BILL ANALYSIS                                                                                                                                                                                                    Ó



                                                                      



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          |SENATE RULES COMMITTEE            |                  AB 1474|
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                                 THIRD READING


          Bill No:  AB 1474
          Author:   Assembly Budget Committee
          Amended:  6/25/12 in Senate
          Vote:     21

           
           SENATE BUDGET & FISCAL REVIEW COMMITTEE  :  10-1, 6/25/12
          AYES:  Leno, Alquist, DeSaulnier, Hancock, Liu, Lowenthal, 
            Negrete McLeod, Simitian, Wolk, Wright
          NOES:  Anderson
          NO VOTE RECORDED:  Emmerson, Evans, Fuller, Gaines, La 
            Malfa

           ASSEMBLY FLOOR  :  Not relevant


           SUBJECT  :    Budget Act of 2012:  Department of Alcohol and 
          Drug
                      Programs Realignment

           SOURCE  :     Author


           DIGEST  :    This bill provides the statutory changes 
          necessary to implement the Department of Alcohol and Drug 
          Programs Realignment portions of the 2012 Budget Act.

           ANALYSIS  :    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) 
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          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

            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 

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          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 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 

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            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.

           FISCAL EFFECT  :    Appropriation:  Yes   Fiscal Com.:  Yes   
          Local:  No


          CTW:n  6/26/12   Senate Floor Analyses 

                       SUPPORT/OPPOSITION:  NONE RECEIVED

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