BILL ANALYSIS                                                                                                                                                                                                    �



                                                                  AB 557
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          ASSEMBLY THIRD READING
          AB 557 (Yamada)
          As Introduced  February 20, 2013
          Majority vote 

           VETERANS AFFAIRS    10-0        APPROPRIATIONS      17-0        
           
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          |Ayes:|Muratsuchi, Ch�vez,       |Ayes:|Gatto, Harkey, Bigelow,   |
          |     |Atkins, Brown, Eggman,    |     |Bocanegra, Bradford, Ian  |
          |     |Fox, Grove, Melendez,     |     |Calderon, Campos,         |
          |     |Salas, Yamada             |     |Donnelly, Eggman, Gomez,  |
          |     |                          |     |Hall, Holden, Linder,     |
          |     |                          |     |Pan, Quirk, Wagner, Weber |
          |-----+--------------------------+-----+--------------------------|
          |     |                          |     |                          |
           ----------------------------------------------------------------- 
           SUMMARY  :  Changes the font size and language in the quarterly  
          statements to residents of the California veterans' homes.   
          Specifically,  this bill  :  

          1)Requires that the quarterly statements of all charges for the  
            costs of care rendered to the member of a veterans' home 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  
            (ADA).

           EXISTING LAW  provides that:

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

          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  








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            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  
               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 Military and Veterans Code Section  
               1035.7(a) and titled in large font "NOTICE TO RESIDENTS,"  
               shall be conspicuously posted in each veterans home by the  
               administrator of the veterans home.









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          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.

           FISCAL EFFECT  :  According to the Assembly Appropriations  
          Committee, negligible state cost.

           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  
          and/or cost of adding the advisory language to the bill is  
          negligible, according to the Assembly Appropriations Committee  








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          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.


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


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