California 2021 2021-2022 Regular Session

California Assembly Bill AB2548 Amended / Bill

Filed 03/24/2022

                    Amended IN  Assembly  March 24, 2022 CALIFORNIA LEGISLATURE 20212022 REGULAR SESSION Assembly Bill No. 2548Introduced by Assembly Member NazarianFebruary 17, 2022 An act to add and repeal Article 5 (commencing with Section 9125) of Chapter 2 of Division 8.5 of the Welfare and Institutions Code, relating to older adults. LEGISLATIVE COUNSEL'S DIGESTAB 2548, as amended, Nazarian. Healthier Homes - Age in Place Nursing Program.Existing law establishes the California Department of Aging 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 the least restrictive homelike environments. Existing law permits age restrictions in connection with housing and defines senior citizen housing developments for these purposes as a residential development for senior citizens that has at least 35 dwelling units.This bill would require the department to establish and administer the Healthier Homes - Age in Place Nursing Pilot Program in the Counties of Contra Costa, Fresno, Orange, Riverside, Sacramento, San Diego, Shasta, and Sonoma. The program would provide grant funds to qualified nonprofit organizations that specialize in resident services for the purposes of hiring one full-time registered nurse and one full-time community health worker to work at 3 senior citizen housing developments in each county to provide health education, navigation, coaching, and care to residents. The bill would require the department to submit a report to specified legislative committees and state agencies on or before January 1, 2027, 2029, and would repeal the program as of January 1, 2028. 2030.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. The Legislature finds and declares all of the following:(a) The Public Policy Institute of California estimates that, by the year 2030, the states population that is 65 years of age or older will nearly double, increasing by 4,000,000 people to nearly 8,000,000, while becoming more racially and economically diverse.(b) The aging of Californias population will impact all areas of the service delivery system, increasing the demand for long-term services and supports, transportation, oral health, health care, behavioral health services, and housing.(c) Service-enriched housing for the aging population is an important tool for solving our states housing, long-term services and supports, and health care challenges.(d) California is working to adopt a statewide housing-based population health model, similar to Vermonts Support and Services at Home (SASH) model. In the meantime, the Healthier Homes-Age in Place Nursing Program can help serve California seniors living in low-income housing. (e) The collaboration of on-site service coordinators, community health workers, and an onsite registered nurse who will provide comprehensive support for social services needs, health education, navigation, transitions of care, and coaching, enables older residents to receive more appropriate and better care, to remain living independently, and to avoid costly health care issues, including unnecessary hospitalization and long-term care facility stays.(f) The COVID-19 pandemic has negatively impacted older adults more than any other age group and has demonstrated that keeping older adults, especially those with chronic conditions and high frailty levels, in their homes and out of the hospital and long-term care is even more crucial than before. Health care and social services must be brought to residents where they live.SEC. 2. Article 5 (commencing with Section 9125) is added to Chapter 2 of Division 8.5 of the Welfare and Institutions Code, to read: Article 5. Healthier Homes9125. (a) The California Department of Aging shall establish and administer the Healthier Homes - Age in Place Nursing Pilot Program. The department shall choose projects in the Counties of Contra Costa, Fresno, Orange, Riverside, Sacramento, San Diego, Shasta, and Sonoma.(b) The department shall provide grant funds to qualified nonprofit organizations that specialize in resident services for the purposes of hiring one full-time registered nurse and one full-time community health worker to work at three properties in each county to provide health education, navigation, coaching, and care to residents. The three properties served by the registered nurse shall be senior citizen housing developments, as described in Sections 51.2 and 51.3 of the Civil Code.(c) The department shall establish criteria, guidelines, and an application process for grants. Grant recipients shall be required, as a condition of receiving the grant, to agree to provide data as required by the department to meet the reporting requirements in Section 9126.9126. (a) On or before January 1, 2027, 2029, the department shall provide to the Senate Committee on Health, the Assembly Committee on Aging and Long-Term Care, the Assembly Committee on Health, the California Health and Human Services Agency, and the Department of Housing and Community Development a report that contains, but is not limited to, all of the following:(1) An evaluation of the success of the program and challenges to implementation.(2) Data on the types of services utilized and the outcomes of those services.(3) The number of residents who participated.(4) The number of participating residents who moved from the program sites to long-term care facilities.(b) A report to be submitted pursuant to this section shall be submitted in compliance with Section 9795 of the Government Code. 9127. This article shall remain in effect only until January 1, 2028, 2030, and as of that date is repealed.

 Amended IN  Assembly  March 24, 2022 CALIFORNIA LEGISLATURE 20212022 REGULAR SESSION Assembly Bill No. 2548Introduced by Assembly Member NazarianFebruary 17, 2022 An act to add and repeal Article 5 (commencing with Section 9125) of Chapter 2 of Division 8.5 of the Welfare and Institutions Code, relating to older adults. LEGISLATIVE COUNSEL'S DIGESTAB 2548, as amended, Nazarian. Healthier Homes - Age in Place Nursing Program.Existing law establishes the California Department of Aging 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 the least restrictive homelike environments. Existing law permits age restrictions in connection with housing and defines senior citizen housing developments for these purposes as a residential development for senior citizens that has at least 35 dwelling units.This bill would require the department to establish and administer the Healthier Homes - Age in Place Nursing Pilot Program in the Counties of Contra Costa, Fresno, Orange, Riverside, Sacramento, San Diego, Shasta, and Sonoma. The program would provide grant funds to qualified nonprofit organizations that specialize in resident services for the purposes of hiring one full-time registered nurse and one full-time community health worker to work at 3 senior citizen housing developments in each county to provide health education, navigation, coaching, and care to residents. The bill would require the department to submit a report to specified legislative committees and state agencies on or before January 1, 2027, 2029, and would repeal the program as of January 1, 2028. 2030.Digest Key Vote: MAJORITY  Appropriation: NO  Fiscal Committee: YES  Local Program: NO 

 Amended IN  Assembly  March 24, 2022

Amended IN  Assembly  March 24, 2022

 CALIFORNIA LEGISLATURE 20212022 REGULAR SESSION

 Assembly Bill 

No. 2548

Introduced by Assembly Member NazarianFebruary 17, 2022

Introduced by Assembly Member Nazarian
February 17, 2022

 An act to add and repeal Article 5 (commencing with Section 9125) of Chapter 2 of Division 8.5 of the Welfare and Institutions Code, relating to older adults. 

LEGISLATIVE COUNSEL'S DIGEST

## LEGISLATIVE COUNSEL'S DIGEST

AB 2548, as amended, Nazarian. Healthier Homes - Age in Place Nursing Program.

Existing law establishes the California Department of Aging 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 the least restrictive homelike environments. Existing law permits age restrictions in connection with housing and defines senior citizen housing developments for these purposes as a residential development for senior citizens that has at least 35 dwelling units.This bill would require the department to establish and administer the Healthier Homes - Age in Place Nursing Pilot Program in the Counties of Contra Costa, Fresno, Orange, Riverside, Sacramento, San Diego, Shasta, and Sonoma. The program would provide grant funds to qualified nonprofit organizations that specialize in resident services for the purposes of hiring one full-time registered nurse and one full-time community health worker to work at 3 senior citizen housing developments in each county to provide health education, navigation, coaching, and care to residents. The bill would require the department to submit a report to specified legislative committees and state agencies on or before January 1, 2027, 2029, and would repeal the program as of January 1, 2028. 2030.

Existing law establishes the California Department of Aging 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 the least restrictive homelike environments. Existing law permits age restrictions in connection with housing and defines senior citizen housing developments for these purposes as a residential development for senior citizens that has at least 35 dwelling units.

This bill would require the department to establish and administer the Healthier Homes - Age in Place Nursing Pilot Program in the Counties of Contra Costa, Fresno, Orange, Riverside, Sacramento, San Diego, Shasta, and Sonoma. The program would provide grant funds to qualified nonprofit organizations that specialize in resident services for the purposes of hiring one full-time registered nurse and one full-time community health worker to work at 3 senior citizen housing developments in each county to provide health education, navigation, coaching, and care to residents. The bill would require the department to submit a report to specified legislative committees and state agencies on or before January 1, 2027, 2029, and would repeal the program as of January 1, 2028. 2030.

## Digest Key

## Bill Text

The people of the State of California do enact as follows:SECTION 1. The Legislature finds and declares all of the following:(a) The Public Policy Institute of California estimates that, by the year 2030, the states population that is 65 years of age or older will nearly double, increasing by 4,000,000 people to nearly 8,000,000, while becoming more racially and economically diverse.(b) The aging of Californias population will impact all areas of the service delivery system, increasing the demand for long-term services and supports, transportation, oral health, health care, behavioral health services, and housing.(c) Service-enriched housing for the aging population is an important tool for solving our states housing, long-term services and supports, and health care challenges.(d) California is working to adopt a statewide housing-based population health model, similar to Vermonts Support and Services at Home (SASH) model. In the meantime, the Healthier Homes-Age in Place Nursing Program can help serve California seniors living in low-income housing. (e) The collaboration of on-site service coordinators, community health workers, and an onsite registered nurse who will provide comprehensive support for social services needs, health education, navigation, transitions of care, and coaching, enables older residents to receive more appropriate and better care, to remain living independently, and to avoid costly health care issues, including unnecessary hospitalization and long-term care facility stays.(f) The COVID-19 pandemic has negatively impacted older adults more than any other age group and has demonstrated that keeping older adults, especially those with chronic conditions and high frailty levels, in their homes and out of the hospital and long-term care is even more crucial than before. Health care and social services must be brought to residents where they live.SEC. 2. Article 5 (commencing with Section 9125) is added to Chapter 2 of Division 8.5 of the Welfare and Institutions Code, to read: Article 5. Healthier Homes9125. (a) The California Department of Aging shall establish and administer the Healthier Homes - Age in Place Nursing Pilot Program. The department shall choose projects in the Counties of Contra Costa, Fresno, Orange, Riverside, Sacramento, San Diego, Shasta, and Sonoma.(b) The department shall provide grant funds to qualified nonprofit organizations that specialize in resident services for the purposes of hiring one full-time registered nurse and one full-time community health worker to work at three properties in each county to provide health education, navigation, coaching, and care to residents. The three properties served by the registered nurse shall be senior citizen housing developments, as described in Sections 51.2 and 51.3 of the Civil Code.(c) The department shall establish criteria, guidelines, and an application process for grants. Grant recipients shall be required, as a condition of receiving the grant, to agree to provide data as required by the department to meet the reporting requirements in Section 9126.9126. (a) On or before January 1, 2027, 2029, the department shall provide to the Senate Committee on Health, the Assembly Committee on Aging and Long-Term Care, the Assembly Committee on Health, the California Health and Human Services Agency, and the Department of Housing and Community Development a report that contains, but is not limited to, all of the following:(1) An evaluation of the success of the program and challenges to implementation.(2) Data on the types of services utilized and the outcomes of those services.(3) The number of residents who participated.(4) The number of participating residents who moved from the program sites to long-term care facilities.(b) A report to be submitted pursuant to this section shall be submitted in compliance with Section 9795 of the Government Code. 9127. This article shall remain in effect only until January 1, 2028, 2030, 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. The Legislature finds and declares all of the following:(a) The Public Policy Institute of California estimates that, by the year 2030, the states population that is 65 years of age or older will nearly double, increasing by 4,000,000 people to nearly 8,000,000, while becoming more racially and economically diverse.(b) The aging of Californias population will impact all areas of the service delivery system, increasing the demand for long-term services and supports, transportation, oral health, health care, behavioral health services, and housing.(c) Service-enriched housing for the aging population is an important tool for solving our states housing, long-term services and supports, and health care challenges.(d) California is working to adopt a statewide housing-based population health model, similar to Vermonts Support and Services at Home (SASH) model. In the meantime, the Healthier Homes-Age in Place Nursing Program can help serve California seniors living in low-income housing. (e) The collaboration of on-site service coordinators, community health workers, and an onsite registered nurse who will provide comprehensive support for social services needs, health education, navigation, transitions of care, and coaching, enables older residents to receive more appropriate and better care, to remain living independently, and to avoid costly health care issues, including unnecessary hospitalization and long-term care facility stays.(f) The COVID-19 pandemic has negatively impacted older adults more than any other age group and has demonstrated that keeping older adults, especially those with chronic conditions and high frailty levels, in their homes and out of the hospital and long-term care is even more crucial than before. Health care and social services must be brought to residents where they live.

SECTION 1. The Legislature finds and declares all of the following:(a) The Public Policy Institute of California estimates that, by the year 2030, the states population that is 65 years of age or older will nearly double, increasing by 4,000,000 people to nearly 8,000,000, while becoming more racially and economically diverse.(b) The aging of Californias population will impact all areas of the service delivery system, increasing the demand for long-term services and supports, transportation, oral health, health care, behavioral health services, and housing.(c) Service-enriched housing for the aging population is an important tool for solving our states housing, long-term services and supports, and health care challenges.(d) California is working to adopt a statewide housing-based population health model, similar to Vermonts Support and Services at Home (SASH) model. In the meantime, the Healthier Homes-Age in Place Nursing Program can help serve California seniors living in low-income housing. (e) The collaboration of on-site service coordinators, community health workers, and an onsite registered nurse who will provide comprehensive support for social services needs, health education, navigation, transitions of care, and coaching, enables older residents to receive more appropriate and better care, to remain living independently, and to avoid costly health care issues, including unnecessary hospitalization and long-term care facility stays.(f) The COVID-19 pandemic has negatively impacted older adults more than any other age group and has demonstrated that keeping older adults, especially those with chronic conditions and high frailty levels, in their homes and out of the hospital and long-term care is even more crucial than before. Health care and social services must be brought to residents where they live.

SECTION 1. The Legislature finds and declares all of the following:

### SECTION 1.

(a) The Public Policy Institute of California estimates that, by the year 2030, the states population that is 65 years of age or older will nearly double, increasing by 4,000,000 people to nearly 8,000,000, while becoming more racially and economically diverse.

(b) The aging of Californias population will impact all areas of the service delivery system, increasing the demand for long-term services and supports, transportation, oral health, health care, behavioral health services, and housing.

(c) Service-enriched housing for the aging population is an important tool for solving our states housing, long-term services and supports, and health care challenges.

(d) California is working to adopt a statewide housing-based population health model, similar to Vermonts Support and Services at Home (SASH) model. In the meantime, the Healthier Homes-Age in Place Nursing Program can help serve California seniors living in low-income housing. 

(e) The collaboration of on-site service coordinators, community health workers, and an onsite registered nurse who will provide comprehensive support for social services needs, health education, navigation, transitions of care, and coaching, enables older residents to receive more appropriate and better care, to remain living independently, and to avoid costly health care issues, including unnecessary hospitalization and long-term care facility stays.

(f) The COVID-19 pandemic has negatively impacted older adults more than any other age group and has demonstrated that keeping older adults, especially those with chronic conditions and high frailty levels, in their homes and out of the hospital and long-term care is even more crucial than before. Health care and social services must be brought to residents where they live.

SEC. 2. Article 5 (commencing with Section 9125) is added to Chapter 2 of Division 8.5 of the Welfare and Institutions Code, to read: Article 5. Healthier Homes9125. (a) The California Department of Aging shall establish and administer the Healthier Homes - Age in Place Nursing Pilot Program. The department shall choose projects in the Counties of Contra Costa, Fresno, Orange, Riverside, Sacramento, San Diego, Shasta, and Sonoma.(b) The department shall provide grant funds to qualified nonprofit organizations that specialize in resident services for the purposes of hiring one full-time registered nurse and one full-time community health worker to work at three properties in each county to provide health education, navigation, coaching, and care to residents. The three properties served by the registered nurse shall be senior citizen housing developments, as described in Sections 51.2 and 51.3 of the Civil Code.(c) The department shall establish criteria, guidelines, and an application process for grants. Grant recipients shall be required, as a condition of receiving the grant, to agree to provide data as required by the department to meet the reporting requirements in Section 9126.9126. (a) On or before January 1, 2027, 2029, the department shall provide to the Senate Committee on Health, the Assembly Committee on Aging and Long-Term Care, the Assembly Committee on Health, the California Health and Human Services Agency, and the Department of Housing and Community Development a report that contains, but is not limited to, all of the following:(1) An evaluation of the success of the program and challenges to implementation.(2) Data on the types of services utilized and the outcomes of those services.(3) The number of residents who participated.(4) The number of participating residents who moved from the program sites to long-term care facilities.(b) A report to be submitted pursuant to this section shall be submitted in compliance with Section 9795 of the Government Code. 9127. This article shall remain in effect only until January 1, 2028, 2030, and as of that date is repealed.

SEC. 2. Article 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 5. Healthier Homes9125. (a) The California Department of Aging shall establish and administer the Healthier Homes - Age in Place Nursing Pilot Program. The department shall choose projects in the Counties of Contra Costa, Fresno, Orange, Riverside, Sacramento, San Diego, Shasta, and Sonoma.(b) The department shall provide grant funds to qualified nonprofit organizations that specialize in resident services for the purposes of hiring one full-time registered nurse and one full-time community health worker to work at three properties in each county to provide health education, navigation, coaching, and care to residents. The three properties served by the registered nurse shall be senior citizen housing developments, as described in Sections 51.2 and 51.3 of the Civil Code.(c) The department shall establish criteria, guidelines, and an application process for grants. Grant recipients shall be required, as a condition of receiving the grant, to agree to provide data as required by the department to meet the reporting requirements in Section 9126.9126. (a) On or before January 1, 2027, 2029, the department shall provide to the Senate Committee on Health, the Assembly Committee on Aging and Long-Term Care, the Assembly Committee on Health, the California Health and Human Services Agency, and the Department of Housing and Community Development a report that contains, but is not limited to, all of the following:(1) An evaluation of the success of the program and challenges to implementation.(2) Data on the types of services utilized and the outcomes of those services.(3) The number of residents who participated.(4) The number of participating residents who moved from the program sites to long-term care facilities.(b) A report to be submitted pursuant to this section shall be submitted in compliance with Section 9795 of the Government Code. 9127. This article shall remain in effect only until January 1, 2028, 2030, and as of that date is repealed.

 Article 5. Healthier Homes9125. (a) The California Department of Aging shall establish and administer the Healthier Homes - Age in Place Nursing Pilot Program. The department shall choose projects in the Counties of Contra Costa, Fresno, Orange, Riverside, Sacramento, San Diego, Shasta, and Sonoma.(b) The department shall provide grant funds to qualified nonprofit organizations that specialize in resident services for the purposes of hiring one full-time registered nurse and one full-time community health worker to work at three properties in each county to provide health education, navigation, coaching, and care to residents. The three properties served by the registered nurse shall be senior citizen housing developments, as described in Sections 51.2 and 51.3 of the Civil Code.(c) The department shall establish criteria, guidelines, and an application process for grants. Grant recipients shall be required, as a condition of receiving the grant, to agree to provide data as required by the department to meet the reporting requirements in Section 9126.9126. (a) On or before January 1, 2027, 2029, the department shall provide to the Senate Committee on Health, the Assembly Committee on Aging and Long-Term Care, the Assembly Committee on Health, the California Health and Human Services Agency, and the Department of Housing and Community Development a report that contains, but is not limited to, all of the following:(1) An evaluation of the success of the program and challenges to implementation.(2) Data on the types of services utilized and the outcomes of those services.(3) The number of residents who participated.(4) The number of participating residents who moved from the program sites to long-term care facilities.(b) A report to be submitted pursuant to this section shall be submitted in compliance with Section 9795 of the Government Code. 9127. This article shall remain in effect only until January 1, 2028, 2030, and as of that date is repealed.

 Article 5. Healthier Homes

 Article 5. Healthier Homes

9125. (a) The California Department of Aging shall establish and administer the Healthier Homes - Age in Place Nursing Pilot Program. The department shall choose projects in the Counties of Contra Costa, Fresno, Orange, Riverside, Sacramento, San Diego, Shasta, and Sonoma.(b) The department shall provide grant funds to qualified nonprofit organizations that specialize in resident services for the purposes of hiring one full-time registered nurse and one full-time community health worker to work at three properties in each county to provide health education, navigation, coaching, and care to residents. The three properties served by the registered nurse shall be senior citizen housing developments, as described in Sections 51.2 and 51.3 of the Civil Code.(c) The department shall establish criteria, guidelines, and an application process for grants. Grant recipients shall be required, as a condition of receiving the grant, to agree to provide data as required by the department to meet the reporting requirements in Section 9126.



9125. (a) The California Department of Aging shall establish and administer the Healthier Homes - Age in Place Nursing Pilot Program. The department shall choose projects in the Counties of Contra Costa, Fresno, Orange, Riverside, Sacramento, San Diego, Shasta, and Sonoma.

(b) The department shall provide grant funds to qualified nonprofit organizations that specialize in resident services for the purposes of hiring one full-time registered nurse and one full-time community health worker to work at three properties in each county to provide health education, navigation, coaching, and care to residents. The three properties served by the registered nurse shall be senior citizen housing developments, as described in Sections 51.2 and 51.3 of the Civil Code.

(c) The department shall establish criteria, guidelines, and an application process for grants. Grant recipients shall be required, as a condition of receiving the grant, to agree to provide data as required by the department to meet the reporting requirements in Section 9126.

9126. (a) On or before January 1, 2027, 2029, the department shall provide to the Senate Committee on Health, the Assembly Committee on Aging and Long-Term Care, the Assembly Committee on Health, the California Health and Human Services Agency, and the Department of Housing and Community Development a report that contains, but is not limited to, all of the following:(1) An evaluation of the success of the program and challenges to implementation.(2) Data on the types of services utilized and the outcomes of those services.(3) The number of residents who participated.(4) The number of participating residents who moved from the program sites to long-term care facilities.(b) A report to be submitted pursuant to this section shall be submitted in compliance with Section 9795 of the Government Code. 



9126. (a) On or before January 1, 2027, 2029, the department shall provide to the Senate Committee on Health, the Assembly Committee on Aging and Long-Term Care, the Assembly Committee on Health, the California Health and Human Services Agency, and the Department of Housing and Community Development a report that contains, but is not limited to, all of the following:

(1) An evaluation of the success of the program and challenges to implementation.

(2) Data on the types of services utilized and the outcomes of those services.

(3) The number of residents who participated.

(4) The number of participating residents who moved from the program sites to long-term care facilities.

(b) A report to be submitted pursuant to this section shall be submitted in compliance with Section 9795 of the Government Code. 

9127. This article shall remain in effect only until January 1, 2028, 2030, and as of that date is repealed.



9127. This article shall remain in effect only until January 1, 2028, 2030, and as of that date is repealed.