AB 847, as amended, Mullin. Mental health: community-based services.
Existing law, the Mental Health Services Act, an initiative measure enacted by the voters as Proposition 63 at the November 2, 2004, statewide general election, establishes the continuously appropriated Mental Health Services Fund to fund various county mental health programs. The act provides that it may be amended by the Legislature by a 2⁄3 vote of each house as long as the amendment is consistent with and furthers the intent of the act, and that the Legislature may
begin delete alsoend delete clarify procedures and terms of the act by majority vote.
Existing law provides for the Medi-Cal program, which is administered by the State Department of Health Care Services and under which
qualified low-income persons receive health care benefits. The Medi-Cal program is, in part, governed and funded by federal Medicaid provisions. Existing law provides for a schedule of benefits under the Medi-Cal program and provides for specified services, including various mental health services. Existing federal law, the Protecting Access to Medicare Act of 2014, requires the United States Secretary of Health and Human Services to, among other things,
begin delete select,end delete no later than September 1, 2017, among those states awarded a planning begin delete grant toend delete participate in a time-limited demonstration program
that is designed to improve access to community mental health and substance use treatment services provided by certified community behavioral health clinics.
This bill would require the department to develop
begin delete and submitend delete a proposal begin delete toend delete the United States Secretary of Health and Human Services to be selected as a participating state in the time-limited demonstration program described above to receive enhanced federal matching funds for mental health services provided by certified community behavioral health clinics to Medi-Cal beneficiaries. The bill would appropriate $1,000,000 from the Mental Health Services Act Fund to the State Department of Health Care Services to develop that proposal.
This bill would declare that it is to take effect immediately as an urgency statute.
Vote: 2⁄3. Appropriation: yes. Fiscal committee: yes. State-mandated local program: no.
The people of the State of California do enact as follows:
The Legislature finds and declares the following:
2(a) In 2014 Congress enacted the federal Protecting Access to
3Medicare Act of 2014.
4(b) Under the Protecting Access to Medicare Act, eight states
5will be selected to have their federal share of costs increased to 65
6percent for two years for outpatient behavioral health care for
7individuals with severe mental illnesses or serious emotional
successful, this federal opportunity would enable
10California to serve the tens of thousands of individuals with those
11conditions that it now lacks the funding to serve.
P3 1(d) A major challenge in serving that population is that many
2are homeless and in need of housing assistance. Federal funding
3cannot pay for that housing assistance.
4(e) This federal funding would free up nearly $2 billion in
5county funds now being used to match federal funds. The money
6that is currently being used to match federal funds will now be
7available to be used to meet the housing and other needs of those
8individuals who are not currently receiving the behavioral health
9care that they need.
11 In October 2015, the United States Secretary of Health and
12Human Services awarded California a planning grant pursuant to
13Section 223 of the federal Protecting Access to Medicare Act of
begin delete to supportend delete California in, among
15other things, developing its proposal to participate in the two-year
18 The Mental Health Services Act was approved by voters in
192004 for the primary purpose of addressing unmet mental health
22 It is an appropriate use of Mental Health Services Act funds
23to support California’s application to participate in this
begin delete programend delete including begin delete the use ofend delete
25 these funds to prepare actuarial rates and provide technical
26assistance to counties seeking to become certified community
27behavioral health centers.
28(i) Successful participation in this demonstration program will
29also result in significant General Fund savings due to reduced
30hospitalizations of people with severe mental illnesses who do not
31receive the behavioral health treatment they need, as well as savings
32from the portion of mental health care that is paid for by Medi-Cal
33managed care plans.
Section 14021.2 is added to the Welfare and
38Institutions Code, to read:
(a) The department shall develop
begin delete and submitend delete a
begin delete toend delete the United States Secretary of Health and Human
P4 1Services for selection as a participating state in the time-limited
2demonstration program pursuant to Section 223 of the federal
3Protecting Access to Medicare Act of 2014 (Public Law 113-93)
4in order to improve mental health services furnished by certified
5community behavioral health clinics to Medi-Cal beneficiaries.
6(b) The department shall use the funds appropriated in the act
7that added this section to pay any costs that will support the
8development of a competitive proposal, including, but not limited
9to, establishing actuarially sound rates and providing technical
10assistance to counties.
The sum of one million dollars ($1,000,000) is hereby
12appropriated from the Mental Health Services Fund to the State
13Department of Health Care Services for the purpose of developing
14the proposal described in Section 14021.2 of the Welfare and
This act is an urgency statute necessary for the
17immediate preservation of the public peace, health, or safety within
18the meaning of Article IV of the Constitution and shall go into
19immediate effect. The facts constituting the necessity are:
20In order to
begin delete requireend delete the State
21Department of Health Care Services
begin delete to develop and submitend delete a proposal to participate in the federal Protecting
23Access to Medicare Act of 2014 demonstration
begin delete program, and to before the deadline
24fund the development of that proposal,end delete
25to apply for participation in the demonstration program, it is
26necessary that this bill go into immediate effect.