BILL ANALYSIS                                                                                                                                                                                                    Ó



                                                                AB 1470
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        (  Without Reference to File  )

        CONCURRENCE IN SENATE AMENDMENTS
        AB 1470 (Budget Committee)
        As Amended  June 13, 2012
        Majority vote.  Budget Bill Appropriation Takes Effect Immediately 
         
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        |ASSEMBLY:  |     |(March 22,      |SENATE: |25-14|(June 15,      |
        |           |     |2012)           |        |     |2012)          |
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                  (vote not relevant)                
         
         Original Committee Reference:   BUDGET  

         SUMMARY  :  Contains necessary statutory changes to achieve savings 
        assumed in the 2012 Budget Act for the Department of Mental Health.

         The Senate amendments  delete the Assembly version of this bill, and 
        instead:

        1)Change, in order to eliminate the Department of Mental Health and 
          create the Department of State Hospitals, the name "Department of 
          Mental Health" to "Department of State Hospitals" in approximately 
          200 sections of law, throughout the Business and Professions Code, 
          Health and Safety Code, Penal Code, and the Welfare and 
          Institutions Code. 

        2)Authorize, based on a pilot program in San Bernardino county, 
          which provides treatment in county jails to individuals, deemed 
          incompetent to stand trial, the Department of State Hospitals to 
          contract with any county to provide treatment in county jails.  
          This treatment is intended to restore competency in order for the 
          defendant to stand trial.  Requires a community program director 
          or designee to evaluate the appropriate placement for a defendant, 
          between a state hospital or a local county jail treatment 
          facility, and if a county jail is selected, requires the 
          Department of State Hospitals to provide treatment in the county 
          jail and reimburse the county for the reasonable costs of the bed 
          during the treatment.

        3)Establish, in order to ensure counties cover the full cost of 
          civil commitments to the state hospitals, in the absence, or 
          delay, of a signed contract between the state and county, that if 
          a county has not contracted with the Department of State Hospitals 








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          by July 1 of any given fiscal year, each monthly reimbursement 
          shall be equal to one-twelfth of the number of beds provided to 
          the county the previous fiscal year multiplied by the current 
          state rate as determined by the department, thereby enabling the 
          state to recoup the full cost of Lanterman-Petris Short Act civil 
          commitments.

        4)Establish the Legislature's intent that:

           a)   Any changes in staffing ratios at the state's mental 
             hospitals address adequate staff and patient safety standards, 
             and that staffing ratios may vary based on patient acuity; and,

           b)   Adult education in the state hospitals is not to be 
             eliminated or substantially reduced.

        5)Add the Director of the Department of Health Care Services as a 
          member of the Council on Mentally Ill Offenders within the 
          Department of Corrections and Rehabilitation.

        6)Remove a limit of six years for specified beds at Coalinga State 
          Hospitals for which licensing requirements are suspended, 
          specifically for individuals for which there is probable cause of 
          a determination of "sexually violent predator."  These individuals 
          refuse treatment and evaluation, and therefore the licensing 
          requirements for treatment staff should not apply.  Moreover, this 
          population is likely to remain at Coalinga State Hospital 
          indefinitely.

        7)Repeal various sections or provisions of law that contain obsolete 
          or completed requirements on the Department of Mental Health, 
          including:

           a)   Health and Safety Code Section 1316.5(f) which requires the 
             Departments of Mental Health, Developmental Services, and 
             Corrections to report to the Legislature by January 1, 2006, on 
             the impact of medical staff membership and privileges for 
             clinical psychologists on quality of care and 
             cost-effectiveness within state-owned and operated facilities; 

           b)   Penal Code Section 1369.1(b), which requires the Department 
             of Mental Health to report to the Legislature by January 1, 
             2009, on various pieces of information related to defendants 
             who are incompetent to stand trial;









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           c)   Welfare and Institutions Code Section 4015(f), which 
             requires the Department of Mental Health to submit a status 
             update to the Legislature by January 31, 2004, on the 
             implementation of this section that requires the department to 
             work with other state entities to complete inventories of 
             materials and records related to persons who died while 
             residing at any state hospital;

           d)   Welfare and Institutions Code Section 4107(d)(e) which 
             requires the Department of Corrections and the Department of 
             Mental Health to jointly develop a plan for ensuring security 
             at Patton State Hospital during construction of, and occupation 
             of, additional beds for which funding was provided in the 
             Budget Act of 2001;

           e)   Welfare and Institutions Code Section 4112(b) which requires 
             the Department of Mental Health to report to the Legislature 
             when General Fund expenditures exceed Medicare proceeds and 
             related information.  This is an outdated requirement as 
             General Fund expenditures always exceed Medicare proceeds;

           f)   Welfare and Institutions Code Section 5328.35 which requires 
             the Department of Mental Health to develop procedures no later 
             than 30 days after the effective date of the Budget Act of 1998 
             to notify the Legislature, law enforcement and local government 
             officials of a patient escape.  The procedures were developed 
             and are in place;

           g)   Welfare and Institutions Code Section 5587, which places 
             requirements on the Metropolitan State Hospital Youth Program, 
             a program that no longer exists;

           h)   Welfare and Institutions Code Sections 7200.05 and 7200.07 
             which contain limits on the number of Penal Code patients at 
             Metropolitan or Napa State Hospitals, specifically for fiscal 
             year 1996-97 or 1998-99; and, 

           i)   Welfare and Institutions Code Section 7275.1, which contains 
             requirements related to "mentally disordered minor children" in 
             state hospitals; there are no longer children in state 
             hospitals.

        8)Add an appropriation allowing this bill to take effect immediately 
          upon enactment.









                                                                AB 1470
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         AS PASSED BY THE ASSEMBLY  , this bill expressed the intent of the 
        Legislature to enact statutory changes relating to the Budget Act of 
        2012.


         Analysis Prepared by  :    Andrea Margolis / BUDGET / (916) 319-2099


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