June 23, 2014

No Wrong Door....

The door to NO where …. The door to NO where ….

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 Care Olmstead Advisory Committee California Health & Human Services Agency Dept. of Social Services Dept. of Aging Dept. of Health Care Services Dept. 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

ElephantsThreats In Progress Trends Getting Better

 CCI – Duals Demonstration – Off ramps – Rural  Managed Care  LTSS – funding & delivery  Ageism

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

 Uniform Assessment & Data  Elder Justice  OAA Reauthorization & WHCOA  How to tell our story  Government “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)

Let’s go back to the door …. 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`

AGE. RIGHT. CALIFORNIA  California Commission on Aging  1300 National Drive, Suite 173  Sacramento, CA  (916)   Virgie P. Walker, CCoA Chair Sandi Fitzpatrick, MA, Executive Director