CHA Calls for Task Force to Create a Statewide Program to Provide Long Term Care

The Honorable Tom Daly, Chair
Assembly Insurance Committee
1020 N Street, Room 369
Sacramento, CA 95814

Re: A.B. 332 (Calderon) – Support

Dear Assemblyman Daly:

California Health Advocates writes in strong support of A.B. 332 authored by Assemblyman Calderon. This bill will establish a task force to begin exploring the feasibility of a statewide program to provide and pay for long term care, and subsequently to recommend options to the Governor and the legislature on the degree of feasibility of each recommended option.

California Health Advocates is a not-for-profit organization dedicated to providing quality Medicare and related healthcare coverage information, education and policy advocacy. California Health Advocates provides training and technical assistance to local Health Insurance Counseling & Advocacy Programs (HICAP) that provide benefits counseling and community education on Medicare and long term care.

We are thrilled that a task force will be formed to explore and make recommendation for a state program that the legislature can consider and adopt. Financing this type of care is a subject that has befuddled consumers, policy makers and legislators for decades, from the Pepper Commission in the 1980’s to the recent federal Commission on Long Term Care. Failure to address this problem has allowed it to grow out of control. California could lead the way for other states or the nation in providing a system for providing and paying for long term care.

The costs of care today often impoverish those who need it and redirect Medi-Cal dollars from health care for the poor to nursing home expenses for the aged. Future long term care costs of the baby boomer population will make the current costs seem trivial by comparison. With 10,000 baby boomers a day turning 65 for the next 17 years it’s critical that a system for providing and paying for care be designed to cope with the costs of an aging population. In the coming years almost a quarter of California’s population will be made up of people 60 and older. Planning, providing and paying for long term care has never been more critical than it is today.

Neither privately purchased insurance nor the state’s Medi-Cal program can solve the financing dilemma for this kind of care alone. Commercial insurance is medically underwritten, expensive, subject to huge premium increases, and discriminates in pricing against women, while Medi-Cal is faced with growing numbers of people who are or will become poor. Neither of these constitutes a way for the majority of people to plan and pay for long term care.

California Health Advocates has long advocated for the development of a state or national solution for financing long term care. We welcome A.B. 332 as a first step in exploring the potential for a groundbreaking, fiscally sound system that combines and integrates multiple payments sources to finance long term care. We applaud Assemblyman Calderon for having the courage to take on this issue and we strongly support his bill.



Bonnie Burns


Assemblyman Ian Calderon

Karen Joy Fletcher

Our blogger Karen Joy Fletcher is CHA’s Communications Director. With a Masters in Public Health from UC Berkeley, she is the online “public face” of the organization, provides technical expertise, writing and research on Medicare and other health care issues. She is responsible for digital content creation, management of CHA’s editorial calendar, and managing all aspects of CHA’s social media presence. She loves being a “communicator” and enjoys networking and collaborating with the passionate people and agencies in the health advocacy field. See her current articles.