Meals on Wheels asking elderly about LGBT status
Carol Alexander received a phone call from Sacramento County’s Meals on Wheels program last Friday and it wasn’t her usual case worker.
Alexander, 83, said she was hit with a barrage of about a half-dozen questions she considered invasive or unnecessary: What is your sex? Do you still associate with your gender? Are you heterosexual? Are you white or Hispanic?
“I was in shock. I took offense to that,” she said.
Alexander, who is white, said she didn’t understand why the surveyor asked whether she was Hispanic, but not about any other race.
And the string of questions relating to sexual orientation and transgender status irritated her.
“I’m ticked off. Why do they ask an 83-year-old this?”
Alexander said the caller told her new federal law necessitated these questions, but as local Meals on Wheels Program Director David Morikawa explained, it’s actually a direct response to new state legislation.
Morikawa said a new California law requires meal-delivery services to issue sexual and gender minorities survey questions, potentially to any and all of the program’s recipients. It had already surveyed participants about ethnicity.
But response from the participants is voluntary, and won’t affect their service from the nonprofit organization.
“She doesn’t have to answer that,” Morikawa said.
As outlined in both Assembly Bill 959, signed by Gov. Jerry Brown in October 2015, and AB 677, signed last October, California’s LGBT Disparities Reduction Act went into effect July 1 this year.
Its first provisions call for four state departments, including the Department of Aging, to gather demographic data regarding sexual orientation and gender identity during the course of conducting surveys on ancestry or ethnic origin.
AB 959, penned by David Chiu, D-San Francisco, cites studies on same-sex couple poverty, hate crimes and health disparities as ample reason to collect widespread demographic data on the groups. LGBT populations have been found to have higher risk of cancer, mental illness, substance abuse and other adverse health conditions, Chiu explained.
“It is in the best interests of the state to respect, embrace, and understand the full diversity of its residents and to collect accurate data to effectively implement and deliver critical state services and programs,” the bill reads.
The departments of Health Care Services, Public Health and Social Services are the other three with the legislation taking effect this year.
There are more to come. Seven additional agencies are due to adopt the policy by July 1: the Department of Education, the Department of Fair Employment and Housing, the Department of Industrial Relations, the Commission on Teacher Credentialing, the Labor and Workforce Development Agency, the Employment Training Panel and the Employment Development Department (excluding the unemployment insurance program).
Many LGBT advocates nationwide have pushed for such survey questions to be voluntarily posed to citi- zens, seniors or otherwise, to facilitate better demographic data sets.
The issue has grown complicated over the past year or so, particularly when examined at the federal level.
Programs like Meals on Wheels receive a mix of local, state and federal funding. The federal funds come from the U.S. Department of Health and Human Services’ Administration for Community Living, which designated $226 million nationwide toward “home-delivered nutrition services” for fiscal 2018. The Older Americans Act of 1965 created the Administration on Aging, which now falls under the ACL’s umbrella.
Support services are provided and coordinated to singleor multi-county geographic areas known as Area Agencies on Aging (AAAs). These are local public or private nonprofits designated at the state level, according to ACL’s website.
On its website, the National Association of Area Agencies on Aging says it consists of 622 of these AAAs. Among them is Agency on Aging Area 4, which is a partner of Meals on Wheels Sacramento.
The ACL collects performance and demographic data via annual, nationwide surveys issued to Older Americans Act participants selected from a random sample pool containing about half of the 622 AAAs. Unclear is which years, if any, the Sacramentoarea agency was included in that pool.
Sexual and gender minorities-related questions were included in the nationwide survey from 2014 to 2016, but the Trump administration removed them from a draft of last year’s survey, the Associated Press reported in March 2017. Sexual orientation questions were amended back into the survey last June after the ACL received critical comments from 89 different organizations, as stated in a Federal Register notice.
But the new survey draft still omitted gender identity questions, and ACL received more complaints — this time from 62 organizations and 15 individuals, as stated in a September 2017 register notice.
Finally, in March of this year, yet another Federal Register notice published by ACL announced plans to overhaul the national survey.