BILL ANALYSIS                                                                                                                                                                                                    Ó



                                                                  AB 1565
                                                                  Page  1

          CONCURRENCE IN SENATE AMENDMENTS
          AB 1565 (V. Manuel Pérez)
          As Amended  August 4, 2014
          Majority vote
           
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          |ASSEMBLY:  |     |(May 19, 2014)  |SENATE: |26-9 |(August 20,    |
          |           |     |                |        |     |2014)          |
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                    (vote not relevant)
           
           Original Committee Reference:    V.A.

          SUMMARY  :  Authorizes the Director of the California Department  
          of Aging to provide grants, to the extent appropriations are  
          made for this purpose, to nonprofit organizations with  
          experience providing services and training that are culturally  
          competent and sensitive to issues relating to the lesbian, gay,  
          bisexual, and transgender (LGBT) community.  Requires nonprofit  
          organizations receiving those grant funds to, among other  
          things, provide training, outreach, and education to agencies,  
          individuals, and other appropriate entities that provide  
          services to veterans who are elder and LGBT.
             
           The Senate Amendments  delete the Assembly version of this bill,  
          and instead:

          1)Authorize the Director of the California Department of Aging  
            to the extent appropriations are made for this purpose, to  
            provide grants to nonprofit organizations with experience  
            providing services and training that are culturally competent  
            and sensitive to issues relating to the lesbian, gay,  
            bisexual, and transgender community.

          2)Mandate that nonprofit organizations receiving grants must use  
            grant funds to do all of the following:

             a)   Provide outreach to elder veterans who are LGBT.

             b)   Refer, as appropriate, elder, LGBT veterans to agencies,  
               individuals, and other appropriate entities that provide  
               services to elder, LGBT veterans.

             c)   Provide training, outreach, and education to, and  
               coordinate with, agencies, individuals, and other  








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               appropriate entities that provide services to elder, LGBT  
               veterans.

          3)Clarify that an appropriate entity that provides services to  
            elder, LGBT veterans includes, but is not limited to,  
            organizations authorized to prepare, present, and prosecute a  
            claim before the United States Department of Veterans Affairs,  
            such as county veterans' service offices and congressionally  
            chartered veterans service organizations.

          4)Mandate that grants made pursuant to this section shall be  
            awarded through a request for proposal process.

           FISCAL EFFECT  :  According to the Senate Appropriations  
          Committee:

          1)Annual administrative expenses of $63,603 (General Fund).

          2)Unknown appropriation for future grant funding (General Fund).
          The Department of Aging estimates the need for 0.6 personal  
          year.  First year costs result in startup activities including  
          developing contracts, requesting proposals, and posting award  
          notices.  Ongoing costs include contract oversight activities  
          and administering the grants.

           COMMENTS  :  This bill is permissive in nature and contingent upon  
          grant funding being available.  According to the author:

               California is the state with the largest LGBT veteran  
               population, yet these veterans do not access their  
               earned benefits and health care at the same rate as  
               heterosexual vets. There are lots of reasons for why  
               this happens - but fundamentally it's the legacy of  
               discriminatory policies within the military.  For one,  
               our older veterans served prior to Don't Ask Don't  
               Tell and its later repeal.  They internalized a lot of  
               pain and discrimination, and they feel some trauma and  
               fear - even decades later - when it comes to accessing  
               military services and benefits.  Second, it's also  
               about cultural competency - which we know is so  
               important in the delivery of health care and other  
               services.  Trust is a big issue.  

               The result of this gap is that LGBT veterans go  
               without adequate care, which has serious health  








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               implications for the identification and treatment of  
               disease, particularly as the population ages.  So we  
               have people with chronic conditions, service-related  
               injuries, and age-related diseases going untreated.  

               And it's important to note that though the entire  
               veteran population experiences higher rates of trauma  
               than the general population, LGBT veterans have even  
               higher rates of mental health issues, substance abuse,  
               and suicide compared to their heterosexual peers. 

               So AB 1565 seeks to facilitate access, through  
               outreach and training, so that these older veterans  
               who have served their country are not disenfranchised  
               by the system developed to serve them.

          Federal policies regarding LGBT servicemembers and veterans have  
          evolved swiftly in recent years.  Federal and state law and  
          policy has been changing rapidly with regard to same-sex  
          marriage and same-sex marriage issues can impact benefit  
          eligibility.  In a policy/legal environment in this much flux,  
          outreach to elderly LGBT veterans in particular, would be  
          beneficial. 


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


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