Policy Recommendations

Each year the California Collaborative provides input to the State Legislature as well as state and federal agencies and officials, in support of effective policies for long term services and supports. These are some of our recent recommendations.

2018

CCLTSS Withdrawal of Opposition to SB 1004
This letter was written to the Assembly Appropriations Committee in August 2014 withdrawing the Collaborative’s opposition to SB 1004 regarding Mental Health Services Act funding, due to new amendments to the bill which removed the discriminatory impact on older adults.

CCLTSS Request To DHCS To Appoint LTSS Providers to State Care Coordination Advisory Committee
This letter was written to Department of Health Care Services Deputy Director for Health Care Delivery Systems Sarah Brooks in August 2018, requesting that DHCS correct an oversight in not appointing any long-term services and supports providers to the state’s new Care Coordination Assessment Advisory Committee. DHCS subsequently denied this request.

CCLTSS Support Cal MediConnect Extension
This letter was written to Centers for Medicare and Medicaid Services Administrator Seema Verma in August 2018, supporting the California Department of Health Care Services’ request to extend the Cal MediConnect dual demonstration project thru December 31, 2020.

CCLTSS Opposition To CMS Proposed Rule 2413P
This letter was written to Centers for Medicare and Medicaid Services Administrator Seema Verma in August 2018, opposing proposed rule CMS-2413-P. This rule would alter how states make payments for employee benefits such as health care coverage or authorized union dues, a policy which would have severe negative consequences for California’s 400,000 home health workers.

CCLTSS Support SB 1112
This letter was written to the Assembly Appropriations Committee in July 2018 in support of legislation which would fund supportive services for the Veterans Housing and Homelessness Prevention and No Place Like Home programs, by allowing Californians to purchase a specialized license plate.

CCLTSS Support AB 2233
This letter was written to the Senate Appropriations Committee in July 2018, urging passage of legislation which would require the Department of Health Care Services to request renewal of the Assisted Living Waiver, increasing the number of slots available for assisted living and making improvements to the program.

CCLTSS Support AB 2132
This letter was written to Senate President pro Tempore Toni Atkins in July 2018, urging the Senate to adopt legislation which would authorize cities and counties to waive or reduce building permit fees for older adults to make home modifications to help them live at home despite a disability.

CCLTSS Opposition SB 1004
This letter was submitted to the Assembly Appropriations Committee in July 2018, opposing legislation which set new priorities for Mental Health Services Act Prevention and Early Intervention Funding which would have the impact of disadvantaging older adults. Opposition to this bill was subsequently withdrawn on August 14, 2018 due to amendments, see revised position letter above.

CCLTSS Support SB 398
This letter was submitted to the Assembly Appropriations Committee in June 2018 in support of legislation to remove the sunset date on the California Traumatic Brain Injury (TBI) program and bring the program’s policies and provisions up-to-date.

CCLTSS Support AB 2400
This letter was submitted to the Senate Appropriations Committee in June 2018 in support of legislation to reauthorize the California Alzheimer’s Disease and Related Dementia Research Voluntary Tax Contribution Fund until 2025 and to modernize the provisions of the fund to ensure its effectiveness.

Support Letter EMPOWER Act (H.R. 5306 / S. 2227)
This letter was written to all of the members of the California Congressional delegation, requesting their sponsorship and support for the EMPOWER Care Act, legislation to extend and improve the recently expired Money Follows the Person demonstration program, which helps seniors and people with disabilities transition out of nursing homes and other institutional settings and move back to the community.

CCLTSS Support Budget Items in Conference Committee
Written to the members of the Legislature’s Budget Conference Committee in May of 2018, this letter urged adoption of seven key budget items that would provide funding for critical long-term services and supports for California seniors and people with disabilities.

CCLTSS Support AB 2430
This letter was submitted to the Assembly Budget Subcommittee 1 and Senate Budget Subcommittee 3 in support of legislation and a related budget request to end the “senior penalty” penalizing older adults. The legislation would raise the Medi-Cal Aged and Disabled income limit to 138% of the federal poverty level in order to make Medi-Cal more accessible for low-income seniors.

Support Letter Long-Term Services and Supports Data Budget Proposal
Written to Assembly Budget Subcommittee 1 and Senate Budget Subcommittee 3, this letter expresses the Collaborative’s support for a proposal sponsored by 19 aging, disability, labor and provider organizations, to appropriate $3 million in funding to collect and analyze data on long-term services and supports (LTSS) needs and access to services by incorporating questions about LTSS into the California Health Interview Survey. Details about this proposal may be found here.

Support Letter Alzheimer’s Public Awareness Campaign Budget Proposal
Written to Assembly Budget Subcommittee 1 and Senate Budget Subcommittee 3, this letter supports a $2.2 million investment of one-time General Funds to launch a statewide public awareness campaign about Alzheimer’s disease, to be implemented in partnership with the Area Agencies on Aging. The campaign is intended to address the fact that less than half of Californians living with Alzheimer’s and related dementias have been properly diagnosed and informed of their illness, delaying crucial opportunities to provide disease management and plan for appropriate services and supports. Details about this proposal are here.

Support Letter Ombudsman Services Budget Proposal
Written to Assembly Budget Subcommittee 1 and Senate Budget Subcommittee 3, this letter supports a $7.299 million augmentation of funds to local Ombudsman programs to provide quarterly unannounced visits to nearly 9,000 additional long-term care facilities, investigation of 6,000 additional complaints, and resources to recruit, train, support and retain volunteers. Details of the proposal are found here.

Support Letter Senior Nutrition Services Budget Proposal
Written to Assembly Budget Subcommittee 1 and Senate Budget Subcommittee 3, this letter expresses the Collaborative’s support for $12.5 million increase in funding to augment the Home-Delivered Nutrition Program and the Congregate Nutrition Program, administered thru Area Agencies on Aging. This funding will allow an additional 6% of at-risk seniors who are at greatest economic and social risk to receive meals and nutrition services, particularly those who are homebound, isolated, low-income, minority or living in rural areas. Details about this proposal are here.

2017

Support Letter HR 2575
This letter was written to Congresswoman Nancy Pelosi in support of HR 2575, the Beneficiary Enrollment Notification and Eligibility Simplification (BENES) Act, consumer protection legislation that simplifies the Medicare Part B enrollment process and helps new enrollees avoid incurring fees and penalties for late enrollment.

Comments to CMS in response to CMMI New Direction RFI
This letter was submitted to the Centers for Medicare and Medicaid Services in response to their Request for Information regarding a new direction for the Centers for Medicare & Medicaid Innovation.

Letter to DHCS in Support of Restructuring Managed Care Rates to Support HCBS
This letter was written to the Department of Health Care Services in support of several proposals to restructure managed care rates for long term services and supports in order to increase access to home and community-based services.

Letter of Opposition to Federal Budget Cuts
The California Collaborative has joined the Western Center on Law and Poverty and other California health and social services agencies to voice strong opposition to the House Fiscal Year 2018 budget resolution passed by the House Budget Committee in July, which lays out a harsh economic vision for California and the nation. If approved, this resolution would set into motion a plan that would cause pain for millions of Californians, especially seniors, people with disabilities and other vulnerable Californians.

Support Letter to Governor Brown SB 3
This letter was submitted to Governor Brown in September 2017 urging him to sign SB 3, legislation that would significantly increase California’s supply of affordable housing, building tens of thousands of affordable homes for the state’s most vulnerable citizens and consequently avoiding costs to the Medi-Cal program and the state budget for unnecessary and expensive institutional care.

Support Letter to Governor Brown SB 2
This letter was submitted to Governor Brown in September 2017 urging him to sign SB 2, legislation that would create jobs and economic growth with substantial investments that create affordable and accessible housing, addressing the current housing crisis for seniors and people with disabilities and other low-income Californians.

Letter of Opposition HR 1628
The California Collaborative joined 104 California organizations in this letter opposing HR 1628, sent to all members of the California Congressional delegation. HR 1628, the Graham-Cassidy-Heller-Johnson legislation, represents a disproportionate attack on California’s health care system, threatening the health coverage of millions of Californians and resulting in $58 billion dollars annual loss of funding to our state’s health care system by 2027.

Support Letter AB 940
This letter was submitted to Governor Brown in September 2017 urging him to sign AB 940, legislation that would require skilled nursing facilities discharging or evicting residents to provide notification to the local Long-Term Care Ombudsman Program, in order for them to furnish assistance with transition and making arrangements for alternative services.

Support Letter AB 279
This letter was submitted to the Senate Appropriations Committee in September 2017 in support of legislation to adjust the developmental disability provider rate to reflect local minimum wage ordinances, in order to stabilize crucial services to a high-needs population.

Letter of Opposition HR 620
The California Collaborative joined 110 other California organizations in this letter of opposition to HR 620 sent to all members of the California Congressional delegation. HR 620 would weaken the Americans with Disabilities Act by removing incentives for businesses to comply with the law regarding accessibility of public accommodations and place excessive burdens on individuals with disabilities.

Support Letter SB 3
This letter was submitted to the Senate Appropriations Committee in April 2017 in Support of the Affordable Housing Bond Act of 2018, which would provide funding to backfill some of the recent state and federal cuts of $1.5 billion annually to California’s affordable housing.

Support Letter SB 2
This letter was submitted in April 2017 to the Senate Appropriations Committee in support of SB 2, legislation which would generate an estimated $500 million in state investment to build affordable housing for Californians in need, including seniors and people with disabilities.

Support Letter AB 71
This letter was submitted in April 2017 to the Assembly Revenue and Taxation Committee in support of AB 71, legislation to appropriate $300 million annually in state funds to build an estimated 3,000 affordable homes each year. This would provide an opportunity for low-income seniors and people with disabilities to live in the community.

Support Letter SB 177
This letter was submitted in April 2017 to the Senate Appropriations Committee in support of SB 177, legislation sponsored by the Association of California Caregiver Resource Centers to appropriate funds for the purpose of reinstating essential respite services to unpaid family caregivers.

Testimony in Support of AB 286
This testimony was provided to the Assembly Health Committee in April 2017 in support of legislation sponsored by Disability Rights California. AB 286 would increase the Medi-Cal home upkeep allowance to assist people to keep their housing when they experience a health crisis.

Formal Input on the Coordinated Care Initiative
This report submitted in February 2017 to the California Department of Health Care Services and the federal Centers for Medicare & Medicaid Services documented the feedback of Collaborative members regarding the Governor’s proposed changes to the CCI.

Budget Letter 2017
Submitted to the Legislature, state departments and agency officials, the Collaborative’s annual budget letter outlined CCLTSS support for several key long-term services and supports investments sponsored by member organizations.

2016

Support Letter SB 547
This letter was submitted in August 2016 to Governor Jerry Brown, requesting his signature on SB 547 to authorize a stakeholder planning process to review California’s fragmented system of long-term services and supports serving seniors and people with disabilities, and to make recommendations to create a modern service delivery system that would better meet California’s needs in the 21st century.

CCLTSS CMC Voluntary Enrollment Recommendations
In July 2016 the Collaborative responded to an invitation from the California Department of Health Care Services (DHCS) to provide input on a voluntary enrollment strategy for the Cal MediConnect program. Convening a workgroup of Collaborative members in partnership with health plans, CCLTSS developed eleven key recommendations for enrollment in the program and submitted them to DHCS and the Centers for Medicare & Medicaid Services. DHCS provided a detailed response to the recommendations, which can be found here.

Support for LTSS Items in Conference
This letter was submitted in June 2016 to the California Legislative Budget Conference Committee in support of Alzheimer’s disease detection and diagnosis, senior nutrition funding and training for Adult Protective Services.

DHCS Director Kent Meeting Request
In May 2016 the Collaborative wrote to Director Jennifer Kent outlining the problems in the long-term care insurance market, their impact on older adults and the Medi-Cal program, and requesting a meeting to discuss opportunities to address these issues by revitalizing the California Partnership for Long-Term Care program.

Collaborative Op-Ed MCO Tax
In March 2016 the Collaborative distributed this Op-ed piece to the Legislature and our networks, explaining the significance of California’s adoption of a Managed Care Organization tax to the sustainability of the Medi-Cal program and to California’s ability to provide services to 300,000 Californians with developmental disabilities.