      



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          The Civil Code authorizes additional remedies in actions brought 
          by, on behalf of, or for the benefit of senior citizens or 
          disabled persons, but these remedies are not available to 
          veterans who are not senior citizens or disabled.  For example, 
          under Civil Code Section 1780(a), any consumer who is a senior 
          citizen or a disabled person may seek and be awarded, in 
          addition to the other statutory remedies provided, up to $5,000. 
           Before making that award, the trier of fact must do all of the 
          following:  (1) find that the consumer has suffered substantial 
          damages from the defendant's conduct; (2) make an affirmative 
          finding in regard to one or more of the factors set forth in 
          Civil Code Section 3345(b); and (3) find that an additional 
          award is appropriate.  (Civ. Code Sec. 1780(b)(1).) 

          Further, Civil Code Section 3345 provides for increasing any 
          applicable fine, penalty, or other remedy up to three times the 
          amount authorized or to be imposed in actions brought by, on 
          behalf of, or for the benefit of senior citizens or disabled 
          persons to redress unfair or deceptive practices or unfair 
          methods of competition.  Before imposing additional damages, the 
          trier of fact must make at least one affirmative finding with 
          respect to:  (1) whether the defendant's conduct was directed to 
          senior citizens or disable persons; (2) whether the defendant's 
          conduct caused such persons to suffer losses; and (3) whether 
          the plaintiff(s) was more vulnerable to defendant's conduct than 
          other members of the public.  (Civ. Code Sec. 3345(b).)  While 
          these additional statutory remedies would cover a significant 
          portion of the intended beneficiaries of this bill, they would 
          not be available to victims who are not senior citizens or 
          disabled persons.  

          Treble damages under the CLRA would appear to be appropriate for 
          victims of overcharging for the procurement of veteran's 
          benefits.  Staff notes that Civil Code Section 1782 provides the 
          potential defendant a right to cure.  Consumers who believe they 
          have been wrongfully overcharged for assistance with veteran's 
          benefits must provide notice of the overcharge at least 30 days 
          prior to filing an action to the potential defendant.  The 
          potential defendant then has the ability to correct the 
          overcharge within 30 days after receipt of the consumer's notice 
          and if the potential defendant has corrected the problem, no 
          civil action can be maintained.  (Civ. Code Sec. 1782(b).)  This 
          bill would provide mandatory trebling of compensatory damages in 
          all cases where, after failing to correct the overcharge prior 
          to commencement of the case, it is proven by a preponderance of 
          the evidence that a defendant has charged unreasonable fees for 
                                                                      



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          assistance in procuring veteran's benefits.   

          6. Amendments to be adopted in Committee  

          When this bill was heard in the Senate Committee on Veterans 
          Affairs, the author agreed to accept an amendment to provide 
          consumer protections for activities and functions administered 
          or supervised by the California Department of Veterans Affairs.  
          Because of timing constraints, that amendment needs to be put in 
          the bill in this Committee.  Additionally, the author has agreed 
          to accept a technical correction to this bill.

             Author's amendments:
             
             1.   On page 4, line 31, after "Affairs" add "or the 
               California Department of Veterans Affairs".

             2.   On page 4, line 32, after "services" add ", or both,".


           Support  :  Consumer Attorneys of California

           Opposition :  None Known

                                        HISTORY
           
           Source  :  California Advocates for Nursing Home Reform

           Related Pending Legislation  :  None Known

           Prior Legislation  :  See Background.

           Prior Vote  :  Senate Committee on Veterans Affairs (Ayes 8, Noes 
          0)

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