AB 2207: State boards and commissions: representatives of older adults.
- Session Year: 2023-2024
- House: Assembly
- Latest Version Date: 2024-09-21
Current Status:
Passed
(2024-09-21: Chaptered by Secretary of State - Chapter 332, Statutes of 2024.)
Introduced
In Committee
First Chamber
In Committee
Second Chamber
Enacted
What does this bill do?
This bill adds the Executive Director of the California Commission on Aging (or their designee) and other representatives who serve or advocate for older adults to three state bodies: the Alzheimer's advisory committee, the California Workforce Development Board, and the California Behavioral Health Planning Council, affecting older adults and agencies that work with them. It also expands and renames the Alzheimer advisory panel so it has 17–21 members, broader stakeholder representation, and a wider focus that includes related conditions, risk reduction, early identification, and brain health.
The summary is provided by generative AI which can make mistakes. For original language, please view the details in the table below.
Existing law establishes the California Commission on Aging composed of 25 persons, as specified, and requires the commission to hire an executive director. Existing law also establishes the California Department of Aging and provides for a director of that department. Existing law establishes various state boards and commissions to address public health concerns throughout the state and generally requires that individuals appointed to these state entities be broadly reflective of the general public.
This bill would expand the membership of the Alzheimers Disease and Related Disorders Advisory Committee, the California Workforce Development Board, and the California Behavioral Health Planning Council to include the Executive Director of the California Commission on Aging, or other persons that serve or advocate for older adults, as specified.
This bill would incorporate additional changes to Section 1568.17 of the Health and Safety Code proposed by AB 2680 to be operative only if this bill and AB 2680 are enacted and this bill is enacted last.
Existing law establishes the California Commission on Aging composed of 25 persons, as specified, and requires the commission to hire an executive director. Existing law also establishes the California Department of Aging and provides for a director of that department. Existing law establishes various state boards and commissions to address public health concerns throughout the state and generally requires that individuals appointed to these state entities be broadly reflective of the general public.
This bill would expand the membership of the Alzheimers Disease and Related Disorders Advisory Committee, the California Workforce Development Board, and the California Behavioral Health Planning Council to include the Executive Director of the California Commission on Aging, or other persons that serve or advocate for older adults, as specified.
This bill would incorporate additional changes to Section 1568.17 of the Health and Safety Code proposed by AB 2680 to be operative only if this bill and AB 2680 are enacted and this bill is enacted last.
Existing law establishes the California Commission on Aging composed of 25 persons, as specified, and requires the commission to hire an executive director. Existing law also establishes the California Department of Aging and provides for a director of that department. Existing law establishes various state boards and commissions to address public health concerns throughout the state and generally requires that individuals appointed to these state entities be broadly reflective of the general public.
This bill would expand the membership of the Alzheimers Disease and Related Disorders Advisory Committee, the California Workforce Development Board, and the California Behavioral Health Planning Council, the Behavioral Health Services Oversight and Accountability Commission, and the Interagency Council on Homelessness Council to include the Executive Director of the California Commission on Aging, or other persons that serve or advocate for older adults, as specified. This bill would also modify the membership of an advisory committee to the Interagency Council on Homelessness to specifically include representatives from organizations that serve or advocate on behalf of older adults, among others.
This bill would incorporate additional changes to Section 1568.17 of the Health and Safety Code proposed by AB 2680 to be operative only if this bill and AB 2680 are enacted and this bill is enacted last.
Existing law establishes the California Commission on Aging composed of 25 persons, as specified, and requires the commission to hire an executive director. Existing law also establishes the California Department of Aging and provides for a director of that department. Existing law establishes various state boards and commissions to address public health concerns throughout the state and generally requires that individuals appointed to these state entities be broadly reflective of the general public.
This bill would expand the membership of the Alzheimers Disease and Related Disorders Advisory Committee, the California Health Workforce Education and Training Council, the California Workforce Development Board, the California Behavioral Health Planning Council, the Mental Behavioral Health Services Oversight and Accountability Commission, and the Interagency Council on Homelessness to include the Executive Director of the California Commission on Aging, the Director of the California Department of Aging, or both, or other persons that serve or advocate for older adults, as specified. This bill would also modify the membership of an advisory committee to the Interagency Council on Homelessness to specifically include representatives from organizations that serve or advocate on behalf of older adults, among others.
Existing law establishes the California Commission on Aging composed of 25 persons, as specified, and requires the commission to hire an executive director. Existing law also establishes the California Department of Aging and provides for a director of that department. Existing law establishes various state boards and commissions to address public health concerns throughout the state and generally requires that individuals appointed to these state entities be broadly reflective of the general public.
This bill would expand the membership of the Alzheimers Disease and Related Disorders Advisory Committee, the California Health Workforce Education and Training Council, the California Workforce Development Board, the California Behavioral Health Planning Council, the Mental Health Services Oversight and Accountability Commission, and the Interagency Council on Homelessness to include the Executive Director of the California Commission on Aging, the Director of the California Department of Aging, or both, or other persons that serve or advocate for older adults, as specified. This bill would also modify the membership of an advisory committee to the Interagency Council on Homelessness to specifically include representatives from organizations that serve or advocate on behalf of older adults, among others.
(a)The California Health and Human Services Agency shall establish an Alzheimers Disease and Related Disorders Advisory Committee consisting of 15 members selected as follows:
(1)One representing the field of academic medical research.
(2)One representing the field of social research.
(3)One representing the field of mental health.
(4)One representing the Alzheimers daycare resource centers.
(5)One representing the Alzheimers disease diagnostic and treatment centers.
(6)Two representing families of persons suffering from Alzheimers disease or related disorders.
(7)Two representing organizations providing services to Alzheimers disease patients.
(8)One representing a consumer organization representing persons with Alzheimers disease.
(9)One representing a member of the State Bar who is familiar with the legal issues confronting Alzheimers disease victims and their families.
(10)Two people who have been diagnosed with Alzheimers disease to serve one-year terms.
(11)The Secretary of California Health and Human Services or their designee.
(12)The Executive Director of the California Commission on Aging or the directors designee.
(b)Members shall serve at the pleasure of the Secretary of California Health and Human Services. The agency secretary may establish fixed terms for advisory committee membership. For purposes of continuity, those terms shall be staggered.
(c)Members shall serve without compensation, but shall receive reimbursement for travel and other necessary expenses actually incurred in the performance of their official duties.
(d)The Alzheimers Disease and Related Disorders Advisory Committee shall do all of the following:
(1)Provide ongoing advice and assistance to the administration and the Legislature as to the program needs and priorities of the target population.
(2)Provide planning support to the administration and the Legislature by updating recommendations of the 1987 California Alzheimers Disease Task Force Report and regularly reviewing and updating recommendations as needed.
(3)Appoint a chairperson and vice chairperson.
(4)Meet quarterly.
(e)The Alzheimers Disease and Related Disorders Advisory Committee shall do all of the following when making policy and plan recommendations:
(1)Consult with a broad range of stakeholders, including, but not limited to, people diagnosed with Alzheimers disease, family caregivers, community-based and institutional providers, Alzheimers disease researchers and academicians, formal caregivers, the Alzheimers Association, the California Commission on Aging, and other state entities.
(2)Consider the recommendations of other state plans, including, but not limited to, the Olmstead Plan, the Long-Range Strategic Plan on Aging, and the California Department of Agings State Plan on Aging.
(3)Consider cultural and linguistic factors that impact persons with Alzheimers disease and their families who are from diverse populations.
(4)Review current state policies and practices concerning care and treatment related to Alzheimers disease and other dementia disorders, and develop recommendations concerning all of the following issues:
(A)Community-based support for Californias diverse people with Alzheimers disease and their family members.
(B)Choices for care and residence for persons with Alzheimers disease and their families.
(C)An integrated public health care management approach to Alzheimers disease in health care settings that makes full use of dementia care practices.
(D)The dementia competence of health care professionals.
(E)Early identification and intervention through increasing public awareness of Alzheimers disease.
(f) All meetings of the advisory committee, and any subcommittees thereof, shall be open to the public and adequate notice shall be provided in accordance with Article 9 (commencing with Section 11120) of Chapter 1 of Part 1 of Division 3 of Title 2 of the Government Code.
SEC. 1.5.Section 1568.17 of the Health and Safety Code is amended to read:1568.17.(a)The California Health and Human Services Agency shall establish an Alzheimers Disease and Related Conditions Advisory Committee representing the diversity of California and that consists of at least 17, but not more than 21, members, which shall include, but not be limited to, all of the following:
(1)One representing the field of academic medical research.
(2)One representing the field of social research.
(3)One representing the field of behavioral health.
(4)One representing organizations providing adult day care services focused on persons living with Alzheimers disease or related conditions.
(5)One representing the California Alzheimers Disease Centers.
(6)Two representing families of persons directly affected by Alzheimers disease or related conditions.
(7)Two representing organizations providing services to persons living with Alzheimers disease or related conditions.
(8)One representing a consumer organization representing persons with Alzheimers disease or related conditions.
(9)One representing a member of the State Bar who is familiar with the legal issues confronting those living with Alzheimers disease or related conditions and their families.
(10)Two people who have been diagnosed with Alzheimers disease or a related condition.
(11)The Executive Director of the California Commission on Aging or the directors designee.
(12)The Secretary of California Health and Human Services or their designee.
(13)Two ex officio, nonvoting members, consisting of one Senator appointed by the Senate Committee on Rules and one Member of the Assembly appointed by the Speaker of the Assembly. These members shall participate in the activities of the committee to the extent that their participation is not incompatible with their respective positions as Members of the Legislature.
(14)Up to four additional members selected by the Secretary of California Health and Human Services.
(b)Members described in paragraphs (1) to (11), inclusive, and paragraph (14), of subdivision (a) shall serve at the pleasure of the Secretary of California Health and Human Services. Members described in paragraph (13) of subdivision (a) shall serve at the pleasure of their appointing authority. The agency secretary may establish fixed terms for advisory committee membership. For purposes of continuity, those terms shall be staggered.
(c)Members shall serve without compensation, but shall receive reimbursement for travel and other necessary expenses actually incurred in the performance of their official duties.
(d)The Alzheimers Disease and Related Conditions Advisory Committee shall do all of the following:
(1)Provide ongoing advice and assistance to the administration and the Legislature as to the program needs and priorities of the target population.
(2)Provide planning support to the administration and the Legislature by tracking, monitoring, and considering recommendations made in the final report of the Governors Task Force on Alzheimers (Disease) Prevention and Preparedness, and the California Master Plan for Aging, in addition to other state plans and reports, including the California State Plan for Alzheimers Disease, as needed.
(3)Appoint a chairperson and vice chairperson.
(4)Meet quarterly.
(e)The Alzheimers Disease and Related Conditions Advisory Committee shall do all of the following when making policy and plan recommendations:
(1)Consult with a broad range of stakeholders, including, but not limited to, people diagnosed with Alzheimers disease or related conditions, family members or informal caregivers, community-based and institutional providers, Alzheimers disease or related conditions researchers and academicians, direct care workforce, the Alzheimers Association, the California Commission on Aging, and other state entities.
(2)Consider cultural and linguistic factors that impact persons with Alzheimers disease or related conditions and their families who are from diverse communities.
(3)Review current state policies and practices concerning care and treatment related to Alzheimers disease and other related conditions, as well as risk reduction, and develop recommendations concerning all of the following issues:
(A)Community-based support for Californias racially, ethnically, culturally, and linguistically diverse people living with Alzheimers disease or related conditions and their family members or informal caregivers.
(B)Choices for care and residence for persons with Alzheimers disease or related conditions and their families.
(C)An integrated public health care management approach to Alzheimers disease or related conditions in health care settings that makes full use of dementia care practices.
(D)The dementia training and competence of health care professionals.
(E)Risk reduction, early identification, and intervention through increasing public awareness of Alzheimers disease and related conditions, as well as brain health.
(f) All meetings of the advisory committee, and any subcommittees thereof, shall be open to the public and adequate notice shall be provided in accordance with Article 9 (commencing with Section 11120) of Chapter 1 of Part 1 of Division 3 of Title 2 of the Government Code.
SEC. 2.Section 14012 of the Unemployment Insurance Code is amended to read:14012.The board shall be appointed by the Governor to assist in the development of the State Plan and to carry out other functions, as described in Section 14103. The board shall be comprised of the Governor and representatives from the following categories:
(a)Two members of each house of the Legislature, appointed by the appropriate presiding officer of each house.
(b)A majority of board members shall be representatives of business who:
(1)Are owners of businesses, chief executives or operating officers of businesses, and other business executives or employers with optimum policymaking or hiring authority, who, in addition, may be members of a local board described in Section 3122(b)(2)(A)(i) of Title 29 of the United States Code.
(2)Represent businesses, including small businesses, or organizations representing businesses that include high-quality, work-relevant training and development in in-demand industry sectors or occupations in the state.
(3)Are appointed from a group of individuals nominated by state business organizations and business trade associations.
(c)(1)Not less than 20 percent of board members shall be representatives of the workforce within the state, including representatives of labor organizations nominated by state labor federations, who shall not be less than 15 percent of the board membership and who shall include at least one representative that is a member of a labor organization or a training director, from a joint labor-management apprenticeship program, or if no such joint program exists in the state, such a representative of an apprenticeship program in the state.
(2)Representatives appointed pursuant to this subdivision may include:
(A)Representatives of community-based organizations that have demonstrated experience and expertise in addressing the employment, training, or education needs of individuals with barriers to employment, including organizations that serve veterans, organizations that provide or support competitive, integrated employment for individuals with disabilities, organizations that serve transgender and gender nonconforming individuals, and organizations that represent or serve older adults.
(B)Representatives of organizations that have demonstrated experience and expertise in addressing the employment, training, or education needs of eligible youth, including representatives of organizations that serve out-of-school youth.
(d)The balance of board members:
(1)Shall include representatives of government that are lead state officials with primary responsibility for the core programs and shall include chief elected officials, collectively representing cities, counties, and cities and counties where appropriate.
(2)May include other representatives and officials as the Governor may designate, like any of the following:
(A)State agency officials from agencies that are one-stop partners, not specified in paragraph (1), including additional one-stop partners whose programs are covered by the State Plan, if any.
(B)State agency officials responsible for economic development or juvenile justice programs in the state.
(C)Individuals who represent an Indian tribe or tribal organization, as those terms are defined in Section 3221(b) of Title 29 of the United States Code.
(D)State agency officials responsible for education programs in the state, including chief executive officers, or their designees, of institutions of higher education, including, but not limited to, the California Community College system, the California State University system, the University of California system, and their respective individual campuses.
(E)State agency officials responsible for administering programs that serve, and state commission officials that advocate on behalf of, older adults or their designees.
(e)Other requirements of board membership shall include:
(1)The Governor shall select a chairperson for the board from among the representatives described in subdivision (b).
(2)The members of the board shall represent diverse geographic areas of the state, including urban, rural, and suburban areas.
(f)For purposes of this section, older adults means persons 60 years of age or older.
SEC. 3.Section 5771 of the Welfare and Institutions Code is amended to read:5771.(a)Pursuant to Public Law 102-321, there is the California Behavioral Health Planning Council. The purpose of the planning council shall be to fulfill those mental health planning requirements mandated by federal law.
(b)(1)The planning council shall have 40 members, to be comprised of members appointed from both the local and state levels in order to ensure a balance of state and local concerns relative to planning.
(2)As required by federal law, eight members of the planning council shall represent various state departments.
(3)Members of the planning council shall be appointed in a manner that will ensure that at least one-half are adults with serious mental illness, including persons who are dually diagnosed with serious mental illness and substance use disorders, family members of persons with serious mental illness, including adults who are dually diagnosed with serious mental illness and substance use disorders, family members of children with emotional disturbance, and representatives of organizations advocating on behalf of persons with mental illness, including persons who are dually diagnosed with mental illness and substance use disorders. Persons with serious mental illness, including persons who are dually diagnosed with serious mental illness and substance use disorders, and family members shall be represented in equal numbers.
(4)The Director of Health Care Services shall make appointments from among nominees from various constituency organizations for mental health or mental health and substance use disorders, which shall include representatives of consumer-related advocacy organizations, representatives of professional and provider organizations for mental health or mental health and substance use disorders, and representatives who are direct service providers from both the public and private sectors. The director shall also appoint one representative of the California Coalition on Mental Health. The director shall also appoint the Executive Director of the California Commission on Aging or the executive directors designee.
(c)Members should be balanced according to demography, geography, gender, and ethnicity. Members should include representatives with interest in all target populations, including, but not limited to, children and youth, adults, and older adults.
(d)The planning council shall annually elect a chairperson and a chair-elect.
(e)The term of each member shall be three years, to be staggered so that approximately one-third of the appointments expire in each year.
(f)In the event of changes in the federal requirements regarding the structure and function of the planning council, or the discontinuation of federal funding, the State Department of Health Care Services shall, with input from state-level advocacy groups, consumers, family members and providers, and other stakeholders, propose to the Legislature modifications in the structure of the planning council that the department deems appropriate.
SEC. 4.Section 1.5 of this bill incorporates amendments to Section 1568.17 of the Health and Safety Code proposed by both this bill and Assembly Bill 2680. That section of this bill shall only become operative if (1) both bills are enacted and become effective on or before January 1, 2025, (2) each bill amends Section 1568.17 of the Health and Safety Code, and (3) this bill is enacted after Assembly Bill 2680, in which case Section 1 of this bill shall not become operative.
(a)The California Health and Human Services Agency shall establish an Alzheimers Disease and Related Disorders Advisory Committee consisting of 15 members selected as follows:
(1)One representing the field of academic medical research.
(2)One representing the field of social research.
(3)One representing the field of mental health.
(4)One representing the Alzheimers daycare resource centers.
(5)One representing the Alzheimers disease diagnostic and treatment centers.
(6)Two representing families of persons suffering from Alzheimers disease or related disorders.
(7)Two representing organizations providing services to Alzheimers disease patients.
(8)One representing a consumer organization representing persons with Alzheimers disease.
(9)One representing a member of the State Bar who is familiar with the legal issues confronting Alzheimers disease victims and their families.
(10)Two people who have been diagnosed with Alzheimers disease to serve one-year terms.
(11)The Secretary of California Health and Human Services or their designee.
(12)The Executive Director of the California Commission on Aging or the directors designee.
(b)Members shall serve at the pleasure of the Secretary of California Health and Human Services. The agency secretary may establish fixed terms for advisory committee membership. For purposes of continuity, those terms shall be staggered.
(c)Members shall serve without compensation, but shall receive reimbursement for travel and other necessary expenses actually incurred in the performance of their official duties.
(d)The Alzheimers Disease and Related Disorders Advisory Committee shall do all of the following:
(1)Provide ongoing advice and assistance to the administration and the Legislature as to the program needs and priorities of the target population.
(2)Provide planning support to the administration and the Legislature by updating recommendations of the 1987 California Alzheimers Disease Task Force Report and regularly reviewing and updating recommendations as needed.
(3)Appoint a chairperson and vice chairperson.
(4)Meet quarterly.
(e)The Alzheimers Disease and Related Disorders Advisory Committee shall do all of the following when making policy and plan recommendations:
(1)Consult with a broad range of stakeholders, including, but not limited to, people diagnosed with Alzheimers disease, family caregivers, community-based and institutional providers, Alzheimers disease researchers and academicians, formal caregivers, the Alzheimers Association, the California Commission on Aging, and other state entities.
(2)Consider the recommendations of other state plans, including, but not limited to, the Olmstead Plan, the Long-Range Strategic Plan on Aging, and the California Department of Agings State Plan on Aging.
(3)Consider cultural and linguistic factors that impact persons with Alzheimers disease and their families who are from diverse populations.
(4)Review current state policies and practices concerning care and treatment related to Alzheimers disease and other dementia disorders, and develop recommendations concerning all of the following issues:
(A)Community-based support for Californias diverse people with Alzheimers disease and their family members.
(B)Choices for care and residence for persons with Alzheimers disease and their families.
(C)An integrated public health care management approach to Alzheimers disease in health care settings that makes full use of dementia care practices.
(D)The dementia competence of health care professionals.
(E)Early identification and intervention through increasing public awareness of Alzheimers disease.
(f) All meetings of the advisory committee, and any subcommittees thereof, shall be open to the public and adequate notice shall be provided in accordance with Article 9 (commencing with Section 11120) of Chapter 1 of Part 1 of Division 3 of Title 2 of the Government Code.
SEC. 1.5.Section 1568.17 of the Health and Safety Code is amended to read:1568.17.(a)The California Health and Human Services Agency shall establish an Alzheimers Disease and Related Conditions Advisory Committee representing the diversity of California and that consists of at least 17, but not more than 21, members, which shall include, but not be limited to, all of the following:
(1)One representing the field of academic medical research.
(2)One representing the field of social research.
(3)One representing the field of behavioral health.
(4)One representing organizations providing adult day care services focused on persons living with Alzheimers disease or related conditions.
(5)One representing the California Alzheimers Disease Centers.
(6)Two representing families of persons directly affected by Alzheimers disease or related conditions.
(7)Two representing organizations providing services to persons living with Alzheimers disease or related conditions.
(8)One representing a consumer organization representing persons with Alzheimers disease or related conditions.
(9)One representing a member of the State Bar who is familiar with the legal issues confronting those living with Alzheimers disease or related conditions and their families.
(10)Two people who have been diagnosed with Alzheimers disease or a related condition.
(11)The Executive Director of the California Commission on Aging or the directors designee.
(12)The Secretary of California Health and Human Services or their designee.
(13)Two ex officio, nonvoting members, consisting of one Senator appointed by the Senate Committee on Rules and one Member of the Assembly appointed by the Speaker of the Assembly. These members shall participate in the activities of the committee to the extent that their participation is not incompatible with their respective positions as Members of the Legislature.
(14)Up to four additional members selected by the Secretary of California Health and Human Services.
(b)Members described in paragraphs (1) to (11), inclusive, and paragraph (14), of subdivision (a) shall serve at the pleasure of the Secretary of California Health and Human Services. Members described in paragraph (13) of subdivision (a) shall serve at the pleasure of their appointing authority. The agency secretary may establish fixed terms for advisory committee membership. For purposes of continuity, those terms shall be staggered.
(c)Members shall serve without compensation, but shall receive reimbursement for travel and other necessary expenses actually incurred in the performance of their official duties.
(d)The Alzheimers Disease and Related Conditions Advisory Committee shall do all of the following:
(1)Provide ongoing advice and assistance to the administration and the Legislature as to the program needs and priorities of the target population.
(2)Provide planning support to the administration and the Legislature by tracking, monitoring, and considering recommendations made in the final report of the Governors Task Force on Alzheimers (Disease) Prevention and Preparedness, and the California Master Plan for Aging, in addition to other state plans and reports, including the California State Plan for Alzheimers Disease, as needed.
(3)Appoint a chairperson and vice chairperson.
(4)Meet quarterly.
(e)The Alzheimers Disease and Related Conditions Advisory Committee shall do all of the following when making policy and plan recommendations:
(1)Consult with a broad range of stakeholders, including, but not limited to, people diagnosed with Alzheimers disease or related conditions, family members or informal caregivers, community-based and institutional providers, Alzheimers disease or related conditions researchers and academicians, direct care workforce, the Alzheimers Association, the California Commission on Aging, and other state entities.
(2)Consider cultural and linguistic factors that impact persons with Alzheimers disease or related conditions and their families who are from diverse communities.
(3)Review current state policies and practices concerning care and treatment related to Alzheimers disease and other related conditions, as well as risk reduction, and develop recommendations concerning all of the following issues:
(A)Community-based support for Californias racially, ethnically, culturally, and linguistically diverse people living with Alzheimers disease or related conditions and their family members or informal caregivers.
(B)Choices for care and residence for persons with Alzheimers disease or related conditions and their families.
(C)An integrated public health care management approach to Alzheimers disease or related conditions in health care settings that makes full use of dementia care practices.
(D)The dementia training and competence of health care professionals.
(E)Risk reduction, early identification, and intervention through increasing public awareness of Alzheimers disease and related conditions, as well as brain health.
(f) All meetings of the advisory committee, and any subcommittees thereof, shall be open to the public and adequate notice shall be provided in accordance with Article 9 (commencing with Section 11120) of Chapter 1 of Part 1 of Division 3 of Title 2 of the Government Code.
SEC. 2.Section 14012 of the Unemployment Insurance Code is amended to read:14012.The board shall be appointed by the Governor to assist in the development of the State Plan and to carry out other functions, as described in Section 14103. The board shall be comprised of the Governor and representatives from the following categories:
(a)Two members of each house of the Legislature, appointed by the appropriate presiding officer of each house.
(b)A majority of board members shall be representatives of business who:
(1)Are owners of businesses, chief executives or operating officers of businesses, and other business executives or employers with optimum policymaking or hiring authority, who, in addition, may be members of a local board described in Section 3122(b)(2)(A)(i) of Title 29 of the United States Code.
(2)Represent businesses, including small businesses, or organizations representing businesses that include high-quality, work-relevant training and development in in-demand industry sectors or occupations in the state.
(3)Are appointed from a group of individuals nominated by state business organizations and business trade associations.
(c)(1)Not less than 20 percent of board members shall be representatives of the workforce within the state, including representatives of labor organizations nominated by state labor federations, who shall not be less than 15 percent of the board membership and who shall include at least one representative that is a member of a labor organization or a training director, from a joint labor-management apprenticeship program, or if no such joint program exists in the state, such a representative of an apprenticeship program in the state.
(2)Representatives appointed pursuant to this subdivision may include:
(A)Representatives of community-based organizations that have demonstrated experience and expertise in addressing the employment, training, or education needs of individuals with barriers to employment, including organizations that serve veterans, organizations that provide or support competitive, integrated employment for individuals with disabilities, organizations that serve transgender and gender nonconforming individuals, and organizations that represent or serve older adults.
(B)Representatives of organizations that have demonstrated experience and expertise in addressing the employment, training, or education needs of eligible youth, including representatives of organizations that serve out-of-school youth.
(d)The balance of board members:
(1)Shall include representatives of government that are lead state officials with primary responsibility for the core programs and shall include chief elected officials, collectively representing cities, counties, and cities and counties where appropriate.
(2)May include other representatives and officials as the Governor may designate, like any of the following:
(A)State agency officials from agencies that are one-stop partners, not specified in paragraph (1), including additional one-stop partners whose programs are covered by the State Plan, if any.
(B)State agency officials responsible for economic development or juvenile justice programs in the state.
(C)Individuals who represent an Indian tribe or tribal organization, as those terms are defined in Section 3221(b) of Title 29 of the United States Code.
(D)State agency officials responsible for education programs in the state, including chief executive officers, or their designees, of institutions of higher education, including, but not limited to, the California Community College system, the California State University system, the University of California system, and their respective individual campuses.
(E)State agency officials responsible for administering programs that serve, and state commission officials that advocate on behalf of, older adults or their designees.
(e)Other requirements of board membership shall include:
(1)The Governor shall select a chairperson for the board from among the representatives described in subdivision (b).
(2)The members of the board shall represent diverse geographic areas of the state, including urban, rural, and suburban areas.
(f)For purposes of this section, older adults means persons 60 years of age or older.
SEC. 3.Section 5771 of the Welfare and Institutions Code is amended to read:5771.(a)Pursuant to Public Law 102-321, there is the California Behavioral Health Planning Council. The purpose of the planning council shall be to fulfill those mental health planning requirements mandated by federal law.
(b)(1)The planning council shall have 40 members, to be comprised of members appointed from both the local and state levels in order to ensure a balance of state and local concerns relative to planning.
(2)As required by federal law, eight members of the planning council shall represent various state departments.
(3)Members of the planning council shall be appointed in a manner that will ensure that at least one-half are adults with serious mental illness, including persons who are dually diagnosed with serious mental illness and substance use disorders, family members of persons with serious mental illness, including adults who are dually diagnosed with serious mental illness and substance use disorders, family members of children with emotional disturbance, and representatives of organizations advocating on behalf of persons with mental illness, including persons who are dually diagnosed with mental illness and substance use disorders. Persons with serious mental illness, including persons who are dually diagnosed with serious mental illness and substance use disorders, and family members shall be represented in equal numbers.
(4)The Director of Health Care Services shall make appointments from among nominees from various constituency organizations for mental health or mental health and substance use disorders, which shall include representatives of consumer-related advocacy organizations, representatives of professional and provider organizations for mental health or mental health and substance use disorders, and representatives who are direct service providers from both the public and private sectors. The director shall also appoint one representative of the California Coalition on Mental Health. The director shall also appoint the Executive Director of the California Commission on Aging or the executive directors designee.
(c)Members should be balanced according to demography, geography, gender, and ethnicity. Members should include representatives with interest in all target populations, including, but not limited to, children and youth, adults, and older adults.
(d)The planning council shall annually elect a chairperson and a chair-elect.
(e)The term of each member shall be three years, to be staggered so that approximately one-third of the appointments expire in each year.
(f)In the event of changes in the federal requirements regarding the structure and function of the planning council, or the discontinuation of federal funding, the State Department of Health Care Services shall, with input from state-level advocacy groups, consumers, family members and providers, and other stakeholders, propose to the Legislature modifications in the structure of the planning council that the department deems appropriate.
SEC. 4.Section 1.5 of this bill incorporates amendments to Section 1568.17 of the Health and Safety Code proposed by both this bill and Assembly Bill 2680. That section of this bill shall only become operative if (1) both bills are enacted and become effective on or before January 1, 2025, (2) each bill amends Section 1568.17 of the Health and Safety Code, and (3) this bill is enacted after Assembly Bill 2680, in which case Section 1 of this bill shall not become operative.
(a)The California Health and Human Services Agency shall establish an Alzheimers Disease and Related Disorders Advisory Committee consisting of 15 members selected as follows:
(1)One representing the field of academic medical research.
(2)One representing the field of social research.
(3)One representing the field of mental health.
(4)One representing the Alzheimers daycare resource centers.
(5)One representing the Alzheimers disease diagnostic and treatment centers.
(6)Two representing families of persons suffering from Alzheimers disease or related disorders.
(7)Two representing organizations providing services to Alzheimers disease patients.
(8)One representing a consumer organization representing persons with Alzheimers disease.
(9)One representing a member of the State Bar who is familiar with the legal issues confronting Alzheimers disease victims and their families.
(10)Two people who have been diagnosed with Alzheimers disease to serve one-year terms.
(11)The Secretary of California Health and Human Services or their designee.
(12)The Executive Director of the California Commission on Aging or the directors designee.
(b)Members shall serve at the pleasure of the Secretary of California Health and Human Services. The agency secretary may establish fixed terms for advisory committee membership. For purposes of continuity, those terms shall be staggered.
(c)Members shall serve without compensation, but shall receive reimbursement for travel and other necessary expenses actually incurred in the performance of their official duties.
(d)The Alzheimers Disease and Related Disorders Advisory Committee shall do all of the following:
(1)Provide ongoing advice and assistance to the administration and the Legislature as to the program needs and priorities of the target population.
(2)Provide planning support to the administration and the Legislature by updating recommendations of the 1987 California Alzheimers Disease Task Force Report and regularly reviewing and updating recommendations as needed.
(3)Appoint a chairperson and vice chairperson.
(4)Meet quarterly.
(e)The Alzheimers Disease and Related Disorders Advisory Committee shall do all of the following when making policy and plan recommendations:
(1)Consult with a broad range of stakeholders, including, but not limited to, people diagnosed with Alzheimers disease, family caregivers, community-based and institutional providers, Alzheimers disease researchers and academicians, formal caregivers, the Alzheimers Association, the California Commission on Aging, and other state entities.
(2)Consider the recommendations of other state plans, including, but not limited to, the Olmstead Plan, the Long-Range Strategic Plan on Aging, and the California Department of Agings State Plan on Aging.
(3)Consider cultural and linguistic factors that impact persons with Alzheimers disease and their families who are from diverse populations.
(4)Review current state policies and practices concerning care and treatment related to Alzheimers disease and other dementia disorders, and develop recommendations concerning all of the following issues:
(A)Community-based support for Californias diverse people with Alzheimers disease and their family members.
(B)Choices for care and residence for persons with Alzheimers disease and their families.
(C)An integrated public health care management approach to Alzheimers disease in health care settings that makes full use of dementia care practices.
(D)The dementia competence of health care professionals.
(E)Early identification and intervention through increasing public awareness of Alzheimers disease.
(f) All meetings of the advisory committee, and any subcommittees thereof, shall be open to the public and adequate notice shall be provided in accordance with Article 9 (commencing with Section 11120) of Chapter 1 of Part 1 of Division 3 of Title 2 of the Government Code.
SEC. 1.5.Section 1568.17 of the Health and Safety Code is amended to read:1568.17.(a)The California Health and Human Services Agency shall establish an Alzheimers Disease and Related Disorders Conditions Advisory Committee consisting of 14 members selected as follows: representing the diversity of California and that consists of at least 17, but not more than 21, members, which shall include, but not be limited to, all of the following:
(1)One representing the field of academic medical research.
(2)One representing the field of social research.
(3)One representing the field of mental behavioral health.
(4)One representing the Alzheimers day care resource centers. organizations providing adult day care services focused on persons living with Alzheimers disease or related conditions.
(5)One representing the Alzheimers disease diagnostic and treatment centers. California Alzheimers Disease Centers.
(6)Two representing families of persons suffering from directly affected by Alzheimers disease or related disorders. conditions.
(7)Two representing organizations providing services to persons living with Alzheimers disease patients. or related conditions.
(8)One representing a consumer organization representing persons with Alzheimers disease. disease or related conditions.
(9)One representing a member of the State Bar who is familiar with the legal issues confronting those living with Alzheimers disease victims or related conditions and their families.
(10)Two people who have been diagnosed with Alzheimers disease to serve one-year terms. or a related condition.
(11)The Executive Director of the California Commission on Aging or the directors designee.
(11)(12)The Secretary of California Health and Human Services or his or her their designee.
(13)Two ex officio, nonvoting members, consisting of one Senator appointed by the Senate Committee on Rules and one Member of the Assembly appointed by the Speaker of the Assembly. These members shall participate in the activities of the committee to the extent that their participation is not incompatible with their respective positions as Members of the Legislature.
(14)Up to four additional members selected by the Secretary of California Health and Human Services.
(b)Members described in paragraphs (1) to (11), inclusive, and paragraph (14), of subdivision (a) shall serve at the pleasure of the Secretary of California Health and Human Services. Members described in paragraph (13) of subdivision (a) shall serve at the pleasure of their appointing authority. The agency secretary may establish fixed terms for advisory committee membership. For purposes of continuity, those terms shall be staggered.
(c)Members shall serve without compensation, but shall receive reimbursement for travel and other necessary expenses actually incurred in the performance of their official duties.
(d)The Alzheimers Disease and Related Disorders Conditions Advisory Committee shall do all of the following:
(1)Provide ongoing advice and assistance to the administration and the Legislature as to the program needs and priorities of the target population.
(2)Provide planning support to the administration and the Legislature by updating recommendations of the 1987 California Alzheimers Disease Task Force Report and regularly reviewing and updating recommendations tracking, monitoring, and considering recommendations made in the final report of the Governors Task Force on Alzheimers (Disease) Prevention and Preparedness, and the California Master Plan for Aging, in addition to other state plans and reports, including the California State Plan for Alzheimers Disease, as needed.
(3)Appoint a chairperson and vice chairperson.
(4)Meet quarterly.
(e)The Alzheimers Disease and Related Disorders Conditions Advisory Committee shall do all of the following when making policy and plan recommendations:
(1)Consult with a broad range of stakeholders, including, but not limited to, people diagnosed with Alzheimers disease, family disease or related conditions, family members or informal caregivers, community-based and institutional providers, Alzheimers disease or related conditions researchers and academicians, formal caregivers, direct care workforce, the Alzheimers Association, the California Commission on Aging, and other state entities.
(2)Consider the recommendations of other state plans, including, but not limited to, the Olmstead Plan, the Long-Range Strategic Plan on Aging, and the California Department of Agings State Plan on Aging. (3)(2)Consider cultural and linguistic factors that impact persons with Alzheimers disease or related conditions and their families who are from diverse populations. communities.
(4)(3)Review current state policies and practices concerning care and treatment related to Alzheimers disease and other dementia disorders, related conditions, as well as risk reduction, and develop recommendations concerning all of the following issues:
(A)Community-based support for Californias racially, ethnically, culturally, and linguistically diverse people living with Alzheimers disease or related conditions and their family members. members or informal caregivers.
(B)Choices for care and residence for persons with Alzheimers disease or related conditions and their families.
(C)An integrated public health care management approach to Alzheimers disease or related conditions in health care settings that makes full use of dementia care practices.
(D)The dementia training and competence of health care professionals.
(E)Early identification Risk reduction, early identification, and intervention through increasing public awareness of Alzheimers disease. disease and related conditions, as well as brain health.
(f) All meetings of the advisory committee, and any subcommittees thereof, shall be open to the public and adequate notice shall be provided in accordance with Article 9 (commencing with Section 11120) of Chapter 1 of Part 1 of Division 3 of Title 2 of the Government Code.
SEC. 2.Section 14012 of the Unemployment Insurance Code is amended to read:14012.The board shall be appointed by the Governor to assist in the development of the State Plan and to carry out other functions, as described in Section 14103. The board shall be comprised of the Governor and representatives from the following categories:
(a)Two members of each house of the Legislature, appointed by the appropriate presiding officer of each house.
(b)A majority of board members shall be representatives of business who:
(1)Are owners of businesses, chief executives or operating officers of businesses, and other business executives or employers with optimum policymaking or hiring authority, who, in addition, may be members of a local board described in Section 3122(b)(2)(A)(i) of Title 29 of the United States Code.
(2)Represent businesses, including small businesses, or organizations representing businesses that include high-quality, work-relevant training and development in in-demand industry sectors or occupations in the state.
(3)Are appointed from a group of individuals nominated by state business organizations and business trade associations.
(c)(1)Not less than 20 percent of board members shall be representatives of the workforce within the state, including representatives of labor organizations nominated by state labor federations, who shall not be less than 15 percent of the board membership and who shall include at least one representative that is a member of a labor organization or a training director, from a joint labor-management apprenticeship program, or if no such joint program exists in the state, such a representative of an apprenticeship program in the state.
(2)Representatives appointed pursuant to this subdivision may include:
(A)Representatives of community-based organizations that have demonstrated experience and expertise in addressing the employment, training, or education needs of individuals with barriers to employment, including organizations that serve veterans, organizations that provide or support competitive, integrated employment for individuals with disabilities, organizations that serve transgender and gender nonconforming individuals, and organizations that represent or serve older adults.
(B)Representatives of organizations that have demonstrated experience and expertise in addressing the employment, training, or education needs of eligible youth, including representatives of organizations that serve out-of-school youth.
(d)The balance of board members:
(1)Shall include representatives of government that are lead state officials with primary responsibility for the core programs and shall include chief elected officials, collectively representing cities, counties, and cities and counties where appropriate.
(2)May include other representatives and officials as the Governor may designate, like any of the following:
(A)State agency officials from agencies that are one-stop partners, not specified in paragraph (1), including additional one-stop partners whose programs are covered by the State Plan, if any.
(B)State agency officials responsible for economic development or juvenile justice programs in the state.
(C)Individuals who represent an Indian tribe or tribal organization, as those terms are defined in Section 3221(b) of Title 29 of the United States Code.
(D)State agency officials responsible for education programs in the state, including chief executive officers, or their designees, of institutions of higher education, including, but not limited to, the California Community College system, the California State University system, the University of California system, and their respective individual campuses.
(E)State agency officials responsible for administering programs that serve, and state commission officials that advocate on behalf of, older adults or their designees.
(e)Other requirements of board membership shall include:
(1)The Governor shall select a chairperson for the board from among the representatives described in subdivision (b).
(2)The members of the board shall represent diverse geographic areas of the state, including urban, rural, and suburban areas.
(f)For purposes of this section, older adults means persons 60 years of age or older.
SEC. 3.Section 5771 of the Welfare and Institutions Code is amended to read:5771.(a)Pursuant to Public Law 102-321, there is the California Behavioral Health Planning Council. The purpose of the planning council shall be to fulfill those mental health planning requirements mandated by federal law.
(b)(1)The planning council shall have 40 members, to be comprised of members appointed from both the local and state levels in order to ensure a balance of state and local concerns relative to planning.
(2)As required by federal law, eight members of the planning council shall represent various state departments.
(3)Members of the planning council shall be appointed in a manner that will ensure that at least one-half are adults with serious mental illness, including persons who are dually diagnosed with serious mental illness and substance use disorders, family members of persons with serious mental illness, including adults who are dually diagnosed with serious mental illness and substance use disorders, family members of children with emotional disturbance, and representatives of organizations advocating on behalf of persons with mental illness, including persons who are dually diagnosed with mental illness and substance use disorders. Persons with serious mental illness, including persons who are dually diagnosed with serious mental illness and substance use disorders, and family members shall be represented in equal numbers.
(4)The Director of Health Care Services shall make appointments from among nominees from various constituency organizations for mental health or mental health and substance use disorders, which shall include representatives of consumer-related advocacy organizations, representatives of professional and provider organizations for mental health or mental health and substance use disorders, and representatives who are direct service providers from both the public and private sectors. The director shall also appoint one representative of the California Coalition on Mental Health. The director shall also appoint the Executive Director of the California Commission on Aging or the executive directors designee.
(c)Members should be balanced according to demography, geography, gender, and ethnicity. Members should include representatives with interest in all target populations, including, but not limited to, children and youth, adults, and older adults.
(d)The planning council shall annually elect a chairperson and a chair-elect.
(e)The term of each member shall be three years, to be staggered so that approximately one-third of the appointments expire in each year.
(f)In the event of changes in the federal requirements regarding the structure and function of the planning council, or the discontinuation of federal funding, the State Department of Health Care Services shall, with input from state-level advocacy groups, consumers, family members and providers, and other stakeholders, propose to the Legislature modifications in the structure of the planning council that the department deems appropriate.
SEC. 4.Section 5845 of the Welfare and Institutions Code, as amended by Section 41 of Chapter 40 of the Statutes of 2024, is amended to read:5845.(a)The Behavioral Health Services Oversight and Accountability Commission is hereby established to promote transformational change in Californias behavioral health system through research, evaluation and tracking outcomes, and other strategies to assess and report progress. The commission shall use this information and analyses to inform the commissions grant making, identify key policy issues and emerging best practices, provide technical assistance and training, promote high-quality programs implemented, and advise the Governor and the Legislature, pursuant to the Behavioral Health Services Act and related components of Californias behavioral health system. For this purpose, the commission shall collaborate with the California Health and Human Services Agency, its departments and other state entities.(b)(1)The commission shall replace the advisory committee established pursuant to Section 5814.(2)The commission shall consist of 28 voting members as follows:(A)The Attorney General or the Attorney Generals designee.(B)The Superintendent of Public Instruction or the Superintendents designee.(C)The Chairperson of the Senate Committee on Health, the Chairperson of the Senate Committee on Human Services, or another Member of the Senate selected by the President pro Tempore of the Senate, or their designee.(D)The Chairperson of the Assembly Committee on Health, the Chairperson of the Assembly Committee on Human Services, or another Member of the Assembly selected by the Speaker of the Assembly, or their designee.(E)(i)The following individuals, all appointed by the Governor:(I)Two persons who have or have had a mental health disorder.(II)Two persons who have or have had a substance use disorder.(III)A family member of an adult or older adult who has or has had a mental health disorder.(IV)One person who is 25 years of age or younger and has or has had a mental health disorder, substance use disorder, or cooccurring disorder.(V)A family member of an adult or older adult who has or has had a substance use disorder.(VI)A family member of a child or youth who has or has had a mental health disorder.(VII)A family member of a child or youth who has or has had a substance use disorder.(VIII)A current or former county behavioral health director.(IX)A physician specializing in substance use disorder treatment, including the provision of medications for addiction treatment.(X)A mental health professional.(XI)A professional with expertise in housing and homelessness.(XII)A county sheriff.(XIII)A superintendent of a school district.(XIV)A representative of a labor organization.(XV)A representative of an employer with less than 500 employees.(XVI)A representative of an employer with more than 500 employees.(XVII)A representative of a health care service plan or insurer.(XVIII)A representative of an aging or disability organization. (XIX)A person with knowledge and experience in community-defined evidence practices and reducing behavioral health disparities.(XX)A representative of a children and youth organization.(XXI)A veteran or a representative of a veterans organization.(ii)In making appointments, the Governor shall seek individuals who have had personal or family experience with mental illness or substance use disorder.(F)The Executive Director of the California Commission on Aging or the executive directors designee.(c)Members shall serve without compensation but shall be reimbursed for all actual and necessary expenses incurred in the performance of their duties.(d)The term of each member shall be three years, to be staggered so that approximately one-third of the appointments expire in each year.(e)(1)The commission shall have an Executive Director.(2)The Executive Director will be responsible for management over the administrative, fiscal, and program performance of the commission.(3)The Executive Director shall be selected by the commission.(4)The commission may delegate to the Executive Director any power, duty, purpose, function, or jurisdiction that the commission may lawfully delegate, including the authority to enter into and sign contracts on behalf of the commission. The Executive Director may redelegate any of those powers, duties, purposes, functions, or jurisdictions to the Executive Directors designee, unless by statute, or rule or regulation, the Executive Director is expressly required to act personally.(f)In carrying out its duties and responsibilities, the commission may do all of the following:(1)(A)Meet at least once each quarter at a time and location convenient to the public as it may deem appropriate.(B)All meetings of the commission shall be open to the public.(2)Within the limit of funds allocated for these purposes, pursuant to the laws and regulations governing state civil service, employ staff, including clerical, legal, and technical assistance, as necessary.(3)The commission shall administer its operations separate and apart from the State Department of Health Care Services and the California Health and Human Services Agency.(4)Establish technical advisory committees, such as a committee of consumers and family members, and a reducing disparities committee focusing on demographic, geographic, and other communities. The commission may provide pertinent information gained from those committees to relevant state agencies and departments, including, but not limited to, the California Health and Humans Services Agency and its departments.(5)Employ all other appropriate strategies necessary or convenient to enable it to fully and adequately perform its duties and exercise the powers expressly granted, notwithstanding authority expressly granted to an officer or employee of state government.(6)Enter into contracts.(7)Make reasonable requests for data and information to the State Department of Health Care Services, the Department of Health Care Access and Information, the State Department of Public Health, or other state and local entities that receive Behavioral Health Services Act funds. These entities shall respond in a timely manner and provide information and data in their possession that the commission deems necessary for the purposes of carrying out its responsibilities.(8)Participate in the joint state-county decisionmaking process, as described in Section 4061, for training, technical assistance, and regulatory resources to meet the mission and goals of the states mental health system.(9)Identify best practices to overcome stigma and discrimination, in consultation with the State Department of Public Health.(10)At any time, advise the Governor or the Legislature regarding actions the state may take to improve care and services for people with mental illness or substance use disorder.(11)If the commission identifies a critical issue related to the performance of a county mental health program, it may refer the issue to the State Department of Health Care Services pursuant to Section 5655 or 5963.04.(12)Provide technical assistance to counties on implementation planning, training, and capacity building investments as defined by the State Department of Health Care Services and in consultation with the County Behavioral Health Directors Association of California. Technical assistance may also include innovative behavioral health models of care and innovative promising practices pursuant to subparagraph (A) of paragraph (4) of subdivision (a) of Section 5892. Technical assistance may also include compiling and publishing a list of innovative behavioral health models of care programs and promising practices for each of the programs set forth in subparagraphs (1), (2), and (3) of subdivision (a) of Section 5892.(13)Work in collaboration with the State Department of Health Care Services to define the parameters of a report that includes recommendations for improving and standardizing promising practices across the state based on the technical assistance provided to counties as specified in paragraph (12). The commission shall prepare and publish the report on its internet website. In formulating this report, the commission shall prioritize the perspectives of the California behavioral health community through a robust public engagement process with a focus on priority populations and diverse communities.(14)Establish a framework and voluntary standard for mental health in the workplace that serves to reduce mental health stigma, increase public, employee, and employer awareness of the recovery goals of the Mental Health Services Act, and provide guidance to Californias employer community to put in place strategies and programs, as determined by the commission, to support the mental health and wellness of employees. The commission shall consult with the Labor and Workforce Development Agency or its designee to develop the standard.(g)(1)The commission shall work in collaboration with the State Department of Health Care Services and the California Behavioral Health Planning Council, and in consultation with the County Behavioral Health Directors Association of California, to write a report that includes recommendations for improving and standardizing promising practices for Behavioral Health Services Act programs.(2)The commission shall complete the report and provide a written report on its internet website no later than January 1, 2030, and every three years thereafter.(h)For purposes of this section, substance use disorder shall have the meaning as defined in subdivision (c) of Section 5891.5.(i)This section shall become operative on January 1, 2025, if amendments to the Mental Health Services Act are approved by the voters at the March 5, 2024, statewide primary election.SEC. 5.Section 8257 of the Welfare and Institutions Code is amended to read:8257.(a)The Governor shall create an Interagency Council on Homelessness.(b)The council shall have all of the following goals:(1)To oversee implementation of this chapter.(2)To identify mainstream resources, benefits, and services that can be accessed to prevent and end homelessness in California.(3)To create partnerships among state agencies and departments, local government agencies, participants in the United States Department of Housing and Urban Developments Continuum of Care Program, federal agencies, the United States Interagency Council on Homelessness, nonprofit entities working to end homelessness, homeless services providers, and the private sector, for the purpose of arriving at specific strategies to end homelessness.(4)To promote systems integration to increase efficiency and effectiveness while focusing on designing systems to address the needs of people experiencing homelessness, including unaccompanied youth under 25 years of age.(5)To coordinate existing funding and applications for competitive funding. Any action taken pursuant to this paragraph shall not restructure or change any existing allocations or allocation formulas.(6)To make policy and procedural recommendations to legislators and other governmental entities.(7)To identify and seek funding opportunities for state entities that have programs to end homelessness, including, but not limited to, federal and philanthropic funding opportunities, and to facilitate and coordinate those state entities efforts to obtain that funding.(8)To broker agreements between state agencies and departments and between state agencies and departments and local jurisdictions to align and coordinate resources, reduce administrative burdens of accessing existing resources, and foster common applications for services, operating, and capital funding.(9)To serve as a statewide facilitator, coordinator, and policy development resource on ending homelessness in California.(10)To report to the Governor, federal Cabinet members, and the Legislature on homelessness and work to reduce homelessness.(11)To ensure accountability and results in meeting the strategies and goals of the council.(12)To identify and implement strategies to fight homelessness in small communities and rural areas.(13)To create a statewide data system or warehouse, which shall be known as the Homeless Data Integration System, that collects local data through Homeless Management Information Systems, with the ultimate goal of matching data on homelessness to programs impacting homeless recipients of state programs, such as the Medi-Cal program (Chapter 7 (commencing with Section 14000) of Part 3 of Division 9) and CalWORKs (Chapter 2 (commencing with Section 11200) of Part 3 of Division 9). Upon creation of the Homeless Data Integration System, all continuums of care, as defined in Section 578.3 of Title 24 of the Code of Federal Regulations, that are operating in California shall provide collected data elements, including, but not limited to, health information, in a manner consistent with federal law, to the Homeless Data Integration System.(A)Council staff shall specify the form and substance of the required data elements.(B)Council staff may, as required by operational necessity, and in accordance with paragraph (8) of subdivision (d) of Section 8256, amend or modify data elements, disclosure formats, or disclosure frequency.(C)(i)To further the efforts to improve the public health, safety, and welfare of people experiencing homelessness in the state, council staff may collect data from the continuums of care as provided in this paragraph.(ii)Council staff shall, upon request, share personally identifiable, individual-level data from the Homeless Data Integration System with an agency or department that is a member of the council for purposes of measuring housing instability and examining the effectiveness of, and need for, housing and homelessness programs and other antipoverty programs among Californians.(iii)Data disclosed pursuant to this subparagraph shall be in compliance with the Information Practices Act of 1977 (Chapter 1 (commencing with Section 1798) of Title 1.8 of Part 4 of Division 3 of the Civil Code).(D)Any health information or personal identifying information provided to, or maintained within, the Homeless Data Integration System shall not be subject to public inspection or disclosure under the California Public Records Act (Division 10 (commencing with Section 7920.000) of Title 1 of the Government Code).(E)For purposes of this paragraph, health information includes protected health information, as defined in Section 160.103 of Title 45 of the Code of Federal Regulations, and medical information, as defined in subdivision (j) of Section 56.05 of the Civil Code.(14)To set goals to prevent and end homelessness among Californias youth.(15)To improve the safety, health, and welfare of young people experiencing homelessness in the state.(16)To increase system integration and coordinating efforts to prevent homelessness among youth who are currently or formerly involved in the child welfare system or the juvenile justice system.(17)To lead efforts to coordinate a spectrum of funding, policy, and practice efforts related to young people experiencing homelessness.(18)To identify best practices to ensure homeless minors who may have experienced maltreatment, as described in Section 300, are appropriately referred to, or have the ability to self-refer to, the child welfare system.(19)To collect, compile, and make available to the public financial data provided to the council from all state-funded homelessness programs.(c)(1)The council shall consist of the following members:(A)The Secretary of Business, Consumer Services, and Housing and the Secretary of California Health and Human Services Agency, who both shall serve as cochairs of the council.(B)The Director of Transportation.(C)The Director of Housing and Community Development.(D)The Director of Social Services.(E)The Director of the California Housing Finance Agency.(F)The Director or the State Medicaid Director of Health Care Services.(G)The Secretary of Veterans Affairs.(H)The Secretary of the Department of Corrections and Rehabilitation.(I)The Executive Director of the California Tax Credit Allocation Committee in the Treasurers office.(J)The State Public Health Officer.(K)Either the Director of the California Department of Aging or the Executive Director of the California Commission on Aging, or their designee.(L)The Director of Rehabilitation.(M)The Director of State Hospitals.(N)The executive director of the California Workforce Development Board.(O)The Director of the Office of Emergency Services.(P)A representative from the State Department of Education, who shall be appointed by the Superintendent of Public Instruction.(Q)A representative of the state public higher education system who shall be from one of the following:(i)The California Community Colleges.(ii)The University of California.(iii)The California State University.(2)The Senate Committee on Rules and the Speaker of the Assembly shall each appoint one member to the council from two different stakeholder organizations.(3)The council may, at its discretion, invite stakeholders, individuals who have experienced homelessness, members of philanthropic communities, and experts to participate in meetings or provide information to the council.(4)The council shall hold public meetings at least once every quarter.(d)The council shall regularly seek guidance from and, at least twice a year, meet with an advisory committee. Notwithstanding Section 11123.5 of the Bagley-Keene Open Meeting Act (Article 9 (commencing with Section 11120) of Chapter 1 of Part 1 of Division 3 of Title 2 of the Government Code), all members of the advisory committee may participate remotely in advisory committee meetings, including meetings held with the council, and no members are required to be present at the designated primary physical meeting location. The cochairs of the council shall appoint members to this advisory committee that reflects racial, gender, and age diversity, and shall include the following:(1)A survivor of gender-based violence who formerly experienced homelessness.(2)Representatives of local agencies or organizations that participate in the United States Department of Housing and Urban Developments Continuum of Care Program.(3)Stakeholders with expertise in solutions to homelessness and best practices from other states.(4)Representatives of organizations that serve or advocate on behalf of youth, survivors of gender-based violence, and racial and ethnic groups, including, but not limited to, African Americans, Latinos, Asian and Pacific Islanders, and Native Americans.(5)A current or formerly homeless person who lives in California.(6)A current or formerly homeless youth who lives in California.(7)A current or formerly homeless person with a developmental disability.(8)Representatives from organizations that serve or advocate on behalf of older adults, defined as persons 60 years of age or older.(9)This advisory committee shall designate one of the above-described members to participate in every quarterly council meeting to provide a report to the council on advisory committee activities.(e)Within existing funding, the council may establish working groups, task forces, or other structures from within its membership or with outside members to assist it in its work. Working groups, task forces, or other structures established by the council shall determine their own meeting schedules.(f)Upon request of the council, a state agency or department that administers one or more state homelessness programs, including, but not limited to, an agency or department represented on the council pursuant to subdivision (c), the agency or department shall be required to do both of the following:(1)Participate in council workgroups, task forces, or other similar administrative structures.(2)Provide to the council any relevant information regarding those state homelessness programs.(g)(1)The members of the council, advisory committee, or working groups who are or have been homeless may receive per diem and reimbursement for travel or other expenses as follows:(A)A member of the council who is or has been homeless shall receive a per diem of one hundred dollars ($100) for each day during which that member is engaged in the performance of official duties and shall also be reimbursed for travel and other expenses necessarily incurred in the performance of official duties.(B)A member of the advisory committee who is or has been homeless shall receive a per diem of one hundred dollars ($100) for each day during which that member is engaged in the performance of official duties and shall also be reimbursed for travel and other expenses necessarily incurred in the performance of official duties.(C)A member of a working group, as defined and managed by council staff, who is or has been homeless shall receive a per diem of one hundred dollars ($100) for each day during which that member is engaged in the performance of official duties and shall also be reimbursed for travel and other expenses necessarily incurred in the performance of official duties.(2)(A)A per diem or reimbursement request pursuant to paragraph (1) is subject to funding availability.(B)Notwithstanding any other law, assistance provided pursuant to this subdivision shall not be deemed to be income for purposes of the Personal Income Tax Law (Part 10 (commencing with Section 17001) of Division 2 of the Revenue and Taxation Code) or used to determine eligibility for any state program or local program financed wholly or in part by state funds.(3)(A)For purposes of complying with paragraphs (1) and (2) of subdivision (a) of Section 41 of the Revenue and Taxation Code, as it pertains to this subdivision, the Legislature finds and declares as follows:(i)The specific goals, purposes, and objectives that the exemptions created by subparagraph (B) of paragraph (2) are as follows:(I)The objective is to facilitate the participation of individuals with lived experience in order to include valuable insight from those lived experiences in shaping policy recommendations.(II)The goal is to prevent members with lived homelessness experience from incurring tax liability because of their participation.(III)The purpose is to enable participants with lived homelessness experience to receive the full benefit of their per diem and reimbursements.(ii)The performance indicators the Legislature can use to determine if the exemption is achieving the goals, purposes, and objectives stated in clause (i) shall be as follows:(I)Whether the council, advisory committee, or working group members with lived homelessness experience incur any tax liability because of their participation on the committee.(II)The number of people with lived homelessness experience who serve on the council, advisory committee, and working groups.(B)(i)For purposes of complying with paragraph (3) of subdivision (a) of Section 41 of the Revenue and Taxation Code, as it pertains to this subdivision, the Legislative Analysts Office shall deliver to the Legislature on or before April 1 of each year a written report that includes both of the following:(I)The estimated aggregate tax liability incurred by council, advisory committee, or working group members with lived homelessness experience because of their participation on the committee.(II)The estimated number of people with lived homelessness experience who serve on the council, advisory committee, or working groups that excluded qualified amounts from gross income as described in paragraph (1).(ii)A report submitted pursuant to this subparagraph shall be submitted in compliance with Section 9795 of the Government Code.(iii)The reporting requirement pursuant to this subparagraph shall become inoperative on April 1, 2028, pursuant to Section 10231.5 of the Government Code.(4)For purposes of this subdivision, the performance of official duties includes, but is not limited to, attending a council, advisory, or working group meeting and reviewing agenda materials for no more than one day in preparation for each council, advisory, or working group meeting.(h)The appointed members of the council or committees, as described in this section, shall serve at the pleasure of their appointing authority.(i)The Business, Consumer Services, and Housing Agency shall provide staff for the council.(j)The members of the council may enter into memoranda of understanding with other members of the council to achieve the goals set forth in this chapter, as necessary, in order to facilitate communication and cooperation between the entities the members of the council represent.(k)There shall be an executive officer of the council under the direction of the Secretary of Business, Consumer Services, and Housing.(l)The council shall be under the direction of the executive officer and staffed by employees of the Business, Consumer Services, and Housing Agency.SEC. 4.Section 1.5 of this bill incorporates amendments to Section 1568.17 of the Health and Safety Code proposed by both this bill and Assembly Bill 2680. That section of this bill shall only become operative if (1) both bills are enacted and become effective on or before January 1, 2025, (2) each bill amends Section 1568.17 of the Health and Safety Code, and (3) this bill is enacted after Assembly Bill 2680, in which case Section 1 of this bill shall not become operative.
(a)The California Health and Human Services Agency shall establish an Alzheimers Disease and Related Disorders Advisory Committee consisting of 15 members selected as follows:
(1)One representing the field of academic medical research.
(2)One representing the field of social research.
(3)One representing the field of mental health.
(4)One representing the Alzheimers daycare resource centers.
(5)One representing the Alzheimers disease diagnostic and treatment centers.
(6)Two representing families of persons suffering from Alzheimers disease or related disorders.
(7)Two representing organizations providing services to Alzheimers disease patients.
(8)One representing a consumer organization representing persons with Alzheimers disease.
(9)One representing a member of the State Bar who is familiar with the legal issues confronting Alzheimers disease victims and their families.
(10)Two people who have been diagnosed with Alzheimers disease to serve one-year terms.
(11)The Secretary of California Health and Human Services or their designee.
(12)The Executive Director of the California Commission on Aging or the directors designee.
(b)Members shall serve at the pleasure of the Secretary of California Health and Human Services. The agency secretary may establish fixed terms for advisory committee membership. For purposes of continuity, those terms shall be staggered.
(c)Members shall serve without compensation, but shall receive reimbursement for travel and other necessary expenses actually incurred in the performance of their official duties.
(d)The Alzheimers Disease and Related Disorders Advisory Committee shall do all of the following:
(1)Provide ongoing advice and assistance to the administration and the Legislature as to the program needs and priorities of the target population.
(2)Provide planning support to the administration and the Legislature by updating recommendations of the 1987 California Alzheimers Disease Task Force Report and regularly reviewing and updating recommendations as needed.
(3)Appoint a chairperson and vice chairperson.
(4)Meet quarterly.
(e)The Alzheimers Disease and Related Disorders Advisory Committee shall do all of the following when making policy and plan recommendations:
(1)Consult with a broad range of stakeholders, including, but not limited to, people diagnosed with Alzheimers disease, family caregivers, community-based and institutional providers, Alzheimers disease researchers and academicians, formal caregivers, the Alzheimers Association, the California Commission on Aging, and other state entities.
(2)Consider the recommendations of other state plans, including, but not limited to, the Olmstead Plan, the Long-Range Strategic Plan on Aging, and the California Department of Agings State Plan on Aging.
(3)Consider cultural and linguistic factors that impact persons with Alzheimers disease and their families who are from diverse populations.
(4)Review current state policies and practices concerning care and treatment related to Alzheimers disease and other dementia disorders, and develop recommendations concerning all of the following issues:
(A)Community-based support for Californias diverse people with Alzheimers disease and their family members.
(B)Choices for care and residence for persons with Alzheimers disease and their families.
(C)An integrated public health care management approach to Alzheimers disease in health care settings that makes full use of dementia care practices.
(D)The dementia competence of health care professionals.
(E)Early identification and intervention through increasing public awareness of Alzheimers disease.
(f) All meetings of the advisory committee, and any subcommittees thereof, shall be open to the public and adequate notice shall be provided in accordance with Article 9 (commencing with Section 11120) of Chapter 1 of Part 1 of Division 3 of Title 2 of the Government Code.
SEC. 2.Section 128250 of the Health and Safety Code is amended to read:128250.(a)The terms used in this article have the same meaning as in Section 128205.(b)There is hereby created a California Health Workforce Education and Training Council that shall be responsible for helping coordinate Californias health workforce education and training to develop a health workforce that meets Californias health care needs. The council shall be composed of 20 members who, together, represent various graduate medical education and training programs, health professions, including, but not limited to, specialties for primary care and behavioral health, and consumer representatives who shall serve at the pleasure of their appointing authorities, as follows:(1)Six members appointed by the Governor.(2)One member who shall be the Director of the State Department of Health Care Services, or the directors designee.(3)One member who shall be the Director of the Department of Health Care Access and Information, or the directors designee.(4)One member who shall be the Secretary of Labor and Workforce Development, or the secretarys designee.(5)Three members appointed by the Speaker of the Assembly.(6)Three members appointed by the Chairperson of the Senate Committee on Rules.(7)One member who shall be the President of the University of California, or the presidents designee.(8)One member who shall be the Chancellor of the California State University, or the chancellors designee.(9)One member who shall be the Chancellor of the California Community Colleges, or the chancellors designee.(10)One member who shall be the Director of the California Department of Aging or the directors designee.(11)One member who shall be the Executive Director of the California Commission on Aging or the directors designee.(c)Members of the council appointed under paragraphs (1), (5), and (6) of subdivision (a) shall be appointed for a term of four years, except that the term of office of the initial members appointed under paragraph (1) shall expire at the end of two years.SEC. 3.SEC. 2.Section 14012 of the Unemployment Insurance Code is amended to read:14012.The board shall be appointed by the Governor to assist in the development of the State Plan and to carry out other functions, as described in Section 14103. The board shall be comprised of the Governor and representatives from the following categories:
(a)Two members of each house of the Legislature, appointed by the appropriate presiding officer of each house.
(b)A majority of board members shall be representatives of business who:
(1)Are owners of businesses, chief executives or operating officers of businesses, and other business executives or employers with optimum policymaking or hiring authority, who, in addition, may be members of a local board described in Section 3122(b)(2)(A)(i) of Title 29 of the United States Code.
(2)Represent businesses, including small businesses, or organizations representing businesses that include high-quality, work-relevant training and development in in-demand industry sectors or occupations in the state.
(3)Are appointed from a group of individuals nominated by state business organizations and business trade associations.
(c)(1)Not less than 20 percent of board members shall be representatives of the workforce within the state, including representatives of labor organizations nominated by state labor federations, who shall not be less than 15 percent of the board membership and who shall include at least one representative that is a member of a labor organization or a training director, from a joint labor-management apprenticeship program, or if no such joint program exists in the state, such a representative of an apprenticeship program in the state.
(2)Representatives appointed pursuant to this subdivision may include:
(A)Representatives of community-based organizations that have demonstrated experience and expertise in addressing the employment, training, or education needs of individuals with barriers to employment, including organizations that serve veterans, organizations that provide or support competitive, integrated employment for individuals with disabilities, organizations that serve transgender and gender nonconforming individuals, and organizations that represent or serve older adults.
(B)Representatives of organizations that have demonstrated experience and expertise in addressing the employment, training, or education needs of eligible youth, including representatives of organizations that serve out-of-school youth.
(d)The balance of board members:
(1)Shall include representatives of government that are lead state officials with primary responsibility for the core programs and shall include chief elected officials, collectively representing cities, counties, and cities and counties where appropriate.
(2)May include other representatives and officials as the Governor may designate, like any of the following:
(A)State agency officials from agencies that are one-stop partners, not specified in paragraph (1), including additional one-stop partners whose programs are covered by the State Plan, if any.
(B)State agency officials responsible for economic development or juvenile justice programs in the state.
(C)Individuals who represent an Indian tribe or tribal organization, as those terms are defined in Section 3221(b) of Title 29 of the United States Code.
(D)State agency officials responsible for education programs in the state, including chief executive officers, or their designees, of institutions of higher education, including, but not limited to, the California Community College system, the California State University system, the University of California system, and their respective individual campuses.
(E)State agency officials responsible for administering programs that serve, and state commission officials that advocate on behalf of, older adults or their designees.
(e)Other requirements of board membership shall include:
(1)The Governor shall select a chairperson for the board from among the representatives described in subdivision (b).
(2)The members of the board shall represent diverse geographic areas of the state, including urban, rural, and suburban areas.
(f)For purposes of this section, older adults means persons 60 years of age or older.
SEC. 4.SEC. 3.Section 5771 of the Welfare and Institutions Code is amended to read:5771.(a)Pursuant to Public Law 102-321, there is the California Behavioral Health Planning Council. The purpose of the planning council shall be to fulfill those mental health planning requirements mandated by federal law.
(b)(1)The planning council shall have 40 members, to be comprised of members appointed from both the local and state levels in order to ensure a balance of state and local concerns relative to planning.
(2)As required by federal law, eight members of the planning council shall represent various state departments.
(3)Members of the planning council shall be appointed in a manner that will ensure that at least one-half are adults with serious mental illness, including persons who are dually diagnosed with serious mental illness and substance use disorders, family members of persons with serious mental illness, including adults who are dually diagnosed with serious mental illness and substance use disorders, family members of children with emotional disturbance, and representatives of organizations advocating on behalf of persons with mental illness, including persons who are dually diagnosed with mental illness and substance use disorders. Persons with serious mental illness, including persons who are dually diagnosed with serious mental illness and substance use disorders, and family members shall be represented in equal numbers.
(4)The Director of Health Care Services shall make appointments from among nominees from various constituency organizations for mental health or mental health and substance use disorders, which shall include representatives of consumer-related advocacy organizations, representatives of professional and provider organizations for mental health or mental health and substance use disorders, and representatives who are direct service providers from both the public and private sectors. The director shall also appoint one representative of the California Coalition on Mental Health. The director shall also appoint the Executive Director of the California Commission on Aging or the executive directors designee.
(c)Members should be balanced according to demography, geography, gender, and ethnicity. Members should include representatives with interest in all target populations, including, but not limited to, children and youth, adults, and older adults.
(d)The planning council shall annually elect a chairperson and a chair-elect.
(e)The term of each member shall be three years, to be staggered so that approximately one-third of the appointments expire in each year.
(f)In the event of changes in the federal requirements regarding the structure and function of the planning council, or the discontinuation of federal funding, the State Department of Health Care Services shall, with input from state-level advocacy groups, consumers, family members and providers, and other stakeholders, propose to the Legislature modifications in the structure of the planning council that the department deems appropriate.
SEC. 5.Section 5845 of the Welfare and Institutions Code is amended to read:5845.(a)The Mental Health Services Oversight and Accountability Commission is hereby established to oversee Part 3 (commencing with Section 5800), the Adult and Older Adult Mental Health System of Care Act; Part 3.1 (commencing with Section 5820), Human Resources, Education, and Training Programs; Part 3.2 (commencing with Section 5830), Innovative Programs; Part 3.6 (commencing with Section 5840), Prevention and Early Intervention Programs; and Part 4 (commencing with Section 5850), the Childrens Mental Health Services Act. The commission shall replace the advisory committee established pursuant to Section 5814. The commission shall consist of 17 voting members as follows:(1)The Attorney General or the Attorney Generals designee.(2)The Superintendent of Public Instruction or the Superintendents designee.(3)The Chairperson of the Senate Committee on Health, the Chairperson of the Senate Committee on Human Services, or another Member of the Senate selected by the President pro Tempore of the Senate.(4)The Chairperson of the Assembly Committee on Health or another Member of the Assembly selected by the Speaker of the Assembly.(5)The Executive Director of the California Commission on Aging or the executive directors designee.(6)Two persons with a severe mental illness, a family member of an adult or senior with a severe mental illness, a family member of a child who has or has had a severe mental illness, a physician specializing in alcohol and drug treatment, a mental health professional, a county sheriff, a superintendent of a school district, a representative of a labor organization, a representative of an employer with less than 500 employees, a representative of an employer with more than 500 employees, and a representative of a health care service plan or insurer, all appointed by the Governor. In making appointments, the Governor shall seek individuals who have had personal or family experience with mental illness. At least one person appointed pursuant to this paragraph shall have a background in auditing.(b)Members shall serve without compensation, but shall be reimbursed for all actual and necessary expenses incurred in the performance of their duties.(c)The term of each member shall be three years, to be staggered so that approximately one-third of the appointments expire in each year.(d)In carrying out its duties and responsibilities, the commission may do all of the following:(1)Meet at least once each quarter at any time and location convenient to the public as it may deem appropriate. All meetings of the commission shall be open to the public.(2)Within the limit of funds allocated for these purposes, pursuant to the laws and regulations governing state civil service, employ staff, including any clerical, legal, and technical assistance necessary. The commission shall administer its operations separate and apart from the State Department of Health Care Services and the California Health and Human Services Agency.(3)Establish technical advisory committees, such as a committee of consumers and family members.(4)Employ all other appropriate strategies necessary or convenient to enable it to fully and adequately perform its duties and exercise the powers expressly granted, notwithstanding any authority expressly granted to an officer or employee of state government.(5)Enter into contracts.(6)Obtain data and information from the State Department of Health Care Services, the Office of Statewide Health Planning and Development, or other state or local entities that receive Mental Health Services Act funds, for the commission to utilize in its oversight, review, training and technical assistance, accountability, and evaluation capacity regarding projects and programs supported with Mental Health Services Act funds.(7)Participate in the joint state-county decisionmaking process, as contained in Section 4061, for training, technical assistance, and regulatory resources to meet the mission and goals of the states mental health system.(8)Develop strategies to overcome stigma and discrimination, and accomplish all other objectives of Part 3.2 (commencing with Section 5830), Part 3.6 (commencing with Section 5840), and the other provisions of the Mental Health Services Act.(9)At any time, advise the Governor or the Legislature regarding actions the state may take to improve care and services for people with mental illness.(10)If the commission identifies a critical issue related to the performance of a county mental health program, it may refer the issue to the State Department of Health Care Services pursuant to Section 5655.(11)Assist in providing technical assistance to accomplish the purposes of the Mental Health Services Act, Part 3 (commencing with Section 5800), and Part 4 (commencing with Section 5850) in collaboration with the State Department of Health Care Services and in consultation with the County Behavioral Health Directors Association of California.(12)Work in collaboration with the State Department of Health Care Services and the California Behavioral Health Planning Council, and in consultation with the County Behavioral Health Directors Association of California, in designing a comprehensive joint plan for a coordinated evaluation of client outcomes in the community-based mental health system, including, but not limited to, parts listed in subdivision (a). The California Health and Human Services Agency shall lead this comprehensive joint plan effort.(13)Establish a framework and voluntary standard for mental health in the workplace that serves to reduce mental health stigma, increase public, employee, and employer awareness of the recovery goals of the Mental Health Services Act, and provide guidance to Californias employer community to put in place strategies and programs, as determined by the commission, to support the mental health and wellness of employees. The commission shall consult with the Labor and Workforce Development Agency or its designee to develop the standard.SEC. 4.Section 5845 of the Welfare and Institutions Code, as amended by Section 41 of Chapter 40 of the Statutes of 2024, is amended to read:5845.(a)The Behavioral Health Services Oversight and Accountability Commission is hereby established to promote transformational change in Californias behavioral health system through research, evaluation and tracking outcomes, and other strategies to assess and report progress. The commission shall use this information and analyses to inform the commissions grant making, identify key policy issues and emerging best practices, provide technical assistance and training, promote high-quality programs implemented, and advise the Governor and the Legislature, pursuant to the Behavioral Health Services Act and related components of Californias behavioral health system. For this purpose, the commission shall collaborate with the California Health and Human Services Agency, its departments and other state entities.
(b)(1)The commission shall replace the advisory committee established pursuant to Section 5814.
(2)The commission shall consist of 27 28 voting members as follows:
(A)The Attorney General or the Attorney Generals designee.
(B)The Superintendent of Public Instruction or the Superintendents designee.
(C)The Chairperson of the Senate Committee on Health, the Chairperson of the Senate Committee on Human Services, or another member Member of the Senate selected by the President pro Tempore of the Senate, or their designee.
(D)The Chairperson of the Assembly Committee on Health, the Chairperson of the Assembly Committee on Human Services, or another Member of the Assembly selected by the Speaker of the Assembly, or their designee.
(E)(i)The following individuals, all appointed by the Governor:
(I)Two persons who have or have had a mental health disorder.
(II)Two persons who have or have had a substance use disorder.
(III)A family member of an adult or older adult who has or has had a mental health disorder.
(IV)One person who is 25 years of age or younger and has or has had a mental health disorder, substance use disorder, or cooccurring disorder.
(V)A family member of an adult or older adult who has or has had a substance use disorder.
(VI)A family member of a child or youth who has or has had a mental health disorder.
(VII)A family member of a child or youth who has or has had a substance use disorder.
(VIII)A current or former county behavioral health director.
(IX)A physician specializing in substance use disorder treatment, including the provision of medications for addiction treatment.
(X)A mental health professional.
(XI)A professional with expertise in housing and homelessness.
(XII)A county sheriff.
(XIII)A superintendent of a school district.
(XIV)A representative of a labor organization.
(XV)A representative of an employer with less than 500 employees.
(XVI)A representative of an employer with more than 500 employees.
(XVII)A representative of a health care service plan or insurer.
(XVIII)A representative of an aging or disability organization.
(XIX)A person with knowledge and experience in community-defined evidence practices and reducing behavioral health disparities.
(XX)A representative of a children and youth organization.
(XXI)A veteran or a representative of a veterans organization.
(ii)In making appointments, the Governor shall seek individuals who have had personal or family experience with mental illness or substance use disorder.
(F)The Executive Director of the California Commission on Aging or the executive directors designee.
(c)Members shall serve without compensation but shall be reimbursed for all actual and necessary expenses incurred in the performance of their duties.
(d)The term of each member shall be three years, to be staggered so that approximately one-third of the appointments expire in each year.
(e)(1)The commission shall have an Executive Director.
(2)The Executive Director will be responsible for management over the administrative, fiscal, and program performance of the commission.
(3)The Executive Director shall be selected by the commission.
(4)The commission may delegate to the Executive Director any power, duty, purpose, function, or jurisdiction that the commission may lawfully delegate, including the authority to enter into and sign contracts on behalf of the commission. The Executive Director may redelegate any of those powers, duties, purposes, functions, or jurisdictions to the Executive Directors designee, unless by statute, or rule or regulation, the Executive Director is expressly required to act personally.
(f)In carrying out its duties and responsibilities, the commission may do all of the following:
(1)(A)Meet at least once each quarter at a time and location convenient to the public as it may deem appropriate.
(B)All meetings of the commission shall be open to the public.
(2)Within the limit of funds allocated for these purposes, pursuant to the laws and regulations governing state civil service, employ staff, including clerical, legal, and technical assistance, as necessary.
(3)The commission shall administer its operations separate and apart from the State Department of Health Care Services and the California Health and Human Services Agency.
(4)Establish technical advisory committees, such as a committee of consumers and family members, and a reducing disparities committee focusing on demographic, geographic, and other communities. The commission may provide pertinent information gained from those committees to relevant state agencies and departments, including, but not limited to, the California Health and Humans Services Agency and its departments.
(5)Employ all other appropriate strategies necessary or convenient to enable it to fully and adequately perform its duties and exercise the powers expressly granted, notwithstanding authority expressly granted to an officer or employee of state government.
(6)Enter into contracts.
(7)Make reasonable requests for data and information to the State Department of Health Care Services, the Department of Health Care Access and Information, the State Department of Public Health, or other state and local entities that receive Behavioral Health Services Act funds. These entities shall respond in a timely manner and provide information and data in their possession that the commission deems necessary for the purposes of carrying out its responsibilities.
(8)Participate in the joint state-county decisionmaking process, as described in Section 4061, for training, technical assistance, and regulatory resources to meet the mission and goals of the states mental health system.
(9)Identify best practices to overcome stigma and discrimination, in consultation with the State Department of Public Health.
(10)At any time, advise the Governor or the Legislature regarding actions the state may take to improve care and services for people with mental illness or substance use disorder.
(11)If the commission identifies a critical issue related to the performance of a county mental health program, it may refer the issue to the State Department of Health Care Services pursuant to Section 5655 or 5963.04.
(12)Provide technical assistance to counties on implementation planning, training, and capacity building investments as defined by the State Department of Health Care Services and in consultation with the County Behavioral Health Directors Association of California. Technical assistance may also include innovative behavioral health models of care and innovative promising practices pursuant to subparagraph (A) of paragraph (4) of subdivision (a) of Section 5892. Technical assistance may also include compiling and publishing a list of innovative behavioral health models of care programs and promising practices for each of the programs set forth in subparagraphs (1), (2), and (3) of subdivision (a) of Section 5892.
(13)Work in collaboration with the State Department of Health Care Services to define the parameters of a report that includes recommendations for improving and standardizing promising practices across the state based on the technical assistance provided to counties as specified in paragraph (12). The commission shall prepare and publish the report on its internet website. In formulating this report, the commission shall prioritize the perspectives of the California behavioral health community through a robust public engagement process with a focus on priority populations and diverse communities.
(14)Establish a framework and voluntary standard for mental health in the workplace that serves to reduce mental health stigma, increase public, employee, and employer awareness of the recovery goals of the Mental Health Services Act, and provide guidance to Californias employer community to put in place strategies and programs, as determined by the commission, to support the mental health and wellness of employees. The commission shall consult with the Labor and Workforce Development Agency or its designee to develop the standard.
(g)(1)The commission shall work in collaboration with the State Department of Health Care Services and the California Behavioral Health Planning Council, and in consultation with the County Behavioral Health Directors Association of California, to write a report that includes recommendations for improving and standardizing promising practices for Behavioral Health Services Act programs.
(2)The commission shall complete the report and provide a written report on its internet website no later than January 1, 2030, and every three years thereafter.
(h)For purposes of this section, substance use disorder shall have the meaning as defined in subdivision (c) of Section 5891.5.
(i)This section shall become operative on January 1, 2025, if amendments to the Mental Health Services Act are approved by the voters at the March 5, 2024, statewide primary election.
SEC. 6.Section 8257 of the Welfare and Institutions Code is amended to read:8257.(a)The Governor shall create an Interagency Council on Homelessness.(b)The council shall have all of the following goals:(1)To oversee implementation of this chapter.(2)To identify mainstream resources, benefits, and services that can be accessed to prevent and end homelessness in California.(3)To create partnerships among state agencies and departments, local government agencies, participants in the United States Department of Housing and Urban Developments Continuum of Care Program, federal agencies, the United States Interagency Council on Homelessness, nonprofit entities working to end homelessness, homeless services providers, and the private sector, for the purpose of arriving at specific strategies to end homelessness.(4)To promote systems integration to increase efficiency and effectiveness while focusing on designing systems to address the needs of people experiencing homelessness, including unaccompanied youth under 25 years of age.(5)To coordinate existing funding and applications for competitive funding. Any action taken pursuant to this paragraph shall not restructure or change any existing allocations or allocation formulas.(6)To make policy and procedural recommendations to legislators and other governmental entities.(7)To identify and seek funding opportunities for state entities that have programs to end homelessness, including, but not limited to, federal and philanthropic funding opportunities, and to facilitate and coordinate those state entities efforts to obtain that funding.(8)To broker agreements between state agencies and departments and between state agencies and departments and local jurisdictions to align and coordinate resources, reduce administrative burdens of accessing existing resources, and foster common applications for services, operating, and capital funding.(9)To serve as a statewide facilitator, coordinator, and policy development resource on ending homelessness in California.(10)To report to the Governor, federal Cabinet members, and the Legislature on homelessness and work to reduce homelessness.(11)To ensure accountability and results in meeting the strategies and goals of the council.(12)To identify and implement strategies to fight homelessness in small communities and rural areas.(13)To create a statewide data system or warehouse, which shall be known as the Homeless Data Integration System, that collects local data through Homeless Management Information Systems, with the ultimate goal of matching data on homelessness to programs impacting homeless recipients of state programs, such as the Medi-Cal program (Chapter 7 (commencing with Section 14000) of Part 3 of Division 9) and CalWORKs (Chapter 2 (commencing with Section 11200) of Part 3 of Division 9). Upon creation of the Homeless Data Integration System, all continuums of care, as defined in Section 578.3 of Title 24 of the Code of Federal Regulations, that are operating in California shall provide collected data elements, including, but not limited to, health information, in a manner consistent with federal law, to the Homeless Data Integration System.(A)Council staff shall specify the form and substance of the required data elements.(B)Council staff may, as required by operational necessity, and in accordance with paragraph (8) of subdivision (d) of Section 8256, amend or modify data elements, disclosure formats, or disclosure frequency.(C)(i)To further the efforts to improve the public health, safety, and welfare of people experiencing homelessness in the state, council staff may collect data from the continuums of care as provided in this paragraph.(ii)Council staff may share Homeless Data Integration System data with a state agency or department that is a member of the council.(D)Any health information or personal identifying information provided to, or maintained within, the Homeless Data Integration System shall not be subject to public inspection or disclosure under the California Public Records Act (Chapter 3.5 (commencing with Section 6250) of Division 7 of Title 1 of the Government Code).(E)For purposes of this paragraph, health information includes protected health information, as defined in Part 160.103 of Title 45 of the Code of Federal Regulations, and medical information, as defined in subdivision (j) of Section 56.05 of the Civil Code.(14)To set goals to prevent and end homelessness among Californias youth.(15)To improve the safety, health, and welfare of young people experiencing homelessness in the state.(16)To increase system integration and coordinating efforts to prevent homelessness among youth who are currently or formerly involved in the child welfare system or the juvenile justice system.(17)To lead efforts to coordinate a spectrum of funding, policy, and practice efforts related to young people experiencing homelessness.(18)To identify best practices to ensure homeless minors who may have experienced maltreatment, as described in Section 300, are appropriately referred to, or have the ability to self-refer to, the child welfare system.(19)To collect, compile, and make available to the public financial data provided to the council from all state-funded homelessness programs.(c)(1)The council shall consist of the following members:(A)The Secretary of Business, Consumer Services, and Housing and the Secretary of California Health and Human Services Agency, who both shall serve as cochairs of the council.(B)The Director of Transportation.(C)The Director of Housing and Community Development.(D)The Director of Social Services.(E)The Director of the California Housing Finance Agency.(F)The Director or the State Medicaid Director of Health Care Services.(G)The Secretary of Veterans Affairs.(H)The Secretary of the Department of Corrections and Rehabilitation.(I)The Executive Director of the California Tax Credit Allocation Committee in the Treasurers office.(J)The State Public Health Officer.(K)The Director of the California Department of Aging.(L)The Director of Rehabilitation.(M)The Director of State Hospitals.(N)The executive director of the California Workforce Development Board.(O)The Director of the Office of Emergency Services.(P)The Executive Director of the California Commission on Aging or the directors designee.(Q)A representative from the State Department of Education, who shall be appointed by the Superintendent of Public Instruction.(R)A representative of the state public higher education system who shall be from one of the following:(i)The California Community Colleges.(ii)The University of California.(iii)The California State University.(2)The Senate Committee on Rules and the Speaker of the Assembly shall each appoint one member to the council from two different stakeholder organizations.(3)The council may, at its discretion, invite stakeholders, individuals who have experienced homelessness, members of philanthropic communities, and experts to participate in meetings or provide information to the council.(4)The council shall hold public meetings at least once every quarter.(d)The council shall regularly seek guidance from and, at least twice a year, meet with an advisory committee. Notwithstanding Section 11123.5 of the Bagley-Keene Open Meeting Act (Article 9 (commencing with Section 11120) of Chapter 1 of Part 1 of Division 3 of Title 2 of the Government Code), all members of the advisory committee may participate remotely in advisory committee meetings, including meetings held with the council, and no members are required to be present at the designated primary physical meeting location. The cochairs of the council shall appoint members to this advisory committee that reflects racial, gender, and age diversity, and shall include the following:(1)A survivor of gender-based violence who formerly experienced homelessness.(2)Representatives of local agencies or organizations that participate in the United States Department of Housing and Urban Developments Continuum of Care Program.(3)Stakeholders with expertise in solutions to homelessness and best practices from other states.(4)Representatives of organizations that serve or advocate on behalf of youth, survivors of gender-based violence, and racial and ethnic groups, including, but not limited to, African Americans, Latinos, Asian and Pacific Islanders, and Native Americans.(5)A current or formerly homeless person who lives in California.(6)A current or formerly homeless youth who lives in California.(7)A current or formerly homeless person with a developmental disability.(8)Representatives from organizations that serve or advocate on behalf of older adults, defined as persons 60 years of age or older.(9)This advisory committee shall designate one of the above-described members to participate in every quarterly council meeting to provide a report to the council on advisory committee activities.(e)Within existing funding, the council may establish working groups, task forces, or other structures from within its membership or with outside members to assist it in its work. Working groups, task forces, or other structures established by the council shall determine their own meeting schedules.(f)Upon request of the council, a state agency or department that administers one or more state homelessness programs, including, but not limited to, an agency or department represented on the council pursuant to subdivision (c), the agency or department shall be required to do both of the following:(1)Participate in council workgroups, task forces, or other similar administrative structures.(2)Provide to the council any relevant information regarding those state homelessness programs.(g)(1)The members of the council, advisory committee, or working groups who are or have been homeless may receive per diem and reimbursement for travel or other expenses as follows:(A)A member of the council who is or has been homeless shall receive a per diem of one hundred dollars ($100) for each day during which that member is engaged in the performance of official duties and shall also be reimbursed for travel and other expenses necessarily incurred in the performance of official duties.(B)A member of the advisory committee who is or has been homeless shall receive a per diem of one hundred dollars ($100) for each day during which that member is engaged in the performance of official duties and shall also be reimbursed for travel and other expenses necessarily incurred in the performance of official duties.(C)A member of a working group, as defined and managed by council staff, who is or has been homeless shall receive a per diem of one hundred dollars ($100) for each day during which that member is engaged in the performance of official duties and shall also be reimbursed for travel and other expenses necessarily incurred in the performance of official duties.(2)(A)A per diem or reimbursement request pursuant to paragraph (1) is subject to funding availability.(B)Notwithstanding any other law, assistance provided pursuant to this subdivision shall not be deemed to be income for purposes of the Personal Income Tax Law (Part 10 (commencing with Section 17001) of Division 2 of the Revenue and Taxation Code) or used to determine eligibility for any state program or local program financed wholly or in part by state funds.(3)(A)For purposes of complying with paragraphs (1) and (2) of subdivision (a) of Section 41 of the Revenue and Taxation Code, as it pertains to this subdivision, the Legislature finds and declares as follows:(i)The specific goals, purposes, and objectives that the exemptions created by subparagraph (B) of paragraph (2) are as follows:(I)The objective is to facilitate the participation of individuals with lived experience in order to include valuable insight from those lived experiences in shaping policy recommendations.(II)The goal is to prevent members with lived homelessness experience from incurring tax liability because of their participation.(III)The purpose is to enable participants with lived homelessness experience to receive the full benefit of their per diem and reimbursements.(ii)The performance indicators the Legislature can use to determine if the exemption is achieving the goals, purposes, and objectives stated in clause (i) shall be as follows:(I)Whether the council, advisory committee, or working group members with lived homelessness experience incur any tax liability because of their participation on the committee.(II)The number of people with lived homelessness experience who serve on the council, advisory committee, and working groups.(B)(i)For purposes of complying with paragraph (3) of subdivision (a) of Section 41 of the Revenue and Taxation Code, as it pertains to this subdivision, the Legislative Analysts Office shall deliver to the Legislature on or before April 1 of each year a written report that includes both of the following:(I)The estimated aggregate tax liability incurred by council, advisory committee, or working group members with lived homelessness experience because of their participation on the committee.(II)The estimated number of people with lived homelessness experience who serve on the council, advisory committee, or working groups that excluded qualified amounts from gross income as described in paragraph (1).(ii)A report submitted pursuant to this subparagraph shall be submitted in compliance with Section 9795 of the Government Code.(iii)The reporting requirement pursuant to this subparagraph shall become inoperative on April 1, 2028, pursuant to Section 10231.5 of the Government Code.(4)For purposes of this subdivision, the performance of official duties includes, but is not limited to, attending a council, advisory, or working group meeting and reviewing agenda materials for no more than one day in preparation for each council, advisory, or working group meeting.(h)The appointed members of the council or committees, as described in this section, shall serve at the pleasure of their appointing authority.(i)The Business, Consumer Services, and Housing Agency shall provide staff for the council.(j)The members of the council may enter into memoranda of understanding with other members of the council to achieve the goals set forth in this chapter, as necessary, in order to facilitate communication and cooperation between the entities the members of the council represent.(k)There shall be an executive officer of the council under the direction of the Secretary of Business, Consumer Services, and Housing.(l)The council shall be under the direction of the executive officer and staffed by employees of the Business, Consumer Services, and Housing Agency.SEC. 5.Section 8257 of the Welfare and Institutions Code is amended to read:8257.(a)The Governor shall create an Interagency Council on Homelessness.
(b)The council shall have all of the following goals:
(1)To oversee implementation of this chapter.
(2)To identify mainstream resources, benefits, and services that can be accessed to prevent and end homelessness in California.
(3)To create partnerships among state agencies and departments, local government agencies, participants in the United States Department of Housing and Urban Developments Continuum of Care Program, federal agencies, the United States Interagency Council on Homelessness, nonprofit entities working to end homelessness, homeless services providers, and the private sector, for the purpose of arriving at specific strategies to end homelessness.
(4)To promote systems integration to increase efficiency and effectiveness while focusing on designing systems to address the needs of people experiencing homelessness, including unaccompanied youth under 25 years of age.
(5)To coordinate existing funding and applications for competitive funding. Any action taken pursuant to this paragraph shall not restructure or change any existing allocations or allocation formulas.
(6)To make policy and procedural recommendations to legislators and other governmental entities.
(7)To identify and seek funding opportunities for state entities that have programs to end homelessness, including, but not limited to, federal and philanthropic funding opportunities, and to facilitate and coordinate those state entities efforts to obtain that funding.
(8)To broker agreements between state agencies and departments and between state agencies and departments and local jurisdictions to align and coordinate resources, reduce administrative burdens of accessing existing resources, and foster common applications for services, operating, and capital funding.
(9)To serve as a statewide facilitator, coordinator, and policy development resource on ending homelessness in California.
(10)To report to the Governor, federal Cabinet members, and the Legislature on homelessness and work to reduce homelessness.
(11)To ensure accountability and results in meeting the strategies and goals of the council.
(12)To identify and implement strategies to fight homelessness in small communities and rural areas.
(13)To create a statewide data system or warehouse, which shall be known as the Homeless Data Integration System, that collects local data through Homeless Management Information Systems, with the ultimate goal of matching data on homelessness to programs impacting homeless recipients of state programs, such as the Medi-Cal program (Chapter 7 (commencing with Section 14000) of Part 3 of Division 9) and CalWORKs (Chapter 2 (commencing with Section 11200) of Part 3 of Division 9). Upon creation of the Homeless Data Integration System, all continuums of care, as defined in Section 578.3 of Title 24 of the Code of Federal Regulations, that are operating in California shall provide collected data elements, including, but not limited to, health information, in a manner consistent with federal law, to the Homeless Data Integration System.
(A)Council staff shall specify the form and substance of the required data elements.
(B)Council staff may, as required by operational necessity, and in accordance with paragraph (8) of subdivision (d) of Section 8256, amend or modify data elements, disclosure formats, or disclosure frequency.
(C)(i)To further the efforts to improve the public health, safety, and welfare of people experiencing homelessness in the state, council staff may collect data from the continuums of care as provided in this paragraph.
(ii)Council staff shall, upon request, share personally identifiable, individual-level data from the Homeless Data Integration System with an agency or department that is a member of the council for purposes of measuring housing instability and examining the effectiveness of, and need for, housing and homelessness programs and other antipoverty programs among Californians.
(iii)Data disclosed pursuant to this subparagraph shall be in compliance with the Information Practices Act of 1977 (Chapter 1 (commencing with Section 1798) of Title 1.8 of Part 4 of Division 3 of the Civil Code).
(D)Any health information or personal identifying information provided to, or maintained within, the Homeless Data Integration System shall not be subject to public inspection or disclosure under the California Public Records Act (Division 10 (commencing with Section 7920.000) of Title 1 of the Government Code).
(E)For purposes of this paragraph, health information includes protected health information, as defined in Section 160.103 of Title 45 of the Code of Federal Regulations, and medical information, as defined in subdivision (j) of Section 56.05 of the Civil Code.
(14)To set goals to prevent and end homelessness among Californias youth.
(15)To improve the safety, health, and welfare of young people experiencing homelessness in the state.
(16)To increase system integration and coordinating efforts to prevent homelessness among youth who are currently or formerly involved in the child welfare system or the juvenile justice system.
(17)To lead efforts to coordinate a spectrum of funding, policy, and practice efforts related to young people experiencing homelessness.
(18)To identify best practices to ensure homeless minors who may have experienced maltreatment, as described in Section 300, are appropriately referred to, or have the ability to self-refer to, the child welfare system.
(19)To collect, compile, and make available to the public financial data provided to the council from all state-funded homelessness programs.
(c)(1)The council shall consist of the following members:
(A)The Secretary of Business, Consumer Services, and Housing and the Secretary of California Health and Human Services Agency, who both shall serve as cochairs of the council.
(B)The Director of Transportation.
(C)The Director of Housing and Community Development.
(D)The Director of Social Services.
(E)The Director of the California Housing Finance Agency.
(F)The Director or the State Medicaid Director of Health Care Services.
(G)The Secretary of Veterans Affairs.
(H)The Secretary of the Department of Corrections and Rehabilitation.
(I)The Executive Director of the California Tax Credit Allocation Committee in the Treasurers office.
(J)The State Public Health Officer.
(K)The Either the Director of the California Department of Aging. Aging or the Executive Director of the California Commission on Aging, or their designee.
(L)The Director of Rehabilitation.
(M)The Director of State Hospitals.
(N)The executive director of the California Workforce Development Board.
(O)The Director of the Office of Emergency Services.
(P)A representative from the State Department of Education, who shall be appointed by the Superintendent of Public Instruction.
(Q)A representative of the state public higher education system who shall be from one of the following:
(i)The California Community Colleges.
(ii)The University of California.
(iii)The California State University.
(2)The Senate Committee on Rules and the Speaker of the Assembly shall each appoint one member to the council from two different stakeholder organizations.
(3)The council may, at its discretion, invite stakeholders, individuals who have experienced homelessness, members of philanthropic communities, and experts to participate in meetings or provide information to the council.
(4)The council shall hold public meetings at least once every quarter.
(d)The council shall regularly seek guidance from and, at least twice a year, meet with an advisory committee. Notwithstanding Section 11123.5 of the Bagley-Keene Open Meeting Act (Article 9 (commencing with Section 11120) of Chapter 1 of Part 1 of Division 3 of Title 2 of the Government Code), all members of the advisory committee may participate remotely in advisory committee meetings, including meetings held with the council, and no members are required to be present at the designated primary physical meeting location. The cochairs of the council shall appoint members to this advisory committee that reflects racial and gender racial, gender, and age diversity, and shall include the following:
(1)A survivor of gender-based violence who formerly experienced homelessness.
(2)Representatives of local agencies or organizations that participate in the United States Department of Housing and Urban Developments Continuum of Care Program.
(3)Stakeholders with expertise in solutions to homelessness and best practices from other states.
(4)Representatives of committees on African Americans, youth, and survivors of gender-based violence.(4)Representatives of organizations that serve or advocate on behalf of youth, survivors of gender-based violence, and racial and ethnic groups, including, but not limited to, African Americans, Latinos, Asian and Pacific Islanders, and Native Americans.
(5)A current or formerly homeless person who lives in California.
(6)A current or formerly homeless youth who lives in California.
(7)A current or formerly homeless person with a developmental disability.
(8)Representatives from organizations that serve or advocate on behalf of older adults, defined as persons 60 years of age or older.
(8)(9)This advisory committee shall designate one of the above-described members to participate in every quarterly council meeting to provide a report to the council on advisory committee activities.
(e)Within existing funding, the council may establish working groups, task forces, or other structures from within its membership or with outside members to assist it in its work. Working groups, task forces, or other structures established by the council shall determine their own meeting schedules.
(f)Upon request of the council, a state agency or department that administers one or more state homelessness programs, including, but not limited to, an agency or department represented on the council pursuant to subdivision (c), the agency or department shall be required to do both of the following:
(1)Participate in council workgroups, task forces, or other similar administrative structures.
(2)Provide to the council any relevant information regarding those state homelessness programs.
(g)(1)The members of the council, advisory committee, or working groups who are or have been homeless may receive per diem and reimbursement for travel or other expenses as follows:
(A)A member of the council who is or has been homeless shall receive a per diem of one hundred dollars ($100) for each day during which that member is engaged in the performance of official duties and shall also be reimbursed for travel and other expenses necessarily incurred in the performance of official duties.
(B)A member of the advisory committee who is or has been homeless shall receive a per diem of one hundred dollars ($100) for each day during which that member is engaged in the performance of official duties and shall also be reimbursed for travel and other expenses necessarily incurred in the performance of official duties.
(C)A member of a working group, as defined and managed by council staff, who is or has been homeless shall receive a per diem of one hundred dollars ($100) for each day during which that member is engaged in the performance of official duties and shall also be reimbursed for travel and other expenses necessarily incurred in the performance of official duties.
(2)(A)A per diem or reimbursement request pursuant to paragraph (1) is subject to funding availability.
(B)Notwithstanding any other law, assistance provided pursuant to this subdivision shall not be deemed to be income for purposes of the Personal Income Tax Law (Part 10 (commencing with Section 17001) of Division 2 of the Revenue and Taxation Code) or used to determine eligibility for any state program or local program financed wholly or in part by state funds.
(3)(A)For purposes of complying with paragraphs (1) and (2) of subdivision (a) of Section 41 of the Revenue and Taxation Code, as it pertains to this subdivision, the Legislature finds and declares as follows:
(i)The specific goals, purposes, and objectives that the exemptions created by subparagraph (B) of paragraph (2) are as follows:
(I)The objective is to facilitate the participation of individuals with lived experience in order to include valuable insight from those lived experiences in shaping policy recommendations.
(II)The goal is to prevent members with lived homelessness experience from incurring tax liability because of their participation.
(III)The purpose is to enable participants with lived homelessness experience to receive the full benefit of their per diem and reimbursements.
(ii)The performance indicators the Legislature can use to determine if the exemption is achieving the goals, purposes, and objectives stated in clause (i) shall be as follows:
(I)Whether the council, advisory committee, or working group members with lived homelessness experience incur any tax liability because of their participation on the committee.
(II)The number of people with lived homelessness experience who serve on the council, advisory committee, and working groups.
(B)(i)For purposes of complying with paragraph (3) of subdivision (a) of Section 41 of the Revenue and Taxation Code, as it pertains to this subdivision, the Legislative Analysts Office shall deliver to the Legislature on or before April 1 of each year a written report that includes both of the following:
(I)The estimated aggregate tax liability incurred by council, advisory committee, or working group members with lived homelessness experience because of their participation on the committee.
(II)The estimated number of people with lived homelessness experience who serve on the council, advisory committee, or working groups that excluded qualified amounts from gross income as described in paragraph (1).
(ii)A report submitted pursuant to this subparagraph shall be submitted in compliance with Section 9795 of the Government Code.
(iii)The reporting requirement pursuant to this subparagraph shall become inoperative on April 1, 2028, pursuant to Section 10231.5 of the Government Code.
(4)For purposes of this subdivision, the performance of official duties includes, but is not limited to, attending a council, advisory, or working group meeting and reviewing agenda materials for no more than one day in preparation for each council, advisory, or working group meeting.
(h)The appointed members of the council or committees, as described in this section, shall serve at the pleasure of their appointing authority.
(i)The Business, Consumer Services, and Housing Agency shall provide staff for the council.
(j)The members of the council may enter into memoranda of understanding with other members of the council to achieve the goals set forth in this chapter, as necessary, in order to facilitate communication and cooperation between the entities the members of the council represent.
(k)There shall be an executive officer of the council under the direction of the Secretary of Business, Consumer Services, and Housing.
(l)The council shall be under the direction of the executive officer and staffed by employees of the Business, Consumer Services, and Housing Agency.
(a)The California Health and Human Services Agency shall establish an Alzheimers Disease and Related Disorders Advisory Committee consisting of 14 15 members selected as follows:
(1)One representing the field of academic medical research.
(2)One representing the field of social research.
(3)One representing the field of mental health.
(4)One representing the Alzheimers day care daycare resource centers.
(5)One representing the Alzheimers disease diagnostic and treatment centers.
(6)Two representing families of persons suffering from Alzheimers disease or related disorders.
(7)Two representing organizations providing services to Alzheimers disease patients.
(8)One representing a consumer organization representing persons with Alzheimers disease.
(9)One representing a member of the State Bar who is familiar with the legal issues confronting Alzheimers disease victims and their families.
(10)Two people who have been diagnosed with Alzheimers disease to serve one-year terms.
(11)The Secretary of California Health and Human Services or his or her their designee.
(12)The Executive Director of the California Commission on Aging or the directors designee.
(b)Members shall serve at the pleasure of the Secretary of California Health and Human Services. The agency secretary may establish fixed terms for advisory committee membership. For purposes of continuity, those terms shall be staggered.
(c)Members shall serve without compensation, but shall receive reimbursement for travel and other necessary expenses actually incurred in the performance of their official duties.
(d)The Alzheimers Disease and Related Disorders Advisory Committee shall do all of the following:
(1)Provide ongoing advice and assistance to the administration and the Legislature as to the program needs and priorities of the target population.
(2)Provide planning support to the administration and the Legislature by updating recommendations of the 1987 California Alzheimers Disease Task Force Report and regularly reviewing and updating recommendations as needed.
(3)Appoint a chairperson and vice chairperson.
(4)Meet quarterly.
(e)The Alzheimers Disease and Related Disorders Advisory Committee shall do all of the following when making policy and plan recommendations:
(1)Consult with a broad range of stakeholders, including, but not limited to, people diagnosed with Alzheimers disease, family caregivers, community-based and institutional providers, Alzheimers disease researchers and academicians, formal caregivers, the Alzheimers Association, the California Commission on Aging, and other state entities.
(2)Consider the recommendations of other state plans, including, but not limited to, the Olmstead Plan, the Long-Range Strategic Plan on Aging, and the California Department of Agings State Plan on Aging.
(3)Consider cultural and linguistic factors that impact persons with Alzheimers disease and their families who are from diverse populations.
(4)Review current state policies and practices concerning care and treatment related to Alzheimers disease and other dementia disorders, and develop recommendations concerning all of the following issues:
(A)Community-based support for Californias diverse people with Alzheimers disease and their family members.
(B)Choices for care and residence for persons with Alzheimers disease and their families.
(C)An integrated public health care management approach to Alzheimers disease in health care settings that makes full use of dementia care practices.
(D)The dementia competence of health care professionals.
(E)Early identification and intervention through increasing public awareness of Alzheimers disease.
(f) All meetings of the advisory committee, and any subcommittees thereof, shall be open to the public and adequate notice shall be provided in accordance with Article 9 (commencing with Section 11120) of Chapter 1 of Part 1 of Division 3 of Title 2 of the Government Code.
SEC. 2.Section 128250 of the Health and Safety Code is amended to read:128250.(a)The terms used in this article have the same meaning as in Section 128205.
(b)There is hereby created a California Health Workforce Education and Training Council that shall be responsible for helping coordinate Californias health workforce education and training to develop a health workforce that meets Californias health care needs. The council shall be composed of 18 20 members who, together, represent various graduate medical education and training programs, health professions, including, but not limited to, specialties for primary care and behavioral health, and consumer representatives who shall serve at the pleasure of their appointing authorities, as follows:
(1)Six members appointed by the Governor.
(2)One member who shall be the Director of the State Department of Health Care Services, or the directors designee.
(3)One member who shall be the Director of the Department of Health Care Access and Information, or the directors designee.
(4)One member who shall be the Secretary of Labor and Workforce Development, or the secretarys designee.
(5)Three members appointed by the Speaker of the Assembly.
(6)Three members appointed by the Chairperson of the Senate Committee on Rules.
(7)One member who shall be the President of the University of California, or the presidents designee.
(8)One member who shall be the Chancellor of the California State University, or the chancellors designee.
(9)One member who shall be the Chancellor of the California Community Colleges, or the chancellors designee.
(10)One member who shall be the Director of the California Department of Aging or the directors designee.
(11)One member who shall be the Executive Director of the California Commission on Aging or the directors designee.
(c)Members of the council appointed under paragraphs (1), (5), and (6) of subdivision (a) shall be appointed for a term of four years, except that the term of office of the initial members appointed under paragraph (1) shall expire at the end of two years.
SEC. 3.Section 14012 of the Unemployment Insurance Code is amended to read:14012.The board shall be appointed by the Governor to assist in the development of the State Plan and to carry out other functions, as described in Section 14103. The board shall be comprised of the Governor and representatives from the following categories:
(a)Two members of each house of the Legislature, appointed by the appropriate presiding officer of each house.
(b)A majority of board members shall be representatives of business who:
(1)Are owners of businesses, chief executives or operating officers of businesses, and other business executives or employers with optimum policymaking or hiring authority, who, in addition, may be members of a local board described in Section 3122(b)(2)(A)(i) of Title 29 of the United States Code.
(2)Represent businesses, including small businesses, or organizations representing businesses that include high-quality, work-relevant training and development in in-demand industry sectors or occupations in the state.
(3)Are appointed from a group of individuals nominated by state business organizations and business trade associations.
(c)(1)Not less than 20 percent of board members shall be representatives of the workforce within the state, including representatives of labor organizations nominated by state labor federations, who shall not be less than 15 percent of the board membership and who shall include at least one representative that is a member of a labor organization or a training director, from a joint labor-management apprenticeship program, or if no such joint program exists in the state, such a representative of an apprenticeship program in the state.
(2)Representatives appointed pursuant to this subdivision may include:
(A)Representatives of community-based organizations that have demonstrated experience and expertise in addressing the employment, training, or education needs of individuals with barriers to employment, including organizations that serve veterans, organizations that provide or support competitive, integrated employment for individuals with disabilities, and organizations that serve transgender and gender nonconforming individuals. individuals, and organizations that represent or serve older adults.
(B)Representatives of organizations that have demonstrated experience and expertise in addressing the employment, training, or education needs of eligible youth, including representatives of organizations that serve out-of-school youth.
(d)The balance of board members:
(1)Shall include representatives of government that are lead state officials with primary responsibility for the core programs and shall include chief elected officials, collectively representing cities, counties, and cities and counties where appropriate.
(2)May include other representatives and officials as the Governor may designate, like any of the following:
(A)State agency officials from agencies that are one-stop partners, not specified in paragraph (1), including additional one-stop partners whose programs are covered by the State Plan, if any.
(B)State agency officials responsible for economic development or juvenile justice programs in the state.
(C)Individuals who represent an Indian tribe or tribal organization, as those terms are defined in Section 3221(b) of Title 29 of the United States Code.
(D)State agency officials responsible for education programs in the state, including chief executive officers, or their designees, of institutions of higher education, including, but not limited to, the California Community College system, the California State University system, the University of California system, and their respective individual campuses.
(E)State agency officials responsible for administering programs that serve, and state commission officials that advocate on behalf of, older adults or their designees.
(e)Other requirements of board membership shall include:
(1)The Governor shall select a chairperson for the board from among the representatives described in subdivision (b).
(2)The members of the board shall represent diverse geographic areas of the state, including urban, rural, and suburban areas.
(f)For purposes of this section, older adults means persons 60 years of age or older.
SEC. 4.Section 5771 of the Welfare and Institutions Code is amended to read:5771.(a)Pursuant to Public Law 102-321, there is the California Behavioral Health Planning Council. The purpose of the planning council shall be to fulfill those mental health planning requirements mandated by federal law.
(b)(1)The planning council shall have 40 members, to be comprised of members appointed from both the local and state levels in order to ensure a balance of state and local concerns relative to planning.
(2)As required by federal law, eight members of the planning council shall represent various state departments.
(3)Members of the planning council shall be appointed in a manner that will ensure that at least one-half are adults with serious mental illness, including persons who are dually diagnosed with serious mental illness and substance use disorders, family members of persons with serious mental illness, including adults who are dually diagnosed with serious mental illness and substance use disorders, family members of children with emotional disturbance, and representatives of organizations advocating on behalf of persons with mental illness, including persons who are dually diagnosed with mental illness and substance use disorders. Persons with serious mental illness, including persons who are dually diagnosed with serious mental illness and substance use disorders, and family members shall be represented in equal numbers.
(4)The Director of Health Care Services shall make appointments from among nominees from various constituency organizations for mental health or mental health and substance use disorders, which shall include representatives of consumer-related advocacy organizations, representatives of professional and provider organizations for mental health or mental health and substance use disorders, and representatives who are direct service providers from both the public and private sectors. The director shall also appoint one representative of the California Coalition on Mental Health. The director shall also appoint the Executive Director of the California Commission on Aging or the executive directors designee.
(c)Members should be balanced according to demography, geography, gender, and ethnicity. Members should include representatives with interest in all target populations, including, but not limited to, children and youth, adults, and older adults.
(d)The planning council shall annually elect a chairperson and a chair-elect.
(e)The term of each member shall be three years, to be staggered so that approximately one-third of the appointments expire in each year.
(f)In the event of changes in the federal requirements regarding the structure and function of the planning council, or the discontinuation of federal funding, the State Department of Health Care Services shall, with input from state-level advocacy groups, consumers, family members and providers, and other stakeholders, propose to the Legislature modifications in the structure of the planning council that the department deems appropriate.
SEC. 5.Section 5845 of the Welfare and Institutions Code is amended to read:5845.(a)The Mental Health Services Oversight and Accountability Commission is hereby established to oversee Part 3 (commencing with Section 5800), the Adult and Older Adult Mental Health System of Care Act; Part 3.1 (commencing with Section 5820), Human Resources, Education, and Training Programs; Part 3.2 (commencing with Section 5830), Innovative Programs; Part 3.6 (commencing with Section 5840), Prevention and Early Intervention Programs; and Part 4 (commencing with Section 5850), the Childrens Mental Health Services Act. The commission shall replace the advisory committee established pursuant to Section 5814. The commission shall consist of 16 17 voting members as follows:
(1)The Attorney General or the Attorney Generals designee.
(2)The Superintendent of Public Instruction or the Superintendents designee.
(3)The Chairperson of the Senate Committee on Health, the Chairperson of the Senate Committee on Human Services, or another member Member of the Senate selected by the President pro Tempore of the Senate.
(4)The Chairperson of the Assembly Committee on Health or another member Member of the Assembly selected by the Speaker of the Assembly.
(5)The Executive Director of the California Commission on Aging or the executive directors designee.
(5)(6)Two persons with a severe mental illness, a family member of an adult or senior with a severe mental illness, a family member of a child who has or has had a severe mental illness, a physician specializing in alcohol and drug treatment, a mental health professional, a county sheriff, a superintendent of a school district, a representative of a labor organization, a representative of an employer with less than 500 employees, a representative of an employer with more than 500 employees, and a representative of a health care service plan or insurer, all appointed by the Governor. In making appointments, the Governor shall seek individuals who have had personal or family experience with mental illness. At least one person appointed pursuant to this paragraph shall have a background in auditing.
(b)Members shall serve without compensation, but shall be reimbursed for all actual and necessary expenses incurred in the performance of their duties.
(c)The term of each member shall be three years, to be staggered so that approximately one-third of the appointments expire in each year.
(d)In carrying out its duties and responsibilities, the commission may do all of the following:
(1)Meet at least once each quarter at any time and location convenient to the public as it may deem appropriate. All meetings of the commission shall be open to the public.
(2)Within the limit of funds allocated for these purposes, pursuant to the laws and regulations governing state civil service, employ staff, including any clerical, legal, and technical assistance necessary. The commission shall administer its operations separate and apart from the State Department of Health Care Services and the California Health and Human Services Agency.
(3)Establish technical advisory committees, such as a committee of consumers and family members.
(4)Employ all other appropriate strategies necessary or convenient to enable it to fully and adequately perform its duties and exercise the powers expressly granted, notwithstanding any authority expressly granted to an officer or employee of state government.
(5)Enter into contracts.
(6)Obtain data and information from the State Department of Health Care Services, the Office of Statewide Health Planning and Development, or other state or local entities that receive Mental Health Services Act funds, for the commission to utilize in its oversight, review, training and technical assistance, accountability, and evaluation capacity regarding projects and programs supported with Mental Health Services Act funds.
(7)Participate in the joint state-county decisionmaking process, as contained in Section 4061, for training, technical assistance, and regulatory resources to meet the mission and goals of the states mental health system.
(8)Develop strategies to overcome stigma and discrimination, and accomplish all other objectives of Part 3.2 (commencing with Section 5830), Part 3.6 (commencing with Section 5840), and the other provisions of the Mental Health Services Act.
(9)At any time, advise the Governor or the Legislature regarding actions the state may take to improve care and services for people with mental illness.
(10)If the commission identifies a critical issue related to the performance of a county mental health program, it may refer the issue to the State Department of Health Care Services pursuant to Section 5655.
(11)Assist in providing technical assistance to accomplish the purposes of the Mental Health Services Act, Part 3 (commencing with Section 5800), and Part 4 (commencing with Section 5850) in collaboration with the State Department of Health Care Services and in consultation with the County Behavioral Health Directors Association of California.
(12)Work in collaboration with the State Department of Health Care Services and the California Behavioral Health Planning Council, and in consultation with the County Behavioral Health Directors Association of California, in designing a comprehensive joint plan for a coordinated evaluation of client outcomes in the community-based mental health system, including, but not limited to, parts listed in subdivision (a). The California Health and Human Services Agency shall lead this comprehensive joint plan effort.
(13)Establish a framework and voluntary standard for mental health in the workplace that serves to reduce mental health stigma, increase public, employee, and employer awareness of the recovery goals of the Mental Health Services Act, and provide guidance to Californias employer community to put in place strategies and programs, as determined by the commission, to support the mental health and wellness of employees. The commission shall consult with the Labor and Workforce Development Agency or its designee to develop the standard.
SEC. 6.Section 8257 of the Welfare and Institutions Code is amended to read:8257.(a)The Governor shall create an Interagency Council on Homelessness.
(b)The council shall have all of the following goals:
(1)To oversee implementation of this chapter.
(2)To identify mainstream resources, benefits, and services that can be accessed to prevent and end homelessness in California.
(3)To create partnerships among state agencies and departments, local government agencies, participants in the United States Department of Housing and Urban Developments Continuum of Care Program, federal agencies, the United States Interagency Council on Homelessness, nonprofit entities working to end homelessness, homeless services providers, and the private sector, for the purpose of arriving at specific strategies to end homelessness.
(4)To promote systems integration to increase efficiency and effectiveness while focusing on designing systems to address the needs of people experiencing homelessness, including unaccompanied youth under 25 years of age.
(5)To coordinate existing funding and applications for competitive funding. Any action taken pursuant to this paragraph shall not restructure or change any existing allocations or allocation formulas.
(6)To make policy and procedural recommendations to legislators and other governmental entities.
(7)To identify and seek funding opportunities for state entities that have programs to end homelessness, including, but not limited to, federal and philanthropic funding opportunities, and to facilitate and coordinate those state entities efforts to obtain that funding.
(8)To broker agreements between state agencies and departments and between state agencies and departments and local jurisdictions to align and coordinate resources, reduce administrative burdens of accessing existing resources, and foster common applications for services, operating, and capital funding.
(9)To serve as a statewide facilitator, coordinator, and policy development resource on ending homelessness in California.
(10)To report to the Governor, federal Cabinet members, and the Legislature on homelessness and work to reduce homelessness.
(11)To ensure accountability and results in meeting the strategies and goals of the council.
(12)To identify and implement strategies to fight homelessness in small communities and rural areas.
(13)To create a statewide data system or warehouse, which shall be known as the Homeless Data Integration System, that collects local data through Homeless Management Information Systems, with the ultimate goal of matching data on homelessness to programs impacting homeless recipients of state programs, such as the Medi-Cal program (Chapter 7 (commencing with Section 14000) of Part 3 of Division 9) and CalWORKs (Chapter 2 (commencing with Section 11200) of Part 3 of Division 9). Upon creation of the Homeless Data Integration System, all continuums of care, as defined in Section 578.3 of Title 24 of the Code of Federal Regulations, that are operating in California shall provide collected data elements, including, but not limited to, health information, in a manner consistent with federal law, to the Homeless Data Integration System.
(A)Council staff shall specify the form and substance of the required data elements.
(B)Council staff may, as required by operational necessity, and in accordance with paragraph (8) of subdivision (d) of Section 8256, amend or modify data elements, disclosure formats, or disclosure frequency.
(C)(i)To further the efforts to improve the public health, safety, and welfare of people experiencing homelessness in the state, council staff may collect data from the continuums of care as provided in this paragraph.
(ii)Council staff may share Homeless Data Integration System data with a state agency or department that is a member of the council.
(D)Any health information or personal identifying information provided to, or maintained within, the Homeless Data Integration System shall not be subject to public inspection or disclosure under the California Public Records Act (Chapter 3.5 (commencing with Section 6250) of Division 7 of Title 1 of the Government Code).
(E)For purposes of this paragraph, health information includes protected health information, as defined in Part 160.103 of Title 45 of the Code of Federal Regulations, and medical information, as defined in subdivision (j) of Section 56.05 of the Civil Code.
(14)To set goals to prevent and end homelessness among Californias youth.
(15)To improve the safety, health, and welfare of young people experiencing homelessness in the state.
(16)To increase system integration and coordinating efforts to prevent homelessness among youth who are currently or formerly involved in the child welfare system or the juvenile justice system.
(17)To lead efforts to coordinate a spectrum of funding, policy, and practice efforts related to young people experiencing homelessness.
(18)To identify best practices to ensure homeless minors who may have experienced maltreatment, as described in Section 300, are appropriately referred to, or have the ability to self-refer to, the child welfare system.
(19)To collect, compile, and make available to the public financial data provided to the council from all state-funded homelessness programs.
(c)(1)The council shall consist of the following members:
(A)The Secretary of Business, Consumer Services, and Housing and the Secretary of California Health and Human Services Agency, who both shall serve as cochairs of the council.
(B)The Director of Transportation.
(C)The Director of Housing and Community Development.
(D)The Director of Social Services.
(E)The Director of the California Housing Finance Agency.
(F)The Director or the State Medicaid Director of Health Care Services.
(G)The Secretary of Veterans Affairs.
(H)The Secretary of the Department of Corrections and Rehabilitation.
(I)The Executive Director of the California Tax Credit Allocation Committee in the Treasurers office.
(J)The State Public Health Officer.
(K)The Director of the California Department of Aging.
(L)The Director of Rehabilitation.
(M)The Director of State Hospitals.
(N)The executive director of the California Workforce Development Board.
(O)The Director of the Office of Emergency Services.
(P)The Executive Director of the California Commission on Aging or the directors designee.
(P)(Q)A representative from the State Department of Education, who shall be appointed by the Superintendent of Public Instruction.
(Q)(R)A representative of the state public higher education system who shall be from one of the following:
(i)The California Community Colleges.
(ii)The University of California.
(iii)The California State University.
(2)The Senate Committee on Rules and the Speaker of the Assembly shall each appoint one member to the council from two different stakeholder organizations.
(3)The council may, at its discretion, invite stakeholders, individuals who have experienced homelessness, members of philanthropic communities, and experts to participate in meetings or provide information to the council.
(4)The council shall hold public meetings at least once every quarter.
(d)The council shall regularly seek guidance from and, at least twice a year, meet with an advisory committee. Notwithstanding Section 11123.5 of the Bagley-Keene Open Meeting Act (Article 9 (commencing with Section 11120) of Chapter 1 of Part 1 of Division 3 of Title 2 of the Government Code), all members of the advisory committee may participate remotely in advisory committee meetings, including meetings held with the council, and no members are required to be present at the designated primary physical meeting location. The cochairs of the council shall appoint members to this advisory committee that reflects racial and gender racial, gender, and age diversity, and shall include the following:
(1)A survivor of gender-based violence who formerly experienced homelessness.
(2)Representatives of local agencies or organizations that participate in the United States Department of Housing and Urban Developments Continuum of Care Program.
(3)Stakeholders with expertise in solutions to homelessness and best practices from other states.
(4)Representatives of committees on African Americans, youth, and survivors of gender-based violence.(4)Representatives of organizations that serve or advocate on behalf of youth, survivors of gender-based violence, and racial and ethnic groups, including, but not limited to, African Americans, Latinos, Asian and Pacific Islanders, and Native Americans.
(5)A current or formerly homeless person who lives in California.
(6)A current or formerly homeless youth who lives in California.
(7)A current or formerly homeless person with a developmental disability.
(8)Representatives from organizations that serve or advocate on behalf of older adults, defined as persons 60 years of age or older.
(8)(9)This advisory committee shall designate one of the above-described members to participate in every quarterly council meeting to provide a report to the council on advisory committee activities.
(e)Within existing funding, the council may establish working groups, task forces, or other structures from within its membership or with outside members to assist it in its work. Working groups, task forces, or other structures established by the council shall determine their own meeting schedules.
(f)Upon request of the council, a state agency or department that administers one or more state homelessness programs, including, but not limited to, an agency or department represented on the council pursuant to subdivision (c), the agency or department shall be required to do both of the following:
(1)Participate in council workgroups, task forces, or other similar administrative structures.
(2)Provide to the council any relevant information regarding those state homelessness programs.
(g)(1)The members of the council, advisory committee, or working groups who are or have been homeless may receive per diem and reimbursement for travel or other expenses as follows:
(A)A member of the council who is or has been homeless shall receive a per diem of one hundred dollars ($100) for each day during which that member is engaged in the performance of official duties and shall also be reimbursed for travel and other expenses necessarily incurred in the performance of official duties.
(B)A member of the advisory committee who is or has been homeless shall receive a per diem of one hundred dollars ($100) for each day during which that member is engaged in the performance of official duties and shall also be reimbursed for travel and other expenses necessarily incurred in the performance of official duties.
(C)A member of a working group, as defined and managed by council staff, who is or has been homeless shall receive a per diem of one hundred dollars ($100) for each day during which that member is engaged in the performance of official duties and shall also be reimbursed for travel and other expenses necessarily incurred in the performance of official duties.
(2)(A)A per diem or reimbursement request pursuant to paragraph (1) is subject to funding availability.
(B)Notwithstanding any other law, assistance provided pursuant to this subdivision shall not be deemed to be income for purposes of the Personal Income Tax Law (Part 10 (commencing with Section 17001) of Division 2 of the Revenue and Taxation Code) or used to determine eligibility for any state program or local program financed wholly or in part by state funds.
(3)(A)For purposes of complying with paragraphs (1) and (2) of subdivision (a) of Section 41 of the Revenue and Taxation Code, as it pertains to this subdivision, the Legislature finds and declares as follows:
(i)The specific goals, purposes, and objectives that the exemptions created by subparagraph (B) of paragraph (2) are as follows:
(I)The objective is to facilitate the participation of individuals with lived experience in order to include valuable insight from those lived experiences in shaping policy recommendations.
(II)The goal is to prevent members with lived homelessness experience from incurring tax liability because of their participation.
(III)The purpose is to enable participants with lived homelessness experience to receive the full benefit of their per diem and reimbursements.
(ii)The performance indicators the Legislature can use to determine if the exemption is achieving the goals, purposes, and objectives stated in clause (i) shall be as follows:
(I)Whether the council, advisory committee, or working group members with lived homelessness experience incur any tax liability because of their participation on the committee.
(II)The number of people with lived homelessness experience who serve on the council, advisory committee, and working groups.
(B)(i)For purposes of complying with paragraph (3) of subdivision (a) of Section 41 of the Revenue and Taxation Code, as it pertains to this subdivision, the Legislative Analysts Office shall deliver to the Legislature on or before April 1 of each year a written report that includes both of the following:
(I)The estimated aggregate tax liability incurred by council, advisory committee, or working group members with lived homelessness experience because of their participation on the committee.
(II)The estimated number of people with lived homelessness experience who serve on the council, advisory committee, or working groups that excluded qualified amounts from gross income as described in paragraph (1).
(ii)A report submitted pursuant to this subparagraph shall be submitted in compliance with Section 9795 of the Government Code.
(iii)The reporting requirement pursuant to this subparagraph shall become inoperative on April 1, 2028, pursuant to Section 10231.5 of the Government Code.
(4)For purposes of this subdivision, the performance of official duties includes, but is not limited to, attending a council, advisory, or working group meeting and reviewing agenda materials for no more than one day in preparation for each council, advisory, or working group meeting.
(h)The appointed members of the council or committees, as described in this section, shall serve at the pleasure of their appointing authority.
(i)The Business, Consumer Services, and Housing Agency shall provide staff for the council.
(j)The members of the council may enter into memoranda of understanding with other members of the council to achieve the goals set forth in this chapter, as necessary, in order to facilitate communication and cooperation between the entities the members of the council represent.
(k)There shall be an executive officer of the council under the direction of the Secretary of Business, Consumer Services, and Housing.
(l)The council shall be under the direction of the executive officer and staffed by employees of the Business, Consumer Services, and Housing Agency.
|
Date
|
Status
|
|---|---|
| Sep 21, 2024 | Chaptered by Secretary of State - Chapter 332, Statutes of 2024. |
| Sep 21, 2024 | Approved by the Governor. |
| Sep 11, 2024 | Enrolled and presented to the Governor at 4 p.m. |
| Aug 29, 2024 | Senate amendments concurred in. To Engrossing and Enrolling. (Ayes 76. Noes 0.). |
| Aug 29, 2024 | Assembly Rule 77 suspended. |
| Aug 28, 2024 | In Assembly. Concurrence in Senate amendments pending. May be considered on or after August 30 pursuant to Assembly Rule 77. |
| Aug 28, 2024 | Read third time. Passed. Ordered to the Assembly. (Ayes 39. Noes 0.). |
| Aug 26, 2024 | Read second time. Ordered to third reading. |
| Aug 23, 2024 | Read third time and amended. Ordered to second reading. |
| Aug 19, 2024 | Read second time. Ordered to third reading. |
| Aug 15, 2024 | Read second time and amended. Ordered returned to second reading. |
| Aug 15, 2024 | From committee: Amend, and do pass as amended. (Ayes 7. Noes 0.) (August 15). |
| Aug 5, 2024 | In committee: Referred to APPR suspense file. |
| Jul 3, 2024 | From committee: Do pass and re-refer to Com. on APPR with recommendation: To Consent Calendar. (Ayes 11. Noes 0.) (July 3). Re-referred to Com. on APPR. |
| Jun 18, 2024 | From committee: Do pass and re-refer to Com. on HEALTH with recommendation: To Consent Calendar. (Ayes 5. Noes 0.) (June 17). Re-referred to Com. on HEALTH. |
| May 29, 2024 | Referred to Coms. on HUMAN S. and HEALTH. |
| May 16, 2024 | In Senate. Read first time. To Com. on RLS. for assignment. |
| May 16, 2024 | Read third time. Passed. Ordered to the Senate. (Ayes 71. Noes 0.) |
| May 9, 2024 | Read second time. Ordered to Consent Calendar. |
| May 8, 2024 | From committee: Do pass. To Consent Calendar. (Ayes 15. Noes 0.) (May 8). |
| Apr 24, 2024 | From committee: Do pass and re-refer to Com. on APPR. with recommendation: To Consent Calendar. (Ayes 6. Noes 0.) (April 23). Re-referred to Com. on APPR. |
| Apr 17, 2024 | From committee: Do pass and re-refer to Com. on HUM. S. (Ayes 5. Noes 0.) (April 16). Re-referred to Com. on HUM. S. |
| Mar 4, 2024 | Referred to Coms. on AGING & L.T.C. and HUM. S. |
| Feb 8, 2024 | From printer. May be heard in committee March 9. |
| Feb 7, 2024 | Read first time. To print. |
|
Date
|
Description
|
Location
|
Votes
|
|
|---|---|---|---|---|
| Aug 29, 2024 | AB 2207 Reyes Concurrence in Senate Amendments | Assembly Floor |
Passed |
|
| Aug 28, 2024 | Assembly 3rd Reading AB2207 Reyes By Laird | Senate Floor |
Passed |
|
| Aug 15, 2024 | Do pass as amended | Senate Standing Committee on Appropriations |
Passed |
|
| Aug 5, 2024 | Placed on suspense file | Senate Standing Committee on Appropriations |
Passed |
|
| Jul 3, 2024 | Do pass, but first be re-referred to the Committee on [Appropriations] with the recommendation: To Consent Calendar | Senate Standing Committee on Health |
Passed |
|
| Jun 17, 2024 | Do pass, but first be re-referred to the Committee on [Health] with the recommendation: To Consent Calendar | Senate Standing Committee on Human Services |
Passed |
|
| May 16, 2024 | AB 2207 Reyes Consent Calendar Second Day Regular Session | Assembly Floor |
Passed |
|
| May 8, 2024 | Do pass. To Consent Calendar. | Assembly Standing Committee on Appropriations |
Passed |
|
| Apr 23, 2024 | Do pass and be re-referred to the Committee on [Appropriations] with recommendation: To Consent Calendar | Assembly Standing Committee on Human Services |
Passed |
|
| Apr 16, 2024 | Do pass and be re-referred to the Committee on [Human Services] | Assembly Standing Committee on Aging and Long-Term Care |
Passed |
This list shows positions taken on this bill by organizations on the date displayed, which is linked to the original source.
Positions by individuals are not included.
|
Organization
|
Position
|
Date
|
|---|---|---|
| AARP | ** Support | |
| Advisory Council for Sourcewise | ** Support | |
| Alzheimer's Association | ** Support | |
| California Assisted Living Association | ** Support | |
| California Association Of Area Agencies On Aging | * Support | Apr 16, 2024 |
| California Commission on Aging | ** Support | |
| California Long Term Care Ombudsman Association | ** Support | |
| California Retired Teachers Association | ** Support | |
| California State Retirees | ** Support | |
| California Women's Law Center | ** Support | |
| CalPACE | ** Support | |
| City of Thousand Oaks | ** Support | |
| LeadingAge California | ** Support | |
| League Of California Cities | ** Support | |
| Retired Public Employees Association | ** Support |
CONCURRENCE IN SENATE AMENDMENTS
CSA1 Bill Id:AB 2207
Author:(Reyes)
As Amended Ver:August 23, 2024
Majority vote
SUMMARY
Expands the membership of various advisory groups and bodies to include the Executive Director of the California Commission on Aging (Commission), or others who serve or advocate on behalf of older adults. Specifically, this bill:
- Renames the Alzheimer's Disease and Related Disorders Advisory Committee to the Alzheimer's Disease and Related Conditions Advisory Committee and increases the membership from 14 members to a minimum of 17 and no greater than 21, to include the Executive Director of the Commission or the director's designee, among other additional changes.
- Requires the California Workforce Development Board to include community based organizations that represent or serve older adults.
- Includes among other gubernatorial appointees to include state agency officials responsible for administering programs that serve, and state commission official that advocate on behalf of older adults or their designees.
- For purposes of this section, "older adult" is defines as a person 60 years of age or older).
- Adds representatives of organizations that serve or advocate on behalf of older adults, to potential nominees for appointment by the Director of the Department of Health Care Services (DHCS) to the California Behavioral Health Planning Council.
- Requires the Director of DHCS to appoint the Executive Director of the Commission or the director's designee.
Senate Amendments
Remove the CA Health Workforce Education and Training Council, the Interagency Council on Homelessness and Behavioral Health Services Oversight and Accountability Commission from the bill and incorporate additional changes to Section 1568.17 of the Health and Safety Code proposed by AB 2680 to be operative only if this bill and AB 2680 are enacted and this bill is enacted last.
COMMENTS
California's aging population is growing faster than any other age group. By 2030, over 25% of the population in California will be 60 and older.[1] The population in the state is becoming more racially and ethnically diverse, and yet the COVID-19 pandemic impacted Californians disparately.
California is projected to be one of the fastest growing States in the nation in total population. In 2016, California comprised 12% of the nation's population[2] and is expected to grow 30% by the year 2060 (an increase of 11.7 million people.[3] In California, the population aged 60 years and over is expected to grow more than three times as fast as the total population and this growth will vary by region.
The population over age 60 will have an overall increase of 166% during the period from 2010 to 2060. More than half the counties will have over a 100% increase in this age group. Nearly half of these counties will have growth rates of over 150%. These counties are located throughout the central and southern areas of the State. The influence of the 60 and over age group on California is expected to emerge most strongly between 2010 to 2030.3
The population over age 85 will increase at an even a faster rate than those over 60 years of age, having an overall increase of 489% during the period from 2010 to 2060. Counties can expect to experience even higher growth rates after 2020. In particular, the influence of the 85 and over age group on California will emerge most strongly between 2030 to 2040 as the first of the baby boomers reach 85 years of age.3
Life expectancy continues to rise,[4] however during 2019-2021 overall life expectancy for Californians fell from 81.4 years to 78.4 years. For Hispanics, life expectancy declined by nearly six years, a difference three times greater than their white counterparts. And the difference between those in California's highest and lowest income brackets increased by three-and-a-half years to greater than 15 years (11.5 years before the pandemic to more than 15 years in 2021).[5]
Master Plan for Aging: In January of 2021, the Governor released his Master Plan for Aging (MPA). The MPA prioritizes the health and well-being of older Californians and the need for policies that promote healthy aging. The MPA serves as a blueprint for state government, local government, the private sector, and philanthropy to prepare the state for the coming demographic changes and continue California's leadership in aging, disability, and equity.
After work began on the MPA, the COVID-19 pandemic reached California. The virus disproportionately harmed older and other at-risk adults, and it strained aging and disability services that were perpetually underfunded. Worldwide, older adults have experienced unprecedented death rates. California's diverse population saw disproportionate numbers, particularly among Latino, Black and Asian Pacific Islander communities and those living in nursing homes. The pandemic intensified social isolation.
The work plan laid out in the MPA three years after its release continues to highlight the urgent needs facing California's older adults, people with disabilities, their families, caregivers, advocates and the workforce supporting these populations..
In 2023-24, the MPA outlines five bold goals and currently seeks to advance 95 initiatives to build a California for All Ages by 2030. Each initiative features a designated area of focus; to deliver, to analyze and to communicate. It also includes a Data Dashboard on Aging to measure progress. AB 2207 and the increased representation on state boards can be linked to all of the five bold goals:
- Goal One: Housing for All Ages and Stages
- Goal Two: Health Reimagined
- Goal Three: Inclusion and Equity, Not Isolation
- Goal Four: Caregiving That Works
- Goal Five: Affording Aging
According to the Author
"Californians are living longer than ever before. By 2030, over 25% of Californians will be 60 years of age or older. At the same time, California has the highest percentage of older adults living at or below the poverty level and they are also the fastest growing population going into homelessness. AB 2207 requires that older adults be represented on different California state boards, commissions, and advisory committees, which focus on various issues. AB 2207 ensures that the voices of older adults are represented in groups that discuss issues that affect them."
Arguments in Support
The California Commission on Aging, sponsor of AB 2207 writes, "While the current authority for making appointments does not exclude representation by individuals who represent the needs or perspectives of older adults, it fails to recognize these individuals as a requirement. The lack of involvement denies the reality and viewpoint of the older adult stakeholders, which may have conflicting goals. Additionally, the absence of the representation of the older adult stakeholder may result in system goals being prioritized over the goals of older adults. AB 2207 will ensure the interests of older adults, as reflected by state agencies, providers, and advocacy organizations that represent them, are "at the table." This bill seeks to promote equity and inclusion, recognizing that no policy should be decided without the full and direct participation of members of the group(s) affected by that policy. To promote a "California for All," as prioritized in the Governor's Master Plan on Aging, the proposals and programs of the State must include the representation and participation of older adults in the decision-making process."
Arguments in Opposition
None.
FISCAL COMMENTS
According to the Senate Committee on Appropriations:
- The California Department of Aging (CDA) and the California Commission on Aging (CCOA) indicate absorbable costs.
- The Department of Health Care Services (DHCS) indicate no fiscal impact.
- The California Workplace Development Board indicates they have no fiscal analysis on the bill.
- Unknown potential costs for the California Health and Human Services Agency (CHHS).
VOTES:
ASM AGING AND LONG-TERM CARE: 5-0-2
YES: Bains, Cervantes, Friedman, Joe Patterson, Rodriguez
ABS, ABST OR NV: Mathis, Blanca Rubio
ASM HUMAN SERVICES: 6-0-1
YES: Lee, Essayli, Calderon, Gipson, Jackson, Ortega
ABS, ABST OR NV: Mathis
ASM APPROPRIATIONS: 15-0-0
YES: Wicks, Sanchez, Arambula, Bryan, Calderon, Wendy Carrillo, Dixon, Mike Fong, Friedman, Haney, Hart, Jim Patterson, Pellerin, Ta, Villapudua
ASSEMBLY FLOOR: 71-0-9
YES: Aguiar-Curry, Alanis, Arambula, Bains, Bauer-Kahan, Bennett, Berman, Boerner, Bonta, Bryan, Calderon, Juan Carrillo, Wendy Carrillo, Chen, Connolly, Davies, Dixon, Essayli, Mike Fong, Friedman, Gabriel, Gallagher, Garcia, Grayson, Haney, Hart, Holden, Hoover, Jackson, Jones-Sawyer, Kalra, Lackey, Lee, Low, Lowenthal, Maienschein, McCarty, McKinnor, Muratsuchi, Stephanie Nguyen, Ortega, Pacheco, Papan, Jim Patterson, Joe Patterson, Pellerin, Petrie-Norris, Quirk-Silva, Ramos, Rendon, Reyes, Luz Rivas, Rodriguez, Blanca Rubio, Sanchez, Santiago, Schiavo, Soria, Ta, Ting, Valencia, Villapudua, Waldron, Wallis, Ward, Weber, Wicks, Wilson, Wood, Zbur, Robert Rivas
ABS, ABST OR NV: Addis, Alvarez, Cervantes, Megan Dahle, Flora, Vince Fong, Gipson, Irwin, Mathis
SENATE FLOOR: 39-0-1
YES: Allen, Archuleta, Ashby, Atkins, Becker, Blakespear, Bradford, Caballero, Cortese, Dahle, Dodd, Durazo, Eggman, Glazer, Gonzalez, Grove, Hurtado, Jones, Laird, Limón, McGuire, Menjivar, Min, Newman, Nguyen, Niello, Ochoa Bogh, Padilla, Portantino, Roth, Rubio, Seyarto, Skinner, Smallwood-Cuevas, Stern, Umberg, Wahab, Wiener, Wilk
ABS, ABST OR NV: Alvarado-Gil
UPDATED
VERSION: August 23, 2024
CONSULTANT: Elizabeth Fuller / AGING & L.T.C. / (916) 319-3990 FN: 0004889
SENATE RULES COMMITTEE Office of Senate Floor Analyses (916) 651-1520 Fax: (916) 327-4478 | AB 2207 |
THIRD READING
Bill No: AB 2207
Author: Reyes (D)
Amended: 8/23/24 in Senate
Vote: 21
SENATE HUMAN SERVICES COMMITTEE: 5-0, 6/17/24
AYES: Alvarado-Gil, Ochoa Bogh, Blakespear, Hurtado, Menjivar
SENATE HEALTH COMMITTEE: 11-0, 7/3/24
AYES: Roth, Nguyen, Glazer, Gonzalez, Grove, Hurtado, Limón, Menjivar, Rubio, Smallwood-Cuevas, Wiener
ASSEMBLY FLOOR: 71-0, 5/16/24 (Consent) - See last page for vote
SUBJECT: State boards and commissions: representatives of older adults
SOURCE: California Commission on Aging
DIGEST:
This bill adds representatives from organizations that serve or advocate on behalf of older adults to a series of state boards, committees, and councils.
Senate Floor Amendments of 8/23/24 remove the Interagency Council on Homelessness and Behavioral Health Services Oversight and Accountability Commission from the bill and incorporate additional changes to Section 5771 of the Welfare and Institutions Code proposed by AB 2630 to be operative only if this bill and AB 2630 are enacted and this bill is enacted last.
ANALYSIS:
Existing law:
- Creates a 14 member Alzheimer’s disease and Related Disorders Advisory Committee within the California Health and Human Services Agency (HHS). (Health and Safety Code Section 1568.17)
- Creates an eighteen member California Health Workforce Education and Training Council responsible for helping coordinate California’s health workforce education and training to develop a health workforce that meets California’s health care needs. (Health and Safety Code Section128250)
- Establishes a California Health and Human Services Data Exchange Framework within HHS to include a single data sharing agreement and common set of policies and procedures that will leverage and advance national standards for information exchange and data content, and that will govern and require the exchange of health information among health care entities and government agencies in California. (Health and Safety Code Section 30290)
- Creates a California Workplace Development Board as the body responsible for assisting the Governor in the development, oversight, and continuous improvement of California’s workforce investment system and the alignment of the education and workforce investment systems to the needs of the 21st century economy and workforce. (Unemployment Insurance Code Section 14012)
- Creates a California Behavioral Health Planning Council whose purpose is to fulfill mental health planning requirements mandated by federal law. (Welfare and Institutions Code Section (WIC) 5771)
- Creates a California Mental Health Services Oversight and Accountability Commission to oversee various programs within the Adult and Older Adult Mental Health System of Care Act. (WIC 5845)
- Creates the California Interagency Council on Homelessness to identify resources, create partnerships, coordinate existing funding, and make policy recommendations, among other responsibilities. (WIC 8257)
This Bill:
- Increases the number of members on the Alzheimer’s Disease and Related Disorders Advisory Committee within the California Health and Human Services Agency from 14 to 15 with the addition of the Executive Director of the California Commission on Aging or the director’s designee.
- Adds to the potential appointees to the California Workforce Development Board individuals and organizations that represent or serve older adults.
- Provides that the appointments made by the Director of Health Care Services to the 40-member California Behavioral Health Planning Council shall include the appointment of the Executive Director of the California Commission on Aging or the executive director’s designee.
Background
According to the author, “Californians are living longer than ever before. By 2030, over 25% of Californians will be 60 years of age or older. At the same time, California has the highest percentage of older adults living at or below the poverty level and they are also the fastest growing population going into homelessness. AB 2207 requires that older adults be represented on six different California state boards, commissions, and advisory committees, which focus on various issues, including mental health, homelessness, healthcare, and workforce development. AB 2207 ensures that the voices of older adults are represented in groups that discuss issues that affect them.”
California’s Aging Population and the Master Plan for Aging California is projected to be home to 10.8 million people age 60 and older in 2030. This is nearly twice as many people age 60 and older as there were in 2010. Additionally, by 2030 one out of every four Californians will be an older adult. In January 2021, the Newsom Administration published its Master Plan for Aging, which is intended to be a ten year blue-print for state government, local government, the private sector, and philanthropy to prepare the state for the coming demographic changes and to “continue California’s leadership in aging, disability, and equity.” The Master Plan for Aging outlines five goals, twenty-three strategies, and over 100 initiatives. The five goals of the Master Plan are: housing for all ages and stages; health reimagined; inclusion and equity, not isolation; caregiving that works; and affording aging. By including those who work with seniors and advocate on their behalf on many state boards and commissions, this bill appears to help advance the goals of the Master Plan on Aging.
Related/Prior Legislation
AB 820 (Reyes, 2023) was substantially similar to this bill that would have added members representing aging communities to various bodies. The bill was held on the Assembly Appropriations Committee suspense file.
FISCAL EFFECT: Appropriation: No Fiscal Com.: Yes Local: No
According to the Senate Appropriations Committee:
- The California Interagency Council on Homelessness (Cal ICH) estimates General Fund costs of $167,000 in the first year and $159,000 annually thereafter for staffing resources to provide ongoing support to council members, departments, and agencies.
- The California Department of Aging (CDA) and the California Commission on Aging (CCOA) indicate absorbable costs.
- The Mental Health Services Oversight and Accountability Commission (MHSOAC) and Department of Health Care Services (DHCS) indicate no fiscal impact.
- The California Workplace Development Board indicates they have no fiscal analysis on the bill.
- Unknown potential costs for the California Health and Human Services Agency (CHHS) and the California Health Workforce Education and Training Council.
SUPPORT: (Verified on 8/26/24)
California Commission on Aging (source)
AARP
Alzheimer's Association
California Assisted Living Association
California Long Term Care Ombudsman Association
California Retired Teachers Association
California State Retirees
Calpace
Leadingage California
League of California Cities
Retired Public Employees Association
OPPOSITION: (Verified on 8/26/24)
None Received
ASSEMBLY FLOOR: 71-0, 5/16/24
AYES: Aguiar-Curry, Alanis, Arambula, Bains, Bauer-Kahan, Bennett, Berman, Boerner, Bonta, Bryan, Calderon, Juan Carrillo, Wendy Carrillo, Chen, Connolly, Davies, Dixon, Essayli, Mike Fong, Friedman, Gabriel, Gallagher, Garcia, Grayson, Haney, Hart, Holden, Hoover, Jackson, Jones-Sawyer, Kalra, Lackey, Lee, Low, Lowenthal, Maienschein, McCarty, McKinnor, Muratsuchi, Stephanie Nguyen, Ortega, Pacheco, Papan, Jim Patterson, Joe Patterson, Pellerin, Petrie-Norris, Quirk-Silva, Ramos, Rendon, Reyes, Luz Rivas, Rodriguez, Blanca Rubio, Sanchez, Santiago, Schiavo, Soria, Ta, Ting, Valencia, Villapudua, Waldron, Wallis, Ward, Weber, Wicks, Wilson, Wood, Zbur, Robert Rivas
NO VOTE RECORDED: Addis, Alvarez, Cervantes, Megan Dahle, Flora, Vince Fong, Gipson, Irwin, Mathis
Prepared by: Heather Hopkins / HUMAN S. / (916) 651-1524
8/26/24 17:00:59
**** END ****
SENATE RULES COMMITTEE Office of Senate Floor Analyses (916) 651-1520 Fax: (916) 327-4478 | AB 2207 |
THIRD READING
Bill No: AB 2207
Author: Reyes (D)
Amended: 8/15/24 in Senate
Vote: 21
SENATE HUMAN SERVICES COMMITTEE: 5-0, 6/17/24
AYES: Alvarado-Gil, Ochoa Bogh, Blakespear, Hurtado, Menjivar
SENATE HEALTH COMMITTEE: 11-0, 7/3/24
AYES: Roth, Nguyen, Glazer, Gonzalez, Grove, Hurtado, Limón, Menjivar, Rubio, Smallwood-Cuevas, Wiener
SENATE APPROPRIATIONS COMMITTEE: 7-0, 8/15/24
AYES: Caballero, Jones, Ashby, Becker, Bradford, Seyarto, Wahab
ASSEMBLY FLOOR: 71-0, 5/16/24 (Consent) - See last page for vote
SUBJECT: State boards and commissions: representatives of older adults
SOURCE: California Commission on Aging
DIGEST:
This bill adds representatives from organizations that serve or advocate on behalf of older adults to a series of state boards, committees, and councils.
ANALYSIS:
Existing law:
- Creates a 14 member Alzheimer’s disease and Related Disorders Advisory Committee within the California Health and Human Services Agency (HHS). (Health and Safety Code §1568.17)
- Creates an eighteen member California Health Workforce Education and Training Council responsible for helping coordinate California’s health workforce education and training to develop a health workforce that meets California’s health care needs. (Health and Safety Code §128250)
- Establishes a California Health and Human Services Data Exchange Framework within HHS to include a single data sharing agreement and common set of policies and procedures that will leverage and advance national standards for information exchange and data content, and that will govern and require the exchange of health information among health care entities and government agencies in California. (Health and Safety Code §130290)
- Creates a California Workplace Development Board as the body responsible for assisting the Governor in the development, oversight, and continuous improvement of California’s workforce investment system and the alignment of the education and workforce investment systems to the needs of the 21st century economy and workforce. (Unemployment Insurance Code §14012)
- Creates a California Behavioral Health Planning Council whose purpose is to fulfill mental health planning requirements mandated by federal law. (Welfare and Institutions Code (WIC) §5771)
- Creates a California Mental Health Services Oversight and Accountability Commission to oversee various programs within the Adult and Older Adult Mental Health System of Care Act. (WIC §5845)
- Creates the California Interagency Council on Homelessness to identify resources, create partnerships, coordinate existing funding, and make policy recommendations, among other responsibilities. (WIC §8257)
This bill:
- Increases the number of members on the Alzheimer’s Disease and Related Disorders Advisory Committee within the California Health and Human Services Agency from 14 to 15 with the addition of the Executive Director of the California Commission on Aging or the director’s designee.
- Adds to the potential appointees to the California Workforce Development Board individuals and organizations that represent or serve older adults.
- Provides that the appointments made by the Director of Health Care Services to the 40-member California Behavioral Health Planning Council shall include the appointment of the Executive Director of the California Commission on Aging or the executive director’s designee.
- Increases the membership from 27 to 28 of the Behavioral Health Services Oversight and Accountability Commission to include the Executive Director of the California Commission on Aging or the executive director’s designee.
- Requires that the advisory committee, appointed by the cochairs of the Interagency Council on Homelessness, shall include representatives of organizations that serve or advocate on behalf of youth, survivors of gender-based violence, and racial and ethnic groups, including, but not limited to, African Americans, Latinos, Asian and Pacific Islanders, and Native Americans and representatives from organizations that serve or advocate on behalf of older adults, defined as persons 60 years of age or older.
Background
According to the author, “Californians are living longer than ever before. By 2030, over 25% of Californians will be 60 years of age or older. At the same time, California has the highest percentage of older adults living at or below the poverty level and they are also the fastest growing population going into homelessness. AB 2207 requires that older adults be represented on six different California state boards, commissions, and advisory committees, which focus on various issues, including mental health, homelessness, healthcare, and workforce development. AB 2207 ensures that the voices of older adults are represented in groups that discuss issues that affect them.”
California’s Aging Population and the Master Plan for Aging California is projected to be home to 10.8 million people age 60 and older in 2030. This is nearly twice as many people age 60 and older as there were in 2010. Additionally, by 2030 one out of every four Californians will be an older adult. In January 2021, the Newsom Administration published its Master Plan for Aging, which is intended to be a ten year blue-print for state government, local government, the private sector, and philanthropy to prepare the state for the coming demographic changes and to “continue California’s leadership in aging, disability, and equity.” The Master Plan for Aging outlines five goals, twenty-three strategies, and over 100 initiatives. The five goals of the Master Plan are: housing for all ages and stages; health reimagined; inclusion and equity, not isolation; caregiving that works; and affording aging. By including those who work with seniors and advocate on their behalf on many state boards and commissions, this bill appears to help advance the goals of the Master Plan on Aging.
Related/Prior Legislation
AB 820 (Reyes, 2023) was substantially similar to this bill that would have added members representing aging communities to various bodies. The bill was held on the Assembly Appropriations Committee suspense file.
FISCAL EFFECT: Appropriation: No Fiscal Com.: Yes Local: No
According to the Senate Appropriations Committee:
- The California Interagency Council on Homelessness (Cal ICH) estimates General Fund costs of $167,000 in the first year and $159,000 annually thereafter for staffing resources to provide ongoing support to council members, departments, and agencies.
- The California Department of Aging (CDA) and the California Commission on Aging (CCOA) indicate absorbable costs.
- The Mental Health Services Oversight and Accountability Commission (MHSOAC) and Department of Health Care Services (DHCS) indicate no fiscal impact.
- The California Workplace Development Board indicates they have no fiscal analysis on the bill.
- Unknown potential costs for the California Health and Human Services Agency (CHHS) and the California Health Workforce Education and Training Council.
SUPPORT: (Verified 8/19/24)
AARP
Alzheimer's Association
California Assisted Living Association
California Long Term Care Ombudsman Association
California Retired Teachers Association
California State Retirees
Calpace
Leadingage California
League of California Cities
Retired Public Employees Association
OPPOSITION: (Verified 8/19/24)
None Received
ASSEMBLY FLOOR: 71-0, 5/16/24
AYES: Aguiar-Curry, Alanis, Arambula, Bains, Bauer-Kahan, Bennett, Berman, Boerner, Bonta, Bryan, Calderon, Juan Carrillo, Wendy Carrillo, Chen, Connolly, Davies, Dixon, Essayli, Mike Fong, Friedman, Gabriel, Gallagher, Garcia, Grayson, Haney, Hart, Holden, Hoover, Jackson, Jones-Sawyer, Kalra, Lackey, Lee, Low, Lowenthal, Maienschein, McCarty, McKinnor, Muratsuchi, Stephanie Nguyen, Ortega, Pacheco, Papan, Jim Patterson, Joe Patterson, Pellerin, Petrie-Norris, Quirk-Silva, Ramos, Rendon, Reyes, Luz Rivas, Rodriguez, Blanca Rubio, Sanchez, Santiago, Schiavo, Soria, Ta, Ting, Valencia, Villapudua, Waldron, Wallis, Ward, Weber, Wicks, Wilson, Wood, Zbur, Robert Rivas
NO VOTE RECORDED: Addis, Alvarez, Cervantes, Megan Dahle, Flora, Vince Fong, Gipson, Irwin, Mathis
Prepared by: Heather Hopkins / HUMAN S. / (916) 651-1524
8/19/24 10:47:22
**** END ****
SENATE COMMITTEE ON
Senator Anna Caballero, Chair
2023 - 2024 Regular Session
AB 2207 (Reyes) - State boards and commissions: representatives of older adults
Version: | Policy Vote: |
Urgency: | Mandate: |
Hearing Date: | Consultant: |
Bill Summary:
AB 2207 would add representatives from organizations that serve or advocate on behalf of older adults, as specified, to various state entities.
*********** ANALYSIS ADDENDUM – SUSPENSE FILE ***********
The following information is revised to reflect amendments
adopted by the committee on August 15, 2024
Fiscal Impact:
Minor and absorbable costs to state entities.
Author Amendments:
Delete the provisions related to the California Health Workforce Education and Training Council; and revise the membership of the California Interagency Council on Homelessness to include either the Director of the Department of Aging or the Executive Director of the California Commission on Aging, or their designee.
-- END --
SENATE COMMITTEE ON
Senator Anna Caballero, Chair
2023 - 2024 Regular Session
AB 2207 (Reyes) - State boards and commissions: representatives of older adults
Version: | Policy Vote: |
Urgency: | Mandate: |
Hearing Date: | Consultant: |
Bill Summary:
AB 2207 would add representatives from organizations that serve or advocate on behalf of older adults, as specified, to various state entities.
Fiscal Impact:
- The California Interagency Council on Homelessness (Cal ICH) estimates General Fund costs of $167,000 in the first year and $159,000 annually thereafter for staffing resources to provide ongoing support to council members, departments, and agencies.
- The California Department of Aging (CDA) and the California Commission on Aging (CCOA) indicate absorbable costs.
- The Mental Health Services Oversight and Accountability Commission (MHSOAC) and Department of Health Care Services (DHCS) indicate no fiscal impact.
- The California Workplace Development Board indicates they have no fiscal analysis on the bill.
- Unknown potential costs for the California Health and Human Services Agency (CHHS) and the California Health Workforce Education and Training Council.
Background:
Current law establishes the following:
- Alzheimer’s Disease and Related Disorders Advisory Committee within the CHHS.
- California Health Workforce Education and Training Council responsible for helping coordinate California’s health workforce education and training to develop a health workforce that meets California’s health care needs.
- California Workplace Development Board to assist the Governor in the development, oversight, and continuous improvement of California’s workforce investment system and the alignment of the education and workforce investment systems to the needs of the 21st century economy and workforce.
- California Behavioral Health Planning Council whose purpose is to fulfill mental health planning requirements mandated by federal law.
- MHSOAC to oversee the Mental Health Services Act.
- Cal ICH to identify resources, create partnerships, coordinate existing funding, and make policy recommendations, among other responsibilities, to address homelessness.
Proposed Law:
Specific provisions of the bill would:
- Add the Executive Director of the CCOA to the Alzheimer’s Disease and Related Disorders Advisory Committee.
- Add the Director of the CDA and the Executive Director of the CCOA to the California Health Workforce Education and Training Council.
- Permit representatives on the California Workplace Development Board to include: state agency officials responsible for administering programs that serve, and state commission officials that advocate on behalf of, older adults or their designees; and organizations that represent or serve older adults.
- Require the Director of the DHCS to appoint the Executive Director of the CCOA to the California Behavioral Health Planning Council.
- Make changes to the MHSOAC.
- Add the Executive Director of the CCOA to the Cal ICH; expand representatives of the advisory committee to include racial and ethnic groups, as specified; and add representatives from organizations that serve or advocate on behalf of older adults to the advisory committee.
Related Legislation:
AB 820 (Reyes, 2023) was similar to this bill. The bill was held on the suspense file in this committee.
-- END --
SENATE COMMITTEE ON HEALTH
Senator Richard Roth, Chair
BILL NO: AB 2207
AUTHOR: | Reyes | ||
VERSION: | February 7, 2024 | ||
HEARING DATE: | July 3, 2024 | ||
CONSULTANT: | Margarita Niemann | ||
SUBJECT: State boards and commissions: representatives of older adults
SUMMARY:
Expands the membership of various specified state boards and commissions to include the Executive Director of the California Commission on Aging, the Director of the California Department of Aging, or both, or other persons that serve or advocate for older adults. Modifies the membership of an advisory committee to the Interagency Council on Homelessness to specifically include representatives from organizations that serve or advocate on behalf of older adults.
Existing law:
- Requires the California Health and Human Services Agency (CHHS) to establish an Alzheimer’s Disease and Related Disorders Advisory Committee, comprised of 14 members, to provide ongoing advice, assistance, and planning support to the administration and the Legislature on program needs and priorities of persons impacted by Alzheimer’s disease and related dementia disorders. [HSC §1568.17]
- Establishes the California Health Workforce Education and Training Council that is responsible for helping coordinate California’s health workforce education and training to develop a health workforce that meets California’s health care needs. Requires the council to be composed of 18 members who, together, represent various graduate medical education and training programs, health professions, and consumer representatives. [HSC §128250]
- Establishes the California Workforce Development Board that is responsible for assisting the Governor in the development, oversight, and continuous improvement of California’s workforce investment system and the alignment of the education and workforce investment systems to the needs of the 21st century economy and workforce. [UIC §14010, et seq.]
- Establishes the California Behavioral Health Planning Council and requires it to fulfill the mental health requirements mandated by federal law. Requires the planning council to have 40 members, comprised of members appointed from both local and state levels. [WIC §5771]
- Establishes the Mental Health Services Oversight and Accountability Commission to oversee the Adult and Older Adult Mental Health System of Care Act; Human Resources, Education, and Training Programs; Innovative Programs; Prevention and Early Intervention Programs; and the Children’s Mental Health Services Act. Requires the commission to consist of 15 voting members. [WIC §5845]
- Requires the Governor to establish an Interagency Council on Homelessness to oversee the implementation of Housing First guidelines and regulations, and identify resources, benefits, and services to prevent and end homelessness in California. [WIC §8257]
- Establishes the California Department of Aging (CDA) within CHHS 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 at least restrictive homelike environments. [WIC §9100]
- Establishes the California Commission on Aging (CCoA), composed of 25 persons, to serve as the principal advocate body in the state on behalf of older individuals, including, but not limited to, advisory participation in the consideration of all legislation and regulations made by state and federal departments and agencies relating to programs and services that affect older individuals. [WIC §9200, et seq.]
This bill:
- Expands the membership of the Alzheimer’s Disease and Related Advisory Committee, the California Health Workforce Education and Training Council, the California Workforce Development Board, the California Behavioral Health Planning Council, the Mental Health Services Oversight and Accountability Commission, and the Interagency Council on Homelessness to include the Executive Director of CCoA, the Director of CDA, or both, or other persons that serve or advocate for older adults.
- Modifies the membership of an advisory committee to the Interagency Council on Homelessness to specifically include representatives from organizations that serve or advocate on behalf of older adults.
FISCAL EFFECT:
- According to the Assembly Appropriations Committee: The CCoA and CDA anticipate minor and absorbable travel costs to attend the various meetings. Costs (various funds) to each of the six entities to accommodate additional members are likely minor and absorbable.
PRIOR VOTES:
Senate Human Services Committee: | 5 - 0 |
Assembly Floor: | 71 - 0 |
Assembly Appropriations Committee: | 15 - 0 |
Assembly Human Services Committee: | 6 - 0 |
Assembly Aging and Long Term Care Committee: | 5 - 0 |
COMMENTS:
- Author’s statement. According to the author, Californians are living longer than ever before. By 2030, over 25% of Californians will be 60 years of age or older. At the same time, California has the highest percentage of older adults living at or below the poverty level and they are also the fastest growing population going into homelessness. This bill requires that older adults be represented on six different California state boards, commissions, and advisory committees, which focus on various issues, including mental health, homelessness, healthcare, and workforce development. This bill ensures that the voices of older adults are represented in groups that discuss issues that affect them.
- Older adults. The Centers for Disease Control and Prevention considers older adults as those ages 65 or older. Aging increases the risk of chronic diseases like dementia, heart disease, type 2 diabetes, arthritis, and cancer. Older adults are also more vulnerable to severe illness from infections, including flu and pneumonia. According to estimates from the California Department of Finance, by 2030, California’s over-65 population will nearly double to approximately 8.6 million people. The California Department of Public Health (CDPH) writes that in 2010, California’s average life expectancy was 80.8 years, ranging from 75.1 years in African Americans and 86.3 years in Asian Americans. This increase in the population of older adults indicates a need to address senior health conditions, medical care, and support systems today. California has an extensive history of developing aging and disability services, from the early 1900s to today. More recently, in 2019, Governor Gavin Newsom signed Executive Order N-14-19 calling for the development of the California Master Plan for Aging (MPA). According to the 2023 MPA Annual Report, MPA is a ten-year blueprint for advancing a California for All Ages and Abilities, a campaign from CDA created to advance equity in support of older adults, people with disabilities, and family caregivers. The CDA writes that in 2021-2022, ten Cabinet Agencies, in partnership with local leaders, the private sector, the federal government, and stakeholders, committed to more than one hundred initiatives. Every two years, the Cabinet and its partners will commit to new initiatives to achieve the MPA.
- CCoA. Established in the Older Californians Act, CCoA is comprised of 25 appointees representing the state’s racial, ethnic, and geographic diversity. Members of CCoA are consumers and providers of aging services, as well as researchers and academicians from the field of aging. CCoA are volunteers who serve up to two three-year terms, appointed by the Governor, the Speaker of the Assembly, and the Senate Rules Committee. The CCoA serves as the principal advocacy body for older Californians and as a catalyst for change that supports and celebrates Californians as they age. CCoA’s work on behalf of older adults reflects the values of equity and inclusion; autonomy, choice, and access; respect and integrity; collaboration and partnership. The CCoA advises the Governor and Legislature, along with state, federal, and local agencies on programs and services that affect older adults. CCoA works closely with public, nonprofit, and private-sector partners to address emerging challenges and opportunities.
- CDA. Under CHHSA, the CDA administers programs that serve older adults, adults with disabilities, family caregivers, and residents in long-term care facilities. These programs are funded through the federal Older Americans Act, the Older Californians Act, and through the Medi-Cal program. CDA contracts with the network of 33 Area Agencies on Aging, who directly manage a wide range of federal and state-funded services that provide meals, assistance with finding employment, supportive services to help individuals of all ages with disabilities to live as independent as possible, promote healthy aging and community involvement, and support family members in their vital care giving role. CDA also contracts with 38 agencies that operate the Multipurpose Senior Services Program through Medi-Cal home and community-based waiver for the elderly and certifies approximately 242 Adult Day Health Care Centers for participation in the Medi-Cal Community Based Adult Services Program. CDA collaborates with other departments and other entities on transportation, housing and accessibility, emergency preparedness and response, wellness and nutrition, falls and injury prevention, improving services to persons with dementia, reducing fraud and abuse, among many other issues.
- Double referral. This bill was heard in the Senate Human Services Committee on June 17, 2024, and passed with a 5-0 vote.
- Related legislation. AB 2620 (Bains) reduces the number of members of CCoA from 25 to 18, and requires 12 members to be appointed by the Governor, with at least two appointed from a list of nominees submitted by Area Agency on Aging, directors and the Area Agency on Aging Advisory Council of California. AB 2620 is pending in the Senate Appropriations Committee.
AB 2680 (Aguiar-Curry) expands the number of members serving on the Alzheimer’s Disease and Related Disorders Advisory Committee from 14 to at least 21, but not more than 25, members. AB 2680 is set to be heard July 1, 2024 on the Senate Floor.
SB 1443 (Jones) adds a representative from the State Council on Developmental Disabilities to the California Interagency Council on Homelessness. SB 1443 is pending in the Assembly Appropriations Committee.
- Prior legislation. AB 387 (Aguiar-Curry of 2023) was substantially similar to AB 2680. AB 387 was held on the Senate Appropriations Committee suspense file.
AB 820 (Reyes of 2023) would have required the composition of various advisory groups and bodies to include a state agency official responsible for administering programs that serve, or state commission official that advocates on behalf of, older adults or a representative from an organization that serves or advocates on behalf of older adults. AB 820 was held on the Senate Appropriations Committee suspense file.
AB 845 (Alvarez of 2023) would have established an Older Adult Behavioral Health Services Administrator within the State Department of Health Care Services. AB 845 was held in the Assembly Appropriations Committee.
AB 1006 (McKinner of 2023) would have required the Aging and Disability Resource Connection Advisory Committee to use the staff of CDA. AB 1006 was held on the Senate Appropriations Committee suspense file.
AB 1410 (Ta of 2023) would have required CDA to expand the advisory council for the Office of the State Long-Term Care Ombudsman from 11 members to 13. AB 1410 was never heard in the Assembly Aging and Long Term Care Committee.
SB 246 (Ochao Bogh of 2023) was substantially similar to SB 1443 (Jones). SB 246 was held in the Assembly Appropriations Committee.
SB 657 (Caballero of 2023) would have required the Interagency Council on Homelessness to coordinate with CDA, the California continuums of care, and the area agencies on aging to convene a working group to develop recommendations on the best practice for assisting older adults to prevent and overcome homelessness and for training for those who assist older adults to prevent and overcome homelessness. SB 657 was vetoed by Governor Newsom, who stated:
While I agree with the underlying intent of the bill, some of its provisions are duplicative of the Council's current efforts with member Departments, including the Department of Aging, to establish best practices and provide support for this population. These efforts include the State's recent partnership with the federal government through the ALL INside Initiative, which includes a specific focus on supporting older adults. In addition, the State has also produced the Master Plan for Aging, a comprehensive 10-year blueprint that outlines how the State will address housing solutions for older adults by 2030, including efforts for enriching services and housing for older Californians. I look forward to working with the author to build on these efforts thoughtfully, but at this time, legislation is not necessary.
- Support. CCoA, the sponsor of this bill, writes that task forces, councils, commissions, and work groups in California provide the foundation for systemic change, giving individuals who represent larger groups a voice in their government. Advisory groups allow citizens to influence decisions that shape the quality of life for California residents. Appointees are responsible for advising and reviewing policy and development recommendations to address the issues facing the particular group of which they are representing. Current authority for making appointees fails to require individuals who represent the needs and/or perspectives of older adults, thereby denying the reality and viewpoint of the older adult stakeholders. This bill will improve outcomes by including people with particular needs and life experiences as well as help policymakers understand situations from other perspectives. The Alzheimer’s Association writes that as the population of older adults continues to grow, it is critical for California to ensure that the voices of older adults are adequately represented in California’s decision-making spaces. The City of Thousand Oaks writes that the bill is progressing in the right direction in properly representing California’s aging population in government.
SUPPORT AND OPPOSITION:
Support: California Commission on Aging (sponsor)
AARP
Advisory Council for Sourcewise
Alzheimer's Association
California Assisted Living Association
California Long Term Care Ombudsman Association
California Retired Teachers Association
California State Retirees
California Women's Law Center
California PACE Association
City of Thousand Oaks
LeadingAge California
League of California Cities
Retired Public Employees Association
Oppose: None received.
-- END --
SENATE COMMITTEE ON HUMAN SERVICES
Senator Alvarado-Gil, Chair
2023 - 2024 Regular
Bill No: | AB 2207 | ||
Author: | Reyes | ||
Version: | February 7, 2024 | Hearing Date: | June 17, 2024 |
Urgency: | No | Fiscal: | Yes |
Consultant: | Heather Hopkins | ||
Subject: State boards and commissions: representatives of older adults
SUMMARY
This bill adds representatives from organizations that serve or advocate on behalf of older adults to a series of state boards, committees, and councils.
ABSTRACT
Existing Law:
- Creates a 14 member Alzheimer’s disease and Related Disorders Advisory Committee within the California Health and Human Services Agency (HHS). (Health and Safety Code 1568.17)
- Creates an eighteen member California Health Workforce Education and Training Council responsible for helping coordinate California’s health workforce education and training to develop a health workforce that meets California’s health care needs. (Health and Safety Code 128250)
- Establishes a California Health and Human Services Data Exchange Framework within HHS to include a single data sharing agreement and common set of policies and procedures that will leverage and advance national standards for information exchange and data content, and that will govern and require the exchange of health information among health care entities and government agencies in California. (Health and Safety Code 130290)
- Creates a California Workplace Development Board as the body responsible for assisting the Governor in the development, oversight, and continuous improvement of California’s workforce investment system and the alignment of the education and workforce investment systems to the needs of the 21st century economy and workforce. (Unemployment Insurance Code 14012)
- Creates a California Behavioral Health Planning Council whose purpose is to fulfill mental health planning requirements mandated by federal law. (WIC 5771)
- Creates a California Mental Health Services Oversight and Accountability Commission to oversee various programs within the Adult and Older Adult Mental Health System of Care Act. (WIC 5845)
- Creates the California Interagency Council on Homelessness to identify resources, create partnerships, coordinate existing funding, and make policy recommendations, among other responsibilities. (WIC 8257)
This Bill:
- Increases the number of members on the Alzheimer’s Disease and Related Disorders Advisory Committee within the California Health and Human Services Agency from 14 to 15 with the addition of the Executive Director of the California Commission on Aging or the director’s designee.
- Increases the number of members on the California Health Workforce Education and Training Council from 18 to 20 with the addition of one member who shall be the Director of the California Department of Aging or the director’s designee, and one member who shall be the Executive Director of the California Commission on Aging or the director’s designee.
- Adds to the potential appointees to the California Workforce Development Board individuals and organizations that represent or serve older adults.
- Provides that the appointments made by the Director of Health Care Services to the 40-member California Behavioral Health Planning Council shall include the appointment of the Executive Director of the California Commission on Aging or the executive director’s designee.
- Increases the members on the Mental Health Services Oversight and Accountability Commission from 16 to 17 with the addition of the Executive Director of the California Commission on Aging or the executive director’s designee.
- Adds to the membership of the Interagency Council on Homelessness, the Executive Director of the California Commission on Aging or the director’s designee.
- Requires that the advisory committee, appointed by the cochairs of the Interagency Council on Homelessness, shall include representatives of organizations that serve or advocate on behalf of youth, survivors of gender-based violence, and racial and ethnic groups, including, but not limited to, African Americans, Latinos, Asian and Pacific Islanders, and Native Americans and representatives from organizations that serve or advocate on behalf of older adults, defined as persons 60 years of age or older.
FISCAL IMPACT
According to the Assembly Appropriations Committee analysis, “The Commission and California Department of Aging anticipate minor and absorbable travel costs to attend the various. Costs (various funds) to each of the six entities to accommodate additional members are likely minor and absorbable.”
BACKGROUND AND DISCUSSION
Purpose of the Bill:
According to the author, “Californians are living longer than ever before. By 2030, over 25% of Californians will be 60 years of age or older. At the same time, California has the highest percentage of older adults living at or below the poverty level and they are also the fastest growing population going into homelessness. AB 2207 requires that older adults be represented on six different California state boards, commissions, and advisory committees, which focus on various issues, including mental health, homelessness, healthcare, and workforce development. AB 2207 ensures that the voices of older adults are represented in groups that discuss issues that affect them.”
California’s Aging Population and the Master Plan for Aging
California is projected to be home to 10.8 million people age 60 and older in 2030. This is nearly twice as many people age 60 and older as there were in 2010. Additionally, by 2030 one out of every four Californians will be an older adult. In January 2021, the Newsom Administration published its Master Plan for Aging, which is intended to be a ten year blue-print for state government, local government, the private sector, and philanthropy to prepare the state for the coming demographic changes and to “continue California’s leadership in aging, disability, and equity.” The Master Plan for Aging outlines five goals, twenty-three strategies, and over 100 initiatives. The five goals of the Master Plan are: housing for all ages and stages; health reimagined; inclusion and equity, not isolation; caregiving that works; and affording aging. By including those who work with seniors and advocate on their behalf on many state boards and commissions, this bill appears to help advance the goals of the Master Plan on Aging.
Related/Prior Legislation:
AB 820 (Reyes, 2023) was substantially similar to this bill that would have added members representing aging communities to various bodies. AB 820 was held on the Assembly Appropriations Committee suspense file.
COMMENTS
California’s population is aging quickly, with the so-called “silver tsunami” of aging baby boomers quickly hitting retirement age. Some estimates show a 50 percent increase in the senior population by 2060. With such a rapidly increasing population, it is important that those who work with and advocate on behalf of seniors are included on state boards and commissions. This bill adds such representation on several boards, commissions and councils, working to help ensure that the needs of seniors are being represented.
PRIOR VOTES
Assembly Floor: | 71 - 0 |
Assembly Appropriations Committee: | 15 - 0 |
Assembly Aging and Long Term Care Committee: | 5 - 0 |
POSITIONS
Support:
AARP
Alzheimer's Association
California Assisted Living Association
California Long Term Care Ombudsman Association (CLTCOA)
California Retired Teachers Association
California State Retirees
Leadingage California
League of California Cities
Oppose:
None
-- END --
Date of Hearing: May 8, 2024
ASSEMBLY COMMITTEE ON APPROPRIATIONS
Buffy Wicks, Chair
ABPCA Bill Id:AB 2207
Author:(Reyes) – As Introduced Ver:February 7, 2024
Policy Committee: | Aging and Long Term Care | Vote: | 5 - 0 |
Human Services | 6 - 0 | ||
|
|
Urgency: No State Mandated Local Program: No Reimbursable: No
SUMMARY:
This bill adds the Executive Director of the California Commission on Aging (Commission), the Director of the California Department of Aging (CDA), and other persons that serve or advocate for older adults to specified state boards, committees and councils.
Specifically, this bill expands the membership of the following bodies:
- The Alzheimer’s Disease and Related Disorders Advisory Committee to include the Commission’s Executive Director (ED) or their designee.
- The California Health Workforce Education and Training Council to include the Commission’s ED or their designee and CDA’s Director or their designee.
- The California Workforce Development Board to include representatives of organizations representing or serving older adults and state agency officials responsible for administering programs that serve, and state commission officials that advocate on behalf of, older adults or their designees.
- The California Behavioral Health Planning Council to include the Commission’s ED or their designee.
- Mental Health Services Oversight and Accountability Commission to include the Commission’s ED or their designee.
- The Interagency Council on Homelessness (CalICH) to include the Commission’s ED or their designee, and expand the advisory committee to CalICH to also include representatives of organizations serving or advocating on behalf of youth, survivors of gender-based violence, and racial and ethnic groups, including, but not limited to, African Americans, Latinos, Asian and Pacific Islanders, and Native Americans, and representatives from organizations serving or advocating on behalf of older adults.
FISCAL EFFECT:
- The Commission and CDA anticipate minor and absorbable travel costs to attend the various meetings.
- Costs (various funds) to each of the six entities to accommodate additional members are likely minor and absorbable.
COMMENTS:
- Purpose. This bill is sponsored by the Commission. According to the author:
Californians are living longer than ever before. By 2030, over 25% of Californians will be 60 years of age or older. At the same time, California has the highest percentage of older adults living at or below the poverty level and they are also the fastest growing population going into homelessness. [This bill] requires that older adults be represented on six different California state boards, commissions, and advisory committees, which focus on various issues, including mental health, homelessness, healthcare, and workforce development. [This bill] ensures the voices of older adults are represented in groups that discuss issues that affect them.
- Background. California’s senior population is growing faster than any other age group. The California Department of Finance projects about one in four (23.1%) Californians will be over the age of 65 by 2040. In January of 2021, the Governor released his Master Plan for Aging (MPA), which prioritizes the health and well-being of older Californians and the need for policies that promote healthy aging.
The MPA serves as a blueprint for state government, local government, the private sector, and philanthropy to prepare the state for the coming demographic changes and continue California’s leadership in aging, disability, and equity.
The MPA outlines five bold goals and 23 strategies and currently seeks to advance 95 initiatives to build a California for All Ages by 2030. It also includes a “Data Dashboard on Aging” to measure progress. This bill supports these efforts by adding older adult representation on relevant state boards, committees, and councils. AARP writes in support of the bill:
Despite the demographic changes facing our state, California does not currently require that these advisory groups include representation for older Californians. AARP supports AB 2207 because it changes the status quo to ensure that the interests of older adults are represented. This bill seeks to promote equity and inclusion, recognizing that no policy should be decided without the full participation of older Californians, who are affected by these policy decisions. To truly create a "California for All," as envisioned in the Governor’s Master Plan for Aging, all state policies and programs must include representation for older adults in the decision-making process.
Analysis Prepared by: Jennifer Swenson / APPR. / (916) 319-2081
Date of Hearing: April 23, 2024
ASSEMBLY COMMITTEE ON HUMAN SERVICES
Alex Lee, Chair
ABPCA Bill Id:AB 2207 (
Author:Reyes) – As Introduced Ver:February 7, 2024
SUBJECT: State boards and commissions: representatives of older adults
SUMMARY: Expands the membership of the following bodies:
- Alzheimer’s Disease and Related Disorders Advisory Committee to include the California Commission on Aging (CCoA)’s Executive Director (ED) or their designee;
- California Health Workforce Education and Training Council to include CCoA’s ED or their designee and the California Department of Aging (CDA)’s Director or their designee;
- California Workforce Development Board to include representatives of organizations that represent or serve older adults and state agency officials responsible for administering programs that serve, and state commission officials that advocate on behalf of, older adults or their designees;
- California Behavioral Health Planning Council to include CCoA’s ED or their designee;
- Mental Health Services Oversight and Accountability Commission to include CCoA’s ED or their designee; and,
- Interagency Council on Homelessness (CalICH) to include CCoA’s ED or their designee, and expand the advisory committee to CalICH to also include representatives of organizations that serve or advocate on behalf of youth, survivors of gender-based violence, and racial and ethnic groups, including, but not limited to, African Americans, Latinos, Asian and Pacific Islanders, and Native Americans, and representatives from organizations that serve or advocate on behalf of older adults.
EXISTING LAW:
- Creates a 14-member Alzheimer’s Disease and Related Disorders Advisory Committee within the California Health and Human Services Agency (CalHHS). (Health and Safety Code [HSC] § 1568.17)
- Creates an 18-member California Health Workforce Education and Training Council responsible for helping coordinate California’s health workforce education and training to develop a health workforce that meets California’s healthcare needs. (HSC § 128250)
- Establishes a California Health and Human Services Data Exchange Framework within CalHHS to include a single data-sharing agreement and common set of policies and procedures that will leverage and advance national standards for information exchange and data content, and that will govern and require the exchange of health information among health care entities and government agencies in California. (HSC § 130290)
- Creates a California Workplace Development Board as the body responsible for assisting the Governor in the development, oversight, and continuous improvement of California’s workforce investment system and the alignment of the education and workforce investment systems to the needs of the 21st-century economy and workforce. (Unemployment Insurance Code § 14012)
- Creates a California Behavioral Health Planning Council whose purpose is to fulfill mental health planning requirements mandated by federal law. (Welfare and Institutions Code [WIC] § 5771)
- Creates a California Mental Health Services Oversight and Accountability Commission to oversee various programs within the Adult and Older Adult Mental Health System of Care Act. (WIC § 5845)
- Creates CalICH to identify resources, create partnerships, coordinate existing funding, and make policy recommendations, among other responsibilities. (WIC § 8257)
FISCAL EFFECT: Unknown, this bill has not been analyzed by a fiscal committee.
COMMENTS:
Background: Population Aging. Population aging refers to the increase of people over 65 years of age, while at the same time, a decrease in people age under 15 years of age. Population aging has become a distinctive demographic feature in developing countries which currently have the largest proportion of people over 65 years of age in the world. Population aging can be attributed to increasing longevity and declining fertility. Data indicate that global life expectancy increased from 34 years in 1913 to 72 years in 2022 and is expected to continue on that trajectory.
According to the United States Census Bureau, 15.8% of California's population is over the age of 65 which is the largest number of older residents in the country, and estimates that about 22% of California's population will be over the age of 60 by the year 2030. The California Department of Finance projects that about one in four (23.1%) Californians will be over the age of 65 by 2040.
Author’s Statement: According to the Author, “Californians are living longer than ever before. By 2030, over 25% of Californians will be 60 years of age or older. At the same time, California has the highest percentage of older adults living at or below the poverty level and they are also the fastest growing population going into homelessness. AB 2207 requires that older adults be represented on six different California state boards, commissions, and advisory committees, which focus on various issues, including mental health, homelessness, healthcare, and workforce development. AB 2207 ensures that the voices of older adults are represented in groups that discuss issues that affect them.”
Equity Implications: As noted above, the age demographics in California are becoming older; therefore, commissions, boards, and committees that discuss mental health, housing, health, and the workforce should be representative of the population it aims to consider.
Double referral: This bill was previously heard in the Assembly Committee on Aging and Long-term Care, on April 16, 2024, and was approved on a 5 to 0 vote.
RELATED AND PRIOR LEGISLATION:
AB 820 (Reyes) of 2023, was a substantially similar bill that would have added members representing aging communities to various bodies. AB 820 was held on the Assembly Appropriations Committee suspense file.
REGISTERED SUPPORT / OPPOSITION:
Support
California Commission on Aging (Sponsor)
AARP
Advisory Council for Sourcewise
Alzheimer's Association
California Assisted Living Association
California Retired Teachers Association
California State Retirees
California Women's Law Center
CalPACE
LeadingAge California
Retired Public Employees Association
Opposition
None on file.
Analysis Prepared by: Alexandria Smith / HUM. S. / (916) 319-2089
Date of Hearing: April 16, 2024
ASSEMBLY COMMITTEE ON AGING AND LONG-TERM CARE
Jasmeet Bains, Chair
ABPCA Bill Id:AB 2207 (
Author:Reyes) – As Introduced Ver:February 7, 2024
SUBJECT: State boards and commissions: representatives of older adults
SUMMARY: Expands the membership of various advisory groups and bodies to include the Executive Director of the California Commission on Aging (Commission), the Director of the California Department of Aging (CDA) or both or other persons that serve or advocate for older adults. Specifically, this bill:
- Increases the Alzheimer’s Disease and Related Disorders Advisory Committee (ADRDAC) from 14 to 15 members to include the Executive Director of the Commission or the director’s designee.
- Increases the California Health Workforce Education and Training Council (CHWETC) from 18 to 20 members.
- Includes the Executive Director of the Commission or the director’s designee.
- Includes the Director of CDA or the director’s designee.
- Requires the California Workforce Development Board (WDB) to include community based organizations that represent or serve older adults.
- Includes among other gubernatorial appointees to include state agency officials responsible for administering programs that serve, and state commission official that advocate on behalf of older adults or their designees.
- For purposes of this section, “older adult” is defines as a person 60 years of age or older).
- Adds representatives of organizations that serve or advocate on behalf of older adults, to potential nominees for appointment by the Director of the Department of Health Care Services (DHCS) to the California Behavioral Health Planning Council (CBHPC).
- Requires the Director of DHCS to appoint the Executive Director of the Commission or the director’s designee.
- Increases the Mental Health Services Oversight and Accountability Commission (MHSOAC) from 16 to 17 members.
- Includes the Executive Director of the Commission or the director’s designee.
- Adds representatives of organizations that reflect racial, gender and age diversity to the Interagency Council on Homelessness (ICH).
- Includes the Executive Director of the Commission or the director’s designee.
- Adds representatives of organizations that serve or advocate on behalf of youth, survivors of gender-based violence, and racial and ethnic groups, including, but not limited to, African Americans, Latinos, Asian and Pacific Islanders and Native Americans.
- Adds representatives from organizations that serve or advocate on behalf of older adults, defined as a person 60 years of age or older.
EXISTING LAW:
- Establishes the ADRDAC within the California Health and Human Services Agency (HHS) consisting of 14 members to include:
- One representing the field of academic medical research;
- One representing the field of social research;
- One representing the field of mental health;
- One representing the Alzheimer’s day care resource centers;
- One representing the Alzheimer’s disease diagnostic and treatment centers;
- Two representing families of persons suffering from Alzheimer’s disease or related disorders;
- Two representing organizations providing services to Alzheimer’s disease patients;
- One representing a consumer organization representing persons with Alzheimer’s disease;
- One representing a member of the State Bar who is familiar with the legal issues confronting Alzheimer’s disease victims and their families;
- Two people who have been diagnosed with Alzheimer’s disease to serve one-year terms; and,
- The Secretary of California Health and Human Services or his or her designee; (HSC § 1568.17)
- Creates the CHWETC responsible for helping coordinate California’s health workforce education and training to develop a health workforce that meets California’s health care needs. The council shall be composed of members who, together, represent various graduate medical education and training programs, health professions, including, but not limited to, specialties for primary care and behavioral health, and consumer representatives who shall serve at the pleasure of their appointing authorities, to include:
- Six members appointed by the Governor;
- One member who shall be the Director of DHCS, or the director’s designee;
- One member who shall be the Director of the Department of Health Care Access and Information, or the director’s designee;
- One member who shall be the Secretary of Labor and Workforce Development, or the secretary’s designee;
- Three members appointed by the Speaker of the Assembly;
- Three members appointed by the Chairperson of the Senate Committee on Rules;
- One member who shall be the President of the University of California, or the president’s designee;
- One member who shall be the Chancellor of the California State University, or the chancellor’s designee; and,
- One member who shall be the Chancellor of the California Community Colleges, or the chancellor’s designee. (HSC § 128205).
- Establishes the WDB as the body responsible for assisting the Governor in the development, oversight, and continuous improvement of California’s workforce investment system and the alignment of the education and workforce investment systems to the needs of the 21st century economy and workforce. (UIC § 14010)
- Requires WDB be comprised of the Governor and representatives from the following categories (appointed by the Governor):
- Two members of each house of the Legislature, appointed by the appropriate presiding officer of each house;
- A majority of board members shall be representatives of business who:
- Are owners of businesses, chief executives or operating officers of businesses, and other business executives or employers with optimum policymaking or hiring authority, who, in addition, may be members of a local board described in Section 3122(b)(2)(A)(i) of Title 29 of the United States Code;
- Represent businesses, including small businesses, or organizations representing businesses that include high-quality, work-relevant training and development in in-demand industry sectors or occupations in the state; and,
- Are appointed from a group of individuals nominated by state business organizations and business trade associations.
- Not less than 20 percent of board members shall be representatives of the workforce within the state, including representatives of labor organizations nominated by state labor federations, who shall not be less than 15 percent of the board membership and who shall include at least one representative that is a member of a labor organization or a training director, from a joint labor-management apprenticeship program, or if no such joint program exists in the state, such a representative of an apprenticeship program in the state.
Representatives appointed pursuant to this subdivision may include:
Representatives of community-based organizations that have demonstrated experience and expertise in addressing the employment, training, or education needs of individuals with barriers to employment, including organizations that serve veterans, organizations that provide or support competitive, integrated employment for individuals with disabilities, and organizations that serve transgender and gender nonconforming individuals;
- Representatives of organizations that have demonstrated experience and expertise in addressing the employment, training, or education needs of eligible youth, including representatives of organizations that serve out-of-school youth;
- The balance of board members:
- Shall include representatives of government that are lead state officials with primary responsibility for the core programs and shall include chief elected officials, collectively representing cities, counties, and cities and counties where appropriate; and,
- May include other representatives and officials as the Governor may designate, like any of the following:
- State agency officials from agencies that are one-stop partners, not specified in paragraph (1), including additional one-stop partners whose programs are covered by the State Plan, if any;
- State agency officials responsible for economic development or juvenile justice programs in the state;
- Individuals who represent an Indian tribe or tribal organization, as those terms are defined in Section 3221(b) of Title 29 of the United States Code;
- State agency officials responsible for education programs in the state, including chief executive officers, or their designees, of institutions of higher education, including, but not limited to, the California Community College system, the California State University system, the University of California system, and their respective individual campuses; and,
- Other requirements of board membership shall include:
- The Governor shall select a chairperson for the board from among the representatives described in subdivision (b).
- The members of the board shall represent diverse geographic areas of the state, including urban, rural, and suburban areas. (UIC § 14010)
- Requires the Director of DHCS to make appointments to the CBHPC from among nominees from various constituency organizations for mental health or mental health and substance use disorders, which shall include representatives of consumer-related advocacy organizations, representatives of professional and provider organizations for mental health or mental health and substance use disorders, and representatives who are direct service providers from both the public and private sectors. The director shall also appoint one representative of the California Coalition on Mental Health. (WIC § 5771)
- Establishes the MHSOAC to oversee Part 3 (commencing with WIC § 5800), the Adult and Older Adult Mental Health System of Care Act; Part 3.1 (commencing with WIC § 5820), Human Resources, Education, and Training Programs; Part 3.2 (commencing with WIC § 5830), Innovative Programs; Part 3.6 (commencing with WIC § 5840), Prevention and Early Intervention Programs; and Part 4 (commencing with WIC § 5850), the Children’s Mental Health Services Act. The commission shall replace the advisory committee established pursuant to WIC § 5814. The MHSOAC shall consist of the following:
- The Attorney General or the Attorney General’s designee;
- The Superintendent of Public Instruction or the Superintendent’s designee;
- The Chairperson of the Senate Committee on Health, the Chairperson of the Senate Committee on Human Services, or another member of the Senate selected by the President pro Tempore of the Senate;
- The Chairperson of the Assembly Committee on Health or another member of the Assembly selected by the Speaker of the Assembly;
- Two persons with a severe mental illness, a family member of an adult or senior with a severe mental illness, a family member of a child who has or has had a severe mental illness, a physician specializing in alcohol and drug treatment, a mental health professional, a county sheriff, a superintendent of a school district, a representative of a labor organization, a representative of an employer with less than 500 employees, a representative of an employer with more than 500 employees, and a representative of a health care service plan or insurer, all appointed by the Governor. In making appointments, the Governor shall seek individuals who have had personal or family experience with mental illness. At least one person appointed pursuant to this paragraph shall have a background in auditing. (WIC § 5845)
- Creates the ICH to do the following:
- Identify mainstream resources, benefits, and services that can be accessed to prevent and end homelessness in California;
- Create partnerships among state agencies and departments, local government agencies, participants in the United States Department of Housing and Urban Development’s Continuum of Care Program, federal agencies, the United States Interagency Council on Homelessness, nonprofit entities working to end homelessness, homeless services providers, and the private sector, for the purpose of arriving at specific strategies to end homelessness;
- Promote systems integration to increase efficiency and effectiveness while focusing on designing systems to address the needs of people experiencing homelessness, including unaccompanied youth under 25 years of age;
- Coordinate existing funding and applications for competitive funding. Any action taken pursuant to this paragraph shall not restructure or change any existing allocations or allocation formulas;
- Make policy and procedural recommendations to legislators and other governmental entities;
- Identify and seek funding opportunities for state entities that have programs to end homelessness, including, but not limited to, federal and philanthropic funding opportunities, and to facilitate and coordinate those state entities’ efforts to obtain that funding;
- Broker agreements between state agencies and departments and between state agencies and departments and local jurisdictions to align and coordinate resources, reduce administrative burdens of accessing existing resources, and foster common applications for services, operating, and capital funding;
- Serve as a statewide facilitator, coordinator, and policy development resource on ending homelessness in California;
- Report to the Governor, federal Cabinet members, and the Legislature on homelessness and work to reduce homelessness;
- Ensure accountability and results in meeting the strategies and goals of the council;
- Identify and implement strategies to fight homelessness in small communities and rural areas;
- Create a statewide data system or warehouse, which shall be known as the Homeless Data Integration System, that collects local data through Homeless Management Information Systems, with the ultimate goal of matching data on homelessness to programs impacting homeless recipients of state programs, such as the Medi-Cal program (Chapter 7 (commencing with WIC § 14000) of Part 3 of Division 9) and CalWORKs (Chapter 2 (commencing with WIC § 11200) of Part 3 of Division 9). Upon creation of the Homeless Data Integration System, all continuums of care, as defined in Section 578.3 of Title 24 of the Code of Federal Regulations, that are operating in California shall provide collected data elements, including, but not limited to, health information, in a manner consistent with federal law, to the Homeless Data Integration System; and,
- Set goals to prevent and end homelessness among California’s youth;
- Collect, compile, and make available to the public financial data provided to the council from all state-funded homelessness programs.
- The ICH council has the following members:
- The Secretary of Business, Consumer Services, and Housing and the Secretary of HHS, who both serve as co-chairs of the ICH;
- The Director of Transportation;
- The Director of Housing and Community Development;
- The Director of Social Services;
- The Director of the California Housing Finance Agency;
- The Director or the State Medicaid Director of Health Care Services;
- The Secretary of Veterans Affairs;
- The Secretary of the Department of Corrections and Rehabilitation;
- The Executive Director of the California Tax Credit Allocation Committee in the Treasurer’s office;
- The State Public Health Officer;
- The Director of the CDA;
- The Director of Rehabilitation;
- The Director of State Hospitals;
- The Executive Director of WDB;
- The Director of the Office of Emergency Services;
- A representative from the State Department of Education, appointed by the Superintendent of Public Instruction;
- A representative of the state public higher education system from one of the following:
- The California Community Colleges;
- The University of California; and,
- The California State University.
- The Senate Committee on Rules and the Speaker of the Assembly appoint one member to the council from two different stakeholder organizations.
- Co-chairs of the ICH appoint members to this advisory committee that reflects racial and gender diversity, and include the following:
- A survivor of gender-based violence who formerly experienced homelessness;
- Representatives of local agencies or organizations that participate in the United States Department of Housing and Urban Development’s Continuum of Care Program;
- Stakeholders with expertise in solutions to homelessness and best practices from other states;
- Representatives of committees on African Americans, youth, and survivors of gender-based violence;
- A current or formerly homeless person who lives in California;
- A current or formerly homeless youth who lives in California; and,
- A current or formerly homeless person with a developmental disability. (WIC § 8257)
FISCAL EFFECT: This bill has not yet been analyzed by a fiscal committee.
COMMENTS:
Author’s Statement: “Californians are living longer than ever before. By 2030, over 25% of Californians will be 60 years of age or older. At the same time, California has the highest percentage of older adults living at or below the poverty level and they are also the fastest growing population going into homelessness. AB 2207 requires that older adults be represented on six different California state boards, commissions, and advisory committees, which focus on various issues, including mental health, homelessness, healthcare, and workforce development. AB 2207 ensures that the voices of older adults are represented in groups that discuss issues that affect them.
BACKGROUND
California’s aging population is growing faster than any other age group. By 2030, over 25 percent of the population in California will be 60 and older.[1] The population in the state is becoming more racially and ethnically diverse, and yet the COVID-19 pandemic impacted Californians disparately.
California is projected to be one of the fastest growing States in the nation in total population. In 2016, California comprised 12 percent of the nation's population[2] and is expected to grow 30 percent by the year 2060 (an increase of 11.7 million people.[3] In California, the population aged 60 years and over is expected to grow more than three times as fast as the total population and this growth will vary by region.
The population over age 60 will have an overall increase of 166 percent during the period from 2010 to 2060. More than half the counties will have over a 100 percent increase in this age group. Nearly half of these counties will have growth rates of over 150 percent. These counties are located throughout the central and southern areas of the State. The influence of the 60 and over age group on California is expected to emerge most strongly between 2010 to 2030.3
The population over age 85 will increase at an even a faster rate than those over 60 years of age, having an overall increase of 489 percent during the period from 2010 to 2060. Counties can expect to experience even higher growth rates after 2020. In particular, the influence of the 85 and over age group on California will emerge most strongly between 2030 to 2040 as the first of the baby boomers reach 85 years of age.3
Life expectancy continues to rise,[4] however during 2019-2021 overall life expectancy for Californians fell from 81.4 years to 78.4 years. For Hispanics, life expectancy declined by nearly 6 years, a difference three times greater than their white counterparts. And the difference between those in California’s highest and lowest income brackets increased by three-and-a-half years to greater than 15 years (11.5 years before the pandemic to more than 15 years in 2021).[5]
Master Plan for Aging: In January of 2021, the Governor released his Master Plan for Aging (MPA). The MPA prioritizes the health and well-being of older Californians and the need for policies that promote healthy aging. The MPA serves as a blueprint for state government, local government, the private sector, and philanthropy to prepare the state for the coming demographic changes and continue California’s leadership in aging, disability, and equity.
After work began on the MPA, the COVID-19 pandemic reached California. The virus disproportionately harmed older and other at-risk adults, and it strained aging and disability services that were perpetually underfunded. Worldwide, older adults have experienced unprecedented death rates. California’s diverse population saw disproportionate numbers, particularly among Latino, Black and Asian Pacific Islander communities and those living in nursing homes. The pandemic intensified social isolation.
The work plan laid out in the MPA three years after its release continues to highlight the urgent needs facing California’s older adults, people with disabilities, their families, caregivers, advocates and the workforce supporting these populations..
In 2023-24, the MPA outlines five bold goals and currently seeks to advance 95 initiatives to build a California for All Ages by 2030. Each initiative features a designated area of focus; to deliver, to analyze and to communicate. It also includes a Data Dashboard on Aging to measure progress. AB 2207 and the increased representation on state boards can be linked to all of the five bold goals:
- Goal One: Housing for All Ages and Stages
- Goal Two: Health Reimagined
- Goal Three: Inclusion and Equity, Not Isolation
- Goal Four: Caregiving That Works
- Goal Five: Affording Aging
Legislative History: AB 820, of 2023, authored by Assemblymember Reyes included similar language. The measure was held in Assembly Appropriations.
Arguments in Support: The California Commission on Aging, sponsor of AB 2207 writes, “While the current authority for making appointments does not exclude representation by individuals who represent the needs or perspectives of older adults, it fails to recognize these individuals as a requirement. The lack of involvement denies the reality and viewpoint of the older adult stakeholders, which may have conflicting goals. Additionally, the absence of the representation of the older adult stakeholder may result in system goals being prioritized over the goals of older adults. AB 2207 will ensure the interests of older adults, as reflected by state agencies, providers, and advocacy organizations that represent them, are "at the table." This bill seeks to promote equity and inclusion, recognizing that no policy should be decided without the full and direct participation of members of the group(s) affected by that policy. To promote a "California for All," as prioritized in the Governor’s Master Plan on Aging, the proposals and programs of the State must include the representation and participation of older adults in the decision-making process.”
AARP in support of the bill states, “Despite the demographic changes facing our state, California does not currently require that these advisory groups include representation for older Californians. AARP supports AB 2207 because it changes the status quo to ensure that the interests of older adults are represented. This bill seeks to promote equity and inclusion, recognizing that no policy should be decided without the full participation of older Californians, who are affected by these policy decisions. To truly create a "California for All," as envisioned in the Governor’s Master Plan for Aging, all state policies and programs must include representation for older adults in the decision-making process.”
Argument in Opposition: None.
REGISTERED SUPPORT / OPPOSITION:
Support
California Commission on Aging (Sponsor)
AARP
Alzheimer’s Association
California Retired Teachers Association
California State Retirees
Opposition
None on file.
Analysis Prepared by: Elizabeth Fuller / AGING & L.T.C. / (916) 319-3990
Discussed in Hearing
Assembly Floor
Senate Floor
Assembly Standing Committee on Aging and Long-Term Care
Bill Author
Bill Co-Author(s):