Legislative Update

SUPPORT

AB 1993 (Kalra) RCFE Maximum Number of Residents

CALA supports this bill to allow the smallest RCFEs to expand from six residents to up to 10 while still being treated like a family residence for local zoning and “use” purposes and licensing standards and building codes continue to be met. This bill will be heard in the Assembly Human Services Committee.

AB 2104 (Soria) Community Colleges: Baccalaureate Degree in Nursing Pilot Program

This bill would create a pilot program at 15 community colleges throughout the state to develop a Bachelor of Science in Nursing degree.

AB 2541 (Bains) Peace Officer Training: Wandering

This bill would require the Commission on Peace Officer Standards and Training (POST) and experts on Alzheimer’s disease and other dementias to develop guidelines to help address unsafe wandering. This bill provides an important step forward for ensuring communication among and within various law enforcement agencies, emergency management agencies, and transportation providers, among others and implementing technology solutions to help coordinate and locate missing Californians with cognitive impairment.

AB 2549 (Gallagher) Patient Visitation

Similar to the goal of AB 2075 above, this bill seeks to strike a better balance in future emergencies so those receiving health and residential care services are able to receive visits from and support of loved ones.

AB 2680 (Aguiar-Curry) Alzheimer’s Disease

This is an Alzheimer’s Association sponsored bill similar to previous bills CALA supported that would rename the Alzheimer’s Disease and Related Disorders Advisory Committee and expand the number of committee members.

AB 2689 (Bains) Alzheimer’s Disease/Dementia Research Voluntary Tax Contribution Fund

CALA supports this Alzheimer’s Association bill that would extend the current voluntary tax contribution check off through 1/1/30. Funds are distributed through CDPH to provide research grants to scientists studying Alzheimer’s disease and related disorders. This bill will be heard in the Assembly Revenue and Taxation Committee.

AB 3232 (M. Dahle) Licensed Registered Nurses and Licensed Vocational Nurses: Nurse Licensure Compact

CALA has supported previous legislation that would allow California to join the nurse licensure compact so nurses from other states that are part of the compact can practice in California and vice versa. Forty-one states are currently part of the compact. Waivers allowed this practice during COVID due to the high demand for nurses, and this is one way to help with the current health care workforce shortage.

SB 875 (Glazer) Referral Agencies

This bill to establish consumer disclosure, protections and basic licensing for referral agencies passed the Senate Appropriations Committee and will soon be heard on the Senate Floor. CALA has long supported disclosure and transparency for referral agencies. Opposition from the state ombudsman and other groups seems to stem from the bill not going as far as they would like, despite the author’s amendment to require state licensure, which could trigger opposition from the administration based on costs. CALA is continuing to work to ensure that consumer disclosure is achieved this year and additional technical clarifications get made.

895 (Roth) Community Colleges: Baccalaureate Degree in Nursing Pilot Program

This bill is similar to AB 2104, in that it would also create a Bachelor of Science in Nursing degree program at the community college level. SB 895 also requires equitable access between northern, central and southern parts of the state in choosing the colleges that would be part of the pilot program.

SB 1249 (Roth) Mello-Granlund Older Californians Act

Strengthens the Area Agencies on Aging throughout the state to help ensure a well-organized and efficient long-term services and supports infrastructure which is vital to meet growing demand by older Californians. This bill will be heard in the Senate Human Services Committee.

SUPPORT IF AMENDED

AB 2075 (Alvarez) Resident-Designated Support Persons Act

CALA strongly supports the goal of this bill to ensure that residents in RCFEs, CCRCs and other long-term care settings have the right to visitors during a pandemic, with safety measures in place. Keeping older adults from their loved ones for extended periods of time was detrimental to overall well-being and should be avoided. Operational and implementation details proposed in the bill, however, create more problems than they solve. CALA is working with Assemblymember Alvarez, the sponsors and legislative staff on language that meets the goal without creating additional hurdles or confusion.

OPPOSE

SB 1406 (Allen) RCFE Price Control

CALA strongly opposes this effort to apply apartment-style rent control to RCFEs. As a licensed 24/7 care model, this would amount to price control while disregarding the costs associated with delivering care and services, including significant workforce related factors. Price control threatens compliance with increasing regulatory standards and threatens quality, and would result in closures and dramatically reduced development, which will hurt access to care. This bill would also create a statutory right for residents and their responsible parties to refuse to receive and pay for needed services. This proposal puts residents at risk of suffering harm. Failure to deliver needed services is not only contrary to the RCFE’s responsibility to meet the needs of residents, it is also contrary to the RCFE licensing obligations and can result in regulatory citations, fines, and ultimately license revocation.

OPPOSE UNLESS AMENDED

AB 1911 (Reyes) Residential Care Facilities: Complaints

This bill would make several changes to the CCLD complaint investigation process, focused primarily on complainants. The most objectional provision in the bill, allowing complainants to accompany state staff on complaint investigations, has been deleted from the bill, as CALA urged. That provision would have jeopardized fair and effective investigations by bringing complainants and witnesses face to face during the investigation and risked resident and staff confidentiality. Still in the bill is language to create a new multi-step appeal process for complainants, despite the current backlogs CCLD is facing in many of its core functions. The bill has other provisions that CALA is working on clarifying or modifying. This bill will be heard in the Assembly Human Services Committee.

2-Year Bills

SB 639 (Limón) Alzheimer’s disease – Support

This two-year bill is sponsored by the Alzheimer’s Association and would provide a comprehensive approach to the diagnosis, treatment and education of Alzheimer’s disease and related dementias across the state and encourage the creation of diagnostic hubs to help secure access to new clinical therapies coming to market. This bill would also continue and expand upon the cognitive health assessment training provided to primary care physicians.