A Long-Term Strategy for Long-Term Care

Report #205, April 2011
A Long-Term Strategy for Long-Term Care

Full Report

Executive Summary

Press Release

FOR IMMEDIATE RELEASE
April 28, 2011

For Additional Information Contact:
Stuart Drown, Executive Director
(916) 445-2125

Commission Calls for More Coordination in Long-Term Care

The Little Hoover Commission on Thursday called for focusing the leadership of longterm care programs at the state level to improve local governments’ ability to help lowincome frail seniors and disabled Californians receive care in home and communitybased settings to avoid the need for nursing home care.

The Commission called for naming a long-term care champion at the state level who would be responsible for long-term care programs currently spread over seven different departments in the California Health and Human Services Agency. The state’s longterm care leader should be responsible for developing a state strategy that supports local government’s efforts to integrate long-term care services. The state’s long-term care leader also should be responsible for designing and implementing the consolidation of long-term care programs at the state level to improve efficiency and accountability.

“These are services that can best be delivered by local governments, and they need the support and flexibility to be able to put together integrated strategies that fit their local conditions,” said Daniel W. Hancock, chairman of the Little Hoover Commission.

In its report released today, A Long-Term Strategy for Long-Term Care, the Commission urges the Governor and Legislature to improve the state’s assessment, data collection and case management tools and give local governments the flexibility, control and support they need to best meet clients’ needs.

California serves more than a million low-income seniors through its long-term care programs. That number is expected to climb as the state’s senior population doubles over the next two decades. With responsibility for long-term care diffused, no single person is in charge of a collection of more than three dozen programs that serves a population whose needs change as they age. Duplication of programs and assessments diverts money that could be directed toward services and, despite overlap among programs, service gaps continue to exist. From the client perspective, what should appear as a system instead can be a confusing maze.

“This fragmented organizational structure and lack of a specific leader or entity responsible for long-term care in California leaves the state with a leadership vacuum that complicates any effort to take on comprehensive long-term care reform,” the Commission wrote.

“The leadership gap also thwarts local efforts to improve the system,” the report continues, “as forward-thinking counties seeking to integrate their programs try to obtain state approval for changes find themselves stymied in dealing with the different departments and are left with no one at the state who can facilitate their efforts at the local level.”

Universal budgeting of long-term care programs across departments would allow the state to better manage the system and identify cost trends more quickly until long-term care programs can be consolidated.

The state can aid local governments and gain information about beneficiaries useful to program management by developing a universal assessment tool that can be used to assess applicants and determine their eligibility for a range of programs at the same time. Such a tool would enhance local efforts to create a single point of entry into the system for low-income seniors and disabled Californians.

The Little Hoover Commission is a bipartisan and independent state agency charged with recommending ways to increase the efficiency and effectiveness of state programs. The Commission’s recommendations are sent to the Governor and the Legislature. To obtain a copy of the report, contact the Commission or visit its Web site: www.lhc.ca.gov.

Fact Sheet

Study Description

For this study, the Commission reviewed California’s system of care for the state's aging and disabled population. This study included a review of the options along the spectrum of long-term care, including in-home supportive services, home and community-based care, adult day health care and assisted-living and nursing facilities.


Previous Studies

Agenda

Overview

In this report, noting the rising number of Baby Boomers reaching retirement age, the Commission called for better preparation and a more comprehensive strategy for meeting seniors’ needs while maintaining their independence.  

During its review, the Commission found that California’s long-term care system is broken. The state has no reliable means of gauging what clients need, what benefits they receive, which services are used by whom, how much each service costs the state, and which programs work the best and are the most cost-effective in keeping people in their homes. The Commission also found that there is virtually no coordination or communication between programs and staff responsible for long-term care services. There is no integrated management or coordination of financing, service delivery or assessment of long-term care client needs or of providers.

The Commission recommends the state create a single point of contact, name a leader for long-term care, and develop a strategy for a seamless continuum of care.

Print Agenda
  • November 10
    2010
    Long-Term Care
    10:00 a.m., Director's Conference Room, 225 37th Avenue, San M
    Site Visit
    Public Notice

    PUBLIC NOTICE

    FOR IMMEDIATE RELEASE
    October 27, 2010

    For Additional Information Contact:
    Stuart Drown Executive Director
    (916) 445-2125

    Notice of Site Visit and Meeting

    The Long-Term Care Subcommittee of the Little Hoover Commission will meet with representatives from the San Mateo County Aging and Adult Services Office, in the Director’s Conference Room, located at 225 37th Avenue in San Mateo on Wednesday, November 10, 2010, from 10:00 a.m. to 2:30 p.m. to discuss their integration of long-term care programs and their Long-Term Care Supportive Services Project.

    Because of security procedures, please contact the Commission office by Thursday, November 4, 2010, if you plan on attending the meeting.

    All public notices for meetings are on the Commission’s Web site, www.lhc.ca.gov. If you need reasonable accommodation due to a disability, please contact Stuart Drown, executive director, at (916) 445-2125 or littlehoover@lhc.ca.gov by Thursday, November 4, 2010.

  • November 3
    2010
    Long-Term Care
    2:30 p.m., Library and Courts Building II, Room 501, 900 N Street,
    Advisory Committee Meeting
    Public Notice

    PUBLIC NOTICE

    FOR IMMEDIATE RELEASE
    October 20, 2010

    For Additional Information Contact:
    Stuart Drown, Executive Director
    (916) 445-2125

    Notice of Meeting

    The Long-Term Care Subcommittee of the Little Hoover Commission will hold an advisory committee meeting on Wednesday, November 3, 2010 to discuss the range of long-term care services available in rural communities and specific challenges for individuals who need to access those services. The Commission also will discuss some of the innovative solutions to improve accessibility of long-term care in rural settings. The meeting will begin at 2:30 p.m. in Room 501 of the Library and Courts Building II, located at 900 N Street in Sacramento.

    All public notices for meetings are on the Commission’s Web site, www.lhc.ca.gov. If you need reasonable accommodation due to a disability, please contact Stuart Drown, executive director, at (916) 445-2125 or littlehoover@lhc.ca.gov by Wednesday, October 27, 2010.

  • October 7
    2010
    Long-Term Care
    10:45 a.m., 9335 Hazard Way, San Diego, CA
    Site Visit
    Public Notice

    PUBLIC NOTICE

    FOR IMMEDIATE RELEASE
    September 23, 2010

    For Additional Information Contact:
    Stuart Drown, Executive Director
    (916) 445-2125

    Notice of Site Visit and Meeting

    The Long-Term Care Subcommittee of the Little Hoover Commission will meet with representatives from the San Diego County Aging and Independence Services located at 9335 Hazard Way in San Diego on Thursday, October 7, 2010, from 10:45 a.m. to 3:00 p.m. to discuss their model for integrating long-term care programs.

    Because of security procedures, please contact the Commission office by Thursday, September 30, 2010 if you plan on attending the meeting.

    All public notices for meetings are on the Commission’s Web site, www.lhc.ca.gov. If you need reasonable accommodation due to a disability, please contact Stuart Drown, executive director, at (916) 445-2125 or littlehoover@lhc.ca.gov by Thursday, September 30, 2010.

  • September 16
    2010
    Long-Term Care
    10:00 a.m., Library and Courts Building II, Room 340, 900 N Street,
    Subcommittee Meeting
    Public Notice

    PUBLIC NOTICE

    FOR IMMEDIATE RELEASE
    September 2, 2010

    For Additional Information Contact:
    Stuart Drown, Executive Director
    (916) 445-2125

    Notice of Meeting

    The Long-Term Care Subcommittee of the Little Hoover Commission has scheduled a meeting on Thursday, September 16, 2010 to discuss potential technological methods to integrate the state’s long-term care services. The meeting will begin at 10 a.m. in Room 340 of the Library and Courts Building II, located at 900 N Street in Sacramento.

    All public notices for meetings are on the Commission’s Web site, www.lhc.ca.gov. If you need reasonable accommodation due to a disability, please contact Stuart Drown, executive director, at (916) 445-2125 or littlehoover@lhc.ca.gov by Thursday, September 9, 2010.

  • August 26
    2010
    Long-Term Care
    9:00 a.m., Joe Serna Jr.
    Public Hearing
    Agenda

    AGENDA

    Public Hearing on Long-term Care
    Thursday, August 26, 2010, at 9:00 a.m.
    Joe Serna Jr. Cal/EPA Headquarters Building 
    Byron Sher Auditorium, 1001 I Street
    Sacramento, CA


    Opening Remarks

    State and Local Models of Success

    1. Charles Reed, Consultant, Reed Associates; former Assistant Secretary, Washington State Aging and Adult Services Administration (Written Testimony)
       
    2. Anne Hinton, Executive Director, San Francisco Department of Aging and Adult Services (Written Testimony)
       

    Innovative Partnerships

    1. June Simmons, President and Chief Executive Officer, Partners in Care Foundation (Written Testimony)
       

    Federal Health Care Reform

    1. Lisa Shugarman, Director of Policy, The SCAN Foundation (Written Testimony)
       

    Opportunities in California

    1. Gary Passmore, Director, Congress of California Seniors (Written Testimony)


    Public Comments

    Public Notice

    PUBLIC NOTICE

    FOR IMMEDIATE RELEASE
    August 12, 2010

    For Additional Information Contact:
    Stuart Drown, Executive Director
    (916) 445-2125

    Notice of Meetings

    On Thursday, August 26, 2010, the Little Hoover Commission will conduct its third public hearing on the state’s long-term care system. The hearing will begin at 9 a.m. in Room 437 of the State Capitol in Sacramento.

    In this study, the Commission is reviewing California’s system of long-term care for seniors and people with disabilities. The August hearing will focus on innovative models for providing long-term care and opportunities for California through health care reform and other initiatives.

    The Commission will hear from leaders of successful efforts to improve longterm care programs in Washington state and the city of San Francisco. The policy director from the SCAN Foundation will give an overview of the long-term care provisions of federal health care reform and the opportunities it presents for California and the president and CEO of Partners in Care Foundation will discuss the role of innovative partnerships in long-term care. The director of the Congress of California Seniors, also will comment on how California could improve its long-term care system.

    There will be an opportunity for public comment at the end of the hearing. The Commission also encourages written comments.

    Immediately following the hearing, the Commission will hold a business meeting in the Legislative Counsel Conference Room in the lower level of 925 L Street in Sacramento.

    On Wednesday, August 25, 2010, the Long-Term Care Subcommittee of the Little Hoover Commission has scheduled a meeting to learn about state’s In-Home Supportive Services program. The meeting will begin at 1 p.m. in the Legislative Counsel Conference Room in the lower level of 925 L Street in Sacramento.

    All public notices for meetings are on the Commission’s Web site, www.lhc.ca.gov. If you need reasonable accommodation due to a disability, please contact Stuart Drown at (916) 445-2125 or littlehoover@lhc.ca.gov by Thursday, August 19, 2010.

  • August 25
    2010
    Long-Term Care
    1:00 p.m., Legislative Counsel Conference Room, Lower Level, 925 L
    Subcommittee Meeting
    Public Notice

    PUBLIC NOTICE

    FOR IMMEDIATE RELEASE
    August 12, 2010

    For Additional Information Contact:
    Stuart Drown, Executive Director
    (916) 445-2125

    Notice of Meetings

    On Thursday, August 26, 2010, the Little Hoover Commission will conduct its third public hearing on the state’s long-term care system. The hearing will begin at 9 a.m. in Room 437 of the State Capitol in Sacramento.

    In this study, the Commission is reviewing California’s system of long-term care for seniors and people with disabilities. The August hearing will focus on innovative models for providing long-term care and opportunities for California through health care reform and other initiatives.

    The Commission will hear from leaders of successful efforts to improve longterm care programs in Washington state and the city of San Francisco. The policy director from the SCAN Foundation will give an overview of the long-term care provisions of federal health care reform and the opportunities it presents for California and the president and CEO of Partners in Care Foundation will discuss the role of innovative partnerships in long-term care. The director of the Congress of California Seniors, also will comment on how California could improve its long-term care system.

    There will be an opportunity for public comment at the end of the hearing. The Commission also encourages written comments.

    Immediately following the hearing, the Commission will hold a business meeting in the Legislative Counsel Conference Room in the lower level of 925 L Street in Sacramento.

    On Wednesday, August 25, 2010, the Long-Term Care Subcommittee of the Little Hoover Commission has scheduled a meeting to learn about state’s In-Home Supportive Services program. The meeting will begin at 1 p.m. in the Legislative Counsel Conference Room in the lower level of 925 L Street in Sacramento.

    All public notices for meetings are on the Commission’s Web site, www.lhc.ca.gov. If you need reasonable accommodation due to a disability, please contact Stuart Drown at (916) 445-2125 or littlehoover@lhc.ca.gov by Thursday, August 19, 2010.

  • July 7
    2010
    Long-Term Care
    10:00 a.m., 1333 Bush Street, San Francisco, CA
    Site Visit
    Public Notice

    PUBLIC NOTICE

    FOR IMMEDIATE RELEASE
    June 23, 2010

    For Additional Information Contact:
    Stuart Drown, Executive Director
    (916) 445-2125

    Notice of Site Visit

    The Long-Term Care Subcommittee of the Little Hoover Commission will visit the On Lok William L. Gee Center located at 1333 Bush Street, in San Francisco, California, at 10:00 a.m. on Wednesday, July 7, 2010. The Commission will meet with officials to learn about the Program of All-inclusive Care for the Elderly (PACE) model and will then tour the William L. Gee Center facility.

    Because of security procedures, you are encouraged to contact the Commission office by Monday, July 5, 2010, if you plan on attending this tour.

    All public notices for meetings are on the Commission’s Web site, www.lhc.ca.gov. If you need reasonable accommodation due to a disability, please contact Stuart Drown, executive director, at (916) 445-2125 or littlehoover@lhc.ca.gov by Wednesday, June 30, 2010.

  • May 27
    2010
    Long-Term Care
    9:00 a.m., State Capitol, Room 2040, Sacramento, CA
    Public Hearing
    Agenda

    AGENDA

    Public Hearing on Long-term Care
    Thursday, May 27, 2010, at 9:00 a.m.
    State Capitol, Room 2040
    Sacramento, CA


    Opening Remarks

    The Legal Landscape Post-Olmstead

    1. Eric Carlson, Directing Attorney, National Senior Citizens Law Center (Written Testimony)
       

    Home and Community-Based Services

    1. Stephen Kaye, Associate Professor in the Department of Social and Behavioral Sciences and Institute for Health and Aging at U.C. San Francisco and Co-Principal Investigator for the National Center for Personal Assistance Services (Written Testimony)
       
    2. Mitchell LaPlante, Professor in the Department of Social and Behavioral Sciences and Institute for Health and Aging at U.C. San Francisco and Co-Principal Investigator for the National Center for Personal Assistance Services
       

    Funding for Home and Community-Based Services - HCBS Waivers and the 1115 Waiver Renewal

    1. David Maxwell-Jolly, Director, Department of Health Care Services (Written Testimony)


    Moving Toward "Care in the Long-Term"

    1. Brenda Premo, Chair, Olmstead Advisory Committee and Director, Western University's Center for Disability Issues and the Health Professions 
      ​​​​​​​

    Comments Submitted by Members of the Public

    • Pamela Doty, Senior Policy Analyst, U.S. Department of Health and Human Services (Written Comments)
    Public Notice

    PUBLIC NOTICE

    FOR IMMEDIATE RELEASE
    May 13, 2010

    For Additional Information Contact:
    Stuart Drown, Executive Director
    (916) 445-2125

    Notice of Meeting

    On Thursday, May 27, 2010, the Little Hoover Commission will conduct its second public hearing on the state’s long-term care system. The hearing will begin at 9 a.m. in Room 2040 of the State Capitol in Sacramento.

    In this study, the Commission will review the spectrum of long-term care and California’s capacity to provide care to seniors and people with disabilities in the most integrated setting possible. At this hearing, the Commission will learn about home and community-based services, including the the legal need to provide services that allow people to live in the community rather than an institution, the cost-effectiveness and availability of home and community-based services and how California might expand its repertoire of home and community-based services.

    The Commission will hear from the directing attorney of the National Senior Citizens Law Center on the legal landscape of the Olmstead v. L.C. decision and related litigation. A panel of researchers from the Center for Personal Assistance Services at U.C. San Francisco will share their research on the cost-effectiveness of home and community-based programs from a national perspective and will discuss ramifications for California. The director of the California Department of Health Care Services will discuss the department’s role in overseeing long-term care waiver programs and the state’s 1115 waiver renewal process. Finally, the chair of the state’s Olmstead Advisory Committee will lay out a vision for providing a holistic system of care in the long-term.

    There will be an opportunity for public comment at the end of the hearing. The Commission also encourages written comments.

    Immediately following the hearing, the Commission will hold a business meeting in the Legislative Counsel Conference Room in the lower level of 925 L Street in Sacramento.

    All public notices for meetings are on the Commission’s Web site, www.lhc.ca.gov. If you need reasonable accommodation due to a disability, please contact Stuart Drown at (916) 445-2125 or littlehoover@lhc.ca.gov by Thursday, May 20, 2010.

  • March 25
    2010
    Long-Term Care
    9:00 a.m., State Capitol, Room 437, Sacramento, CA
    Public Hearing
    Agenda

    AGENDA

    Public Hearing on Long-Term Care
    Thursday, March 25, 2010, at 9:00 a.m.
    State Capitol, Room 437 
    Sacramento, CA


    Opening Remarks

    California’s Long-Term Care System

    1. Lisa Shugarman, Director of Policy, The SCAN Foundation (Written Testimony)
       
    2. Sarah Steenhausen, Senior Policy Fellow, The SCAN Foundation (Written Testimony)
       

    Recommendations to Improve Access

    1. Leslie Hendrickson, Principal, Hendrickson Development (Written Testimony)


    California Department of Aging

    1. Lynn Daucher, Director, California Department of Aging (Written Testimony)
      ​​​​​​​

    Efforts by the California Health and Human Services Agency

    1. Megan Juring, Assistant Secretary for Program and Fiscal Affairs, California Health and Human Services Agency (Written Testimony)
      ​​​​​​​

    Public Comments

    Public Notice

    PUBLIC NOTICE

    FOR IMMEDIATE RELEASE
    March 11, 2010

    For Additional Information Contact:
    Stuart Drown, Executive Director
    (916) 445-2125

    Notice of Meeting

    On Thursday, March 25, 2010, the Little Hoover Commission will conduct a public hearing on the state’s long-term care system. The hearing will begin at 9 a.m. in Room 437 of the State Capitol in Sacramento.

    In this study, the Commission will review the spectrum of long-term care, including in-home supportive services, home and community-based care, adult day health care and assisted-living and nursing facilities. At this hearing, the Commission will learn about the state’s long-term care services and the challenges to improving care services in California.

    The Commission will hear from a panel from The SCAN Foundation who will provide an overview of the major components of California’s long-term care system. The Commission also will hear about recommendations to improve access to care and opportunities to improve the state’s existing programs from the principal of Hendrickson Development and co-author of Home and Community-Based Long-Term Care: Recommendations to Improve Access for Californians. The director of the California Department of Aging will discuss the services available through the department and the role of the department within the state’s network of care. Finally, the assistant secretary of the California Health and Human Services Agency will provide an overview of the agency’s current efforts to improve long-term care in California.

    There will be an opportunity for public comment at the end of the hearing. The Commission also encourages written comments.

    Immediately following the hearing, the Commission will hold a business meeting in room 125 of the State Capitol.

    Also, the Commission will meet for dinner on Wednesday, March 24, 2010, at 6 p.m. at Spartaro’s Restaurant at 1415 L Street in Sacramento.

    All public notices for meetings are on the Commission’s Web site, www.lhc.ca.gov. If you need reasonable accommodation due to a disability, please contact Stuart Drown at (916) 445-2125 or littlehoover@lhc.ca.gov by Thursday, March 18, 2010.

November 10
2010
Long-Term Care
10:00 a.m., Director's Conference Room, 225 37th Avenue, San Mateo, CA
Site Visit
Public Notice

PUBLIC NOTICE

FOR IMMEDIATE RELEASE
October 27, 2010

For Additional Information Contact:
Stuart Drown Executive Director
(916) 445-2125

Notice of Site Visit and Meeting

The Long-Term Care Subcommittee of the Little Hoover Commission will meet with representatives from the San Mateo County Aging and Adult Services Office, in the Director’s Conference Room, located at 225 37th Avenue in San Mateo on Wednesday, November 10, 2010, from 10:00 a.m. to 2:30 p.m. to discuss their integration of long-term care programs and their Long-Term Care Supportive Services Project.

Because of security procedures, please contact the Commission office by Thursday, November 4, 2010, if you plan on attending the meeting.

All public notices for meetings are on the Commission’s Web site, www.lhc.ca.gov. If you need reasonable accommodation due to a disability, please contact Stuart Drown, executive director, at (916) 445-2125 or littlehoover@lhc.ca.gov by Thursday, November 4, 2010.

November 3
2010
Long-Term Care
2:30 p.m., Library and Courts Building II, Room 501, 900 N Street, Sacramento, CA
Advisory Committee Meeting
Public Notice

PUBLIC NOTICE

FOR IMMEDIATE RELEASE
October 20, 2010

For Additional Information Contact:
Stuart Drown, Executive Director
(916) 445-2125

Notice of Meeting

The Long-Term Care Subcommittee of the Little Hoover Commission will hold an advisory committee meeting on Wednesday, November 3, 2010 to discuss the range of long-term care services available in rural communities and specific challenges for individuals who need to access those services. The Commission also will discuss some of the innovative solutions to improve accessibility of long-term care in rural settings. The meeting will begin at 2:30 p.m. in Room 501 of the Library and Courts Building II, located at 900 N Street in Sacramento.

All public notices for meetings are on the Commission’s Web site, www.lhc.ca.gov. If you need reasonable accommodation due to a disability, please contact Stuart Drown, executive director, at (916) 445-2125 or littlehoover@lhc.ca.gov by Wednesday, October 27, 2010.

October 7
2010
Long-Term Care
10:45 a.m., 9335 Hazard Way, San Diego, CA
Site Visit
Public Notice

PUBLIC NOTICE

FOR IMMEDIATE RELEASE
September 23, 2010

For Additional Information Contact:
Stuart Drown, Executive Director
(916) 445-2125

Notice of Site Visit and Meeting

The Long-Term Care Subcommittee of the Little Hoover Commission will meet with representatives from the San Diego County Aging and Independence Services located at 9335 Hazard Way in San Diego on Thursday, October 7, 2010, from 10:45 a.m. to 3:00 p.m. to discuss their model for integrating long-term care programs.

Because of security procedures, please contact the Commission office by Thursday, September 30, 2010 if you plan on attending the meeting.

All public notices for meetings are on the Commission’s Web site, www.lhc.ca.gov. If you need reasonable accommodation due to a disability, please contact Stuart Drown, executive director, at (916) 445-2125 or littlehoover@lhc.ca.gov by Thursday, September 30, 2010.

September 16
2010
Long-Term Care
10:00 a.m., Library and Courts Building II, Room 340, 900 N Street, Sacramento, CA
Subcommittee Meeting
Public Notice

PUBLIC NOTICE

FOR IMMEDIATE RELEASE
September 2, 2010

For Additional Information Contact:
Stuart Drown, Executive Director
(916) 445-2125

Notice of Meeting

The Long-Term Care Subcommittee of the Little Hoover Commission has scheduled a meeting on Thursday, September 16, 2010 to discuss potential technological methods to integrate the state’s long-term care services. The meeting will begin at 10 a.m. in Room 340 of the Library and Courts Building II, located at 900 N Street in Sacramento.

All public notices for meetings are on the Commission’s Web site, www.lhc.ca.gov. If you need reasonable accommodation due to a disability, please contact Stuart Drown, executive director, at (916) 445-2125 or littlehoover@lhc.ca.gov by Thursday, September 9, 2010.

August 26
2010
Long-Term Care
9:00 a.m., Joe Serna Jr. Cal/EPA Headquarters Building, Byron Sher Auditorium, 1001 I Street, Sacramento, CA
Public Hearing
Agenda

AGENDA

Public Hearing on Long-term Care
Thursday, August 26, 2010, at 9:00 a.m.
Joe Serna Jr. Cal/EPA Headquarters Building 
Byron Sher Auditorium, 1001 I Street
Sacramento, CA


Opening Remarks

State and Local Models of Success

  1. Charles Reed, Consultant, Reed Associates; former Assistant Secretary, Washington State Aging and Adult Services Administration (Written Testimony)
     
  2. Anne Hinton, Executive Director, San Francisco Department of Aging and Adult Services (Written Testimony)
     

Innovative Partnerships

  1. June Simmons, President and Chief Executive Officer, Partners in Care Foundation (Written Testimony)
     

Federal Health Care Reform

  1. Lisa Shugarman, Director of Policy, The SCAN Foundation (Written Testimony)
     

Opportunities in California

  1. Gary Passmore, Director, Congress of California Seniors (Written Testimony)


Public Comments

Public Notice

PUBLIC NOTICE

FOR IMMEDIATE RELEASE
August 12, 2010

For Additional Information Contact:
Stuart Drown, Executive Director
(916) 445-2125

Notice of Meetings

On Thursday, August 26, 2010, the Little Hoover Commission will conduct its third public hearing on the state’s long-term care system. The hearing will begin at 9 a.m. in Room 437 of the State Capitol in Sacramento.

In this study, the Commission is reviewing California’s system of long-term care for seniors and people with disabilities. The August hearing will focus on innovative models for providing long-term care and opportunities for California through health care reform and other initiatives.

The Commission will hear from leaders of successful efforts to improve longterm care programs in Washington state and the city of San Francisco. The policy director from the SCAN Foundation will give an overview of the long-term care provisions of federal health care reform and the opportunities it presents for California and the president and CEO of Partners in Care Foundation will discuss the role of innovative partnerships in long-term care. The director of the Congress of California Seniors, also will comment on how California could improve its long-term care system.

There will be an opportunity for public comment at the end of the hearing. The Commission also encourages written comments.

Immediately following the hearing, the Commission will hold a business meeting in the Legislative Counsel Conference Room in the lower level of 925 L Street in Sacramento.

On Wednesday, August 25, 2010, the Long-Term Care Subcommittee of the Little Hoover Commission has scheduled a meeting to learn about state’s In-Home Supportive Services program. The meeting will begin at 1 p.m. in the Legislative Counsel Conference Room in the lower level of 925 L Street in Sacramento.

All public notices for meetings are on the Commission’s Web site, www.lhc.ca.gov. If you need reasonable accommodation due to a disability, please contact Stuart Drown at (916) 445-2125 or littlehoover@lhc.ca.gov by Thursday, August 19, 2010.

August 25
2010
Long-Term Care
1:00 p.m., Legislative Counsel Conference Room, Lower Level, 925 L Street, Sacramento, CA
Subcommittee Meeting
Public Notice

PUBLIC NOTICE

FOR IMMEDIATE RELEASE
August 12, 2010

For Additional Information Contact:
Stuart Drown, Executive Director
(916) 445-2125

Notice of Meetings

On Thursday, August 26, 2010, the Little Hoover Commission will conduct its third public hearing on the state’s long-term care system. The hearing will begin at 9 a.m. in Room 437 of the State Capitol in Sacramento.

In this study, the Commission is reviewing California’s system of long-term care for seniors and people with disabilities. The August hearing will focus on innovative models for providing long-term care and opportunities for California through health care reform and other initiatives.

The Commission will hear from leaders of successful efforts to improve longterm care programs in Washington state and the city of San Francisco. The policy director from the SCAN Foundation will give an overview of the long-term care provisions of federal health care reform and the opportunities it presents for California and the president and CEO of Partners in Care Foundation will discuss the role of innovative partnerships in long-term care. The director of the Congress of California Seniors, also will comment on how California could improve its long-term care system.

There will be an opportunity for public comment at the end of the hearing. The Commission also encourages written comments.

Immediately following the hearing, the Commission will hold a business meeting in the Legislative Counsel Conference Room in the lower level of 925 L Street in Sacramento.

On Wednesday, August 25, 2010, the Long-Term Care Subcommittee of the Little Hoover Commission has scheduled a meeting to learn about state’s In-Home Supportive Services program. The meeting will begin at 1 p.m. in the Legislative Counsel Conference Room in the lower level of 925 L Street in Sacramento.

All public notices for meetings are on the Commission’s Web site, www.lhc.ca.gov. If you need reasonable accommodation due to a disability, please contact Stuart Drown at (916) 445-2125 or littlehoover@lhc.ca.gov by Thursday, August 19, 2010.

July 7
2010
Long-Term Care
10:00 a.m., 1333 Bush Street, San Francisco, CA
Site Visit
Public Notice

PUBLIC NOTICE

FOR IMMEDIATE RELEASE
June 23, 2010

For Additional Information Contact:
Stuart Drown, Executive Director
(916) 445-2125

Notice of Site Visit

The Long-Term Care Subcommittee of the Little Hoover Commission will visit the On Lok William L. Gee Center located at 1333 Bush Street, in San Francisco, California, at 10:00 a.m. on Wednesday, July 7, 2010. The Commission will meet with officials to learn about the Program of All-inclusive Care for the Elderly (PACE) model and will then tour the William L. Gee Center facility.

Because of security procedures, you are encouraged to contact the Commission office by Monday, July 5, 2010, if you plan on attending this tour.

All public notices for meetings are on the Commission’s Web site, www.lhc.ca.gov. If you need reasonable accommodation due to a disability, please contact Stuart Drown, executive director, at (916) 445-2125 or littlehoover@lhc.ca.gov by Wednesday, June 30, 2010.

May 27
2010
Long-Term Care
9:00 a.m., State Capitol, Room 2040, Sacramento, CA
Public Hearing
Agenda

AGENDA

Public Hearing on Long-term Care
Thursday, May 27, 2010, at 9:00 a.m.
State Capitol, Room 2040
Sacramento, CA


Opening Remarks

The Legal Landscape Post-Olmstead

  1. Eric Carlson, Directing Attorney, National Senior Citizens Law Center (Written Testimony)
     

Home and Community-Based Services

  1. Stephen Kaye, Associate Professor in the Department of Social and Behavioral Sciences and Institute for Health and Aging at U.C. San Francisco and Co-Principal Investigator for the National Center for Personal Assistance Services (Written Testimony)
     
  2. Mitchell LaPlante, Professor in the Department of Social and Behavioral Sciences and Institute for Health and Aging at U.C. San Francisco and Co-Principal Investigator for the National Center for Personal Assistance Services
     

Funding for Home and Community-Based Services - HCBS Waivers and the 1115 Waiver Renewal

  1. David Maxwell-Jolly, Director, Department of Health Care Services (Written Testimony)


Moving Toward "Care in the Long-Term"

  1. Brenda Premo, Chair, Olmstead Advisory Committee and Director, Western University's Center for Disability Issues and the Health Professions 
    ​​​​​​​

Comments Submitted by Members of the Public

  • Pamela Doty, Senior Policy Analyst, U.S. Department of Health and Human Services (Written Comments)
Public Notice

PUBLIC NOTICE

FOR IMMEDIATE RELEASE
May 13, 2010

For Additional Information Contact:
Stuart Drown, Executive Director
(916) 445-2125

Notice of Meeting

On Thursday, May 27, 2010, the Little Hoover Commission will conduct its second public hearing on the state’s long-term care system. The hearing will begin at 9 a.m. in Room 2040 of the State Capitol in Sacramento.

In this study, the Commission will review the spectrum of long-term care and California’s capacity to provide care to seniors and people with disabilities in the most integrated setting possible. At this hearing, the Commission will learn about home and community-based services, including the the legal need to provide services that allow people to live in the community rather than an institution, the cost-effectiveness and availability of home and community-based services and how California might expand its repertoire of home and community-based services.

The Commission will hear from the directing attorney of the National Senior Citizens Law Center on the legal landscape of the Olmstead v. L.C. decision and related litigation. A panel of researchers from the Center for Personal Assistance Services at U.C. San Francisco will share their research on the cost-effectiveness of home and community-based programs from a national perspective and will discuss ramifications for California. The director of the California Department of Health Care Services will discuss the department’s role in overseeing long-term care waiver programs and the state’s 1115 waiver renewal process. Finally, the chair of the state’s Olmstead Advisory Committee will lay out a vision for providing a holistic system of care in the long-term.

There will be an opportunity for public comment at the end of the hearing. The Commission also encourages written comments.

Immediately following the hearing, the Commission will hold a business meeting in the Legislative Counsel Conference Room in the lower level of 925 L Street in Sacramento.

All public notices for meetings are on the Commission’s Web site, www.lhc.ca.gov. If you need reasonable accommodation due to a disability, please contact Stuart Drown at (916) 445-2125 or littlehoover@lhc.ca.gov by Thursday, May 20, 2010.

March 25
2010
Long-Term Care
9:00 a.m., State Capitol, Room 437, Sacramento, CA
Public Hearing
Agenda

AGENDA

Public Hearing on Long-Term Care
Thursday, March 25, 2010, at 9:00 a.m.
State Capitol, Room 437 
Sacramento, CA


Opening Remarks

California’s Long-Term Care System

  1. Lisa Shugarman, Director of Policy, The SCAN Foundation (Written Testimony)
     
  2. Sarah Steenhausen, Senior Policy Fellow, The SCAN Foundation (Written Testimony)
     

Recommendations to Improve Access

  1. Leslie Hendrickson, Principal, Hendrickson Development (Written Testimony)


California Department of Aging

  1. Lynn Daucher, Director, California Department of Aging (Written Testimony)
    ​​​​​​​

Efforts by the California Health and Human Services Agency

  1. Megan Juring, Assistant Secretary for Program and Fiscal Affairs, California Health and Human Services Agency (Written Testimony)
    ​​​​​​​

Public Comments

Public Notice

PUBLIC NOTICE

FOR IMMEDIATE RELEASE
March 11, 2010

For Additional Information Contact:
Stuart Drown, Executive Director
(916) 445-2125

Notice of Meeting

On Thursday, March 25, 2010, the Little Hoover Commission will conduct a public hearing on the state’s long-term care system. The hearing will begin at 9 a.m. in Room 437 of the State Capitol in Sacramento.

In this study, the Commission will review the spectrum of long-term care, including in-home supportive services, home and community-based care, adult day health care and assisted-living and nursing facilities. At this hearing, the Commission will learn about the state’s long-term care services and the challenges to improving care services in California.

The Commission will hear from a panel from The SCAN Foundation who will provide an overview of the major components of California’s long-term care system. The Commission also will hear about recommendations to improve access to care and opportunities to improve the state’s existing programs from the principal of Hendrickson Development and co-author of Home and Community-Based Long-Term Care: Recommendations to Improve Access for Californians. The director of the California Department of Aging will discuss the services available through the department and the role of the department within the state’s network of care. Finally, the assistant secretary of the California Health and Human Services Agency will provide an overview of the agency’s current efforts to improve long-term care in California.

There will be an opportunity for public comment at the end of the hearing. The Commission also encourages written comments.

Immediately following the hearing, the Commission will hold a business meeting in room 125 of the State Capitol.

Also, the Commission will meet for dinner on Wednesday, March 24, 2010, at 6 p.m. at Spartaro’s Restaurant at 1415 L Street in Sacramento.

All public notices for meetings are on the Commission’s Web site, www.lhc.ca.gov. If you need reasonable accommodation due to a disability, please contact Stuart Drown at (916) 445-2125 or littlehoover@lhc.ca.gov by Thursday, March 18, 2010.

Print Agenda
  • November 10
    2010
    Long-Term Care
    10:00 a.m., Director's Conference Room, 225 37th Avenue, San M
    Site Visit
    Public Notice

    PUBLIC NOTICE

    FOR IMMEDIATE RELEASE
    October 27, 2010

    For Additional Information Contact:
    Stuart Drown Executive Director
    (916) 445-2125

    Notice of Site Visit and Meeting

    The Long-Term Care Subcommittee of the Little Hoover Commission will meet with representatives from the San Mateo County Aging and Adult Services Office, in the Director’s Conference Room, located at 225 37th Avenue in San Mateo on Wednesday, November 10, 2010, from 10:00 a.m. to 2:30 p.m. to discuss their integration of long-term care programs and their Long-Term Care Supportive Services Project.

    Because of security procedures, please contact the Commission office by Thursday, November 4, 2010, if you plan on attending the meeting.

    All public notices for meetings are on the Commission’s Web site, www.lhc.ca.gov. If you need reasonable accommodation due to a disability, please contact Stuart Drown, executive director, at (916) 445-2125 or littlehoover@lhc.ca.gov by Thursday, November 4, 2010.

  • November 3
    2010
    Long-Term Care
    2:30 p.m., Library and Courts Building II, Room 501, 900 N Street,
    Advisory Committee Meeting
    Public Notice

    PUBLIC NOTICE

    FOR IMMEDIATE RELEASE
    October 20, 2010

    For Additional Information Contact:
    Stuart Drown, Executive Director
    (916) 445-2125

    Notice of Meeting

    The Long-Term Care Subcommittee of the Little Hoover Commission will hold an advisory committee meeting on Wednesday, November 3, 2010 to discuss the range of long-term care services available in rural communities and specific challenges for individuals who need to access those services. The Commission also will discuss some of the innovative solutions to improve accessibility of long-term care in rural settings. The meeting will begin at 2:30 p.m. in Room 501 of the Library and Courts Building II, located at 900 N Street in Sacramento.

    All public notices for meetings are on the Commission’s Web site, www.lhc.ca.gov. If you need reasonable accommodation due to a disability, please contact Stuart Drown, executive director, at (916) 445-2125 or littlehoover@lhc.ca.gov by Wednesday, October 27, 2010.

  • October 7
    2010
    Long-Term Care
    10:45 a.m., 9335 Hazard Way, San Diego, CA
    Site Visit
    Public Notice

    PUBLIC NOTICE

    FOR IMMEDIATE RELEASE
    September 23, 2010

    For Additional Information Contact:
    Stuart Drown, Executive Director
    (916) 445-2125

    Notice of Site Visit and Meeting

    The Long-Term Care Subcommittee of the Little Hoover Commission will meet with representatives from the San Diego County Aging and Independence Services located at 9335 Hazard Way in San Diego on Thursday, October 7, 2010, from 10:45 a.m. to 3:00 p.m. to discuss their model for integrating long-term care programs.

    Because of security procedures, please contact the Commission office by Thursday, September 30, 2010 if you plan on attending the meeting.

    All public notices for meetings are on the Commission’s Web site, www.lhc.ca.gov. If you need reasonable accommodation due to a disability, please contact Stuart Drown, executive director, at (916) 445-2125 or littlehoover@lhc.ca.gov by Thursday, September 30, 2010.

  • September 16
    2010
    Long-Term Care
    10:00 a.m., Library and Courts Building II, Room 340, 900 N Street,
    Subcommittee Meeting
    Public Notice

    PUBLIC NOTICE

    FOR IMMEDIATE RELEASE
    September 2, 2010

    For Additional Information Contact:
    Stuart Drown, Executive Director
    (916) 445-2125

    Notice of Meeting

    The Long-Term Care Subcommittee of the Little Hoover Commission has scheduled a meeting on Thursday, September 16, 2010 to discuss potential technological methods to integrate the state’s long-term care services. The meeting will begin at 10 a.m. in Room 340 of the Library and Courts Building II, located at 900 N Street in Sacramento.

    All public notices for meetings are on the Commission’s Web site, www.lhc.ca.gov. If you need reasonable accommodation due to a disability, please contact Stuart Drown, executive director, at (916) 445-2125 or littlehoover@lhc.ca.gov by Thursday, September 9, 2010.

  • August 26
    2010
    Long-Term Care
    9:00 a.m., Joe Serna Jr.
    Public Hearing
    Agenda

    AGENDA

    Public Hearing on Long-term Care
    Thursday, August 26, 2010, at 9:00 a.m.
    Joe Serna Jr. Cal/EPA Headquarters Building 
    Byron Sher Auditorium, 1001 I Street
    Sacramento, CA


    Opening Remarks

    State and Local Models of Success

    1. Charles Reed, Consultant, Reed Associates; former Assistant Secretary, Washington State Aging and Adult Services Administration (Written Testimony)
       
    2. Anne Hinton, Executive Director, San Francisco Department of Aging and Adult Services (Written Testimony)
       

    Innovative Partnerships

    1. June Simmons, President and Chief Executive Officer, Partners in Care Foundation (Written Testimony)
       

    Federal Health Care Reform

    1. Lisa Shugarman, Director of Policy, The SCAN Foundation (Written Testimony)
       

    Opportunities in California

    1. Gary Passmore, Director, Congress of California Seniors (Written Testimony)


    Public Comments

    Public Notice

    PUBLIC NOTICE

    FOR IMMEDIATE RELEASE
    August 12, 2010

    For Additional Information Contact:
    Stuart Drown, Executive Director
    (916) 445-2125

    Notice of Meetings

    On Thursday, August 26, 2010, the Little Hoover Commission will conduct its third public hearing on the state’s long-term care system. The hearing will begin at 9 a.m. in Room 437 of the State Capitol in Sacramento.

    In this study, the Commission is reviewing California’s system of long-term care for seniors and people with disabilities. The August hearing will focus on innovative models for providing long-term care and opportunities for California through health care reform and other initiatives.

    The Commission will hear from leaders of successful efforts to improve longterm care programs in Washington state and the city of San Francisco. The policy director from the SCAN Foundation will give an overview of the long-term care provisions of federal health care reform and the opportunities it presents for California and the president and CEO of Partners in Care Foundation will discuss the role of innovative partnerships in long-term care. The director of the Congress of California Seniors, also will comment on how California could improve its long-term care system.

    There will be an opportunity for public comment at the end of the hearing. The Commission also encourages written comments.

    Immediately following the hearing, the Commission will hold a business meeting in the Legislative Counsel Conference Room in the lower level of 925 L Street in Sacramento.

    On Wednesday, August 25, 2010, the Long-Term Care Subcommittee of the Little Hoover Commission has scheduled a meeting to learn about state’s In-Home Supportive Services program. The meeting will begin at 1 p.m. in the Legislative Counsel Conference Room in the lower level of 925 L Street in Sacramento.

    All public notices for meetings are on the Commission’s Web site, www.lhc.ca.gov. If you need reasonable accommodation due to a disability, please contact Stuart Drown at (916) 445-2125 or littlehoover@lhc.ca.gov by Thursday, August 19, 2010.

  • August 25
    2010
    Long-Term Care
    1:00 p.m., Legislative Counsel Conference Room, Lower Level, 925 L
    Subcommittee Meeting
    Public Notice

    PUBLIC NOTICE

    FOR IMMEDIATE RELEASE
    August 12, 2010

    For Additional Information Contact:
    Stuart Drown, Executive Director
    (916) 445-2125

    Notice of Meetings

    On Thursday, August 26, 2010, the Little Hoover Commission will conduct its third public hearing on the state’s long-term care system. The hearing will begin at 9 a.m. in Room 437 of the State Capitol in Sacramento.

    In this study, the Commission is reviewing California’s system of long-term care for seniors and people with disabilities. The August hearing will focus on innovative models for providing long-term care and opportunities for California through health care reform and other initiatives.

    The Commission will hear from leaders of successful efforts to improve longterm care programs in Washington state and the city of San Francisco. The policy director from the SCAN Foundation will give an overview of the long-term care provisions of federal health care reform and the opportunities it presents for California and the president and CEO of Partners in Care Foundation will discuss the role of innovative partnerships in long-term care. The director of the Congress of California Seniors, also will comment on how California could improve its long-term care system.

    There will be an opportunity for public comment at the end of the hearing. The Commission also encourages written comments.

    Immediately following the hearing, the Commission will hold a business meeting in the Legislative Counsel Conference Room in the lower level of 925 L Street in Sacramento.

    On Wednesday, August 25, 2010, the Long-Term Care Subcommittee of the Little Hoover Commission has scheduled a meeting to learn about state’s In-Home Supportive Services program. The meeting will begin at 1 p.m. in the Legislative Counsel Conference Room in the lower level of 925 L Street in Sacramento.

    All public notices for meetings are on the Commission’s Web site, www.lhc.ca.gov. If you need reasonable accommodation due to a disability, please contact Stuart Drown at (916) 445-2125 or littlehoover@lhc.ca.gov by Thursday, August 19, 2010.

  • July 7
    2010
    Long-Term Care
    10:00 a.m., 1333 Bush Street, San Francisco, CA
    Site Visit
    Public Notice

    PUBLIC NOTICE

    FOR IMMEDIATE RELEASE
    June 23, 2010

    For Additional Information Contact:
    Stuart Drown, Executive Director
    (916) 445-2125

    Notice of Site Visit

    The Long-Term Care Subcommittee of the Little Hoover Commission will visit the On Lok William L. Gee Center located at 1333 Bush Street, in San Francisco, California, at 10:00 a.m. on Wednesday, July 7, 2010. The Commission will meet with officials to learn about the Program of All-inclusive Care for the Elderly (PACE) model and will then tour the William L. Gee Center facility.

    Because of security procedures, you are encouraged to contact the Commission office by Monday, July 5, 2010, if you plan on attending this tour.

    All public notices for meetings are on the Commission’s Web site, www.lhc.ca.gov. If you need reasonable accommodation due to a disability, please contact Stuart Drown, executive director, at (916) 445-2125 or littlehoover@lhc.ca.gov by Wednesday, June 30, 2010.

  • May 27
    2010
    Long-Term Care
    9:00 a.m., State Capitol, Room 2040, Sacramento, CA
    Public Hearing
    Agenda

    AGENDA

    Public Hearing on Long-term Care
    Thursday, May 27, 2010, at 9:00 a.m.
    State Capitol, Room 2040
    Sacramento, CA


    Opening Remarks

    The Legal Landscape Post-Olmstead

    1. Eric Carlson, Directing Attorney, National Senior Citizens Law Center (Written Testimony)
       

    Home and Community-Based Services

    1. Stephen Kaye, Associate Professor in the Department of Social and Behavioral Sciences and Institute for Health and Aging at U.C. San Francisco and Co-Principal Investigator for the National Center for Personal Assistance Services (Written Testimony)
       
    2. Mitchell LaPlante, Professor in the Department of Social and Behavioral Sciences and Institute for Health and Aging at U.C. San Francisco and Co-Principal Investigator for the National Center for Personal Assistance Services
       

    Funding for Home and Community-Based Services - HCBS Waivers and the 1115 Waiver Renewal

    1. David Maxwell-Jolly, Director, Department of Health Care Services (Written Testimony)


    Moving Toward "Care in the Long-Term"

    1. Brenda Premo, Chair, Olmstead Advisory Committee and Director, Western University's Center for Disability Issues and the Health Professions 
      ​​​​​​​

    Comments Submitted by Members of the Public

    • Pamela Doty, Senior Policy Analyst, U.S. Department of Health and Human Services (Written Comments)
    Public Notice

    PUBLIC NOTICE

    FOR IMMEDIATE RELEASE
    May 13, 2010

    For Additional Information Contact:
    Stuart Drown, Executive Director
    (916) 445-2125

    Notice of Meeting

    On Thursday, May 27, 2010, the Little Hoover Commission will conduct its second public hearing on the state’s long-term care system. The hearing will begin at 9 a.m. in Room 2040 of the State Capitol in Sacramento.

    In this study, the Commission will review the spectrum of long-term care and California’s capacity to provide care to seniors and people with disabilities in the most integrated setting possible. At this hearing, the Commission will learn about home and community-based services, including the the legal need to provide services that allow people to live in the community rather than an institution, the cost-effectiveness and availability of home and community-based services and how California might expand its repertoire of home and community-based services.

    The Commission will hear from the directing attorney of the National Senior Citizens Law Center on the legal landscape of the Olmstead v. L.C. decision and related litigation. A panel of researchers from the Center for Personal Assistance Services at U.C. San Francisco will share their research on the cost-effectiveness of home and community-based programs from a national perspective and will discuss ramifications for California. The director of the California Department of Health Care Services will discuss the department’s role in overseeing long-term care waiver programs and the state’s 1115 waiver renewal process. Finally, the chair of the state’s Olmstead Advisory Committee will lay out a vision for providing a holistic system of care in the long-term.

    There will be an opportunity for public comment at the end of the hearing. The Commission also encourages written comments.

    Immediately following the hearing, the Commission will hold a business meeting in the Legislative Counsel Conference Room in the lower level of 925 L Street in Sacramento.

    All public notices for meetings are on the Commission’s Web site, www.lhc.ca.gov. If you need reasonable accommodation due to a disability, please contact Stuart Drown at (916) 445-2125 or littlehoover@lhc.ca.gov by Thursday, May 20, 2010.

  • March 25
    2010
    Long-Term Care
    9:00 a.m., State Capitol, Room 437, Sacramento, CA
    Public Hearing
    Agenda

    AGENDA

    Public Hearing on Long-Term Care
    Thursday, March 25, 2010, at 9:00 a.m.
    State Capitol, Room 437 
    Sacramento, CA


    Opening Remarks

    California’s Long-Term Care System

    1. Lisa Shugarman, Director of Policy, The SCAN Foundation (Written Testimony)
       
    2. Sarah Steenhausen, Senior Policy Fellow, The SCAN Foundation (Written Testimony)
       

    Recommendations to Improve Access

    1. Leslie Hendrickson, Principal, Hendrickson Development (Written Testimony)


    California Department of Aging

    1. Lynn Daucher, Director, California Department of Aging (Written Testimony)
      ​​​​​​​

    Efforts by the California Health and Human Services Agency

    1. Megan Juring, Assistant Secretary for Program and Fiscal Affairs, California Health and Human Services Agency (Written Testimony)
      ​​​​​​​

    Public Comments

    Public Notice

    PUBLIC NOTICE

    FOR IMMEDIATE RELEASE
    March 11, 2010

    For Additional Information Contact:
    Stuart Drown, Executive Director
    (916) 445-2125

    Notice of Meeting

    On Thursday, March 25, 2010, the Little Hoover Commission will conduct a public hearing on the state’s long-term care system. The hearing will begin at 9 a.m. in Room 437 of the State Capitol in Sacramento.

    In this study, the Commission will review the spectrum of long-term care, including in-home supportive services, home and community-based care, adult day health care and assisted-living and nursing facilities. At this hearing, the Commission will learn about the state’s long-term care services and the challenges to improving care services in California.

    The Commission will hear from a panel from The SCAN Foundation who will provide an overview of the major components of California’s long-term care system. The Commission also will hear about recommendations to improve access to care and opportunities to improve the state’s existing programs from the principal of Hendrickson Development and co-author of Home and Community-Based Long-Term Care: Recommendations to Improve Access for Californians. The director of the California Department of Aging will discuss the services available through the department and the role of the department within the state’s network of care. Finally, the assistant secretary of the California Health and Human Services Agency will provide an overview of the agency’s current efforts to improve long-term care in California.

    There will be an opportunity for public comment at the end of the hearing. The Commission also encourages written comments.

    Immediately following the hearing, the Commission will hold a business meeting in room 125 of the State Capitol.

    Also, the Commission will meet for dinner on Wednesday, March 24, 2010, at 6 p.m. at Spartaro’s Restaurant at 1415 L Street in Sacramento.

    All public notices for meetings are on the Commission’s Web site, www.lhc.ca.gov. If you need reasonable accommodation due to a disability, please contact Stuart Drown at (916) 445-2125 or littlehoover@lhc.ca.gov by Thursday, March 18, 2010.

November 10
2010
Long-Term Care
10:00 a.m., Director's Conference Room, 225 37th Avenue, San Mateo, CA
Site Visit
Public Notice

PUBLIC NOTICE

FOR IMMEDIATE RELEASE
October 27, 2010

For Additional Information Contact:
Stuart Drown Executive Director
(916) 445-2125

Notice of Site Visit and Meeting

The Long-Term Care Subcommittee of the Little Hoover Commission will meet with representatives from the San Mateo County Aging and Adult Services Office, in the Director’s Conference Room, located at 225 37th Avenue in San Mateo on Wednesday, November 10, 2010, from 10:00 a.m. to 2:30 p.m. to discuss their integration of long-term care programs and their Long-Term Care Supportive Services Project.

Because of security procedures, please contact the Commission office by Thursday, November 4, 2010, if you plan on attending the meeting.

All public notices for meetings are on the Commission’s Web site, www.lhc.ca.gov. If you need reasonable accommodation due to a disability, please contact Stuart Drown, executive director, at (916) 445-2125 or littlehoover@lhc.ca.gov by Thursday, November 4, 2010.

November 3
2010
Long-Term Care
2:30 p.m., Library and Courts Building II, Room 501, 900 N Street, Sacramento, CA
Advisory Committee Meeting
Public Notice

PUBLIC NOTICE

FOR IMMEDIATE RELEASE
October 20, 2010

For Additional Information Contact:
Stuart Drown, Executive Director
(916) 445-2125

Notice of Meeting

The Long-Term Care Subcommittee of the Little Hoover Commission will hold an advisory committee meeting on Wednesday, November 3, 2010 to discuss the range of long-term care services available in rural communities and specific challenges for individuals who need to access those services. The Commission also will discuss some of the innovative solutions to improve accessibility of long-term care in rural settings. The meeting will begin at 2:30 p.m. in Room 501 of the Library and Courts Building II, located at 900 N Street in Sacramento.

All public notices for meetings are on the Commission’s Web site, www.lhc.ca.gov. If you need reasonable accommodation due to a disability, please contact Stuart Drown, executive director, at (916) 445-2125 or littlehoover@lhc.ca.gov by Wednesday, October 27, 2010.

October 7
2010
Long-Term Care
10:45 a.m., 9335 Hazard Way, San Diego, CA
Site Visit
Public Notice

PUBLIC NOTICE

FOR IMMEDIATE RELEASE
September 23, 2010

For Additional Information Contact:
Stuart Drown, Executive Director
(916) 445-2125

Notice of Site Visit and Meeting

The Long-Term Care Subcommittee of the Little Hoover Commission will meet with representatives from the San Diego County Aging and Independence Services located at 9335 Hazard Way in San Diego on Thursday, October 7, 2010, from 10:45 a.m. to 3:00 p.m. to discuss their model for integrating long-term care programs.

Because of security procedures, please contact the Commission office by Thursday, September 30, 2010 if you plan on attending the meeting.

All public notices for meetings are on the Commission’s Web site, www.lhc.ca.gov. If you need reasonable accommodation due to a disability, please contact Stuart Drown, executive director, at (916) 445-2125 or littlehoover@lhc.ca.gov by Thursday, September 30, 2010.

September 16
2010
Long-Term Care
10:00 a.m., Library and Courts Building II, Room 340, 900 N Street, Sacramento, CA
Subcommittee Meeting
Public Notice

PUBLIC NOTICE

FOR IMMEDIATE RELEASE
September 2, 2010

For Additional Information Contact:
Stuart Drown, Executive Director
(916) 445-2125

Notice of Meeting

The Long-Term Care Subcommittee of the Little Hoover Commission has scheduled a meeting on Thursday, September 16, 2010 to discuss potential technological methods to integrate the state’s long-term care services. The meeting will begin at 10 a.m. in Room 340 of the Library and Courts Building II, located at 900 N Street in Sacramento.

All public notices for meetings are on the Commission’s Web site, www.lhc.ca.gov. If you need reasonable accommodation due to a disability, please contact Stuart Drown, executive director, at (916) 445-2125 or littlehoover@lhc.ca.gov by Thursday, September 9, 2010.

August 26
2010
Long-Term Care
9:00 a.m., Joe Serna Jr. Cal/EPA Headquarters Building, Byron Sher Auditorium, 1001 I Street, Sacramento, CA
Public Hearing
Agenda

AGENDA

Public Hearing on Long-term Care
Thursday, August 26, 2010, at 9:00 a.m.
Joe Serna Jr. Cal/EPA Headquarters Building 
Byron Sher Auditorium, 1001 I Street
Sacramento, CA


Opening Remarks

State and Local Models of Success

  1. Charles Reed, Consultant, Reed Associates; former Assistant Secretary, Washington State Aging and Adult Services Administration (Written Testimony)
     
  2. Anne Hinton, Executive Director, San Francisco Department of Aging and Adult Services (Written Testimony)
     

Innovative Partnerships

  1. June Simmons, President and Chief Executive Officer, Partners in Care Foundation (Written Testimony)
     

Federal Health Care Reform

  1. Lisa Shugarman, Director of Policy, The SCAN Foundation (Written Testimony)
     

Opportunities in California

  1. Gary Passmore, Director, Congress of California Seniors (Written Testimony)


Public Comments

Public Notice

PUBLIC NOTICE

FOR IMMEDIATE RELEASE
August 12, 2010

For Additional Information Contact:
Stuart Drown, Executive Director
(916) 445-2125

Notice of Meetings

On Thursday, August 26, 2010, the Little Hoover Commission will conduct its third public hearing on the state’s long-term care system. The hearing will begin at 9 a.m. in Room 437 of the State Capitol in Sacramento.

In this study, the Commission is reviewing California’s system of long-term care for seniors and people with disabilities. The August hearing will focus on innovative models for providing long-term care and opportunities for California through health care reform and other initiatives.

The Commission will hear from leaders of successful efforts to improve longterm care programs in Washington state and the city of San Francisco. The policy director from the SCAN Foundation will give an overview of the long-term care provisions of federal health care reform and the opportunities it presents for California and the president and CEO of Partners in Care Foundation will discuss the role of innovative partnerships in long-term care. The director of the Congress of California Seniors, also will comment on how California could improve its long-term care system.

There will be an opportunity for public comment at the end of the hearing. The Commission also encourages written comments.

Immediately following the hearing, the Commission will hold a business meeting in the Legislative Counsel Conference Room in the lower level of 925 L Street in Sacramento.

On Wednesday, August 25, 2010, the Long-Term Care Subcommittee of the Little Hoover Commission has scheduled a meeting to learn about state’s In-Home Supportive Services program. The meeting will begin at 1 p.m. in the Legislative Counsel Conference Room in the lower level of 925 L Street in Sacramento.

All public notices for meetings are on the Commission’s Web site, www.lhc.ca.gov. If you need reasonable accommodation due to a disability, please contact Stuart Drown at (916) 445-2125 or littlehoover@lhc.ca.gov by Thursday, August 19, 2010.

August 25
2010
Long-Term Care
1:00 p.m., Legislative Counsel Conference Room, Lower Level, 925 L Street, Sacramento, CA
Subcommittee Meeting
Public Notice

PUBLIC NOTICE

FOR IMMEDIATE RELEASE
August 12, 2010

For Additional Information Contact:
Stuart Drown, Executive Director
(916) 445-2125

Notice of Meetings

On Thursday, August 26, 2010, the Little Hoover Commission will conduct its third public hearing on the state’s long-term care system. The hearing will begin at 9 a.m. in Room 437 of the State Capitol in Sacramento.

In this study, the Commission is reviewing California’s system of long-term care for seniors and people with disabilities. The August hearing will focus on innovative models for providing long-term care and opportunities for California through health care reform and other initiatives.

The Commission will hear from leaders of successful efforts to improve longterm care programs in Washington state and the city of San Francisco. The policy director from the SCAN Foundation will give an overview of the long-term care provisions of federal health care reform and the opportunities it presents for California and the president and CEO of Partners in Care Foundation will discuss the role of innovative partnerships in long-term care. The director of the Congress of California Seniors, also will comment on how California could improve its long-term care system.

There will be an opportunity for public comment at the end of the hearing. The Commission also encourages written comments.

Immediately following the hearing, the Commission will hold a business meeting in the Legislative Counsel Conference Room in the lower level of 925 L Street in Sacramento.

On Wednesday, August 25, 2010, the Long-Term Care Subcommittee of the Little Hoover Commission has scheduled a meeting to learn about state’s In-Home Supportive Services program. The meeting will begin at 1 p.m. in the Legislative Counsel Conference Room in the lower level of 925 L Street in Sacramento.

All public notices for meetings are on the Commission’s Web site, www.lhc.ca.gov. If you need reasonable accommodation due to a disability, please contact Stuart Drown at (916) 445-2125 or littlehoover@lhc.ca.gov by Thursday, August 19, 2010.

July 7
2010
Long-Term Care
10:00 a.m., 1333 Bush Street, San Francisco, CA
Site Visit
Public Notice

PUBLIC NOTICE

FOR IMMEDIATE RELEASE
June 23, 2010

For Additional Information Contact:
Stuart Drown, Executive Director
(916) 445-2125

Notice of Site Visit

The Long-Term Care Subcommittee of the Little Hoover Commission will visit the On Lok William L. Gee Center located at 1333 Bush Street, in San Francisco, California, at 10:00 a.m. on Wednesday, July 7, 2010. The Commission will meet with officials to learn about the Program of All-inclusive Care for the Elderly (PACE) model and will then tour the William L. Gee Center facility.

Because of security procedures, you are encouraged to contact the Commission office by Monday, July 5, 2010, if you plan on attending this tour.

All public notices for meetings are on the Commission’s Web site, www.lhc.ca.gov. If you need reasonable accommodation due to a disability, please contact Stuart Drown, executive director, at (916) 445-2125 or littlehoover@lhc.ca.gov by Wednesday, June 30, 2010.

May 27
2010
Long-Term Care
9:00 a.m., State Capitol, Room 2040, Sacramento, CA
Public Hearing
Agenda

AGENDA

Public Hearing on Long-term Care
Thursday, May 27, 2010, at 9:00 a.m.
State Capitol, Room 2040
Sacramento, CA


Opening Remarks

The Legal Landscape Post-Olmstead

  1. Eric Carlson, Directing Attorney, National Senior Citizens Law Center (Written Testimony)
     

Home and Community-Based Services

  1. Stephen Kaye, Associate Professor in the Department of Social and Behavioral Sciences and Institute for Health and Aging at U.C. San Francisco and Co-Principal Investigator for the National Center for Personal Assistance Services (Written Testimony)
     
  2. Mitchell LaPlante, Professor in the Department of Social and Behavioral Sciences and Institute for Health and Aging at U.C. San Francisco and Co-Principal Investigator for the National Center for Personal Assistance Services
     

Funding for Home and Community-Based Services - HCBS Waivers and the 1115 Waiver Renewal

  1. David Maxwell-Jolly, Director, Department of Health Care Services (Written Testimony)


Moving Toward "Care in the Long-Term"

  1. Brenda Premo, Chair, Olmstead Advisory Committee and Director, Western University's Center for Disability Issues and the Health Professions 
    ​​​​​​​

Comments Submitted by Members of the Public

  • Pamela Doty, Senior Policy Analyst, U.S. Department of Health and Human Services (Written Comments)
Public Notice

PUBLIC NOTICE

FOR IMMEDIATE RELEASE
May 13, 2010

For Additional Information Contact:
Stuart Drown, Executive Director
(916) 445-2125

Notice of Meeting

On Thursday, May 27, 2010, the Little Hoover Commission will conduct its second public hearing on the state’s long-term care system. The hearing will begin at 9 a.m. in Room 2040 of the State Capitol in Sacramento.

In this study, the Commission will review the spectrum of long-term care and California’s capacity to provide care to seniors and people with disabilities in the most integrated setting possible. At this hearing, the Commission will learn about home and community-based services, including the the legal need to provide services that allow people to live in the community rather than an institution, the cost-effectiveness and availability of home and community-based services and how California might expand its repertoire of home and community-based services.

The Commission will hear from the directing attorney of the National Senior Citizens Law Center on the legal landscape of the Olmstead v. L.C. decision and related litigation. A panel of researchers from the Center for Personal Assistance Services at U.C. San Francisco will share their research on the cost-effectiveness of home and community-based programs from a national perspective and will discuss ramifications for California. The director of the California Department of Health Care Services will discuss the department’s role in overseeing long-term care waiver programs and the state’s 1115 waiver renewal process. Finally, the chair of the state’s Olmstead Advisory Committee will lay out a vision for providing a holistic system of care in the long-term.

There will be an opportunity for public comment at the end of the hearing. The Commission also encourages written comments.

Immediately following the hearing, the Commission will hold a business meeting in the Legislative Counsel Conference Room in the lower level of 925 L Street in Sacramento.

All public notices for meetings are on the Commission’s Web site, www.lhc.ca.gov. If you need reasonable accommodation due to a disability, please contact Stuart Drown at (916) 445-2125 or littlehoover@lhc.ca.gov by Thursday, May 20, 2010.

March 25
2010
Long-Term Care
9:00 a.m., State Capitol, Room 437, Sacramento, CA
Public Hearing
Agenda

AGENDA

Public Hearing on Long-Term Care
Thursday, March 25, 2010, at 9:00 a.m.
State Capitol, Room 437 
Sacramento, CA


Opening Remarks

California’s Long-Term Care System

  1. Lisa Shugarman, Director of Policy, The SCAN Foundation (Written Testimony)
     
  2. Sarah Steenhausen, Senior Policy Fellow, The SCAN Foundation (Written Testimony)
     

Recommendations to Improve Access

  1. Leslie Hendrickson, Principal, Hendrickson Development (Written Testimony)


California Department of Aging

  1. Lynn Daucher, Director, California Department of Aging (Written Testimony)
    ​​​​​​​

Efforts by the California Health and Human Services Agency

  1. Megan Juring, Assistant Secretary for Program and Fiscal Affairs, California Health and Human Services Agency (Written Testimony)
    ​​​​​​​

Public Comments

Public Notice

PUBLIC NOTICE

FOR IMMEDIATE RELEASE
March 11, 2010

For Additional Information Contact:
Stuart Drown, Executive Director
(916) 445-2125

Notice of Meeting

On Thursday, March 25, 2010, the Little Hoover Commission will conduct a public hearing on the state’s long-term care system. The hearing will begin at 9 a.m. in Room 437 of the State Capitol in Sacramento.

In this study, the Commission will review the spectrum of long-term care, including in-home supportive services, home and community-based care, adult day health care and assisted-living and nursing facilities. At this hearing, the Commission will learn about the state’s long-term care services and the challenges to improving care services in California.

The Commission will hear from a panel from The SCAN Foundation who will provide an overview of the major components of California’s long-term care system. The Commission also will hear about recommendations to improve access to care and opportunities to improve the state’s existing programs from the principal of Hendrickson Development and co-author of Home and Community-Based Long-Term Care: Recommendations to Improve Access for Californians. The director of the California Department of Aging will discuss the services available through the department and the role of the department within the state’s network of care. Finally, the assistant secretary of the California Health and Human Services Agency will provide an overview of the agency’s current efforts to improve long-term care in California.

There will be an opportunity for public comment at the end of the hearing. The Commission also encourages written comments.

Immediately following the hearing, the Commission will hold a business meeting in room 125 of the State Capitol.

Also, the Commission will meet for dinner on Wednesday, March 24, 2010, at 6 p.m. at Spartaro’s Restaurant at 1415 L Street in Sacramento.

All public notices for meetings are on the Commission’s Web site, www.lhc.ca.gov. If you need reasonable accommodation due to a disability, please contact Stuart Drown at (916) 445-2125 or littlehoover@lhc.ca.gov by Thursday, March 18, 2010.