BILL ANALYSIS                                                                                                                                                                                                    Ó



                                                                      



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                                 THIRD READING


          Bill No:  AB 1569
          Author:   Allen (D), et al.
          Amended:  7/3/12 in Senate
          Vote:     21

           
           SENATE HEALTH COMMITTEE  :  7-0, 6/13/12
          AYES:  Hernandez, Harman, Alquist, Anderson, DeSaulnier, 
            Rubio, Wolk
          NO VOTE RECORDED:  Blakeslee, De León

           SENATE JUDICIARY COMMITTEE  :  4-0, 6/26/12
          AYES:  Evans, Harman, Corbett, Leno
          NO VOTE RECORDED:  Blakeslee

           SENATE APPROPRIATIONS COMMITTEE  :  Senate Rule 28.8

           ASSEMBLY FLOOR  :  68-4, 5/3/12 - See last page for vote


           SUBJECT  :    Community mental health services:  assisted 
          outpatient 
                      treatment

          SOURCE  :     California Psychiatric Association


           DIGEST  :    This bill extends the sunset on Lauras Law to 
          January 1, 2017, and requires the Department of Health Care 
          Services to submit a report and evaluation, including data 
          as specified, of all counties implementing any component of 
          Laura's Law to the Governor and to the Legislature by July 
          1, 2015.
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           ANALYSIS  :    Existing law, until January 1, 2013, the 
          Assisted Outpatient Treatment Demonstration Project Act of 
          2002 (Act), otherwise known as Laura's Law, permits 
          counties to provide court-ordered outpatient treatment 
          services for people with serious mental illnesses when a 
          court finds that a person's recent history of 
          hospitalizations or violent behavior, coupled with 
          noncompliance with voluntary treatment, indicate the person 
          is likely to become dangerous or gravely disabled without 
          the court-ordered outpatient treatment.

          This bill:

          1. Extends the sunset on Laura's Law to January 1, 2017.

          2. Requires the Department of Health Care Services to 
             submit a report and evaluation, including data as 
             specified, of all counties implementing any component of 
             Laura's Law to the Governor and to the Legislature by 
             July 1, 2015.

           Background
           
          In 2002, the Assisted Outpatient Treatment Demonstration 
          Project Act (Act) of 2002 (AB 1421 (Thomson), Chapter 1017, 
          Statutes of 2002) was established to supplement the 
          Lanterman-Petris-Short Act (LPS), which provides for the 
          involuntary treatment of people with mental health 
          disorders who are a danger to themselves or others.  The 
          Act was also named "Laura's Law" in memory of Laura Wilcox, 
          a 19-year old college student who was gunned down by a man 
          suffering from serious delusional paranoia.  Laura's Law 
          permits local counties to provide court-ordered outpatient 
          mental health services to individuals with serious mental 
          illnesses.  Laura's Law initially contained a sunset of 
          January 1, 2008 and was subsequently amended to extend the 
          sunset date to January 1, 2013 (AB 2357 (Karnette), Chapter 
          774, Statutes of 2006). 

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

           SUPPORT  :   (Verified  8/8/12)

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          California Psychiatric Association (source)
          American Federation of State, County and Municipal 
          Employees, AFL-CIO
          California Association of Marriage and Family Therapists
          California Association of Psychiatric Technicians
          California Hospital Association
          California Medical Association
          California Probation, Parole and Correctional Association
          California State Sheriffs' Association
          California Treatment Advocacy Coalition
          Friends Committee on Legislation in California
          Los Angeles County Board of Supervisors
          Mental Illness Policy Org.
          National Alliance on Mental Illness California
          National Alliance on Mental Illness, Mendocino County - 
          Coast
          National Alliance on Mental Illness, Orange County National 
          Alliance on Mental Illness, Westside-Los Angeles
          Nevada County Suicide Prevention Taskforce
          Treatment Advocacy Center

           OPPOSITION  :    (Verified  8/8/12)

          American Civil Liberties Union of California
          Bazelon Center for Mental Health Law
          California Association of Mental Health Patients' Rights 
          Advocates
          California Association of Mental Health Peer Run 
          Organizations
          California Association of Social Rehabilitation Agencies
          California Client Action Workgroup
          California Council of Community Mental Health Agencies
          California Mental Health Planning Council
          California Network of Mental Health Clients
          California Right to Life Committee, Inc.
          Disability Rights California
          Mental Health America of California
          Mental Health Association of San Francisco
          MindFreedom International
          National Association for Rights Protection and Advocacy
          United States Psychiatric Rehabilitation Association
          Voices of the Heart, Inc., Queensbury, NY


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           ARGUMENTS IN SUPPORT  :    The author's office states, that 
          voluntary treatment is not 100 percent effective.  Further, 
          "Ýe]ven with the best voluntary mental health treatment 
          services, some people are too mentally ill to recognize 
          that they have an illness but not so gravely ill that they 
          meet the criteria for conservatorship.  Simply put, this 
          bill is needed to provide tools to address this population 
          that falls in the middle Ýof] voluntary treatment and 
          gravely disabled."

           ARGUMENTS IN OPPOSITION  :    Many mental health patient 
          advocacy groups and civil rights organizations oppose the 
          concept of "assisted outpatient treatment" for several 
          reasons:  (1) they object to any involuntary treatment of 
          mental health patients as a violation of due process 
          rights; (2) they assert that lesser standards for 
          outpatient care are unwarranted, as conservatorships are 
          available under existing law; (3) they dispute the author's 
          contention that a core group of mentally ill are too 
          resistant to accept voluntary treatment, arguing that the 
          real problem is lack of sufficient voluntary outpatient 
          services; (4) they are concerned that counties wishing to 
          implement AOT programs may take funds from existing 
          voluntary outpatient programs for that purpose; and (5) 
          they argue that only voluntary treatment is effective.  


           ASSEMBLY FLOOR  :  68-4, 5/3/12
          AYES: Achadjian, Alejo, Allen, Atkins, Beall, Bill 
            Berryhill, Block, Blumenfield, Bradford, Brownley, 
            Buchanan, Butler, Charles Calderon, Campos, Carter, 
            Cedillo, Cook, Davis, Dickinson, Donnelly, Eng, Feuer, 
            Fong, Fuentes, Beth Gaines, Galgiani, Garrick, Gatto, 
            Gordon, Gorell, Grove, Hagman, Halderman, Harkey, Hill, 
            Huber, Hueso, Huffman, Jeffries, Jones, Knight, Lara, 
            Logue, Bonnie Lowenthal, Ma, Mansoor, Mendoza, Miller, 
            Mitchell, Morrell, Nestande, Nielsen, Norby, Olsen, Pan, 
            Perea, V. Manuel Pérez, Portantino, Silva, Skinner, 
            Solorio, Torres, Valadao, Wagner, Wieckowski, Williams, 
            Yamada, John A. Pérez
          NOES: Ammiano, Chesbro, Hayashi, Swanson
          NO VOTE RECORDED: Bonilla, Conway, Fletcher, Furutani, 
            Hall, Roger Hernández, Monning, Smyth


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          CTW:d  8/8/12   Senate Floor Analyses 

                         SUPPORT/OPPOSITION:  SEE ABOVE

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