BILL ANALYSIS                                                                                                                                                                                                    Ó



                                                                     AB 618


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          Date of Hearing:   April 15, 2015


                        ASSEMBLY COMMITTEE ON APPROPRIATIONS


                                 Jimmy Gomez, Chair


          AB  
          618 (Maienschein) - As Introduced February 24, 2015


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          Urgency:  No  State Mandated Local Program:  NoReimbursable:  No


          SUMMARY:


          This bill:


          1)Requires an independent professional appointed by the Board of  








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            Parole Hearings (BPH) for purposes of determining parole  
            suitability of a mentally disordered offender (MDO), at the  
            request of the prisoner, to consult with a prisoner's primary  
            mental health clinician, if any, before making a  
            recommendation to BPH. Defines primary mental clinician as a  
            licensed psychiatrist, psychologist, or clinical social worker  
            who regularly treats the prisoner, including, but not limited  
            to, an employee of the Department of State Hospitals or a  
            privately-hired person.

          2)Requires BPH, at any hearing where BPH considers a  
            Psychological Risk Assessment, as part of its determination to  
            set, postpone, or rescind a parole release date of a prisoner  
            under a life sentence, at the request of the prisoner under a  
            life sentence, to consult with the prisoner's primary mental  
            clinician, if any. Defines primary mental clinician as a  
            licensed psychiatrist, psychologist, or clinical social worker  
            who regularly treats the prisoner, including, but not limited  
            to, a state employee or a privately-hired person.

          FISCAL EFFECT:


          1)Potentially significant ongoing GF costs, in the range of  
            $400,000, for MDO consults. Based on about 1,350 MDO hearings  
            per year, if half of the inmates request a consult with their  
            primary mental health clinician, and the consults average  
            about two hours, including scheduling, conferencing, travel  
            and report preparation, the annual cost would be in the range  
            of $400,000.

          2)Potentially minor ongoing GF costs, in the range of $75,000.  
            Based on about 240 lifer hearings per year, if half request a  
            consult, and the consults average about two hours, including  
            scheduling, conferencing, travel and report preparation, the  
            annual cost would be in the range of $75,000.

          3)Potential savings/costs to the extent additional consults  
            result in additional or fewer MDO commitments, and additional  








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            or fewer parole dates for lifers.

          4)Development of regulations for the proposed changes would  
            likely cost in the range of $100,000.

          
          COMMENTS:

          1)Purpose.  According to the author, "If it is determined that  
            the prisoner is fit to receive a parole hearing, current law  
            requires that the clinician in charge of treating the prisoner  
            and an independent evaluator from within the CDCR evaluate the  
            prisoner. The law also requires the Board of Parole Hearings  
            to appoint two independent professionals to conduct an  
            additional review in certain circumstances.

          "However, these independent evaluators are not required to  
            consult with a prisoner's primary clinician before making a  
            recommendation to the board. The findings of these evaluators  
            may be incomplete or lack context since they may not know the  
            unique circumstances facing the prisoner.

          "AB 2520 would require the independent evaluator from CDCR to  
            consult with the prisoner's primary clinician before making a  
            recommendation to the BPH. This would help ensure public  
            safety and the well-being of the prisoner by improving  
            communication between the prisoner's health team and  
            independent evaluators."



          2)An MDO commitment is a post-prison civil commitment.  The MDO  
            Act is designed to continue to confine an inmate about to be  
            released on parole when it is determined (a) the inmate has a  
            severe mental disorder; (b) the inmate used force or violence  
            in committing the underlying offense; (c) the severe mental  
            disorder was related to the commitment offense; (d) the  
            disorder is not in remission or capable of being kept in  
            remission without treatment; (e) the inmate was treated for  








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            the disorder for at least 90 days in the year before the  
            inmate's release; and (f) by reason of the severe mental  
            disorder, the inmate poses a threat of physical harm to  
            others.  Rather than release the inmate to the community, CDCR  
            paroles the inmate to the supervision of the state hospital,  
            and the individual remains under hospital supervision  
            throughout the parole period, as specified. 



          3)"Governor's Veto Message of AB 2520 (Maienschien):  AB 2520  
            (Maienschien) of the 2014 Legislative Session was identical to  
            this bill in that it required an independent professional  
            appointed by the BPH, to, at the request of a prisoner, who is  
            appealing an MDO determination, or is serving an indeterminate  
            sentence with the possibility of parole, as specified, consult  
            with the prisoner's primary mental health clinician before  
            making a recommendation to the BPH concerning that prisoner or  
            for purposes of determining parole suitability.  Governor  
            Brown vetoed this measure and stated in his veto message, "I  
            am returning AB 2520 without my signature.  

          "AB 2520 requires mental health evaluators appointed by the BPH  
            to consult directly with a prison inmate's primary mental  
            health treatment clinician when considering parole suitability  
            or MDO status.

          The BPH evaluators have access to the inmate's mental health  
            treatment records and can directly consult with clinicians if  
            needed."




          Analysis Prepared by:Pedro R. Reyes / APPR. / (916)  
          319-2081











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