BILL ANALYSIS                                                                                                                                                                                                    



                                                                            



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                                 UNFINISHED BUSINESS


          Bill No:  SB 82
          Author:   Senate Budget and Fiscal Review Committee
          Amended:  6/12/13 
          Vote:     21


          PRIOR SENATE VOTES NOT RELEVANT 

           ASSEMBLY FLOOR  :  Not available


           SUBJECT  :    Investment in Mental Health Wellness Act of 2013

           SOURCE  :     Author


           DIGEST  :    This bill establishes the Investment in Mental Health  
          Wellness Act of 2013 and provides the necessary statutory  
          references to enact the 2013-14 Budget.

           Assembly Amendments  delete the prior version of the bill  
          expressing the intent of the Legislature to enact statutory  
          changes relating to the Budget Act of 2013, and instead add the  
          necessary statutory references to enact mental health-related  
          provisions of the 2013-14 Budget.

           ANALYSIS  :    

          Existing law:

          1.The California Health Facilities Financing Authority (CHFFA)  
            was established to be the state's vehicle for providing  
            financial assistance to public and non-profit health care  
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            providers through loans, grants and tax-exempt bonds.

          2.In November 2004, California voters passed Proposition 63, the  
            Mental Health Services Act (MHSA).  The law calls for the  
            establishment of the Mental Health Services Oversight and  
            Accountability Commission (MHSOAC).  The role of MHSOAC is to  
            oversee the implementation of the MHSA.

          This bill makes the following changes:

           1.Investment in Mental Health Wellness Act of 2013.   This bill  
            makes various findings and declarations regarding the need for  
            a renewed investment in community-based mental health  
            treatment options.  This bill establishes the Investment in  
            Mental Health Wellness Act of 2013 and states the objectives  
            of this act.

           2.Expand Capacity - Grant Programs.   This bill authorizes the  
            California Health Facilities Financing Authority (CHFFA) to  
            administer a competitive selection process for capital  
            capacity and program expansion to increase capacity for mobile  
            crisis support, crisis intervention, crisis stabilization  
            services, crisis residential treatment, and specified  
            personnel resources.  These funds shall be made available to  
            selected counties, or counties acting jointly.  CHFFA may also  
            give consideration to private nonprofit corporations and  
            public agencies in an area or region of the state if a county,  
            or counties acting jointly, affirmatively supports this  
            designation and collaboration in lieu of county government  
            directly receiving the funds.

            This bill requires CHFFA to develop a process to award these  
            grants after consulting with representatives and interested  
            stakeholders from the mental health community.  CHFFA shall  
            ensure that grants result in a cost-effective expansion of the  
            number of community-based crisis resources in regions and  
            communities selected for funding.

            The 2013-14 Budget provides, one-time, $142 million General  
            Fund for these purposes.

           3.Triage Personnel.   This bill implements a process by which the  
            MHSOAC allocates funding based upon requests for application  
            of need and description of deployment of triage personnel to  

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            assist individuals in gaining access to needed services,  
            including medical, mental health, substance use disorder  
            assistance and other community services.  Requires these funds  
            to be made available to selected counties, counties acting  
            jointly, or city mental health departments, as determined by  
            the commission through a selection process.

            The 2013-14 budget provides $54 million ($32 million MHSA  
            State Administrative Funds and $22 federal funds) for this  
            purpose.  This funding is ongoing.

           4.Reports to the Legislature.   This bill requires CHFFA to  
            submit to the Legislature, on or before May 1, 2014, and on or  
            before May 1, 2015, a report on the progress of the  
            implementation of the grant programs.  Requires the reports to  
            include at least a description of the project awarded funding,  
            the amount of each grant issues, a description of other  
            sources of funding for the project, and a description of  
            project operation and implementation, including who is being  
            served.

            This bill also requires the MHSOAC to provide a status report  
            to the Legislature on the progress of implementing the triage  
            personnel allocation process, by March 1, 2014.


           5.MHSA State Administrative Funds.   This bill restores the MHSA  
            state administrative fund percentage from the current 3.5% to  
            the voter-approved Proposition 63 level of 5% to fund key  
            regional concerns which have statewide significance.


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

          According to the Senate Budget and Fiscal Review Committee, this  
          bill appropriates $500,000 to CHFFA to implement the grant  
          programs to support the development, capital, equipment  
          acquisition, and applicable program startup or expansion costs  
          to increase capacity for client assistance and services for  
          individuals with mental health disorders.




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          JL:ej  6/13/13   Senate Floor Analyses 

                         SUPPORT/OPPOSITION:  NONE RECEIVED

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