BILL ANALYSIS                                                                                                                                                                                                    Ó





                                                                  AB 1565

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          GOVERNOR'S VETO
          AB 1565 (V. Manuel Pérez)
          As Amended  August 4, 2014
          2/3 vote
           
           
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          |ASSEMBLY: |57-14|(May 19, 2014)  |SENATE: |26-9 |(August 20, 2014)    |
          |          |     |                |        |     |                     |
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          |COMMITTEE VOTE:  |5-1  |(August 25, 2014)   |RECOMMENDATION:  |concur  |
          |(Aging & L.T.C.) |     |                    |                 |        |
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          |ASSEMBLY: |59-17|(August 26,     |        |     |                     |
          |          |     |2014)           |        |     |                     |
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          Original Committee Reference:    V.A.  

           SUMMARY  :  Authorizes the Director of the California Department  
          of Aging (CDA) to initiate a process to seek proposals for  
          grants to non-profit organizations experienced in providing  
          culturally competent services and training, for three categories  
          of services:  outreach to elder lesbian, gay, bisexual, and  
          transgender (LGBT) veterans; referrals to agencies, individuals,  
          and other entities that provide services to LGBT elders; and, to  
          provide coordinated training, outreach, and education to  
          agencies, individuals and entities such as county veteran  
          services offices and congressionally authorized veterans'  
          service organizations, that serve LGBT veterans, to the extent  
          funds are appropriated for the purpose.  

           The Senate amendments  delete the Assembly approved version of  
          the bill which added language to the Military and Veterans Code  
          directing the Department of Veterans Affairs to review existing  










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          veterans' transportation providers in order to identify areas in  
          the state most in need of volunteer transportation for veterans.  
           

           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 PY [Personal  
          Year].  First year costs reflect startup activities to request  
          proposals, post award notices, and develop contracts.  Ongoing  
          costs result from contract oversight and grant administration  
          activities.  

           COMMENTS  :  

          1)This bill is permissive in nature and contingent upon grant  
            funding being available.  

          2)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 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."  











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          3)A recent informational hearing of the Assembly Aging and  
            Long-Term Care Committee entitled Faces of Aging:  Aging and  
            the LGBT Community received testimony from state and national  
            experts involved in providing services to older LGBT citizens.  
             Testimony revealed LGBT people, including LGBT veterans,  
            exhibit higher rates of diabetes, hypertension, poor mental  
            health, and physical disability compared to demographically  
            similar straight adults.  Homophobia, heterosexism,  
            heteronormativity, and stigma, coupled with limited legal  
            recognition, family-of-origin estrangement, and historical  
            discrimination contribute to disparities which could be  
            overcome with specific outreach, training and education.  This  
            bill can improve assurances that benefits earned by California  
            Veterans are accessed and utilized to encourage optimum health  
            and wellness, and discourage future reliance upon state funded  
            entitlements.

          4)California's demographics are changing quickly, both in terms  
            of age and diversity.  Future legislatures may feel compelled  
            to develop legislation to address other population groups  
            whose care into the future will require a wide range of  
            cultural competencies.  

           GOVERNOR'S VETO MESSAGE  :

          "I appreciate the author's desire to focus on the needs of  
          lesbian, gay, bisexual or transgender veterans, but creating a  
          new grant program without a funding source is premature. 

          "If any funding is identified in the future for such a program,  
          the California Department of Veterans Affairs would be a better  
          entity for its administration."


           Analysis Prepared by  :    Robert MacLaughlin / AGING & L.T.C. /  
          (916) 319-3990 


                                                               FN: 0005703 












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