BILL ANALYSIS                                                                                                                                                                                                    �



                                                                  AB 1744
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          Date of Hearing:   April 30, 2014

                        ASSEMBLY COMMITTEE ON APPROPRIATIONS
                                  Mike Gatto, Chair

                    AB 1744 (Brown) - As Amended:  April 8, 2014 

          Policy Committee:                              Aging and  
          Long-Term CareVote:                           7-0

          Urgency:     No                   State Mandated Local Program:  
          No     Reimbursable:              No

           SUMMARY  

          This bill requires the California Department of Aging to convene  
          a 12-member panel, comprised of individuals with specified  
          qualifications, to study and make recommendations about family  
          caregiving and long-term services and supports.  Specifically,  
          this bill:

          1)Requires the panel to: 

             a)   Address numerous issues related to family caregiving. 
             b)   Develop at least three legislative recommendations to  
               improve the provision of services for unpaid and family  
               caregivers in California.
             c)   Report to the Legislature by July 1, 2016.
             d)   Provide ongoing advice and assistance to the department  
               and the Legislature as to the needs and priorities of  
               unpaid and relative caregivers.

          1)Specifies that members serve without compensation, but receive  
            reimbursement for travel and other necessary expenses actually  
            incurred in the performance of their official duties.

          2)Specifies the panel shall be jointly chaired by the director  
            of the department and one other person, and that all decisions  
            regarding the expenditure of state funds shall be made by the  
            department representative.

           FISCAL EFFECT  

          1)One-time GF costs to the Department of Aging to support the  
            study and report in the low hundreds of thousands of dollars. 








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          2)Ongoing minor GF costs, likely under $50,000, to provide staff  
            support and travel reimbursement for panel activities.   

           COMMENTS  

           1)Purpose  .  The author indicates this bill is needed to  
            inventory, assess, and report on the status of existing  
            caregiver programs and resources.  Family caregiving is fairly  
            common, with about 30% of US adults in 2009 providing care to  
            someone who is ill, disabled, or aged. It will likely grow  
            even more common, with the over-65 population projected to  
            more than double between the years 2000 and 2030. Research  
            shows caregiving takes a significant emotional, physical, and  
            economic toll on caregivers. Without a comprehensive statewide  
            study of the issue, it is difficult to identify how the state  
            can best support caregivers.    

           2)Staff Comments  . As drafted, it appears as though the intent of  
            this bill is for the panel to perform a one-time assessment  
            and make recommendations via a report to the Legislature.   
            However, the bill also requires the panel to provide ongoing  
            technical assistance to the department and to the Legislature  
            on the "needs of?caregivers."  In contrast with the richly  
            specified one-time duties of the panel, the ongoing  
            expectations for the committee are poorly specified.   

            In addition, the bill requires "all decisions regarding the  
            expenditure of state funds [to] be made by the department  
            representative."  The intent of this provision is unclear-does  
            it refer to spending for the purposes of operating the panel?  
            Does it refer to expenditure proposals to effectuate the  
            recommendations of the panel?  Appropriate department  
            personnel currently make fiscal decisions within the legal  
            authority granted to them, through continuous or annual budget  
            appropriations.  The department representative appointed to  
            the panel may or may not be a person in a position to make  
            decisions regarding the expenditure of state funds. In any  
            case, nothing in current law or in this bill would grant  
            non-state participants on the panel authority to make  
            decisions related to the expenditure of state funds.  This  
            provision should be clarified or deleted.   

           Analysis Prepared by  :    Lisa Murawski / APPR. / (916) 319-2081 









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