BILL ANALYSIS �
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|SENATE RULES COMMITTEE | AB 1744|
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THIRD READING
Bill No: AB 1744
Author: Brown (D), et al.
Amended: 8/21/14 in Senate
Vote: 21
SENATE HUMAN SERVICES COMMITTEE : 4-0, 6/24/14
AYES: Beall, DeSaulnier, Liu, Wyland
NO VOTE RECORDED: Berryhill
SENATE APPROPRIATIONS COMMITTEE : 5-0, 8/14/14
AYES: De Le�n, Hill, Lara, Padilla, Steinberg
NO VOTE RECORDED: Walters, Gaines
ASSEMBLY FLOOR : 76-0, 5/29/14 - See last page for vote
SUBJECT : California Department of Aging
SOURCE : AARP California
California Caregiver Resource Centers
DIGEST : This bill, until January 1, 2018, requires the
California Department of Aging (CDA) to establish a blue-ribbon
task force comprised of at least 13 members, as specified, to
make legislative recommendations to improve services for unpaid
and family caregivers in California if CDA receives sufficient
non-state funds from private sources to implement these
provisions. This bill requires the task force to prepare a
report of its findings and recommendations and provide it to the
Legislature on or before July 1, 2017, and makes related
findings and declarations.
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Senate Floor Amendments of 8/21/14 make a technical change and
include uncodified language providing a title for this bill and
stating legislative findings.
ANALYSIS :
Existing law:
1. Establishes the Mello-Granlund Older Californians Act, which
reflects the policy mandates and directives of the Older
Americans Act of 1965, and sets forth the state's commitment
to its older population and other populations served by the
programs administered by CDA.
2. Establishes the California Commission on Aging (Commission),
with 25 appointees, as designated, and staggered three-year
terms, and tasks the Commission with duties, as specified.
This bill
1.States this bill shall be known, and may be cited, as the
California Caregiver Act of 2014.
2.Requires the CDA to establish a task force if it receives
sufficient non-state funds from private sources.
3.Requires the task force to be composed of the Director of CDA
and 12 additional members, with specified backgrounds.
4.Requires the task force consider specific issues relating to
unpaid caregiving and make recommendations to the Legislature
on or before July 1, 2016.
5.Makes various legislative findings and declarations related to
family caregivers.
Background
Aging population . Nationally, according to the U.S.
Administration on Aging (AoA), 40 million adults were aged 65 or
older in 2009, the latest year for which data is available, or
about one in every eight Americans. By 2030, the AoA
calculated, there will be about 72.1 million older persons, more
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than twice their number in 2000. People aged 65 or older
represented 12.4% of the population in the year 2000 but are
expected to grow to be 19% of the population by 2030.
According to data on CDA's Internet Web site, California's aging
population has one of the nation's fastest growth rates among
the elderly. In California, the elderly population is expected
to grow more than twice as fast as the total population and this
growth will vary by region.
Family caregivers . A 2011 report issued by the AARP Public
Policy Institute noted that about 42 million family caregivers
in the United States provided care to an adult with limitations
in daily activities in 2009, and nearly 62 million provided care
at some point during the year. The estimated economic value of
their unpaid contributions was approximately $450 billion in
2009, according to the report, based on an average of 18.4 hours
of care per week at an average value of $11.16 per hour.
According to data from the Centers for Disease Control Web site,
unpaid caregivers provided an estimated 90% of the long-term
care in 2008. The typical caregiver is a 46 year old woman with
some college experience who provides more than 20 hours of care
each week to his/her mother. Just over half of caregivers who
said their health had gotten worse due to caregiving also said
the decline in their health has affected their ability to
provide care.
According to the AARP survey, "Valuing the Invaluable," one in
five women reported that caregiving strains their household
finances and that 42% of caregivers spend more than $5,000 a
year on caregiving expenses. However, one of the more
significant impacts on caregiving is the emotional and physical
toll on caregivers.
"An extensive body of research finds that providing care to a
chronically ill family member or close friend can have profound
negative effects on the caregiver's own physical and
psychological health, increase social isolation and adversely
impact quality of life and well-being. More than two-thirds of
family caregivers responding to an online survey said that
caring for a loved one was their number one source of stress,
ahead of the economic downturn and other family health
problems."
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Caregiver resource centers . Every year, California's nonprofit
Caregiver Resource Centers serve more than 14,000 families and
caregivers of adults affected by chronic and debilitating health
conditions including dementia, Alzheimer's disease,
cerebrovascular diseases (such as stroke or aneurysms),
degenerative diseases such as Parkinson's, Huntington's and
multiple sclerosis, or traumatic brain injury among many others.
A 2012 report issued by the Commission, noted that the state
faces serious caregiver challenges in today's economic climate.
As budgets are cut at the state level, state policies are moving
rapidly toward providing more services to frail elders in the
home, according to the report, entitled "Celebrating Caregiving
in California." The Commission cautioned that policymakers must
weigh the value of protecting the interest of family caregivers
against the cost of institutionalization.
Related legislation
AB 753 (Lowenthal, Chapter 708, Statutes of 2013) requires the
Department of Health Care Services to contract directly with
nonprofit caregiver resource centers to provide direct services
to caregivers of cognitively impaired adults, including
specialized information, family consultation, respite care,
short-term counseling, and support groups.
AB 491 (Alquist Chapter 339, Statutes of 2008) required DPH to
establish an Alzheimer's Disease and Related Disorders Advisory
Committee, appoint members, and develop recommendations about
various policy issues related to Alzheimer's disease.
FISCAL EFFECT : Appropriation: No Fiscal Com.: Yes
Local: No
According to the Senate Appropriations Committee, one-time costs
up to $300,000 to provide staff support to the task force and
reimburse travel expenses for task force members by CDA.
(General Fund and private funds). Staff anticipates that CDA
may need up to two staff positions to support the task force and
about $25,000 to reimburse travel costs.
SUPPORT : (Verified 8/22/14)
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AARP California (co-source)
California Caregiver Resource Centers (co-source)
Advisory Council -San Francisco Commission on Aging
Alzheimer's Association
Area 4 Agency on Aging
California Assisted Living Association
California Association of Adult Day Services
California Association of Area Agencies on Aging
California Caregiver Resource Center - Orange County
California Commission on Aging
California Long-Term Care Ombudsman Association
California Senior Legislature
California State Retirees
Congress of California Seniors
Del Oro Caregiver Resource Center
Family Caregiver Alliance
Health Projects Center
Orange County Aging Services Collaborative
San Francisco Department of Aging and Adult Services
SEIU California
Southern Caregiver Resource Center
United Domestic Workers of America, AFSCME Local 3930
OPPOSITION : (Verified 8/22/14)
Department of Finance
ARGUMENTS IN SUPPORT : The author's office states that this
bill provides family caregivers and our state invaluable data
and information as we move forward in addressing family
caregiving and long-term support services. The author's office
states this bill was modeled after SB 491 (Alquist, Chapter 339,
Statutes of 2008) which established the Alzheimer's Disease and
Related Disorders Advisory Committee.
ARGUMENTS IN OPPOSITION : The Department of Finance (DOF) is
opposed to this bill because they state it is unnecessary and
results in new state costs. DOF states that while this bill
would assist in the development of an inventory of resources
available to family caregivers, consolidated resources are
already available through the CDA Caregiver Resource Centers and
various family caregiver advocacy organizations and Internet Web
sites.
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ASSEMBLY FLOOR : 76-0, 5/29/14
AYES: Achadjian, Alejo, Allen, Ammiano, Bigelow, Bloom,
Bocanegra, Bonilla, Bonta, Bradford, Brown, Buchanan, Ian
Calderon, Campos, Chau, Ch�vez, Chesbro, Conway, Cooley,
Dababneh, Dahle, Daly, Dickinson, Eggman, Fong, Fox, Frazier,
Beth Gaines, Garcia, Gatto, Gomez, Gonzalez, Gordon, Gorell,
Gray, Grove, Hagman, Roger Hern�ndez, Holden, Jones,
Jones-Sawyer, Levine, Linder, Logue, Lowenthal, Maienschein,
Mansoor, Medina, Melendez, Mullin, Muratsuchi, Nazarian,
Nestande, Olsen, Pan, Patterson, Perea, John A. P�rez, V.
Manuel P�rez, Quirk, Quirk-Silva, Rendon, Ridley-Thomas,
Rodriguez, Salas, Skinner, Stone, Ting, Wagner, Waldron,
Weber, Wieckowski, Wilk, Williams, Yamada, Atkins
NO VOTE RECORDED: Donnelly, Hall, Harkey, Vacancy
JL:d:n 8/22/14 Senate Floor Analyses
SUPPORT/OPPOSITION: SEE ABOVE
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