CALIFORNIA LEGISLATURE 20192020 REGULAR SESSION Assembly Bill No. 1382Introduced by Assembly Member Aguiar-Curry(Coauthor: Assembly Member Nazarian)(Coauthor: Senator Caballero)February 22, 2019 An act relating to public social services. LEGISLATIVE COUNSEL'S DIGESTAB 1382, as introduced, Aguiar-Curry. Master Plan for an Aging California.Existing law, including, among others, the Mello-Granlund Older Californians Act, provides programs and strategies to support the states older population. 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 a Master Plan for an Aging California that responds to population needs in a comprehensive manner, including, but not limited to, strategies to address the needs of family caregivers and implement the recommendations offered by the California Task Force on Family Caregiving.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 65 years of age and over will increase by four million people and become more racially and economically diverse.(b) The aging of Californias population will impact all areas of the service delivery system, including, but not limited to, increasing the demand for long-term services and supports (LTSS), housing, transportation, dental care, healthcare, and behavioral health services.(c) Ensuring a well-trained, culturally competent workforce is critical to meeting the needs of Californias aging population. Yet, the supply of trained paraprofessionals and professionals cannot keep pace with population demand now, let alone in the future.(d) Unpaid family caregivers have emerged as the backbone of the LTSS system, by providing care and support to aging family and friends in the home and community settings.(e) The AARP Public Policy Institute reports that in 2015, over four million family caregivers in California provided approximately $57 billion worth of unpaid care. Nationally, other data shows that nearly two-thirds of older adults with LTSS needs receive all help from unpaid family caregivers.(f) Despite their critical role, family caregivers continue to face daunting challenges in navigating the service delivery system, balancing employment and caregiving responsibilities, and financing their loved ones care needs.(g) As reported by the California Task Force on Family Caregiving, the financial burden of caregiving is significant, with caregivers often losing income from taking time off from employment or entirely leaving paid employment prematurely. Few caregivers know of Californias family leave benefits that can provide much needed benefits to eligible workers.(h) Californias network of 11 Caregiver Resource Centers focuses on meeting the needs of caregivers through family consultation and service planning, education, respite care, and counseling. Yet, the program remains severely underfunded after facing years of budget cuts, thereby limiting the services that can be provided.(i) The state should elevate policies that support unpaid family caregivers, better serve the needs of older adults, and promote greater efficiencies in public spending.(j) The final report of the California Task Force on Family Caregiving outlines a range of recommendations to meet the needs of family caregivers now and into the future, including the following: supporting the financial well-being of caregivers; standardizing caregiver assessments; enhancing access to information, education, and training; increasing access to affordable caregiver services and supports; integrating family caregivers into the healthcare process; increasing funding for the Caregiver Resource Centers; and creating a statewide advisory council on caregiving.(k) The challenges facing Californias family caregivers reflect issues plaguing the broader service delivery system. A 2014 report by the Senate Select Committee on Aging and Long-Term Care, entitled A Shattered System: Reforming Long-Term Care in California, identified a number of system challenges including fragmentation, lack of access to services, workforce challenges and cultural competency, and a crumbling infrastructure.(l) The aging of Californias population demands a thoughtful, deliberative approach to meeting the needs of older adults, people with disabilities, and family caregivers.SEC. 2. It is the intent of the Legislature to enact legislation to establish a Master Plan for an Aging California that responds to population needs in a comprehensive manner, including, but not limited to, strategies to address the needs of family caregivers and implement the recommendations offered by the California Task Force on Family Caregiving. CALIFORNIA LEGISLATURE 20192020 REGULAR SESSION Assembly Bill No. 1382Introduced by Assembly Member Aguiar-Curry(Coauthor: Assembly Member Nazarian)(Coauthor: Senator Caballero)February 22, 2019 An act relating to public social services. LEGISLATIVE COUNSEL'S DIGESTAB 1382, as introduced, Aguiar-Curry. Master Plan for an Aging California.Existing law, including, among others, the Mello-Granlund Older Californians Act, provides programs and strategies to support the states older population. 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 a Master Plan for an Aging California that responds to population needs in a comprehensive manner, including, but not limited to, strategies to address the needs of family caregivers and implement the recommendations offered by the California Task Force on Family Caregiving.Digest Key Vote: MAJORITY Appropriation: NO Fiscal Committee: NO Local Program: NO CALIFORNIA LEGISLATURE 20192020 REGULAR SESSION Assembly Bill No. 1382 Introduced by Assembly Member Aguiar-Curry(Coauthor: Assembly Member Nazarian)(Coauthor: Senator Caballero)February 22, 2019 Introduced by Assembly Member Aguiar-Curry(Coauthor: Assembly Member Nazarian)(Coauthor: Senator Caballero) February 22, 2019 An act relating to public social services. LEGISLATIVE COUNSEL'S DIGEST ## LEGISLATIVE COUNSEL'S DIGEST AB 1382, as introduced, Aguiar-Curry. Master Plan for an Aging California. Existing law, including, among others, the Mello-Granlund Older Californians Act, provides programs and strategies to support the states older population. 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 a Master Plan for an Aging California that responds to population needs in a comprehensive manner, including, but not limited to, strategies to address the needs of family caregivers and implement the recommendations offered by the California Task Force on Family Caregiving. Existing law, including, among others, the Mello-Granlund Older Californians Act, provides programs and strategies to support the states older population. 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 a Master Plan for an Aging California that responds to population needs in a comprehensive manner, including, but not limited to, strategies to address the needs of family caregivers and implement the recommendations offered by the California Task Force on Family Caregiving. ## 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 65 years of age and over will increase by four million people and become more racially and economically diverse.(b) The aging of Californias population will impact all areas of the service delivery system, including, but not limited to, increasing the demand for long-term services and supports (LTSS), housing, transportation, dental care, healthcare, and behavioral health services.(c) Ensuring a well-trained, culturally competent workforce is critical to meeting the needs of Californias aging population. Yet, the supply of trained paraprofessionals and professionals cannot keep pace with population demand now, let alone in the future.(d) Unpaid family caregivers have emerged as the backbone of the LTSS system, by providing care and support to aging family and friends in the home and community settings.(e) The AARP Public Policy Institute reports that in 2015, over four million family caregivers in California provided approximately $57 billion worth of unpaid care. Nationally, other data shows that nearly two-thirds of older adults with LTSS needs receive all help from unpaid family caregivers.(f) Despite their critical role, family caregivers continue to face daunting challenges in navigating the service delivery system, balancing employment and caregiving responsibilities, and financing their loved ones care needs.(g) As reported by the California Task Force on Family Caregiving, the financial burden of caregiving is significant, with caregivers often losing income from taking time off from employment or entirely leaving paid employment prematurely. Few caregivers know of Californias family leave benefits that can provide much needed benefits to eligible workers.(h) Californias network of 11 Caregiver Resource Centers focuses on meeting the needs of caregivers through family consultation and service planning, education, respite care, and counseling. Yet, the program remains severely underfunded after facing years of budget cuts, thereby limiting the services that can be provided.(i) The state should elevate policies that support unpaid family caregivers, better serve the needs of older adults, and promote greater efficiencies in public spending.(j) The final report of the California Task Force on Family Caregiving outlines a range of recommendations to meet the needs of family caregivers now and into the future, including the following: supporting the financial well-being of caregivers; standardizing caregiver assessments; enhancing access to information, education, and training; increasing access to affordable caregiver services and supports; integrating family caregivers into the healthcare process; increasing funding for the Caregiver Resource Centers; and creating a statewide advisory council on caregiving.(k) The challenges facing Californias family caregivers reflect issues plaguing the broader service delivery system. A 2014 report by the Senate Select Committee on Aging and Long-Term Care, entitled A Shattered System: Reforming Long-Term Care in California, identified a number of system challenges including fragmentation, lack of access to services, workforce challenges and cultural competency, and a crumbling infrastructure.(l) The aging of Californias population demands a thoughtful, deliberative approach to meeting the needs of older adults, people with disabilities, and family caregivers.SEC. 2. It is the intent of the Legislature to enact legislation to establish a Master Plan for an Aging California that responds to population needs in a comprehensive manner, including, but not limited to, strategies to address the needs of family caregivers and implement the recommendations offered by the California Task Force on Family Caregiving. 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 65 years of age and over will increase by four million people and become more racially and economically diverse.(b) The aging of Californias population will impact all areas of the service delivery system, including, but not limited to, increasing the demand for long-term services and supports (LTSS), housing, transportation, dental care, healthcare, and behavioral health services.(c) Ensuring a well-trained, culturally competent workforce is critical to meeting the needs of Californias aging population. Yet, the supply of trained paraprofessionals and professionals cannot keep pace with population demand now, let alone in the future.(d) Unpaid family caregivers have emerged as the backbone of the LTSS system, by providing care and support to aging family and friends in the home and community settings.(e) The AARP Public Policy Institute reports that in 2015, over four million family caregivers in California provided approximately $57 billion worth of unpaid care. Nationally, other data shows that nearly two-thirds of older adults with LTSS needs receive all help from unpaid family caregivers.(f) Despite their critical role, family caregivers continue to face daunting challenges in navigating the service delivery system, balancing employment and caregiving responsibilities, and financing their loved ones care needs.(g) As reported by the California Task Force on Family Caregiving, the financial burden of caregiving is significant, with caregivers often losing income from taking time off from employment or entirely leaving paid employment prematurely. Few caregivers know of Californias family leave benefits that can provide much needed benefits to eligible workers.(h) Californias network of 11 Caregiver Resource Centers focuses on meeting the needs of caregivers through family consultation and service planning, education, respite care, and counseling. Yet, the program remains severely underfunded after facing years of budget cuts, thereby limiting the services that can be provided.(i) The state should elevate policies that support unpaid family caregivers, better serve the needs of older adults, and promote greater efficiencies in public spending.(j) The final report of the California Task Force on Family Caregiving outlines a range of recommendations to meet the needs of family caregivers now and into the future, including the following: supporting the financial well-being of caregivers; standardizing caregiver assessments; enhancing access to information, education, and training; increasing access to affordable caregiver services and supports; integrating family caregivers into the healthcare process; increasing funding for the Caregiver Resource Centers; and creating a statewide advisory council on caregiving.(k) The challenges facing Californias family caregivers reflect issues plaguing the broader service delivery system. A 2014 report by the Senate Select Committee on Aging and Long-Term Care, entitled A Shattered System: Reforming Long-Term Care in California, identified a number of system challenges including fragmentation, lack of access to services, workforce challenges and cultural competency, and a crumbling infrastructure.(l) The aging of Californias population demands a thoughtful, deliberative approach to meeting the needs of older adults, people with disabilities, and family caregivers. 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 65 years of age and over will increase by four million people and become more racially and economically diverse.(b) The aging of Californias population will impact all areas of the service delivery system, including, but not limited to, increasing the demand for long-term services and supports (LTSS), housing, transportation, dental care, healthcare, and behavioral health services.(c) Ensuring a well-trained, culturally competent workforce is critical to meeting the needs of Californias aging population. Yet, the supply of trained paraprofessionals and professionals cannot keep pace with population demand now, let alone in the future.(d) Unpaid family caregivers have emerged as the backbone of the LTSS system, by providing care and support to aging family and friends in the home and community settings.(e) The AARP Public Policy Institute reports that in 2015, over four million family caregivers in California provided approximately $57 billion worth of unpaid care. Nationally, other data shows that nearly two-thirds of older adults with LTSS needs receive all help from unpaid family caregivers.(f) Despite their critical role, family caregivers continue to face daunting challenges in navigating the service delivery system, balancing employment and caregiving responsibilities, and financing their loved ones care needs.(g) As reported by the California Task Force on Family Caregiving, the financial burden of caregiving is significant, with caregivers often losing income from taking time off from employment or entirely leaving paid employment prematurely. Few caregivers know of Californias family leave benefits that can provide much needed benefits to eligible workers.(h) Californias network of 11 Caregiver Resource Centers focuses on meeting the needs of caregivers through family consultation and service planning, education, respite care, and counseling. Yet, the program remains severely underfunded after facing years of budget cuts, thereby limiting the services that can be provided.(i) The state should elevate policies that support unpaid family caregivers, better serve the needs of older adults, and promote greater efficiencies in public spending.(j) The final report of the California Task Force on Family Caregiving outlines a range of recommendations to meet the needs of family caregivers now and into the future, including the following: supporting the financial well-being of caregivers; standardizing caregiver assessments; enhancing access to information, education, and training; increasing access to affordable caregiver services and supports; integrating family caregivers into the healthcare process; increasing funding for the Caregiver Resource Centers; and creating a statewide advisory council on caregiving.(k) The challenges facing Californias family caregivers reflect issues plaguing the broader service delivery system. A 2014 report by the Senate Select Committee on Aging and Long-Term Care, entitled A Shattered System: Reforming Long-Term Care in California, identified a number of system challenges including fragmentation, lack of access to services, workforce challenges and cultural competency, and a crumbling infrastructure.(l) The aging of Californias population demands a thoughtful, deliberative approach to meeting the needs of older adults, people with disabilities, and family caregivers. 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 65 years of age and over will increase by four million people and become more racially and economically diverse. (b) The aging of Californias population will impact all areas of the service delivery system, including, but not limited to, increasing the demand for long-term services and supports (LTSS), housing, transportation, dental care, healthcare, and behavioral health services. (c) Ensuring a well-trained, culturally competent workforce is critical to meeting the needs of Californias aging population. Yet, the supply of trained paraprofessionals and professionals cannot keep pace with population demand now, let alone in the future. (d) Unpaid family caregivers have emerged as the backbone of the LTSS system, by providing care and support to aging family and friends in the home and community settings. (e) The AARP Public Policy Institute reports that in 2015, over four million family caregivers in California provided approximately $57 billion worth of unpaid care. Nationally, other data shows that nearly two-thirds of older adults with LTSS needs receive all help from unpaid family caregivers. (f) Despite their critical role, family caregivers continue to face daunting challenges in navigating the service delivery system, balancing employment and caregiving responsibilities, and financing their loved ones care needs. (g) As reported by the California Task Force on Family Caregiving, the financial burden of caregiving is significant, with caregivers often losing income from taking time off from employment or entirely leaving paid employment prematurely. Few caregivers know of Californias family leave benefits that can provide much needed benefits to eligible workers. (h) Californias network of 11 Caregiver Resource Centers focuses on meeting the needs of caregivers through family consultation and service planning, education, respite care, and counseling. Yet, the program remains severely underfunded after facing years of budget cuts, thereby limiting the services that can be provided. (i) The state should elevate policies that support unpaid family caregivers, better serve the needs of older adults, and promote greater efficiencies in public spending. (j) The final report of the California Task Force on Family Caregiving outlines a range of recommendations to meet the needs of family caregivers now and into the future, including the following: supporting the financial well-being of caregivers; standardizing caregiver assessments; enhancing access to information, education, and training; increasing access to affordable caregiver services and supports; integrating family caregivers into the healthcare process; increasing funding for the Caregiver Resource Centers; and creating a statewide advisory council on caregiving. (k) The challenges facing Californias family caregivers reflect issues plaguing the broader service delivery system. A 2014 report by the Senate Select Committee on Aging and Long-Term Care, entitled A Shattered System: Reforming Long-Term Care in California, identified a number of system challenges including fragmentation, lack of access to services, workforce challenges and cultural competency, and a crumbling infrastructure. (l) The aging of Californias population demands a thoughtful, deliberative approach to meeting the needs of older adults, people with disabilities, and family caregivers. SEC. 2. It is the intent of the Legislature to enact legislation to establish a Master Plan for an Aging California that responds to population needs in a comprehensive manner, including, but not limited to, strategies to address the needs of family caregivers and implement the recommendations offered by the California Task Force on Family Caregiving. SEC. 2. It is the intent of the Legislature to enact legislation to establish a Master Plan for an Aging California that responds to population needs in a comprehensive manner, including, but not limited to, strategies to address the needs of family caregivers and implement the recommendations offered by the California Task Force on Family Caregiving. SEC. 2. It is the intent of the Legislature to enact legislation to establish a Master Plan for an Aging California that responds to population needs in a comprehensive manner, including, but not limited to, strategies to address the needs of family caregivers and implement the recommendations offered by the California Task Force on Family Caregiving. ### SEC. 2.