CALIFORNIA LEGISLATURE 20192020 REGULAR SESSION Assembly Bill No. 2001Introduced by Assembly Member NazarianJanuary 28, 2020 An act to add and repeal Article 4.5 (commencing with Section 9125) of Chapter 2 of Division 8.5 of the Welfare and Institutions Code, relating to dementia. LEGISLATIVE COUNSEL'S DIGESTAB 2001, as introduced, Nazarian. Alzheimers Disease and Dementia Caregiver pilot program.Existing law, the Mello-Granlund Older Californians Act, reflects the policy mandates and directives of the Older Americans Act of 1965, as amended, and sets forth the states commitment to its older population and other populations served by the programs administered by the California Department of Aging. This bill would require the department, upon appropriation by the Legislature, to establish and administer the Alzheimers Disease and Dementia Caregiver Pilot Program, a 3-year pilot program, to support expanded access to evidence-based or evidence-derived dementia caregiver education programs, and to perform specified duties, including prioritizing innovative proposals seeking to reach specified communities, and awarding grants. The bill would repeal these provisions on January 1, 2026.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. (a) The Legislature hereby finds and declares that unpaid family caregivers are unsung heroes of our nations long-term care system. They often provide selfless care while facing increased financial burden, emotional stress, and negative impacts on their health. Investing in education, support, and resources for family caregivers is an integral part of Alzheimers care and services. The following are examples of Alzheimers caregiver education programs currently being used in the state:(1) Savvy Caregiver is a successful, evidence-based educational program, designed to train family caregivers in the basic knowledge, skills, and attitudes needed to handle the stress of caring for family members with Alzheimers disease. Research has demonstrated the programs ability to reduce caregiver depression and burden, improve caregivers willingness to use support groups and other community services, and enhance family caregivers effectiveness as managers of their relatives illness and the associated behavioral symptoms.(2) Savvy Caregiver Express, a condensed version of the original evidence-based program, was specifically revised to make it more accessible, particularly to working caregivers. Similar to a study of the original six-session program, an evaluation of the Savvy Caregiver Express pilot found statistically significant positive outcomes for caregivers who participated in the program with respect to the caregivers reactions to the behavioral symptoms of their care recipient, and their feelings of depression and anxiety. Savvy Caregiver Express is delivered in three two-hour sessions.(b) It is the intent of the Legislature to enact legislation that would require the California Department of Aging to establish and administer the Alzheimers Disease and Dementia Caregiver Pilot Program to support expanded access to evidence-based or evidence-derived dementia caregiver education programs, and to educate trainers in order to build the states capacity to deliver those programs.SEC. 2. Article 4.5 (commencing with Section 9125) is added to Chapter 2 of Division 8.5 of the Welfare and Institutions Code, to read: Article 4.5. Alzheimers Disease and Dementia Caregiver Pilot Program9125. (a) Upon appropriation by the Legislature for this purpose, the California Department of Aging shall establish and administer the Alzheimers Disease and Dementia Caregiver Pilot Program, a comprehensive three-year pilot program, to support expanded access to evidence-based or evidence-derived dementia caregiver education programs, and to educate trainers in order to build the states capacity to deliver those programs.(b) The department shall do all of the following:(1) Prioritize innovative proposals seeking to reach underserved and hard-to-reach communities.(2) Consider proposals seeking to linguistically and culturally translate existing programs or to develop new programs for underserved communities.(3) Award grants, ranging from fifty thousand dollars ($50,000) to five hundred thousand dollars ($500,000), to 10 sites located in urban and rural regions throughout the state.9126. This article shall remain in effect only until January 1, 2026, and as of that date is repealed. CALIFORNIA LEGISLATURE 20192020 REGULAR SESSION Assembly Bill No. 2001Introduced by Assembly Member NazarianJanuary 28, 2020 An act to add and repeal Article 4.5 (commencing with Section 9125) of Chapter 2 of Division 8.5 of the Welfare and Institutions Code, relating to dementia. LEGISLATIVE COUNSEL'S DIGESTAB 2001, as introduced, Nazarian. Alzheimers Disease and Dementia Caregiver pilot program.Existing law, the Mello-Granlund Older Californians Act, reflects the policy mandates and directives of the Older Americans Act of 1965, as amended, and sets forth the states commitment to its older population and other populations served by the programs administered by the California Department of Aging. This bill would require the department, upon appropriation by the Legislature, to establish and administer the Alzheimers Disease and Dementia Caregiver Pilot Program, a 3-year pilot program, to support expanded access to evidence-based or evidence-derived dementia caregiver education programs, and to perform specified duties, including prioritizing innovative proposals seeking to reach specified communities, and awarding grants. The bill would repeal these provisions on January 1, 2026.Digest Key Vote: MAJORITY Appropriation: NO Fiscal Committee: YES Local Program: NO CALIFORNIA LEGISLATURE 20192020 REGULAR SESSION Assembly Bill No. 2001 Introduced by Assembly Member NazarianJanuary 28, 2020 Introduced by Assembly Member Nazarian January 28, 2020 An act to add and repeal Article 4.5 (commencing with Section 9125) of Chapter 2 of Division 8.5 of the Welfare and Institutions Code, relating to dementia. LEGISLATIVE COUNSEL'S DIGEST ## LEGISLATIVE COUNSEL'S DIGEST AB 2001, as introduced, Nazarian. Alzheimers Disease and Dementia Caregiver pilot program. Existing law, the Mello-Granlund Older Californians Act, reflects the policy mandates and directives of the Older Americans Act of 1965, as amended, and sets forth the states commitment to its older population and other populations served by the programs administered by the California Department of Aging. This bill would require the department, upon appropriation by the Legislature, to establish and administer the Alzheimers Disease and Dementia Caregiver Pilot Program, a 3-year pilot program, to support expanded access to evidence-based or evidence-derived dementia caregiver education programs, and to perform specified duties, including prioritizing innovative proposals seeking to reach specified communities, and awarding grants. The bill would repeal these provisions on January 1, 2026. Existing law, the Mello-Granlund Older Californians Act, reflects the policy mandates and directives of the Older Americans Act of 1965, as amended, and sets forth the states commitment to its older population and other populations served by the programs administered by the California Department of Aging. This bill would require the department, upon appropriation by the Legislature, to establish and administer the Alzheimers Disease and Dementia Caregiver Pilot Program, a 3-year pilot program, to support expanded access to evidence-based or evidence-derived dementia caregiver education programs, and to perform specified duties, including prioritizing innovative proposals seeking to reach specified communities, and awarding grants. The bill would repeal these provisions on January 1, 2026. ## Digest Key ## Bill Text The people of the State of California do enact as follows:SECTION 1. (a) The Legislature hereby finds and declares that unpaid family caregivers are unsung heroes of our nations long-term care system. They often provide selfless care while facing increased financial burden, emotional stress, and negative impacts on their health. Investing in education, support, and resources for family caregivers is an integral part of Alzheimers care and services. The following are examples of Alzheimers caregiver education programs currently being used in the state:(1) Savvy Caregiver is a successful, evidence-based educational program, designed to train family caregivers in the basic knowledge, skills, and attitudes needed to handle the stress of caring for family members with Alzheimers disease. Research has demonstrated the programs ability to reduce caregiver depression and burden, improve caregivers willingness to use support groups and other community services, and enhance family caregivers effectiveness as managers of their relatives illness and the associated behavioral symptoms.(2) Savvy Caregiver Express, a condensed version of the original evidence-based program, was specifically revised to make it more accessible, particularly to working caregivers. Similar to a study of the original six-session program, an evaluation of the Savvy Caregiver Express pilot found statistically significant positive outcomes for caregivers who participated in the program with respect to the caregivers reactions to the behavioral symptoms of their care recipient, and their feelings of depression and anxiety. Savvy Caregiver Express is delivered in three two-hour sessions.(b) It is the intent of the Legislature to enact legislation that would require the California Department of Aging to establish and administer the Alzheimers Disease and Dementia Caregiver Pilot Program to support expanded access to evidence-based or evidence-derived dementia caregiver education programs, and to educate trainers in order to build the states capacity to deliver those programs.SEC. 2. Article 4.5 (commencing with Section 9125) is added to Chapter 2 of Division 8.5 of the Welfare and Institutions Code, to read: Article 4.5. Alzheimers Disease and Dementia Caregiver Pilot Program9125. (a) Upon appropriation by the Legislature for this purpose, the California Department of Aging shall establish and administer the Alzheimers Disease and Dementia Caregiver Pilot Program, a comprehensive three-year pilot program, to support expanded access to evidence-based or evidence-derived dementia caregiver education programs, and to educate trainers in order to build the states capacity to deliver those programs.(b) The department shall do all of the following:(1) Prioritize innovative proposals seeking to reach underserved and hard-to-reach communities.(2) Consider proposals seeking to linguistically and culturally translate existing programs or to develop new programs for underserved communities.(3) Award grants, ranging from fifty thousand dollars ($50,000) to five hundred thousand dollars ($500,000), to 10 sites located in urban and rural regions throughout the state.9126. This article shall remain in effect only until January 1, 2026, and as of that date is repealed. The people of the State of California do enact as follows: ## The people of the State of California do enact as follows: SECTION 1. (a) The Legislature hereby finds and declares that unpaid family caregivers are unsung heroes of our nations long-term care system. They often provide selfless care while facing increased financial burden, emotional stress, and negative impacts on their health. Investing in education, support, and resources for family caregivers is an integral part of Alzheimers care and services. The following are examples of Alzheimers caregiver education programs currently being used in the state:(1) Savvy Caregiver is a successful, evidence-based educational program, designed to train family caregivers in the basic knowledge, skills, and attitudes needed to handle the stress of caring for family members with Alzheimers disease. Research has demonstrated the programs ability to reduce caregiver depression and burden, improve caregivers willingness to use support groups and other community services, and enhance family caregivers effectiveness as managers of their relatives illness and the associated behavioral symptoms.(2) Savvy Caregiver Express, a condensed version of the original evidence-based program, was specifically revised to make it more accessible, particularly to working caregivers. Similar to a study of the original six-session program, an evaluation of the Savvy Caregiver Express pilot found statistically significant positive outcomes for caregivers who participated in the program with respect to the caregivers reactions to the behavioral symptoms of their care recipient, and their feelings of depression and anxiety. Savvy Caregiver Express is delivered in three two-hour sessions.(b) It is the intent of the Legislature to enact legislation that would require the California Department of Aging to establish and administer the Alzheimers Disease and Dementia Caregiver Pilot Program to support expanded access to evidence-based or evidence-derived dementia caregiver education programs, and to educate trainers in order to build the states capacity to deliver those programs. SECTION 1. (a) The Legislature hereby finds and declares that unpaid family caregivers are unsung heroes of our nations long-term care system. They often provide selfless care while facing increased financial burden, emotional stress, and negative impacts on their health. Investing in education, support, and resources for family caregivers is an integral part of Alzheimers care and services. The following are examples of Alzheimers caregiver education programs currently being used in the state:(1) Savvy Caregiver is a successful, evidence-based educational program, designed to train family caregivers in the basic knowledge, skills, and attitudes needed to handle the stress of caring for family members with Alzheimers disease. Research has demonstrated the programs ability to reduce caregiver depression and burden, improve caregivers willingness to use support groups and other community services, and enhance family caregivers effectiveness as managers of their relatives illness and the associated behavioral symptoms.(2) Savvy Caregiver Express, a condensed version of the original evidence-based program, was specifically revised to make it more accessible, particularly to working caregivers. Similar to a study of the original six-session program, an evaluation of the Savvy Caregiver Express pilot found statistically significant positive outcomes for caregivers who participated in the program with respect to the caregivers reactions to the behavioral symptoms of their care recipient, and their feelings of depression and anxiety. Savvy Caregiver Express is delivered in three two-hour sessions.(b) It is the intent of the Legislature to enact legislation that would require the California Department of Aging to establish and administer the Alzheimers Disease and Dementia Caregiver Pilot Program to support expanded access to evidence-based or evidence-derived dementia caregiver education programs, and to educate trainers in order to build the states capacity to deliver those programs. SECTION 1. (a) The Legislature hereby finds and declares that unpaid family caregivers are unsung heroes of our nations long-term care system. They often provide selfless care while facing increased financial burden, emotional stress, and negative impacts on their health. Investing in education, support, and resources for family caregivers is an integral part of Alzheimers care and services. The following are examples of Alzheimers caregiver education programs currently being used in the state: ### SECTION 1. (1) Savvy Caregiver is a successful, evidence-based educational program, designed to train family caregivers in the basic knowledge, skills, and attitudes needed to handle the stress of caring for family members with Alzheimers disease. Research has demonstrated the programs ability to reduce caregiver depression and burden, improve caregivers willingness to use support groups and other community services, and enhance family caregivers effectiveness as managers of their relatives illness and the associated behavioral symptoms. (2) Savvy Caregiver Express, a condensed version of the original evidence-based program, was specifically revised to make it more accessible, particularly to working caregivers. Similar to a study of the original six-session program, an evaluation of the Savvy Caregiver Express pilot found statistically significant positive outcomes for caregivers who participated in the program with respect to the caregivers reactions to the behavioral symptoms of their care recipient, and their feelings of depression and anxiety. Savvy Caregiver Express is delivered in three two-hour sessions. (b) It is the intent of the Legislature to enact legislation that would require the California Department of Aging to establish and administer the Alzheimers Disease and Dementia Caregiver Pilot Program to support expanded access to evidence-based or evidence-derived dementia caregiver education programs, and to educate trainers in order to build the states capacity to deliver those programs. SEC. 2. Article 4.5 (commencing with Section 9125) is added to Chapter 2 of Division 8.5 of the Welfare and Institutions Code, to read: Article 4.5. Alzheimers Disease and Dementia Caregiver Pilot Program9125. (a) Upon appropriation by the Legislature for this purpose, the California Department of Aging shall establish and administer the Alzheimers Disease and Dementia Caregiver Pilot Program, a comprehensive three-year pilot program, to support expanded access to evidence-based or evidence-derived dementia caregiver education programs, and to educate trainers in order to build the states capacity to deliver those programs.(b) The department shall do all of the following:(1) Prioritize innovative proposals seeking to reach underserved and hard-to-reach communities.(2) Consider proposals seeking to linguistically and culturally translate existing programs or to develop new programs for underserved communities.(3) Award grants, ranging from fifty thousand dollars ($50,000) to five hundred thousand dollars ($500,000), to 10 sites located in urban and rural regions throughout the state.9126. This article shall remain in effect only until January 1, 2026, and as of that date is repealed. SEC. 2. Article 4.5 (commencing with Section 9125) is added to Chapter 2 of Division 8.5 of the Welfare and Institutions Code, to read: ### SEC. 2. Article 4.5. Alzheimers Disease and Dementia Caregiver Pilot Program9125. (a) Upon appropriation by the Legislature for this purpose, the California Department of Aging shall establish and administer the Alzheimers Disease and Dementia Caregiver Pilot Program, a comprehensive three-year pilot program, to support expanded access to evidence-based or evidence-derived dementia caregiver education programs, and to educate trainers in order to build the states capacity to deliver those programs.(b) The department shall do all of the following:(1) Prioritize innovative proposals seeking to reach underserved and hard-to-reach communities.(2) Consider proposals seeking to linguistically and culturally translate existing programs or to develop new programs for underserved communities.(3) Award grants, ranging from fifty thousand dollars ($50,000) to five hundred thousand dollars ($500,000), to 10 sites located in urban and rural regions throughout the state.9126. This article shall remain in effect only until January 1, 2026, and as of that date is repealed. Article 4.5. Alzheimers Disease and Dementia Caregiver Pilot Program9125. (a) Upon appropriation by the Legislature for this purpose, the California Department of Aging shall establish and administer the Alzheimers Disease and Dementia Caregiver Pilot Program, a comprehensive three-year pilot program, to support expanded access to evidence-based or evidence-derived dementia caregiver education programs, and to educate trainers in order to build the states capacity to deliver those programs.(b) The department shall do all of the following:(1) Prioritize innovative proposals seeking to reach underserved and hard-to-reach communities.(2) Consider proposals seeking to linguistically and culturally translate existing programs or to develop new programs for underserved communities.(3) Award grants, ranging from fifty thousand dollars ($50,000) to five hundred thousand dollars ($500,000), to 10 sites located in urban and rural regions throughout the state.9126. This article shall remain in effect only until January 1, 2026, and as of that date is repealed. Article 4.5. Alzheimers Disease and Dementia Caregiver Pilot Program Article 4.5. Alzheimers Disease and Dementia Caregiver Pilot Program 9125. (a) Upon appropriation by the Legislature for this purpose, the California Department of Aging shall establish and administer the Alzheimers Disease and Dementia Caregiver Pilot Program, a comprehensive three-year pilot program, to support expanded access to evidence-based or evidence-derived dementia caregiver education programs, and to educate trainers in order to build the states capacity to deliver those programs.(b) The department shall do all of the following:(1) Prioritize innovative proposals seeking to reach underserved and hard-to-reach communities.(2) Consider proposals seeking to linguistically and culturally translate existing programs or to develop new programs for underserved communities.(3) Award grants, ranging from fifty thousand dollars ($50,000) to five hundred thousand dollars ($500,000), to 10 sites located in urban and rural regions throughout the state. 9125. (a) Upon appropriation by the Legislature for this purpose, the California Department of Aging shall establish and administer the Alzheimers Disease and Dementia Caregiver Pilot Program, a comprehensive three-year pilot program, to support expanded access to evidence-based or evidence-derived dementia caregiver education programs, and to educate trainers in order to build the states capacity to deliver those programs. (b) The department shall do all of the following: (1) Prioritize innovative proposals seeking to reach underserved and hard-to-reach communities. (2) Consider proposals seeking to linguistically and culturally translate existing programs or to develop new programs for underserved communities. (3) Award grants, ranging from fifty thousand dollars ($50,000) to five hundred thousand dollars ($500,000), to 10 sites located in urban and rural regions throughout the state. 9126. This article shall remain in effect only until January 1, 2026, and as of that date is repealed. 9126. This article shall remain in effect only until January 1, 2026, and as of that date is repealed.