SENIOR ASSEMBLY PROPOSAL NO. 18

INTRODUCED BY SENIOR ASSEMBLY MEMBER WOLFE

 

LEGISLATIVE COUNSEL'S DIGEST

AP 18: CAREGIVERS.

UNDER EXISTING LAW, QUALIFIED AGED, BLIND, AND DISABLED PERSONS ARE PROVIDED WITH SERVICES TO PERMIT THEM TO REMAIN IN THEIR OWN HOMES AND AVOID INSTITUTIONALIZATION THROUGH THE COUNTY-ADMINISTERED IN-HOME SUPPORTIVE SERVICES (IHSS) PROGRAM. EXISTING LAW PERMITS SERVICES TO BE PROVIDED UNDER THE IHSS PROGRAM EITHER THROUGH THE EMPLOYMENT OF INDIVIDUAL PROVIDERS, A CONTRACT BETWEEN THE COUNTY AND AN ENTITY FOR THE PROVISION OF SERVICES, THE CREATION BY THE COUNTY OF A PUBLIC AUTHORITY, OR A CONTRACT BETWEEN THE COUNTY AND A NONPROFIT CONSORTIUM.

EXISTING LAW ALSO PROVIDES FOR THE MEDI-CAL PROGRAM, WHICH IS ADMINISTERED BY THE STATE DEPARTMENT OF HEALTH CARE SERVICES, PURSUANT TO WHICH DESIGNATED MEDICAL BENEFITS ARE PROVIDED TO PUBLIC ASSISTANCE RECIPIENTS AND CERTAIN OTHER LOW-INCOME PERSONS. UNDER EXISTING LAW, CERTAIN MEDI-CAL RECIPIENTS ARE ENTITLED TO RECEIVE PERSONAL CARE SERVICES, AS DEFINED, WHICH ARE RENDERED IN THE MANNER AUTHORIZED UNDER THE IHSS PROGRAM, BUT PAID FOR BY THE MEDI-CAL PROGRAM. UNDER EXISTING LAW, IHSS SERVICES ARE ALSO A COVERED MEDI-CAL BENEFIT PURSUANT TO THE AUTHORITY OF THE FEDERAL IHSS-PLUS WAIVER.

THIS MEASURE WOULD MEMORIALIZE THE LEGISLATURE AND THE GOVERNOR TO ENACT LEGISLATION THAT WOULD REQUIRE THAT ALL UNLICENSED OR UNCERTIFIED INDIVIDUALS PROVIDING CARE AND SUPPORTIVE SERVICES TO ELDERS, DEPENDENT ADULTS, OR OTHER ADULTS REQUIRING SUPPORTIVE SERVICES BE CERTIFIED BY THE STATE.

VOTE: MAJORITY.

 

AP 18: RELATING TO CAREGIVERS

WHEREAS, CURRENTLY, ONLY REGISTERED NURSES, NURSE PRACTITIONERS, PHYSICIAN ASSISTANTS, AND CERTIFIED NURSING ASSISTANTS WHO ARE CAREGIVERS ARE REQUIRED TO BE LICENSED, REGISTERED, CERTIFIED, OR REGULATED IN CALIFORNIA, BASED ON BACKGROUND EVALUATIONS, EDUCATION, AND TESTING FOR LICENSURE OR CERTIFICATION, IN ORDER TO PROVIDE SERVICES TO ELDERS, DEPENDENT ADULTS, OR OTHER INDIVIDUALS REQUIRING SUPPORTIVE SERVICES; AND

WHEREAS, IN CALIFORNIA, THERE ARE MORE THAN 200,000 INDIVIDUALS, WHO ARE NEITHER LICENSED NOR CERTIFIED, WHO PROVIDE CARE AND SERVICES FOR INDIVIDUALS WITH DISABILITIES; AND

WHEREAS, THESE INDIVIDUALS ARE CURRENTLY FUNCTIONING UNSUPERVISED WHILE PROVIDING DIRECT CARE AND SUPPORTIVE SERVICES TO INDIVIDUALS WITH CLINICAL, PHYSICAL, AND MENTAL HEALTH NEEDS AND DISABILITIES IN A WIDE VARIETY OF SETTINGS; AND

WHEREAS, THESE INDIVIDUALS ARE NOT REQUIRED BY LAW TO BE LICENSED, REGISTERED, CERTIFIED, OR REGULATED IN ANY MANNER; AND

WHEREAS, CURRENTLY, THE ONLY FORM OF MONITORING AND ACCOUNTABILITY THAT OCCURS FOR THESE INDIVIDUALS IS DUE TO NONCOMPLIANCE WITH A SPECIFIED LAW OR REGULATION THAT RESULTS IN THESE INDIVIDUALS BEING CHARGED AND PROSECUTED; AND

WHEREAS, INDIVIDUALS WHO ARE NOT LICENSED, REGISTERED, CERTIFIED, OR REGULATED PLACE ELDERS, DEPENDENTS ADULTS, AND OTHERS AT RISK FOR SUSTAINING UNNECESSARY AND NEGATIVE OUTCOMES RELATED TO THEIR GENERAL, MENTAL, CLINICAL, OR PHYSICAL CONDITIONS; AND

WHEREAS, THESE INDIVIDUALS, FOR THE MOST PART, ARE NONPROFESSIONAL AND HAVE ENTERED THE HEALTH CARE FIELD AND EMPLOYMENT WITH LITTLE OR NO TRAINING, EDUCATION, OR EXPERIENCE; AND

WHEREAS, SOME OF THESE INDIVIDUALS ARE EMPLOYED BY AGENCIES WHILE MANY SEEK EMPLOYMENT BY OTHER MEANS; AND

WHEREAS, THESE INDIVIDUALS POSSESS NO CERTIFICATION AS BEING COMPETENT TO PROVIDE SERVICES, DIRECT OR SUPPORTIVE, THOUGH THEY ARE RESPONSIBLE FOR PROVIDING CARE AND SERVICES FOR INDIVIDUALS WHO MAY REQUIRE DIRECT OR SUPPORTIVE CARE AND SERVICES TO ENSURE THEIR HEALTH, SAFETY, AND SECURITY IS PROTECTED WHILE REMAINING AT HOME, WHICH INCLUDES ADDRESSING AND ENSURING THEIR PERSONAL RIGHTS ARE PROTECTED; AND

WHEREAS, IN ORDER TO SUCCESSFULLY SOLVE THIS PROBLEM, A PROCESS MUST BE ESTABLISHED UNDER WHICH AN APPLICANT SEEKING CAREGIVER STATUS IS REQUIRED TO OBTAIN A CERTIFICATION, BY PROVIDING EVIDENCE OF BOTH OF THE FOLLOWING: (1) THE SUCCESSFUL COMPLETION OF A BASIC TRAINING COURSE IN THE ACTIVITIES OF DAILY LIVING, FIRST AID, CARDIOPULMONARY RESUSCITATION, THAT WOULD DETERMINE THE INDIVIDUALS ACCEPTABILITY TO ENGAGE AND CARRY AND KNOWLEDGE OF THE FUNDAMENTALS OF ELDER AND DEPENDENT ADULT ABUSE, (2) A HEALTH AND BACKGROUND EVALUATION THAT WOULD CARRY OUT THE DUTIES AND RESPONSIBILITIES OF THE POSITION OF A CAREGIVER; AND

WHEREAS, THIS CERTIFICATION SHOULD BE REQUIRED TO BE RENEWED EVERY TWO YEARS; AND

WHEREAS, REQUIRING ALL INDIVIDUALS PROVIDING CARE AND SERVICES FOR ELDERS, DEPENDENT ADULTS, OR OTHER ADULTS REQUIRING THE HELP OF A CAREGIVER TO BE CERTIFIED BY THE STATE WILL ENSURE THE PROTECTION OF THOSE RECEIVING CARE, AND WILL ENSURE ONGOING EVALUATIONS OF THE NEEDS OF AND SERVICES PROVIDED TO RECIPIENTS; NOW, THEREFORE, BE IT

RESOLVED, BY THE SENIOR ASSEMBLY AND THE SENIOR SENATE, JOINTLY, THAT THE SENIOR LEGISLATURE OF THE STATE OF CALIFORNIA AT ITS 2008 REGULAR SESSION, A MAJORITY OF THE MEMBERS VOTING THEREFOR, HEREBY PROPOSES THAT ALL UNLICENSED OR UNCERTIFIED INDIVIDUALS PROVIDING CAREGIVER SERVICES TO ELDERS, DEPENDENT ADULTS, OR OTHER ADULTS REQUIRING SUPPORTIVE SERVICES CERTIFIED BY THE STATE,; AND BE IT FURTHER

RESOLVED, THAT THE SENIOR LEGISLATURE OF THE STATE OF CALIFORNIA RESPECTFULLY MEMORIALIZES THE LEGISLATURE AND THE GOVERNOR OF THE STATE OF CALIFORNIA TO ENACT APPROPRIATE LEGISLATION THAT WOULD ADDRESS THE CONCERNS SET FORTH IN THIS MEASURE; AND BE IT FURTHER

RESOLVED, THAT A COPY OF THIS MEASURE BE TRANSMITTED TO THE SPEAKER OF THE ASSEMBLY, THE PRESIDENT PRO TEMPORE OF THE SENATE, AND THE GOVERNOR OF THE STATE OF CALIFORNIA.

 

RN 08 21961

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