BILL ANALYSIS                                                                                                                                                                                                    �



                                                                  AB 557
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          Date of Hearing:   April 16, 2013

                       ASSEMBLY COMMITTEE ON VETERANS AFFAIRS
                                Al Muratsuchi, Chair
                 AB 557 (Yamada) - As Introduced:  February 20, 2013
           
          SUBJECT  :  Veterans' homes: accounting of charges.

           SUMMARY  :  Changes the font size and some language in the  
          quarterly statements to residents of the Veterans Home.  
          Specifically,  this bill  :  

          1)Requires that the quarterly statements of all charges for the  
            costs of care rendered to the member in excess of the member  
            fee include language 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 or  
            outside the home for payment of unreimbursed   costs of care.

          2)Requires that the statements and notices relating to the  
            statements shall be in a font size and type that complies with  
            the standards of the Americans with Disabilities Act of 1990.

           EXISTING LAW  : 

          1)A member of a veterans' home is required to pay fees and  
            charges as determined by the Department of Veterans Affairs.

          2)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:

             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  








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

          3)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.  The statement must include:
             a)   A statement that the charges for the excess costs of  
               care are provided to the member for informational purposes  
               only.
             b)   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.
             c)   A statement that advises the member to seek counsel from  
               a legal expert to protect his or her assets.

          4)The department 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.  
            Any funds of the deceased veteran representing the cost of  
            care rendered by the home in excess of the fees paid by the  
            veteran to the home shall be paid to the Morale, Welfare, and  
            Recreation Fund.  This subdivision applies only to veterans  
            becoming members of the home on or after January 1, 1984.








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           FISCAL EFFECT  :  Unknown at this time.

           COMMENTS  :  This bill makes minor changes to existing law and  
          policy.  The bill adds language warning the home member that  
          recovery of excess cost of care can be from the member's  
          personal property wherever it is located and adds a requirement  
          that the language be in a font that meets ADA guidelines.

          Residents are already given a notice substantially similar to  
          the one contemplated in the bill when they become a member of  
          the home.  The notice is also permanently posted in 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 bill, while  
          outside the scope of this committee's analysis, seems likely to  
          be relatively small 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.

           Related Legislation:
           
          AB 1823, Yamada. Veterans' homes: accounting for charges.   
          Required the quarterly statement or accounting of all charges to  
          include information relating to payment of any outstanding  
          charges at the time of the veteran's death, including the use of  
          a deceased veteran's personal property or money for payment of  
          outstanding charges, and a statement advising the member to seek  
          counsel from a legal expert to protect his or her assets.



           REGISTERED SUPPORT / OPPOSITION :   

           Support 
           
          None at this time.

          Opposition 
           
          None at this time.
           
          Analysis Prepared by  :    John Spangler / V. A. / (916) 319-3550 








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