BILL ANALYSIS Ó
SENATE COMMITTEE ON BUDGET AND FISCAL REVIEW
Mark Leno, Chair
Bill No: AB 1474
Author: Committee on Budget
As Amended: June 25, 2012
Consultant: Joe Stephenshaw
Fiscal: Yes
Hearing Date: June 25, 2012
Subject: Budget Act of 2012: Department of Alcohol and
Drug Programs Realignment
Summary: Provides the statutory changes necessary to
implement the Department of Alcohol and Drug Programs
Realignment portions of the 2012 Budget Act.
Background: This is the Department of Alcohol and Drug
Programs Realignment Trailer Bill. It contains the
necessary changes to enact the budget act of 2012-13, as
follows:
Transfer of Department of Alcohol and Drug Programs (DADP)
Functions
Effective, July 1, 2013, transfers the administrative and
programmatic functions of DADP to departments within the
Health and Human Services Agency. Requires that, in
consultation with stakeholders and affected departments,
the Health and Human Services Agency prepare a detailed
plan for the reorganization of DADP's functions, as
specified. The plan is to be submitted to the Legislature
as part of the 2013-14 Governor's Budget.
Alcohol and Drug Program Realignment
Makes statutory changes necessary to implement and
be consistent with the 2011 Public Safety Realignment.
Requires the DADP and the Department of Health Care
Services (DHCS) to annually report a summary of
outcome and expenditure data that allows for
monitoring of changes over time and indicates the
degree to which programs are meeting state and
county-defined outcome measures.
Drug Medi-Cal
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Makes programmatic changes necessary to implement
and be consistent with the realignment of funding for
the Drug Medi-Cal program and the transfer of
remaining state responsibility for the program to the
DHCS.
Requires the DHCS to provide quarterly updates to
the Legislature, stakeholders, and public on steps
foreseen, planned, and completed for the Drug Medi-Cal
transfer.
Establishes Legislative support for the adoption of
standardized and simplified forms and procedures in
order to promote the drug treatment of indigent
patients who are not eligible for Medi-Cal.
Women and Children's Residential Treatment Services (WCRTS)
Declares the state's interest in the WCRTS program,
recognizes the eight current programs, and allows for the
establishment of additional programs for the purpose of
pursuing four primary goals: 1) demonstrate that alcohol
and other drug abuse treatment services delivered in a
residential setting and coupled with primary health, mental
health, and social services for women and children, can
improve overall treatment outcomes for women, children, and
the family unit as a whole; 2) demonstrate the
effectiveness of six-month or 12-month stays in a
comprehensive residential treatment program; 3) develop
models of effective comprehensive services delivery for
women and their children that can be replicated in similar
communities; and 4) provide services to promote safe and
healthy pregnancies and perinatal outcomes.
Substance Abuse Prevention and Treatment Block Grant (SAPT)
- County Contracts
Revises various sections to eliminate a county plan
requirement and instead requires counties to, within
60 days after notice of the final allocation of SAPT
funds, contract for federal funding from the state to
provide alcohol and other drug prevention, treatment,
and recovery services.
Establishes that, when a county decides not to
enter into a contract to provide alcohol and drug
abuse services or programs, or both, the department
shall determine the need for the services or programs
and provide the services or programs directly through
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contract.
Provides that the department may implement,
interpret, or make amendments to various provisions by
means of an all-county letter, plan letters, plan or
provide bulletins, or similar instructions from the
department until regulations are adopted. In
addition, provides for adoption of emergency
regulations by July 1, 2014, and authorizes the
readoption of these emergency regulations, as
specified.
Removes population cap for two or more counties to
jointly establish county alcohol and other drug
programs and removes state authorization for county to
county contracts for service.
Establishes that funds in each county's Behavioral
Health Subaccount of the Support Services Account of
the Local Revenue Fund 2011 shall be considered state
funds for the purposes of receipt of the federal block
grant.
Allows the director of DADP to reduce federal
funding, on a dollar-for-dollar basis, to a county
that has reduced or anticipates reducing expenditures
in a way that would result in a decrease in the
federal SAPT funds, as specified.
Drug Courts
Makes amendments necessary to implement the realignment of
drug court funding pursuant to 2011 Public Safety
Realignment.
Children and Family Services - Federal Disallowance Penalty
Establishes that if a federal disallowance or other
financial penalty is imposed on the state based on the
results of the federal Children and Family Services Review,
the Department of Social Services, in consultation with the
California State Association of Counties, shall develop an
apportionment of the total counties' share of the penalty
to the individual counties whose performance contributed to
the failure to meet the federal outcome target, as
specified.
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