CALIFORNIA LEGISLATURE 20192020 REGULAR SESSION Assembly Bill No. 1287Introduced by Assembly Member Nazarian(Coauthor: Assembly Member Aguiar-Curry)(Coauthor: Senator Caballero)February 21, 2019 An act relating to public social services. LEGISLATIVE COUNSEL'S DIGESTAB 1287, as introduced, Nazarian. Universal assessments: No Wrong Door system.Existing law, including, among others, the Mello-Granlund Older Californians Act, provides various programs to assist older adults and people with disabilities. These programs include the Aging and Disability Resource Connection program established to provide information to consumers and their families on available long-term services and supports (LTSS) programs and to assist older adults, caregivers, and persons with disabilities in accessing LTSS programs at the local level.This bill would state the intent of the Legislature to enact legislation to establish the Master Plan for an Aging California that responds to population needs in a comprehensive manner. The bill would further state the intent of the Legislature to enact legislation to develop a plan and strategy for a phased statewide implementation of the No Wrong Door system assisting older adults and people with disabilities obtain accurate information and timely referrals to appropriate community services and supports. The bill would make legislative findings and declarations in support of its intent.Digest Key Vote: MAJORITY Appropriation: NO Fiscal Committee: NO Local Program: NO Bill TextThe people of the State of California do enact as follows:SECTION 1. The Legislature finds and declares the following:(a) The Public Policy Institute of California estimates that by the year 2030, Californias population of people over 65 years of age will nearly double, increasing by four million people, all the while becoming more racially and economically diverse.(b) Many older adults and people with disabilities struggle to access the long-term services and supports necessary to meet individual needs and preferences. The problem is multifaceted, stemming from a number of factors, including system fragmentation at the state and local levels, lack of access to information and assistance, and an infrastructure that is unable to keep pace with population needs.(c) At the state level, departments operate in a fragmented fashion, often with little data sharing and policy development across programs. This fragmentation impacts the ability to deliver services in a coordinated, streamlined fashion.(d) One of the primary challenges faced by older adults, people with disabilities, and their families relates to finding and accessing services. Individuals struggle to navigate the system and do not know where to look for unbiased information and education.(e) Californias home- and community-based long-term services and supports programs operate with separate eligibility determination and assessment processes, creating inefficiencies in the administration of programs and difficulties for people who need to access programs and services.(f) A universal assessment process would enable individuals to be evaluated in a consistent manner and provided with services that are tailored to meet needs and preferences in an equitable manner. At the state level, the data generated would enable program planners to understand the needs of the population, support allocation of resources in a standardized way, and evaluate quality.(g) As part of Californias Coordinated Care Initiative, the state directed the State Department of Social Services, the State Department of Health Care Services, and the California Department of Aging to consult with stakeholders in developing a universal assessment process that would facilitate coordinated access to services, enhance consumer choice, and reduce administrative inefficiencies. The Budget Act of 2016 halted implementation of various components of the Coordinated Care Initiative and abandoned its commitment to universal assessment. Without a universal assessment tool and process, California cannot achieve a truly person-centered framework for service delivery.SEC. 2. (a) It is the intent of the Legislature to enact legislation to establish the Master Plan for an Aging California that responds to population needs in a comprehensive manner, including, but not limited to, implementing the No Wrong Door system that facilitates access to a universal assessment process and streamlined information and support. The Legislature further intends that the No Wrong Door system would support statewide seamless access to long-term services and supports, including universal assessment, while building upon the information and referral standards established through the Aging and Disability Resource Connection program, which is currently limited to seven counties.(b) It is the intent of the Legislature to enact legislation to develop a plan and strategy for a phased statewide implementation of the No Wrong Door system assisting older adults and people with disabilities obtain accurate information and timely referrals to appropriate community services and supports through all of the following:(1) A universal assessment process.(2) Information and referral services.(3) Counseling options concerning available long-term services and supports programs and public and private benefits programs.(4) Short-term service coordination.(5) Transition services from hospitals to home and from skilled nursing facilities to the community.
CALIFORNIA LEGISLATURE 20192020 REGULAR SESSION Assembly Bill No. 1287Introduced by Assembly Member Nazarian(Coauthor: Assembly Member Aguiar-Curry)(Coauthor: Senator Caballero)February 21, 2019 An act relating to public social services. LEGISLATIVE COUNSEL'S DIGESTAB 1287, as introduced, Nazarian. Universal assessments: No Wrong Door system.Existing law, including, among others, the Mello-Granlund Older Californians Act, provides various programs to assist older adults and people with disabilities. These programs include the Aging and Disability Resource Connection program established to provide information to consumers and their families on available long-term services and supports (LTSS) programs and to assist older adults, caregivers, and persons with disabilities in accessing LTSS programs at the local level.This bill would state the intent of the Legislature to enact legislation to establish the Master Plan for an Aging California that responds to population needs in a comprehensive manner. The bill would further state the intent of the Legislature to enact legislation to develop a plan and strategy for a phased statewide implementation of the No Wrong Door system assisting older adults and people with disabilities obtain accurate information and timely referrals to appropriate community services and supports. The bill would make legislative findings and declarations in support of its intent.Digest Key Vote: MAJORITY Appropriation: NO Fiscal Committee: NO Local Program: NO
CALIFORNIA LEGISLATURE 20192020 REGULAR SESSION
Assembly Bill No. 1287
Introduced by Assembly Member Nazarian(Coauthor: Assembly Member Aguiar-Curry)(Coauthor: Senator Caballero)February 21, 2019
Introduced by Assembly Member Nazarian(Coauthor: Assembly Member Aguiar-Curry)(Coauthor: Senator Caballero)
February 21, 2019
An act relating to public social services.
LEGISLATIVE COUNSEL'S DIGEST
## LEGISLATIVE COUNSEL'S DIGEST
AB 1287, as introduced, Nazarian. Universal assessments: No Wrong Door system.
Existing law, including, among others, the Mello-Granlund Older Californians Act, provides various programs to assist older adults and people with disabilities. These programs include the Aging and Disability Resource Connection program established to provide information to consumers and their families on available long-term services and supports (LTSS) programs and to assist older adults, caregivers, and persons with disabilities in accessing LTSS programs at the local level.This bill would state the intent of the Legislature to enact legislation to establish the Master Plan for an Aging California that responds to population needs in a comprehensive manner. The bill would further state the intent of the Legislature to enact legislation to develop a plan and strategy for a phased statewide implementation of the No Wrong Door system assisting older adults and people with disabilities obtain accurate information and timely referrals to appropriate community services and supports. The bill would make legislative findings and declarations in support of its intent.
Existing law, including, among others, the Mello-Granlund Older Californians Act, provides various programs to assist older adults and people with disabilities. These programs include the Aging and Disability Resource Connection program established to provide information to consumers and their families on available long-term services and supports (LTSS) programs and to assist older adults, caregivers, and persons with disabilities in accessing LTSS programs at the local level.
This bill would state the intent of the Legislature to enact legislation to establish the Master Plan for an Aging California that responds to population needs in a comprehensive manner. The bill would further state the intent of the Legislature to enact legislation to develop a plan and strategy for a phased statewide implementation of the No Wrong Door system assisting older adults and people with disabilities obtain accurate information and timely referrals to appropriate community services and supports. The bill would make legislative findings and declarations in support of its intent.
## Digest Key
## Bill Text
The people of the State of California do enact as follows:SECTION 1. The Legislature finds and declares the following:(a) The Public Policy Institute of California estimates that by the year 2030, Californias population of people over 65 years of age will nearly double, increasing by four million people, all the while becoming more racially and economically diverse.(b) Many older adults and people with disabilities struggle to access the long-term services and supports necessary to meet individual needs and preferences. The problem is multifaceted, stemming from a number of factors, including system fragmentation at the state and local levels, lack of access to information and assistance, and an infrastructure that is unable to keep pace with population needs.(c) At the state level, departments operate in a fragmented fashion, often with little data sharing and policy development across programs. This fragmentation impacts the ability to deliver services in a coordinated, streamlined fashion.(d) One of the primary challenges faced by older adults, people with disabilities, and their families relates to finding and accessing services. Individuals struggle to navigate the system and do not know where to look for unbiased information and education.(e) Californias home- and community-based long-term services and supports programs operate with separate eligibility determination and assessment processes, creating inefficiencies in the administration of programs and difficulties for people who need to access programs and services.(f) A universal assessment process would enable individuals to be evaluated in a consistent manner and provided with services that are tailored to meet needs and preferences in an equitable manner. At the state level, the data generated would enable program planners to understand the needs of the population, support allocation of resources in a standardized way, and evaluate quality.(g) As part of Californias Coordinated Care Initiative, the state directed the State Department of Social Services, the State Department of Health Care Services, and the California Department of Aging to consult with stakeholders in developing a universal assessment process that would facilitate coordinated access to services, enhance consumer choice, and reduce administrative inefficiencies. The Budget Act of 2016 halted implementation of various components of the Coordinated Care Initiative and abandoned its commitment to universal assessment. Without a universal assessment tool and process, California cannot achieve a truly person-centered framework for service delivery.SEC. 2. (a) It is the intent of the Legislature to enact legislation to establish the Master Plan for an Aging California that responds to population needs in a comprehensive manner, including, but not limited to, implementing the No Wrong Door system that facilitates access to a universal assessment process and streamlined information and support. The Legislature further intends that the No Wrong Door system would support statewide seamless access to long-term services and supports, including universal assessment, while building upon the information and referral standards established through the Aging and Disability Resource Connection program, which is currently limited to seven counties.(b) It is the intent of the Legislature to enact legislation to develop a plan and strategy for a phased statewide implementation of the No Wrong Door system assisting older adults and people with disabilities obtain accurate information and timely referrals to appropriate community services and supports through all of the following:(1) A universal assessment process.(2) Information and referral services.(3) Counseling options concerning available long-term services and supports programs and public and private benefits programs.(4) Short-term service coordination.(5) Transition services from hospitals to home and from skilled nursing facilities to the community.
The people of the State of California do enact as follows:
## The people of the State of California do enact as follows:
SECTION 1. The Legislature finds and declares the following:(a) The Public Policy Institute of California estimates that by the year 2030, Californias population of people over 65 years of age will nearly double, increasing by four million people, all the while becoming more racially and economically diverse.(b) Many older adults and people with disabilities struggle to access the long-term services and supports necessary to meet individual needs and preferences. The problem is multifaceted, stemming from a number of factors, including system fragmentation at the state and local levels, lack of access to information and assistance, and an infrastructure that is unable to keep pace with population needs.(c) At the state level, departments operate in a fragmented fashion, often with little data sharing and policy development across programs. This fragmentation impacts the ability to deliver services in a coordinated, streamlined fashion.(d) One of the primary challenges faced by older adults, people with disabilities, and their families relates to finding and accessing services. Individuals struggle to navigate the system and do not know where to look for unbiased information and education.(e) Californias home- and community-based long-term services and supports programs operate with separate eligibility determination and assessment processes, creating inefficiencies in the administration of programs and difficulties for people who need to access programs and services.(f) A universal assessment process would enable individuals to be evaluated in a consistent manner and provided with services that are tailored to meet needs and preferences in an equitable manner. At the state level, the data generated would enable program planners to understand the needs of the population, support allocation of resources in a standardized way, and evaluate quality.(g) As part of Californias Coordinated Care Initiative, the state directed the State Department of Social Services, the State Department of Health Care Services, and the California Department of Aging to consult with stakeholders in developing a universal assessment process that would facilitate coordinated access to services, enhance consumer choice, and reduce administrative inefficiencies. The Budget Act of 2016 halted implementation of various components of the Coordinated Care Initiative and abandoned its commitment to universal assessment. Without a universal assessment tool and process, California cannot achieve a truly person-centered framework for service delivery.
SECTION 1. The Legislature finds and declares the following:(a) The Public Policy Institute of California estimates that by the year 2030, Californias population of people over 65 years of age will nearly double, increasing by four million people, all the while becoming more racially and economically diverse.(b) Many older adults and people with disabilities struggle to access the long-term services and supports necessary to meet individual needs and preferences. The problem is multifaceted, stemming from a number of factors, including system fragmentation at the state and local levels, lack of access to information and assistance, and an infrastructure that is unable to keep pace with population needs.(c) At the state level, departments operate in a fragmented fashion, often with little data sharing and policy development across programs. This fragmentation impacts the ability to deliver services in a coordinated, streamlined fashion.(d) One of the primary challenges faced by older adults, people with disabilities, and their families relates to finding and accessing services. Individuals struggle to navigate the system and do not know where to look for unbiased information and education.(e) Californias home- and community-based long-term services and supports programs operate with separate eligibility determination and assessment processes, creating inefficiencies in the administration of programs and difficulties for people who need to access programs and services.(f) A universal assessment process would enable individuals to be evaluated in a consistent manner and provided with services that are tailored to meet needs and preferences in an equitable manner. At the state level, the data generated would enable program planners to understand the needs of the population, support allocation of resources in a standardized way, and evaluate quality.(g) As part of Californias Coordinated Care Initiative, the state directed the State Department of Social Services, the State Department of Health Care Services, and the California Department of Aging to consult with stakeholders in developing a universal assessment process that would facilitate coordinated access to services, enhance consumer choice, and reduce administrative inefficiencies. The Budget Act of 2016 halted implementation of various components of the Coordinated Care Initiative and abandoned its commitment to universal assessment. Without a universal assessment tool and process, California cannot achieve a truly person-centered framework for service delivery.
SECTION 1. The Legislature finds and declares the following:
### SECTION 1.
(a) The Public Policy Institute of California estimates that by the year 2030, Californias population of people over 65 years of age will nearly double, increasing by four million people, all the while becoming more racially and economically diverse.
(b) Many older adults and people with disabilities struggle to access the long-term services and supports necessary to meet individual needs and preferences. The problem is multifaceted, stemming from a number of factors, including system fragmentation at the state and local levels, lack of access to information and assistance, and an infrastructure that is unable to keep pace with population needs.
(c) At the state level, departments operate in a fragmented fashion, often with little data sharing and policy development across programs. This fragmentation impacts the ability to deliver services in a coordinated, streamlined fashion.
(d) One of the primary challenges faced by older adults, people with disabilities, and their families relates to finding and accessing services. Individuals struggle to navigate the system and do not know where to look for unbiased information and education.
(e) Californias home- and community-based long-term services and supports programs operate with separate eligibility determination and assessment processes, creating inefficiencies in the administration of programs and difficulties for people who need to access programs and services.
(f) A universal assessment process would enable individuals to be evaluated in a consistent manner and provided with services that are tailored to meet needs and preferences in an equitable manner. At the state level, the data generated would enable program planners to understand the needs of the population, support allocation of resources in a standardized way, and evaluate quality.
(g) As part of Californias Coordinated Care Initiative, the state directed the State Department of Social Services, the State Department of Health Care Services, and the California Department of Aging to consult with stakeholders in developing a universal assessment process that would facilitate coordinated access to services, enhance consumer choice, and reduce administrative inefficiencies. The Budget Act of 2016 halted implementation of various components of the Coordinated Care Initiative and abandoned its commitment to universal assessment. Without a universal assessment tool and process, California cannot achieve a truly person-centered framework for service delivery.
SEC. 2. (a) It is the intent of the Legislature to enact legislation to establish the Master Plan for an Aging California that responds to population needs in a comprehensive manner, including, but not limited to, implementing the No Wrong Door system that facilitates access to a universal assessment process and streamlined information and support. The Legislature further intends that the No Wrong Door system would support statewide seamless access to long-term services and supports, including universal assessment, while building upon the information and referral standards established through the Aging and Disability Resource Connection program, which is currently limited to seven counties.(b) It is the intent of the Legislature to enact legislation to develop a plan and strategy for a phased statewide implementation of the No Wrong Door system assisting older adults and people with disabilities obtain accurate information and timely referrals to appropriate community services and supports through all of the following:(1) A universal assessment process.(2) Information and referral services.(3) Counseling options concerning available long-term services and supports programs and public and private benefits programs.(4) Short-term service coordination.(5) Transition services from hospitals to home and from skilled nursing facilities to the community.
SEC. 2. (a) It is the intent of the Legislature to enact legislation to establish the Master Plan for an Aging California that responds to population needs in a comprehensive manner, including, but not limited to, implementing the No Wrong Door system that facilitates access to a universal assessment process and streamlined information and support. The Legislature further intends that the No Wrong Door system would support statewide seamless access to long-term services and supports, including universal assessment, while building upon the information and referral standards established through the Aging and Disability Resource Connection program, which is currently limited to seven counties.(b) It is the intent of the Legislature to enact legislation to develop a plan and strategy for a phased statewide implementation of the No Wrong Door system assisting older adults and people with disabilities obtain accurate information and timely referrals to appropriate community services and supports through all of the following:(1) A universal assessment process.(2) Information and referral services.(3) Counseling options concerning available long-term services and supports programs and public and private benefits programs.(4) Short-term service coordination.(5) Transition services from hospitals to home and from skilled nursing facilities to the community.
SEC. 2. (a) It is the intent of the Legislature to enact legislation to establish the Master Plan for an Aging California that responds to population needs in a comprehensive manner, including, but not limited to, implementing the No Wrong Door system that facilitates access to a universal assessment process and streamlined information and support. The Legislature further intends that the No Wrong Door system would support statewide seamless access to long-term services and supports, including universal assessment, while building upon the information and referral standards established through the Aging and Disability Resource Connection program, which is currently limited to seven counties.
### SEC. 2.
(b) It is the intent of the Legislature to enact legislation to develop a plan and strategy for a phased statewide implementation of the No Wrong Door system assisting older adults and people with disabilities obtain accurate information and timely referrals to appropriate community services and supports through all of the following:
(1) A universal assessment process.
(2) Information and referral services.
(3) Counseling options concerning available long-term services and supports programs and public and private benefits programs.
(4) Short-term service coordination.
(5) Transition services from hospitals to home and from skilled nursing facilities to the community.