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Mandatory Liability Insurance for California's Assisted Living Facilities

Petition published by Consumer Advocates for RCFE Reform on Sep 17, 2013
Closed on Aug 29, 2014
185 Signatures 
Target: California Legislators (Assembly and Senate Members)

Consumer Advocates for RCFE Reform (CARR) ( thanks all those throughout California who read and signed our petition requiring mandatory liability insurance for all state-licensed assisted living (residential care facilities for the elderly) facilities.

CARR sponsored AB 1523 in the 2014 Legislative session. Our bill was introduced and carried by Speaker of the Assembly Toni Atkins. On 15 August 2014, AB 1523 was signed into law by Governor Brown, and is now known as Chapter 205, Statutes of 2014.

CARR believes this bill is an important consumer protection for the 185,000 residents of assisted living in California today, and for all those who follow.

With our sincere appreciation and gratitude.

Chris Murphy
Executive Director
Consumer Advocates for RCFE Reform

Petition Background (Preamble):

The State of California does not require an assisted living facility (also known as a residential care facility for the elderly (RCFE) to carry liability insurance, either at the time the facility is licensed or any time during the life of the business. Whether a licensee (RCFE owner) carries liability insurance is entirely at the discretion of the licensee.

YET, California allows RCFEs to care for increasing numbers of hospice, bedridden, and other medically needy residents, but does not require any skilled medical professionals to be employed by the facilities. Simply put – this is a recipe for neglect and abuse. And worse, there is no reasonable mechanism for residents and their families to obtain meaningful accountability from these facilities when the resident is injured, made sick or dies at the hand of the licensee.

A judgment against an uninsured facility sued for wrongful death due to the neglect or abuse of a resident, is useless if the facility does not carry liability insurance. The facility receives a monetary judgment, but because there is no liability insurance to pay the judgment to the aggrieved family, the facility owner unable to pay the judgment - files bankruptcy. Few civil litigators will take a contingency case against an RCFE if the RCFE is uninsured. In either case, the family is left holding an empty bag.

CARR’s findings are that 87% of facilities in its database do not carry liability insurance at the time they are licensed. The odds are high that most residents in California live in facilities that do not carry liability insurance at all.

California must do a better job of protecting the frail, elderly, and medically needy residents living in assisted living. The decision to protect the elderly and their families can no longer be left to the licensee.

Mandatory Liability Insurance for RCFEs is both NECESSARY and OVERDUE! for three reasons: Moral Imperative, Accountability and Fairness.
• Moral Imperative: Elders and their families are at the mercy of uninsured RCFEs when the elder is injured, made ill, or suffers death at the hand of the licensee.
• Accountability: Current state regulations afford limited avenues for the family to hold the licensee accountable for harm suffered.
• Fairness: Why are frail elders not protected against ‘defective’ care delivered by RCFE owners?

Every licensed driver in California must carry liability insurance. Yet, over 8,000 assisted living facilities in California, carrying for 200,000 frail and medically needy residents, 24 hours a day, 365 days a year, without benefit of skilled medical professionals being on the staff of these facilities are exempt from carrying liability insurance.

CARR says, ENOUGH. The time for accountability is now.

For the older adult in each of us, please join CARR in demanding this common sense consumer protection for all: Require that all California residential care facilities for the elderly (RCFEs) carry mandatory liability insurance.


We the undersigned Californians call on the California legislature to amend, by adding to, the California Health and Safety Code 1569 to mandatorily require a) all RCFEs to carry liability insurance in an amount of $3,000,000 per occurrence for causing the death (including neglect and abuse), illness, or sickness of an elder, or perpetrating sexual and financial crimes against an elder in care, and b) require that proof of insurance must be provided to the state's RCFE licensing agency at the time of licensure, and at each annual renewal thereafter.

Failure of the facility to have an in-effect liability insurance policy at any time would result in immediate forfeiture of the RCFE license, and closure of the facility.

The Mandatory Liability Insurance for California's Assisted Living Facilities petition to California Legislators (Assembly and Senate Members) was written by Consumer Advocates for RCFE Reform and is in the category Law Reform at GoPetition. Contact author here. Petition tags: , ,

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