Bill Text: CA SB547 | 2015-2016 | Regular Session | Enrolled
Bill Title: Aging and long-term care services, supports, and program coordination.
Spectrum: Partisan Bill (Democrat 2-0)
Status: (Vetoed) 2016-11-30 - Last day to consider Governor's veto pursuant to Joint Rule 58.5. [SB547 Detail]
Download: California-2015-SB547-Enrolled.html
BILL NUMBER: SB 547 ENROLLED
BILL TEXT
PASSED THE SENATE AUGUST 24, 2016
PASSED THE ASSEMBLY AUGUST 22, 2016
AMENDED IN ASSEMBLY AUGUST 1, 2016
AMENDED IN SENATE JANUARY 26, 2016
AMENDED IN SENATE JANUARY 4, 2016
INTRODUCED BY Senator Liu
(Principal coauthor: Assembly Member Brown)
FEBRUARY 26, 2015
An act to add Division 121 (commencing with Section 152000) to the
Health and Safety Code, relating to aging.
LEGISLATIVE COUNSEL'S DIGEST
SB 547, Liu. Aging and long-term care services, supports, and
program coordination.
Existing law establishes the California Health and Human Services
Agency consisting of the Departments of Aging, Child Support
Services, Community Services and Development, Developmental Services,
Health Care Services, Managed Health Care, Public Health,
Rehabilitation, Social Services, and State Hospitals, among other
entities.
Existing law sets forth legislative findings and declarations
regarding long-term care services, including that consumers of those
services experience great differences in service levels, eligibility
criteria, and service availability that often result in inappropriate
and expensive care that is not responsive to individual needs. Those
findings and declarations also state that the laws governing
long-term care facilities have established an uncoordinated array of
long-term care services that are funded and administered by a state
structure that lacks necessary integration and focus.
This bill, among other things, would create the Statewide Aging
and Long-Term Care Services Coordinating Council, chaired by the
Secretary of California Health and Human Services, and would consist
of the heads, or their designated representative, of specified
departments and offices. The secretary would have specified
responsibilities, including, but not limited to, leading the council
in the development of a state aging and long-term care services
strategic plan to address how the state will meet the needs of the
aging population in the years 2020, 2025, and 2030. The bill would
require the strategic plan to be submitted to the Secretary of the
Senate, the Chief Clerk of the Assembly, and the chairs of specified
policy and fiscal committees of the Legislature by July 1, 2018. The
bill would authorize the Secretary of California Health and Human
Services to accept grants or donations, real or in-kind, to support
the operation of the Statewide Aging and Long-Term Care Services
Coordinating Council and the development of the state aging and
long-term care services strategic plan.
THE PEOPLE OF THE STATE OF CALIFORNIA DO ENACT AS FOLLOWS:
SECTION 1. The Legislature finds and declares all of the
following:
(a) The California Health and Human Services Agency consists of
the following departments: the California Department of Aging, the
Department of Community Services and Development, the State
Department of Developmental Services, the State Department of Health
Care Services, the Department of Managed Health Care, the State
Department of Public Health, the Department of Rehabilitation, the
State Department of Social Services, and the State Department of
State Hospitals.
(b) The agency also includes the Emergency Medical Services
Authority, the Office of Health Information Integrity, the Office of
Patient Advocate, the Office of Statewide Health Planning and
Development, the Office of Systems Integration, the Office of Law
Enforcement Support, and the State Council on Developmental
Disabilities.
(c) California baby boomers are turning 65 years of age at the
highest rate in the nation, and over 20 percent of California's
population will be 65 years of age or older by 2030.
(d) Among persons 65 years of age and older, an estimated 70
percent will use long-term services and supports (LTSS).
(e) Persons who are 85 years of age or older are the fastest
growing segment of the United States population, and they are four
times more likely to need LTSS than persons who are 65 years of age
or older, but younger than 85 years of age.
(f) People are living longer, and the aging population is
increasingly diverse.
(g) A report by the Senate Select Committee on Aging and Long Term
Care on January 5, 2015, called, "A Shattered System: Reforming
Long-Term Care in California. Envisioning and Implementing an IDEAL
Long-Term Care System in California," found that the state's system
of 112 aging and long-term care programs administered by 20 agencies
and departments is almost impossible for consumers to navigate.
(h) Other deficiencies of the system include the lack of
person-centered care, poor transitions from hospital to home or to
other institutions, limited access to a range of services that enable
aging in place, deficiency of services and supports in rural areas,
limited cultural competency, skilled workforce shortages across a
range of disciplines, the lack of uniform data, the lack of a
universal assessment tool, and limited caregiver supports.
SEC. 2. Division 121 (commencing with Section 152000) is added to
the Health and Safety Code, to read:
DIVISION 121. Aging and Long-Term Care Services, Supports, and
Program Coordination
152000. The Secretary of California Health and Human Services
shall be responsible for all of the following:
(a) Inter- and intra-agency coordination of state aging and
long-term care services, supports, and programs.
(b) Ensuring efficient and effective use of state funds.
(c) Maximizing the drawdown, and the efficient and effective use
of federal funds.
152001. There is hereby created a Statewide Aging and Long-Term
Care Services Coordinating Council, chaired by the Secretary of
California Health and Human Services, and consisting of the heads, or
their designated representative, of all of the following:
(a) The California Department of Aging.
(b) The Department of Community Services and Development.
(c) The Department of Consumer Affairs.
(d) The Department of Food and Agriculture.
(e) The Department of Human Resources.
(f) The Department of Insurance.
(g) The Department of Justice.
(h) The Department of Motor Vehicles.
(i) The Department of Rehabilitation.
(j) The Department of Transportation.
(k) The Department of Veterans Affairs.
(l) The Emergency Medical Services Authority.
(m) The Employment Development Department.
(n) The Office of Health Information Integrity.
(o) The Office of Law Enforcement Support.
(p) The Office of Patient Advocate.
(q) The Office of Statewide Health Planning and Development.
(r) The Office of Systems Integration.
(s) The State Department of Developmental Services.
(t) The State Department of Health Care Services.
(u) The State Department of Public Health.
(v) The State Department of Social Services.
152002. (a) The secretary shall lead the council in the
development of a state aging and long-term care services strategic
plan to address how the state will meet the needs of the aging
population in the years 2020, 2025, and 2030. The strategic plan
shall incorporate clear benchmarks and timelines for achieving the
goals set forth in the strategic plan and a cost and benefit analysis
for each goal or recommendation included in the plan. In developing
the strategic plan, the council shall consult with all of the
following:
(1) Experts, researchers, practitioners, service providers, and
facility operators in the field of aging and long-term care.
(2) Consumer advocates and stakeholders, including the Olmstead
Advisory Committee, the California Commission on Aging, area agencies
on aging, the State Council on Developmental Disabilities, the
California Foundation for Independent Living Centers, and the Milton
Marks "Little Hoover" Commission on California State Government
Organization and Economy.
(3) Rural and urban communities, in order to identify
infrastructure capacity issues, the need for uniform access standards
for home and community-based services, and mechanisms for supporting
coordination of regional and local service access and delivery.
(4) The California Task Force on Family Caregiving, the findings
and recommendations of which shall be incorporated into the strategic
plan.
(b) Technical support for the development of the strategic plan
shall be provided by the Office of Health Equity in the State
Department of Public Health and by the California Department of
Aging.
(c) The strategic plan shall address all of the following:
(1) Integration and coordination of services that support
independent living, aging in place, social and civic engagement, and
preventive care.
(2) Long-term care financing.
(3) Managed care expansion and continuum of care.
(4) Advanced planning for end-of-life care.
(5) Elder justice.
(6) Care guidelines for Alzheimer's disease, dementia, Amyotrophic
Lateral Sclerosis (ALS), and other debilitating diseases.
(7) Caregiver support.
(8) Data collection, consolidation, uniformity, analysis, and
access.
(9) Affordable housing.
(10) Mobility.
(11) Workforce.
(12) The alignment of state programs with the federal
Administration for Community Living.
(13) The potential for integration and coordination of aging and
long-term care services with services and supports for people with
disabilities.
(d) In developing the strategic plan, the council shall examine
model programs in various cities, counties, and states. The strategic
plan shall consider how to scale up local, regional, and state-level
best practices and innovations designed to overcome the challenges
related to long-term care services delivery.
(e) Notwithstanding Section 10231.5 of the Government Code, the
strategic plan shall be submitted to the Secretary of the Senate and
the Chief Clerk of the Assembly, to the appropriate chairs of the
policy committees of the Legislature with jurisdiction over any aging
and long-term care related issues, and to the chairs of the fiscal
committees of the Legislature by July 1, 2018.
152003. The secretary may accept grants or donations, real or
in-kind, to support the operation of the council and the development
of the state aging and long-term care services strategic plan.
