BILL ANALYSIS Ó AB 1470 Page 1 ( 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 ----------------------------------------------------------------- |ASSEMBLY: | |(March 22, |SENATE: |25-14|(June 15, | | | |2012) | | |2012) | ----------------------------------------------------------------- (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 AB 1470 Page 2 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; AB 1470 Page 3 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 Page 4 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 FN: 0004089