CALIFORNIA LEGISLATURE 20192020 REGULAR SESSION Assembly Bill No. 1137Introduced by Assembly Member NazarianFebruary 21, 2019 An act to amend Section 9100 of the Welfare and Institutions Code, relating to aging. LEGISLATIVE COUNSEL'S DIGESTAB 1137, as introduced, Nazarian. The California Department of Aging.Existing law, the Mello-Granlund Older Californians Act, establishes the California Department of Aging in the California Health and Human Services Agency, and sets forth its mission to provide leadership to the 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. Existing law requires the department to develop minimum standards for service delivery, and requires those standards to ensure that a system meets specified requirements, including that it has cost containment and fiscal incentives consistent with the delivery of appropriate services at the appropriate level.This bill would delete that cost containment and fiscal incentives requirement.Digest Key Vote: MAJORITY Appropriation: NO Fiscal Committee: YES Local Program: NO Bill TextThe people of the State of California do enact as follows:SECTION 1. Section 9100 of the Welfare and Institutions Code is amended to read:9100. (a) There is in the California Health and Human Services Agency, the California Department of Aging.(b) The departments mission shall be is to provide leadership to the 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.(c) (1) In fulfilling its mission, the department shall develop minimum standards for service delivery to ensure that its programs meet consumer needs, operate in a cost-effective manner, and preserve the independence and dignity of aging Californians. In accomplishing its mission, the department shall consider available data and population trends in developing programs and policies, collaborate with area agencies on aging, the commission, and other state and local agencies, and consider the views of advocates, consumers and their families, and service providers.(2) The department shall report the Elder Economic Security Standard Index data for each service area in its state plan and use it as a reference when making decisions about allocating its existing resources, but only if the Elder Economic Security Standard Index is updated and made available to the department, and if the available public data used to calculate each Elder Economic Security Standard Index data element is calculated and updated for each California county and made available to the department in a format that displays each countys specific data.(d) The minimum standards for the department departments programs shall ensure that the system meets all of the following requirements:(1) Have Has the flexibility to respond to the needs of individuals and their families and caregivers.(2) Provide Provides for consumer choice and self-determination.(3) Enable Enables consumers to be involved in designing and monitoring the system.(4) Be Is equally accessible to diverse populations regardless of income, and is consistent with state and federal law.(5) Have Has consistent statewide policy, with local control and implementation.(6) Include Includes preventive services and home- and community-based support.(7)Have cost containment and fiscal incentives consistent with the delivery of appropriate services at the appropriate level. CALIFORNIA LEGISLATURE 20192020 REGULAR SESSION Assembly Bill No. 1137Introduced by Assembly Member NazarianFebruary 21, 2019 An act to amend Section 9100 of the Welfare and Institutions Code, relating to aging. LEGISLATIVE COUNSEL'S DIGESTAB 1137, as introduced, Nazarian. The California Department of Aging.Existing law, the Mello-Granlund Older Californians Act, establishes the California Department of Aging in the California Health and Human Services Agency, and sets forth its mission to provide leadership to the 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. Existing law requires the department to develop minimum standards for service delivery, and requires those standards to ensure that a system meets specified requirements, including that it has cost containment and fiscal incentives consistent with the delivery of appropriate services at the appropriate level.This bill would delete that cost containment and fiscal incentives requirement.Digest Key Vote: MAJORITY Appropriation: NO Fiscal Committee: YES Local Program: NO CALIFORNIA LEGISLATURE 20192020 REGULAR SESSION Assembly Bill No. 1137 Introduced by Assembly Member NazarianFebruary 21, 2019 Introduced by Assembly Member Nazarian February 21, 2019 An act to amend Section 9100 of the Welfare and Institutions Code, relating to aging. LEGISLATIVE COUNSEL'S DIGEST ## LEGISLATIVE COUNSEL'S DIGEST AB 1137, as introduced, Nazarian. The California Department of Aging. Existing law, the Mello-Granlund Older Californians Act, establishes the California Department of Aging in the California Health and Human Services Agency, and sets forth its mission to provide leadership to the 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. Existing law requires the department to develop minimum standards for service delivery, and requires those standards to ensure that a system meets specified requirements, including that it has cost containment and fiscal incentives consistent with the delivery of appropriate services at the appropriate level.This bill would delete that cost containment and fiscal incentives requirement. Existing law, the Mello-Granlund Older Californians Act, establishes the California Department of Aging in the California Health and Human Services Agency, and sets forth its mission to provide leadership to the 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. Existing law requires the department to develop minimum standards for service delivery, and requires those standards to ensure that a system meets specified requirements, including that it has cost containment and fiscal incentives consistent with the delivery of appropriate services at the appropriate level. This bill would delete that cost containment and fiscal incentives requirement. ## Digest Key ## Bill Text The people of the State of California do enact as follows:SECTION 1. Section 9100 of the Welfare and Institutions Code is amended to read:9100. (a) There is in the California Health and Human Services Agency, the California Department of Aging.(b) The departments mission shall be is to provide leadership to the 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.(c) (1) In fulfilling its mission, the department shall develop minimum standards for service delivery to ensure that its programs meet consumer needs, operate in a cost-effective manner, and preserve the independence and dignity of aging Californians. In accomplishing its mission, the department shall consider available data and population trends in developing programs and policies, collaborate with area agencies on aging, the commission, and other state and local agencies, and consider the views of advocates, consumers and their families, and service providers.(2) The department shall report the Elder Economic Security Standard Index data for each service area in its state plan and use it as a reference when making decisions about allocating its existing resources, but only if the Elder Economic Security Standard Index is updated and made available to the department, and if the available public data used to calculate each Elder Economic Security Standard Index data element is calculated and updated for each California county and made available to the department in a format that displays each countys specific data.(d) The minimum standards for the department departments programs shall ensure that the system meets all of the following requirements:(1) Have Has the flexibility to respond to the needs of individuals and their families and caregivers.(2) Provide Provides for consumer choice and self-determination.(3) Enable Enables consumers to be involved in designing and monitoring the system.(4) Be Is equally accessible to diverse populations regardless of income, and is consistent with state and federal law.(5) Have Has consistent statewide policy, with local control and implementation.(6) Include Includes preventive services and home- and community-based support.(7)Have cost containment and fiscal incentives consistent with the delivery of appropriate services at the appropriate level. The people of the State of California do enact as follows: ## The people of the State of California do enact as follows: SECTION 1. Section 9100 of the Welfare and Institutions Code is amended to read:9100. (a) There is in the California Health and Human Services Agency, the California Department of Aging.(b) The departments mission shall be is to provide leadership to the 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.(c) (1) In fulfilling its mission, the department shall develop minimum standards for service delivery to ensure that its programs meet consumer needs, operate in a cost-effective manner, and preserve the independence and dignity of aging Californians. In accomplishing its mission, the department shall consider available data and population trends in developing programs and policies, collaborate with area agencies on aging, the commission, and other state and local agencies, and consider the views of advocates, consumers and their families, and service providers.(2) The department shall report the Elder Economic Security Standard Index data for each service area in its state plan and use it as a reference when making decisions about allocating its existing resources, but only if the Elder Economic Security Standard Index is updated and made available to the department, and if the available public data used to calculate each Elder Economic Security Standard Index data element is calculated and updated for each California county and made available to the department in a format that displays each countys specific data.(d) The minimum standards for the department departments programs shall ensure that the system meets all of the following requirements:(1) Have Has the flexibility to respond to the needs of individuals and their families and caregivers.(2) Provide Provides for consumer choice and self-determination.(3) Enable Enables consumers to be involved in designing and monitoring the system.(4) Be Is equally accessible to diverse populations regardless of income, and is consistent with state and federal law.(5) Have Has consistent statewide policy, with local control and implementation.(6) Include Includes preventive services and home- and community-based support.(7)Have cost containment and fiscal incentives consistent with the delivery of appropriate services at the appropriate level. SECTION 1. Section 9100 of the Welfare and Institutions Code is amended to read: ### SECTION 1. 9100. (a) There is in the California Health and Human Services Agency, the California Department of Aging.(b) The departments mission shall be is to provide leadership to the 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.(c) (1) In fulfilling its mission, the department shall develop minimum standards for service delivery to ensure that its programs meet consumer needs, operate in a cost-effective manner, and preserve the independence and dignity of aging Californians. In accomplishing its mission, the department shall consider available data and population trends in developing programs and policies, collaborate with area agencies on aging, the commission, and other state and local agencies, and consider the views of advocates, consumers and their families, and service providers.(2) The department shall report the Elder Economic Security Standard Index data for each service area in its state plan and use it as a reference when making decisions about allocating its existing resources, but only if the Elder Economic Security Standard Index is updated and made available to the department, and if the available public data used to calculate each Elder Economic Security Standard Index data element is calculated and updated for each California county and made available to the department in a format that displays each countys specific data.(d) The minimum standards for the department departments programs shall ensure that the system meets all of the following requirements:(1) Have Has the flexibility to respond to the needs of individuals and their families and caregivers.(2) Provide Provides for consumer choice and self-determination.(3) Enable Enables consumers to be involved in designing and monitoring the system.(4) Be Is equally accessible to diverse populations regardless of income, and is consistent with state and federal law.(5) Have Has consistent statewide policy, with local control and implementation.(6) Include Includes preventive services and home- and community-based support.(7)Have cost containment and fiscal incentives consistent with the delivery of appropriate services at the appropriate level. 9100. (a) There is in the California Health and Human Services Agency, the California Department of Aging.(b) The departments mission shall be is to provide leadership to the 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.(c) (1) In fulfilling its mission, the department shall develop minimum standards for service delivery to ensure that its programs meet consumer needs, operate in a cost-effective manner, and preserve the independence and dignity of aging Californians. In accomplishing its mission, the department shall consider available data and population trends in developing programs and policies, collaborate with area agencies on aging, the commission, and other state and local agencies, and consider the views of advocates, consumers and their families, and service providers.(2) The department shall report the Elder Economic Security Standard Index data for each service area in its state plan and use it as a reference when making decisions about allocating its existing resources, but only if the Elder Economic Security Standard Index is updated and made available to the department, and if the available public data used to calculate each Elder Economic Security Standard Index data element is calculated and updated for each California county and made available to the department in a format that displays each countys specific data.(d) The minimum standards for the department departments programs shall ensure that the system meets all of the following requirements:(1) Have Has the flexibility to respond to the needs of individuals and their families and caregivers.(2) Provide Provides for consumer choice and self-determination.(3) Enable Enables consumers to be involved in designing and monitoring the system.(4) Be Is equally accessible to diverse populations regardless of income, and is consistent with state and federal law.(5) Have Has consistent statewide policy, with local control and implementation.(6) Include Includes preventive services and home- and community-based support.(7)Have cost containment and fiscal incentives consistent with the delivery of appropriate services at the appropriate level. 9100. (a) There is in the California Health and Human Services Agency, the California Department of Aging.(b) The departments mission shall be is to provide leadership to the 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.(c) (1) In fulfilling its mission, the department shall develop minimum standards for service delivery to ensure that its programs meet consumer needs, operate in a cost-effective manner, and preserve the independence and dignity of aging Californians. In accomplishing its mission, the department shall consider available data and population trends in developing programs and policies, collaborate with area agencies on aging, the commission, and other state and local agencies, and consider the views of advocates, consumers and their families, and service providers.(2) The department shall report the Elder Economic Security Standard Index data for each service area in its state plan and use it as a reference when making decisions about allocating its existing resources, but only if the Elder Economic Security Standard Index is updated and made available to the department, and if the available public data used to calculate each Elder Economic Security Standard Index data element is calculated and updated for each California county and made available to the department in a format that displays each countys specific data.(d) The minimum standards for the department departments programs shall ensure that the system meets all of the following requirements:(1) Have Has the flexibility to respond to the needs of individuals and their families and caregivers.(2) Provide Provides for consumer choice and self-determination.(3) Enable Enables consumers to be involved in designing and monitoring the system.(4) Be Is equally accessible to diverse populations regardless of income, and is consistent with state and federal law.(5) Have Has consistent statewide policy, with local control and implementation.(6) Include Includes preventive services and home- and community-based support.(7)Have cost containment and fiscal incentives consistent with the delivery of appropriate services at the appropriate level. 9100. (a) There is in the California Health and Human Services Agency, the California Department of Aging. (b) The departments mission shall be is to provide leadership to the 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. (c) (1) In fulfilling its mission, the department shall develop minimum standards for service delivery to ensure that its programs meet consumer needs, operate in a cost-effective manner, and preserve the independence and dignity of aging Californians. In accomplishing its mission, the department shall consider available data and population trends in developing programs and policies, collaborate with area agencies on aging, the commission, and other state and local agencies, and consider the views of advocates, consumers and their families, and service providers. (2) The department shall report the Elder Economic Security Standard Index data for each service area in its state plan and use it as a reference when making decisions about allocating its existing resources, but only if the Elder Economic Security Standard Index is updated and made available to the department, and if the available public data used to calculate each Elder Economic Security Standard Index data element is calculated and updated for each California county and made available to the department in a format that displays each countys specific data. (d) The minimum standards for the department departments programs shall ensure that the system meets all of the following requirements: (1) Have Has the flexibility to respond to the needs of individuals and their families and caregivers. (2) Provide Provides for consumer choice and self-determination. (3) Enable Enables consumers to be involved in designing and monitoring the system. (4) Be Is equally accessible to diverse populations regardless of income, and is consistent with state and federal law. (5) Have Has consistent statewide policy, with local control and implementation. (6) Include Includes preventive services and home- and community-based support. (7)Have cost containment and fiscal incentives consistent with the delivery of appropriate services at the appropriate level.