Bill Text: CA SJR11 | 2013-2014 | Regular Session | Enrolled

NOTE: There are more recent revisions of this legislation. Read Latest Draft

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Bill Title: Housing with services.

Spectrum: Partisan Bill (Democrat 1-0)

Status: (Passed) 2013-08-20 - Chaptered by Secretary of State. Res. Chapter 84, Statutes of 2013. [SJR11 Detail]

Download: California-2013-SJR11-Enrolled.html

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BILL NUMBER: SJR 11	ENROLLED
	BILL TEXT

	ADOPTED IN SENATE  AUGUST 15, 2013
	ADOPTED IN ASSEMBLY  AUGUST 12, 2013
	AMENDED IN ASSEMBLY  AUGUST 5, 2013

INTRODUCED BY   Senator DeSaulnier

                        APRIL 29, 2013

   Relative to housing with services.


	LEGISLATIVE COUNSEL'S DIGEST


   SJR 11, DeSaulnier. Housing with services.
   This measure would urge the President and Congress of the United
States to support housing with services models to achieve federal
goals of using subsidized housing as a platform for service and
encourage the President and Congress of the United States to direct
the Centers for Medicare and Medicaid Services to expand Sections
1115 and 1915(c) federal Medicare waivers to test and integrate
services into affordable housing settings.




   WHEREAS, "Housing with services" describes subsidized, residential
properties occupied by low-income seniors that provide access to a
range of health and supportive services on a voluntary basis; and
   WHEREAS, Services are provided by appropriately credentialed
providers and can include care coordination from an interdisciplinary
team, resident service coordinators, and health educators; and
   WHEREAS, Housing with services may be colocated with a federally
qualified health center or Program of All-Inclusive Care for the
Elderly (PACE) onsite; and
   WHEREAS, Housing with services can enable residents to age in
place, reduce hospital and emergency room usage, and postpone the
need for costly institutional care; and
   WHEREAS, California is home to the largest number of seniors in
the nation, and this population is expanding at a pace that is
unprecedented in history; and
   WHEREAS, The Department of Finance's Demographic Research Unit
estimates that California's population that is 65 years of age or
older will grow by 43 percent, from 4.4 million in 2010 to 6.35
million by 2020; an additional 39 percent, to 8.83 million by 2030;
and an additional 21 percent, to 10.5 million by 2040. Today roughly
one in ten people are 65 years of age or older. By 2035 roughly one
in five people will be that age; and
   WHEREAS, According to the American Community Survey, while 10
percent of Californians over 65 years of age live in poverty, and 21
percent live below 150 percent of the poverty line, the percent of
older Americans in poverty increases with age, with the oldest of
elderly people at the greatest risk of being poor; and
   WHEREAS, Approximately 1.3 million very low income seniors are
assisted through publicly subsidized housing. The Section 202
Supportive Housing for the Elderly program is the only United States
Department of Housing and Urban Development (HUD) program that
currently provides housing exclusively for elderly households,
supporting approximately 263,000 units, of which 34,322 units are
administered through HUD's San Francisco and Los Angeles hubs; and
   WHEREAS, In 2006, HUD reported that 38 percent of all Section 202
properties had a service coordinator on staff; and
   WHEREAS, Service coordinators in HUD developments work with
residents to coordinate a wide range of services, including
transportation, meal services, housekeeping, medication management,
visits from nurses, dentists, and massage therapists, haircuts, and
social activities; and
   WHEREAS, According to HUD's fiscal year 2013 proposed budget, 38
percent of seniors in Section 202 properties are frail or near frail,
requiring assistance with at least three basic activities of daily
living, such as eating, bathing, grooming, dressing, or home
management activities, and thus can be considered at risk for
premature institutionalization; and
   WHEREAS, Research has also found that service-enriched housing for
the elderly, and the presence of service coordinators in particular,
enables older residents to remain in their homes longer; and
   WHEREAS, A satisfaction study found that residents residing in HUD
properties that offered service coordination were able to avoid the
higher costs of institutionalization by an average of six months
longer then residents who lived in properties that did not offer
service coordination; and
   WHEREAS, In 2012, the cost of a stay in a nursing home funded by
Medi-Cal was approximately $82,500 annually on average, while the
cost of Section 202 housing with services, such as food,
transportation, and housekeeping, is estimated to cost approximately
$13,000 to $25,000, far less than the cost of skilled nursing care;
and
   WHEREAS, As stated in HUD's fiscal year 2013 proposed budget, it
is HUD's goal to use its housing as a platform to deliver a wide
variety of services to improve the quality of life of its residents;
and
   WHEREAS, HUD seeks to build formal and informal relationships with
public and private health care providers, and with health education
organizations, to provide access to health care information and
services for recipients of HUD assistance; and
   WHEREAS, HUD's fiscal year 2013 proposed budget provides a total
of $625 million for the Supportive Housing for the Elderly and the
Supportive Housing for Persons with Disabilities programs, which
includes $154 million to support 5,300 additional supportive housing
units to better connect residents with the supportive services they
need to age in place and live independently; and
   WHEREAS, The state is directed under the Olmstead Plan to improve
its long-term care system so that its residents are availed an array
of community care options that allow them to avoid unnecessary
institutionalization. The Olmstead Plan includes goals to include
services that transition individuals from institutional settings to
the most integrated settings appropriate for their needs, including
California's Money Follows the Person Program. Numerous research
studies cite access to affordable housing as a barrier to
transitioning a greater number of individuals out of nursing homes;
and
   WHEREAS, Many state programs have sought to rebalance spending of
health care dollars toward home and community-based services and away
from institutional settings; and
   WHEREAS, California is one of seven states that invested more
Medicaid long-term care funding for home and community-based services
than for long-term institutional care. Subsidized housing
communities can support additional rebalancing efforts by offering
economies of scale that can increase service delivery efficiencies;
now, therefore, be it
   Resolved by the Senate and the Assembly of the State of
California, jointly, That the Legislature applauds methods that
promote greater collaboration between affordable housing providers
and home and community-based services that divert or delay seniors
from institutionalization and encourage aging in place; and be it
further
   Resolved, That the Legislature urges the President and Congress of
the United States to support housing with services models,
innovations, and funding to achieve federal goals of using subsidized
housing as a platform for service delivery; and be it further
   Resolved, That the Legislature encourages the President and
Congress of the United States to direct the Centers for Medicare and
Medicaid to expand Sections 1115 and 1915(c) Medicaid waivers to test
and integrate services into affordable housing settings; and be it
further
   Resolved, That the Secretary of the Senate transmit copies of this
resolution to the President and the Vice President of the United
States, to the Speaker of the House of Representatives, to the
Majority Leader of the Senate, the appropriate policy committees of
both the House of Representatives and the Senate of the United
States, and to each Senator and Representative from California in the
Congress of the United States.