BILL ANALYSIS                                                                                                                                                                                                    �






                                  SENATE HUMAN
                               SERVICES COMMITTEE
                            Senator Carol Liu, Chair


          BILL NO:       SB 345                                      
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          AUTHOR:        Wolk                                        
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          VERSION:       January 4, 2012 
          HEARING DATE:  January 10, 2012                            
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          FISCAL:        Appropriations                              
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          CONSULTANT:    Mareva Brown

                                        

                                     SUBJECT

                         Long Term Care Ombudsman Program


                                     SUMMARY  

          Requires the Office of the Long Term Care Ombudsman to make 
          two annual reports to the Legislature on advocacy and other 
          efforts, establishes a hiring panel for filling vacancies 
          in the State Ombudsman position, requires that the State 
          Ombudsman establish an advisory board, requires the office 
          to solicit charitable contributions, directs the office to 
          establish a prominent web presence, and makes various other 
          changes.

                                     ABSTRACT  

          Current law
             1.   Establishes the Long-Term Care Ombudsman program as 
               a result of the federal Older Americans Act (OAA) and 
               places it within the California Department of Aging 
               (CDA) in order to encourage community contact and 
               involvement with elderly patients or residents of 
               long-term care facilities or residential facilities 
               through the use of volunteers and volunteer programs.  
                                                         Continued---



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               Federal law generally prohibits ombudsman from making 
               a disclosure of personal information pertaining to an 
               ombudsman program client, unless the client provides 
               written consent.

             2.   Allocates funds to local ombudsman programs to 
               assist elderly persons in long-term health care 
               facilities and residential care facilities by, among 
               other things, investigating and seeking to resolve 
               complaints against these facilities.

             3.   Provides for the appointment of a state ombudsman 
               and specifies certain requirements of the person 
               filling that position.

             4.   Requires the department to establish an 11-member 
               advisory council for the office to provide advice and 
               consultation on issues affecting the provision of 
               ombudsman services.

          This bill
             1.   Makes various declarations about the Office of the 
               State Long Term Care Ombudsman and the duties of the 
               Ombudsman.

             2.   Deletes the definition of "medical training." 

             3.   Requires, instead of encouraging, the Director of 
               the Department of Aging to provide widespread 
               notification if the Ombudsman's position becomes 
               vacant, announce the position within 10 days of 
               vacancy and convene an advisory panel within 30 days 
               to consider selection of a new Ombudsman.

             4.   Creates a five-member hiring panel to select two or 
               more candidates for the Long Term Care Ombudsman's 
               position, from which the Department of Aging director 
               may hire, and specifies the composition of that board.

             5.   Adds the requirement of being a certified ombudsman 
               to other hiring qualifications of a Long Term Care 
               Ombudsman.

             6.   Requires that the office of the State Ombudsman be 
               located in Sacramento.




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             7.   Requires that the State Ombudsman establish an 
               advisory council no later than June 30, 2013 to obtain 
               advice and consultation on various issues related to 
               state and local ombudsman programs.  Membership in the 
               council will be voluntary and members will serve 
               without compensation.

             8.   Repeals existing language defining the composition 
               of this advisory council, including its size and 
               required membership, and instead states only that it 
               must include at minimum two local ombudsman program 
               representatives.

             9.   Requires that at least two members of the advisory 
               council be local ombudsmen program representatives, 
               chosen in consultation with the Long Term Care 
               Ombudsman Association.

             10.  Requires, instead of permitting, that in cases 
               where the Attorney General cannot represent the Office 
               of the Long Term Care Ombudsman because of a conflict 
               with another state agency, that the Ombudsman's office 
               or the other agency must hire outside counsel.

             11.  Requires, instead of permitting, the Office of the 
               Long Term Care Ombudsman to solicit and receive funds, 
               gifts and contributions to support the operations and 
               programs of the office.

             12.  Requires the Office of the Long Term Care Ombudsman 
               to submit a report to the legislature annually on July 
               1 that describes its advocacy plan, including 
               measurable, achievable outcomes that benefit long-term 
               care facility residents. 

             13.  Requires the Office of the Long Term Care Ombudsman 
               to submit a report to the legislature annually on 
               Sept. 30 evaluating the previous year's advocacy 
               efforts, including evidence of completed activities 
               and results.  Prior to submitting the report, the 
               Ombudsman's office must solicit comments on the report 
               from local ombudsman programs and include those 
               responses in an addendum to the report.





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             14.  Amends state law to comply with federal statute 
               which, among other duties, requires the State 
               Ombudsman to "represent the interests of long-term 
               care facility residents before governmental agencies 
               and seek administrative, legal and other remedies to 
               protect the health, safety, welfare and rights of the 
               residents." Requires that this representation be done 
               without interference by the Department of Aging or any 
               other state departments or programs.

             15.  Directs the Office of the Long Term Care Ombudsman 
               to maintain an internet presence that is prominent on 
               the Department's home page and includes information 
               about current long-term care trends and issues, links 
               to local ombudsman programs and other information 
               relevant to long-term care facility residents and 
               consumers.

             16.  Prohibits investigatory files and records kept by 
               local ombudsmen be disclosed only at the discretion of 
               the ombudsman or the person designated to disclose the 
               files and records and permits disclosure only in 
               specified circumstances.


                                  FISCAL IMPACT  

          This bill has not been analyzed by a fiscal committee.

                            BACKGROUND AND DISCUSSION  

          Purpose of the bill
          The author believes that, under its present structure, the 
          state's ombudsman program is not advocating effectively for 
          residents.  Community activists have informed the author 
          that California's office is ineffective, citing the state 
          ombudsman's lack of public support on legislative issues 
          pertaining to long-term care.  As an appointee of the 
          director of the Department on Aging, the state ombudsman, 
          says the author, is expected to take the same position on 
          legislation and other public policy matters as the 
          Department of Aging takes.

          Initially, the author intended to remove the Office of the 
          Long Term Care Ombudsman from the Department of Aging and 




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          into a nonprofit organization.  However, this approach had 
          constitutional challenges.  This bill instead requires an 
          annual advocacy plan, as well as a second annual report 
          evaluating the previous year's advocacy efforts, with 
          mandated input from local ombudsman programs.  It makes a 
          number of other changes, intended to buffer the Ombudsman 
          from the state agency in which it is housed, including 
          creating a hiring panel to provide a list of candidates 
          from which the Director may choose, and aligning state 
          statute with federal statute requiring the State Ombudsman 
          to advocate for residents of long-term care facilities.  
          The bill also states that the State Ombudsman's advocacy 
          must be free from state departments' interference. 
           
           Program History
          California's Ombudsman program began in 1979 in response to 
          federal efforts to improve conditions for residents of 
          nursing homes and other long-term care facilities.  Shoddy 
          conditions and poor care had prompted Congressional 
          interest, and a 1978 amendment to the federal Older 
          Americans Act requiring states to create ombudsman programs 
          that could investigate and resolve complaints at nursing 
          homes and advocate for residents by commenting on laws and 
          policies, and identifying widespread problems.
           
           Senate review of the state ombudsman
          In November 2009, the Senate Office of Oversight and 
          Outcomes, which is part of the Office of the President pro 
          Tempore, prepared a report for the Rules Committee, at the 
          request of the Health Committee's Subcommittee on Aging and 
          Long-Term Care.  The report's title provides its own 
          executive summary:  California's Elder Abuse Investigators: 
          Ombudsmen Shackled by Conflicting Laws and Duties.

          Among the findings of the report: "Local coordinators in 
          California say that having a political appointee running 
          the state office makes it hard for the program to speak out 
          on issues concerning long-term care residents, one of the 
          original intents of the federal ombudsman program.  
          California's state ombudsman (in talking with the Oversight 
          office) said he supported steps that would give him more 
          flexibility and independence."

          In the body of the report, the author cited local 
          coordinators saying that "the state ombudsman lacks the 




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          independence to take stands that might contradict or get 
          out in front of the governor on legislation or budget 
          cuts."  He goes on to write that this constraint filters 
          down to local programs.  Although most of the report is 
          focused on issues surrounding elder abuse investigations, 
          the report does include a recommendation for improving 
          advocacy efforts:

                 Pass legislation to enhance the ability of the 
               ombudsman to act as an independent voice for the 
               elderly, as required under the Older Americans Act, 
               and require the state ombudsman's office to develop a 
               comprehensive plan of advocacy.

          National review of the states' long-term care ombudsmen 
          In March 2007, the National Association of State Long-Term 
          Care Ombudsman Programs published a white paper evaluating 
          the success of the states' advocacy efforts. It found that 
          36 percent of state ombudsmen need prior approval before 
          testifying to legislators on issues related to long-term 
          care facility residents, and 21 percent of state ombudsmen 
          are not allowed to initiate contact with state legislators. 
           The report noted that the Older Americans Act clearly 
          mandates that long-term care ombudsman programs provide 
          systems-level advocacy on behalf of long-term care 
          residents.

          State fundraising 
          Under existing statute, the Office of the State Long Term 
          Care Ombudsman may solicit and receive funds, gifts and 
          contributions to support the operations and programs of the 
          office. This bill would require the office to solicit 
          funds. According to the State Ombudsman's office, the only 
          charitable contributions it has solicited and used so far 
          have been significant grants from foundations which have 
          directly supported specific programs. Existing statute 
          permits the creation of a foundation with a five-member 
          board of directors to oversee the charitable funds' use. 
          However, the State Ombudsman said he believes the change 
          required by this bill would likely require additional staff 
          support to fulfill the fundraising requirement.

                              COMMENTS AND QUESTIONS

          Are two separate annual reports warranted?




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           On December 12, 2011, Gov. Brown ordered state departments 
          to review the 2,600 annual reports that they are required 
          to submit to the legislature and identify those that are no 
          longer necessary.  Given the economic climate and the 
          length of time it takes on average to prepare a legislative 
          report or advocacy plan, it may be worth consolidating 
          these proposed new reports.  The Department of Aging must 
          submit information annually to the federal government about 
          advocacy activities, nursing home complaints and other 
          information, per the federal Older Americans Act. Staff 
          recommends:

          Combining language for the initial advocacy plan and the 
          review of activities into a single plan, due annually. 

           Is a separate hiring panel warranted?
           This bill establishes both a five-member hiring panel, and 
          establishes a June 2013 deadline to create an advisory 
          committee, which has been required in statute since 2000.  
          The State Ombudsman currently is appointed at the 
          discretion of the Governor, through the Director of the 
          state Department of Aging, per existing statute.  Given the 
          economic climate, and the desire to streamline governmental 
          organizations, the creation of two separate bodies may be 
          unnecessary. Staff recommends the following actions: 

          Delete amendments to WIC 9711 (a) and (b) requiring that 
          the State Ombudsman be appointed by a selection of 
          candidates selected by a five-member hiring panel.

          Delete amendments to Welfare and Institutions Code section 
          9711.10 creating the hiring panel and specifying its 
          duties. 

          Add to WIC Section 9710.5 (b) (3) Forward to the Governor 
          for consideration up to two names of individuals 
          recommended by the advisory council pursuant to WIC 9740, 
          if the panel chooses to make recommendations. 

           Should the composition of the advisory committee be more 
          specific? 
           This bill repeals the section of code that defines the size 
          and composition of the advisory committee and process for 
          selecting members. Instead it solely requires the advisory 
          committee to include to representatives of local ombudsman 




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          programs and states that participation is voluntary and 
          without compensation. Staff recommends the following 
          action:

          Delete amendments that repeal WIC 9740 and 9741 and move 
          language in WIC 9712(c) to those sections. 

           Withdrawal of amendments redefining confidentiality of 
          documents
           New amendments, reflected in Section 18 (g) subsections (1) 
          and (2 A-C), are not reflective of the author's intent.  
          Additionally, the author's office requests withdrawal of 
          the amendment on Page 13, line 4, which reads "if consent 
          to share the information has been provided by the resident 
          or his or her responsible party. The author's office also 
          requests to withdraw the amendment on page 13, line 5, 
          which strikes the word "shall" and inserts the words "may 
          request to." Staff recommends:

          Delete these amendments.

                                    POSITIONS 

          Support:       Committee for an Independent State Ombudsman 
          (sponsor)
                         AARP
                         Long Term Care Services of Ventura County
                         Ombudsman Services of San Mateo County
                         Wise & Healthy Aging

          Oppose:   None received.




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