June 23, 2014

No Wrong Door ....

Los Angeles – March 2014

… a robust statewide service system that supports older adults and their caregivers, provides an array of resources for independent living, embraces diversity, and respects the aging process.

Meetings, Conferences & Hearings Publishes Reports Partnerships & Connections Legislative Solutions Analyzes policy issues Adopts initiatives

Demographics Fear of aging Woodwork Myth Lack of

understanding Lack of Political Will Silos Diminished resources

- Multipurpose Senior Services Program (MSSP)

- Community-Based Adult Services

- Older Americans Act Programs (congregate/home-delivered meals, other)

-Older Californians Act Programs (program funding eliminated)

-Family Caregiver Support Program

-Senior Community Service Employment Program

-Medi-Cal State Plan Services

-Medi-Cal Managed Care

--Community-Based Adult Services (CBAS)

- Medi-Cal HCBS Waivers (Assisted Living, IHO, Acute Hospital, MSSP, AIDS)

- Program of All-Inclusive Care for the Elderly

- Caregiver Resource Centers

- Nursing Home Licensing and Certification, Citations

- Licensing of CBAS Centers, Nursing homes, and Home Health Aide Certification

- Alzheimer’s Disease Program

-Regional Centers

-HCBS –DD Waiver

- Developmental Centers

- Independent Living Centers

- Traumatic Brain Injury Program

- State Plan for Independent Living

Note: Organizational chart displays departments in CHHSA that administer long-term care programs, along with a list of most of the related programs. Departments that do not play a significant role are omitted.

*** Per Budget Act of 2011, funding for the APS program has been realigned to the counties.

California’s Departments and Programs for Long-Term CareOlmstead Advisory

Committee

California Health & Human Services Agency

Dept. of Social Services Dept. of Aging Dept. of Health

Care ServicesDept. of Public

Health

Dept. of Developmental

Services

Dept. of Rehabilitation

Alzheimer’s Disease & Related Disorders Advisory

Committee

- In-Home supportive Services Program (IHSS)

- Supplemental Security Income/ State Supplementary Payment

- Social Security Disability Insurance Program

-Community Care Licensing

-Adult Protective Services***

The Sky is Falling

CCI – Duals Demonstration – Off ramps – Rural

Managed Care

LTSS – funding & delivery

Ageism

Chronic underfunding Increase in service demand Federal funding level Economic Insecurity Struggling service network Workforce

Uniform Assessment & DataElder JusticeOAA Reauthorization & WHCOAHow to tell our storyGovernment “catching up”

after all these years ….

Future of Aging: A California Conversation

Self Responsibility

Importance of COMMUNITY

Senate Select Committee

State Finances

Regional Coalitions

A decade of reductions/diminishments Dynamic intersection of demographics &

longevity System transformation at state Service transformation at local Save for a “rainy day” mentality not a

reinvestment in aging services

IHSS Provider Overtime

$2.79 million for senior nutrition

$ 50,000 APS staffing – state level (1 position)

Door: Why it's simply impassible!”

Alice: Why, don't you mean impossible?

Door: No, I do mean impassible. (chuckles) … Nothing's impossible!”

From Alice in Wonderland`

California Commission on Aging 1300 National Drive, Suite 173 Sacramento, CA 95814 (916) 419 7591 www.ccoa.ca.gov ccoa@ccoa.ca.gov

Virgie P. Walker, CCoA Chair Sandi Fitzpatrick, MA, Executive Director