AB 2279, as amended, Cooley. Mental Health Services Act: county-by-county spending reports.
Existing law, the Mental Health Services Act (MHSA), an initiative measure enacted by the voters as Proposition 63 at the November 2, 2004, statewide general election, establishes the Mental Health Services Oversight and Accountability Commission.begin delete The actend deletebegin insert Existing lawend insert requires the State Department of Health Care Services, in consultation with the Mental Health Services Oversight and Accountability Commission and the County Behavioral Health Directors Association of California, to develop and administer instructions for the Annual Mental Health Services Act Revenue and Expenditure Report, which gathers specified information on mental health spending as a result of the MHSA, including the
expenditures of funds distributed to each county.
This bill would require the department, based on the Annual Mental Health Services Act Revenue and Expenditure Report, to compile informationbegin insert, in total and by countyend insert on an annualbegin delete basisend deletebegin insert basis,end insert thatbegin delete includesend deletebegin insert includes, among other things,end insert the total amount of MHSA revenue,begin delete a county-by-county comparison of fund expenditure plans and annual updates, and a county-by-county comparison of the purposes for which MHSA funds were expended and to send that information to the commission. The bill would require the commission to make the information available to the public on the commission’s Internet Web site and to update the Internet Web site annually.end deletebegin insert
the amount of MHSA money received and expended for each specified component of the MHSA program, and the amount of MHSA money spent on program administration. The bill would require the department to make the collected information available to the Legislature and the public on its Internet Web site no later than July 1, 2018, and annually thereafter.end insert
Vote: majority. Appropriation: no. Fiscal committee: yes. State-mandated local program: no.
The people of the State of California do enact as follows:
begin insertSection 5899 of the end insertbegin insertWelfare and Institutions Codeend insert
2
begin insert is amended to read:end insert
(a) The State Department of Health Care Services, in
4consultation with the Mental Health Services Oversight and
5Accountability Commission and the County Behavioral Health
6Directors Association of California, shall develop and administer
7instructions for the Annual Mental Health Services Act Revenue
8and Expenditure Report. This report shall be submitted
9electronically to the department and to the Mental Health Services
10Oversight and Accountability Commission.
11(b) The purpose of the Annual Mental Health Services Act
12Revenue and Expenditure Report is as follows:
13(1) Identify the expenditures of Mental Health Services Act
14(MHSA) funds that were distributed to each county.
15(2) Quantify the amount of additional funds generated for the
16mental health system as a result of the MHSA.
17(3) Identify unexpended funds, and interest earned on MHSA
18funds.
19(4) Determine reversion amounts, if applicable, from prior fiscal
20year distributions.
21(c) This report is intended to provide information that allows
22for the evaluation of all of the following:
23(1) Children’s systems of care.
24(2) Prevention and early intervention strategies.
25(3) Innovative projects.
26(4) Workforce education and training.
27(5) Adults and older adults systems of care.
P3 1(6) Capital facilities and technology needs.
begin insert
2
(d) Based on the report required pursuant to subdivision (a),
3the State Department of Health Care Services, no later than nine
4months after the end of each fiscal year, shall collect and publicly
5report all of the following information, by statewide total and by
6individual county:
7
(1) Total revenue received from the Mental Health Services Act
8(MHSA).
9
(2) The amount of MHSA funds received by the counties for
10each of the following components of the act:
11
(A) Community services and supports.
12
(B) Prevention and early intervention.
13
(C) Innovation.
14
(D) Housing that is not funded under subparagraph (A).
15
(E) Workforce education and training that is not funded under
16subparagraph (A).
17
(F) Capital facilities and technological needs that are not funded
18under
subparagraph (A).
19
(G) Other mental health services not reflected in subparagraphs
20(A) to (F), inclusive.
21
(3) MHSA revenues expended in the prior fiscal year.
22
(4) The amount of the MHSA funds expended by the counties
23for each of the components listed in paragraph (2).
24
(5) Funds held in prudent reserve by each county.
25
(6) Distributions from the counties’ prudent reserves.
26
(7) For the most recent fiscal year, the amount of unspent MHSA
27funds for each component listed in paragraph (2).
28
(8) MHSA funds subject to reversion and funds that have
29reverted.
30
(e) The information required to be reported pursuant to
31subdivision (d) shall be reported for each fiscal year and shall
32include statewide totals. The information shall be updated annually,
33including revisions when necessary. Revisions shall be identified
34as figures that have been revised from prior year reports. Annual
35reports shall include fiscal information for a period of not less
36than 10 fiscal years and shall include information for the most
37recent fiscal year.
38
(f) (1) In addition to the information required pursuant to
39subdivision (d), the department shall publicly report annual county
40program expenditures for each of the following:
P4 1
(A) Program administration.
2
(B) Research and evaluation.
3
(C) Funds used to support joint powers authorities or other
4statewide entities.
5
(2) A county that cannot supply some or all of the information
6required by paragraph (1) shall provide an explanation as to why
7and shall provide a timeframe for making the information
8available.
9
(3) The department shall work with counties and other local
10mental health agencies to determine how best to make the
11information required in paragraph (1) available, including
12estimates. Estimated information shall be reported as an estimate.
13
(g) Counties may submit to the department information about
14programs that address the following areas:
15
(1) Homelessness.
16
(2) Criminal justice diversion or related programs.
17
(3) Suicide prevention.
18
(4) School-based mental health programs designed to reduce
19school failure.
20
(5) Employment or other programs intended to reduce
21unemployment.
22
(6) Programs intended to reduce or prevent involvement with
23the child welfare system.
24
(7) Stigma reduction.
25
(8) Programs specifically designed to reduce racial and ethnic
26disparities.
27
(9) Programs specifically designed to meet the needs of the
28following populations:
29
(A) Veterans.
30
(B) Lesbian, Gay, Bisexual, Transgender, Queer, and
31Questioning (LGBTQQ).
32
(C) Children.
33
(D) Transition-age youth.
34
(E) Adults.
35
(F) Older adults.
36
(h) The department shall compile the information in subdivisions
37(d) to (g), inclusive, collected from counties or other local mental
38health agencies to promote public understanding of MHSA funds
39that are distributed statewide and for each county, as well as how
P5 1those funds are spent and what funds remain available for
2expenditure.
3
(i) The department shall consult with the Mental Health
Services
4Oversight and Accountability Commission, the State Controller’s
5Office, the Department of Finance, counties and other local mental
6health agencies, and any other agency required to implement this
7section.
8
(j) The department shall consolidate reporting requirements
9when feasible and shall propose to the appropriate policy
10committees of the Legislature strategies to refine and consolidate
11reporting requirements to meet the goals of this section.
12
(k) The department shall make the information required by this
13section available to the Legislature and the public on its Internet
14Web site no later than July 1, 2018, and annually thereafter.
Section 5899 of the Welfare and Institutions Code
16 is amended to read:
(a) The State Department of Health Care Services, in
18consultation with the Mental Health Services Oversight and
19Accountability Commission and the County Behavioral Health
20Directors Association of California, shall develop and administer
21instructions for the Annual Mental Health Services Act Revenue
22and Expenditure Report. This report shall be submitted
23electronically to the department and to the Mental Health Services
24Oversight and Accountability Commission.
25(b) The purpose of the Annual Mental Health Services Act
26Revenue and Expenditure Report is as follows:
27(1) Identify the expenditures of Mental Health Services Act
28(MHSA)
funds that were distributed to each county.
29(2) Quantify the amount of additional funds generated for the
30mental health system as a result of the MHSA.
31(3) Identify unexpended funds, and interest earned on MHSA
32funds.
33(4) Determine reversion amounts, if applicable, from prior fiscal
34year distributions.
35(c) This report is intended to provide information that allows
36for the evaluation of all of the following:
37(1) Children’s systems of care.
38(2) Prevention and early intervention strategies.
39(3) Innovative projects.
40(4) Workforce education and training.
P6 1(5) Adults and older adults systems of care.
2(6) Capital facilities and technology needs.
3(d) Based on the report required in subdivision (a), the State
4Department of Health Care Services shall compile information on
5an annual basis that includes the total amount of MHSA revenue,
6a county-by-county comparison of fund expenditure plans and
7annual updates, and a county-by-county comparison of the purposes
8for which MHSA funds were expended.
9(e) The State Department of Health Care Services annually shall
10provide the Mental
Health Services Oversight and Accountability
11Commission with the information compiled pursuant to subdivision
12(d). The commission shall make the information available to the
13public on the commission’s Internet Web site, which shall be
14updated annually.
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