BILL ANALYSIS                                                                                                                                                                                                    �





                                                                  AB 1744

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          GOVERNOR'S VETO
          AB 1744 (Brown)
          As Amended  August 21, 2014
          2/3 vote

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          |ASSEMBLY:  |76-0 |(May 29, 2014)  |SENATE: |34-0 |(August 25,    |
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          |ASSEMBLY:  |77-0 |(August 27,     |        |     |               |
          |           |     |2014)           |        |     |               |
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           Original Committee Reference:    AGING & L.T.C.

          SUMMARY  :  Establishes the California Caregiver Act of 2014 which  
          directs the California Department of Aging (CDA) to convene a  
          task force and make recommendations relating to the needs of  
          unpaid family caregivers.  

           The Senate amendments  revise funding thresholds from a specific  
          amount ($200,000) of private funds, to a "sufficient" amount of  
          private funds; and calls for assessments of information,  
          referral, and resource sharing systems used by family  
          caregivers.  
           
          EXISTING LAW  :

          1)Establishes the Older Californians Act (OCA) and assures older  
            adults have equal access to programs and services provided  
            through the OCA regardless of physical or mental disabilities,  
            language barriers, cultural or social isolation.  

          2)Establishes CDA to provide leadership to 33 area agencies on  
            aging in developing systems of home-and community-based  
            services that maintain individuals in their own homes or least  
            restrictive, homelike environments.  

          3)Establishes the Title IIIE program, also known as the National  










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            Family Caregiver Support Program (NFCSP), to coordinate local  
            community-service systems for assisting caregivers of seniors.  
             

          4)Establishes Caregiver Resource Centers to deliver services to  
            and advocate for caregivers of cognitively impaired adults,  
            and enable them to make decisions related to care, respite,  
            and counseling in legal and financial aid.  

           AS PASSED BY THE ASSEMBLY  , this bill included the author's title  
          for the act, and included findings and declarations detailing  
          the intersection of a range of policy and population trends that  
          impact family caregivers.  

           FISCAL EFFECT  :  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.  

           COMMENTS  :  According to the author, families are the major  
          provider of long-term care, but research has shown that  
          caregiving exacts a heavy emotional, physical and financial  
          toll.  Many caregivers who work and provide care experience  
          conflicts between their responsibilities.  Almost half of all  
          caregivers are over age 50, making them more vulnerable to a  
          decline in their own health, and one-third describe their own  
          health as just "fair-to-poor."  Women make up the majority of  
          the unpaid caregiver workforce, often interrupting work careers  
          to take on the burden of caring for a relative.  Caregiving  
          women face uncertain economic futures due to breaks from  
          employment and the corresponding reductions to retirement plans  
          and the social security system.  

          At a joint hearing of the Assembly Aging and Long-Term Care and  
          the Assembly Human Services Committees in 2011, testimony about  
          caregiving in California revealed that while some people receive  
          care from paid caregivers, most rely on unpaid assistance from  
          families, friends and neighbors.  The National Alliance on  










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          Caregiving and AARP report entitled:  Caregiving in the United  
          States, 2009, estimates 31.2% of households in the United States  
          had at least one person who served as an unpaid family caregiver  
          during the course of the year.  The same report estimates the  
          number of caregivers in California at any given time at 4.0  
          million, with an estimated 5.88 million people serving as  
          caregivers during the course of a year.  The estimated value of  
          unpaid care in California is $47 billion, accounting for over  
          3.8 billion hours of care at $12.17, the average caregiver wage  
          in 2009.  On the personal side, long-term caregiving has  
          significant financial consequences for caregivers, particularly  
          for women.  Informal caregivers personally lose about $659,139  
          over a lifetime: $25,494 in social security benefits; $67,202 in  
          pension benefits; and $566,443 in forgone wages.  Caregivers  
          face the loss of income of the care recipient, loss of their own  
          income if they reduce their work hours or leave their jobs, loss  
          of employer-based medical benefits, shrinking of savings to pay  
          caregiving costs, and a threat to their retirement income due to  
          fewer contributions to pensions and other retirement vehicles.
           
          GOVERNOR'S VETO MESSAGE :

               The bill would require the California Department of  
               Aging to establish and support a 13-member blue ribbon  
               task force on unpaid family caregiving, using only  
               non-state funds from private sources.

               The California State Plan on Aging, the California  
               Plan for Alzheimer's Disease, the significant reports  
               and action plans developed by the 33 Area Agencies on  
               Aging, the Alzheimer's Association, the AARP and so  
               many others have produced ample evidence for  
               knowledgeable and caring people to recommend ways to  
               improve support for family caregivers. 

               Establishing another task force in state law simply  
               isn't necessary.


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










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