BILL ANALYSIS                                                                                                                                                                                                    Ó



          SENATE COMMITTEE ON VETERANS AFFAIRS
                             Senator Jim Nielsen, Chair
                                2015 - 2016  Regular 

          Bill No:             SB 130         Hearing Date:    4/28/15
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          |Author:    |Roth                                                 |
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          |Version:   |4/16/15                                              |
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          |Urgency:   |No                     |Fiscal:    |Yes              |
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          |Consultant:|Wade Teasdale                                        |
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                         Subject:  Veterans:  mental health


           DESCRIPTION
            

          Summary:
           Requires specified state departments to establish and implement  
          a grant process that will fund supportive services, as defined,  
          for veterans, who reside in housing provided by the State via  
          the Veterans Housing and Homelessness Prevention (VHHP) Act.

           Existing law:
           1.Requires specified state departments to establish and  
            implement housing programs that focus on veterans at risk for  
            homelessness or experiencing temporary or chronic  
            homelessness.

          2.Requires the departments, to the extent feasible, to  
            prioritize projects that combine housing and supportive  
            services, including, but not limited to, job training, mental  
            health and drug treatment, case management, care coordination,  
            or physical rehabilitation.
           
          This bill:
           1.Requires the California Housing Finance Agency (CHFA), the  
            Department of Housing and Community Development (HCD), and the  
            Department of Veterans Affairs (CalVet) to collaboratively:

               a.     Establish a grant process that will fund supportive  







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                 services for veterans, who reside in VHHP housing, with  
                 the services including, but not limited to, job training,  
                 mental health and drug treatment, case management, care  
                 coordination, or physical rehabilitation.

               b.     Award grants to those applicants that provide  
                 supportive services for veterans based on the efficiency  
                 and effectiveness of the supportive services provided.  
                 Implementation of this subdivision shall be subject to  
                 appropriation.

          2.Provides that Implementation of the grant program shall be  
            subject to appropriation by the Legislature.



           
          BACKGROUND
           
           Supportive Housing and Services  

          In most years, about 150,000 houses and apartments are built in  
          California. Most of these housing units are built entirely with  
          private dollars. Some, however, receive financial help from  
          federal, state, or local governments. For example, the state  
          provides local governments, nonprofits, and private developers  
          with low-cost loans to fund a portion of the housing units'  
          construction costs. Typically, housing built with these funds  
          must be sold or rented to Californians with low incomes. A  
          portion of housing units built with state funds is set aside for  
          homeless Californians. These include homeless shelters,  
          short-term housing, and supportive housing. A January 2013  
          federal government survey identified 137,000 homeless  
          Californians, including about 15,000 veterans. (Source: LAO  
          Analysis, Proposition 41, June 2014 statewide ballot pamphlet).

          Supportive housing is permanent rental housing linked to a range  
          of onsite or offsite support services, including mental and  
          physical health care, drug and alcohol abuse counseling, and job  
          training programs, designed to enable residents to maintain  
          stable lives. There is no limit on length of stay.

          Transitional housing is a type of supportive housing used to  
          facilitate the movement of homeless individuals and families to  








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          permanent housing. A homeless person may live in a transitional  
          apartment for a specified period of time, while receiving  
          supportive services that enable independent living. These are  
          buildings configured and operated as rental housing  
          developments, but are operated under program requirements that  
          call for the termination of assistance and recirculation of the  
          housing unit to another eligible program participant at some  
          predetermined future point in time - which shall be no less than  
          six months and often capped at two years. The intent is to  
          provide extended shelter and supportive services for homeless  
          individuals and/or families with the goal of helping them live  
          independently and transition into permanent housing.

          A relatively recent innovation in serving homeless populations,  
          "Housing First" provides an alternative to progressive systems  
          based on the emergency shelter/transitional housing model.  
          Rather than moving homeless individuals or households through  
          different "levels" of housing and eventually to "independent  
          housing," the Housing First approach immediately moves the  
          homeless from the streets or shelters into their own apartments.

          Supportive services can include job training, mental health and  
          drug treatment, case management, care coordination, and physical  
          rehabilitation. The United States Department of Veterans Affairs  
          (USDVA) provides eligible veterans with all these except job  
          training, but the veterans must live close enough to access  
          those through a USDVA facility. The USDVA's Choice program,  
          which is temporary, allows veterans to receive non-VA health  
          care rather than waiting more than 30 days for a VA appointment  
          or traveling to a distant VA facility.






















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           Veterans' nontraditional housing needs

           According to a federal agency report to the Congress:

                 A veteran is 50 percent more likely to be homeless than  
               a non-veteran. Although only eight percent of adults in the  
               United States are veterans, federal surveys suggest that  
               veterans represent up to 16 percent of America's homeless  
               population.

                 Rates of homelessness among veterans living in poverty  
               are particularly high for veterans identifying as  
               Hispanic/Latino (1:4) or African-American (1:4).

                 Two groups of homeless veterans - women and people  
               between ages 18 and 30 - are small in number. However,  
               female veterans and young veterans are at high risk of  
               becoming homeless, and both groups are growing within the  
               overall veteran population.

                 According to a major point-in-time survey, nearly half  
               of homeless veterans on a given night were located in four  
               states: California, Florida, Texas, and New York. Only 28  
               percent of all veterans were located in those same four  
               states.

               (Source: "Veteran Homelessness: A Supplemental Report to  
               the 2009 Annual Homeless Assessment Report to Congress,"  
               U.S. Dept of Housing and Urban Development/U.S. Department  
               of Veterans Affairs.)


           Veterans Housing and Homelessness Prevention Act  

          AB 639 (J. Pérez, 2013) became Proposition 41 on the June 2014  
          statewide ballot and received voter approval. The measure  
          authorizes issuance of $600 million in general obligation (GO)  
          bonds to fund the acquisition, construction, rehabilitation, and  
          preservation of multifamily supportive housing, affordable  
          transitional housing, affordable rental housing, and related  
          facilities for veterans and their families.









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          The law requires CalVet, HCD, and CHFA to jointly design the  
          program, which then will be implemented by HCD. Affordable  
          housing developers then partner with veterans service providers  
          to build affordable housing dwellings, including supportive  
          housing, which will provide housing and services to veterans who  
          are homeless or who have extremely low income to assist the  
          veterans to achieve housing stability and improve  
          self-sufficiency.

          In February 2015, HCD adopted its initial program guidelines,  
          which, among other things, (a) adopt Housing First principles  
          and practices and (b) establish "application selection criteria"  
          that integrate prioritization criteria expressed through  
          preference-point weighting.

          Under the guidelines, applications are rated with a maximum  
          total score of 133 points for projects including supportive  
          housing and/or transitional housing, and 105 points for other  
          projects. Those totals include points awarded to an  
          application's supportive services plan (up to 20 points for  
          projects that include supportive housing or transitional  
          housing, and up to 10 points for other projects). Applications  
          for projects that include supportive housing or transitional  
          housing (which may also include other units) will be scored on  
          those components as indicated in the following excerpt from the  
          HCD guidelines:

              (A)   Quality and Quantity of Services (12 points maximum).

                (i)     The quality and quantity of services provided,  
                  including staffing patterns and experience, and the  
                  degree to which services are specific to veterans.

                (ii)    The appropriateness of the service delivery model,  
                  including the extent to which evidence-based or best  
                  practices (Critical Time Intervention, Peer Support,  
                  Trauma-Informed Care, SSI/SSDI Outreach, Access, and  
                  Recovery (SOAR), Motivational Interviewing, voluntary  
                  moving-on strategies, etc.) will be employed.

                (iii)   The accessibility of federal VA and other  
                  services, whether they are on-site or in close proximity  
                  to the project, including the hours they are available,  
                  and the frequency, travel time and cost of  








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                  transportation required to access them, including both  
                  public transportation and private transportation  
                  services (e.g. van owned by the provider).

                (iv)    Adherence to Housing First principles in provision  
                  of services, including provision of flexible services  
                  that facilitate permanent housing access and housing  
                  stability.

                (v)     The degree to which the physical building space  
                  supports social interaction and supports the provision  
                  of services.

                (vi)    The levels of linkages with local systems for  
                  ending homelessness and serving veterans, including:

                     a)           Participation, verified by the local  
                       Continuum of Care, in a local coordinated access  
                       system that is fully established.

                     b)           The degree of coordination with VA  
                       Medical Centers, VA Homeless Program Coordinators,  
                       SSVF, Homeless Veterans' Reintegration Program and  
                       other VA programs.

                     c)           The degree of coordination on benefit  
                       education and advocacy, discharge upgrade advocacy  
                       and other advocacy efforts on behalf of veteran  
                       tenants with County Veteran Services Offices  
                       (CVSOs), legal services and others, and  
                       participation in local Continuum of Care, Veterans  
                       Stand Down, and other community ending homelessness  
                       efforts.


                                           
          COMMENT
           
           1.Committee Staff Comments  :  

              a.   The key to success for the VHHP program is the synergy  
               between the housing and supportive services elements.  
               Proposition 41 funds the housing, but cannot fund the  
               supportive services. The vast majority of VHHP residents  








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               will be eligible for federal USDVA mental health and drug  
               treatment services, but not all housing will be within  
               commuting distance of a USDVA facility. Residents of VHHP  
               housing who cannot access USDVA treatment must receive it  
               from other providers at cost to the State and/or local  
               governments. This bill, at a minimum, addresses that  
               reality.

             b.   If this measure were enacted, HCD should be able to  
               quickly design an effective grant program for Prop  
               41-related supportive services. The department already  
               administers more than 20 programs that award loans and  
               grants for the construction, acquisition, rehabilitation  
               and preservation of affordable rental and ownership  
               housing, homeless shelters and transitional housing, public  
               facilities and infrastructure, and development of jobs for  
               lower income workers. With rare exceptions, these loans and  
               grants are not made to individuals, but to local public  
               agencies, nonprofit and for-profit housing developers, and  
               service providers. In many cases these agencies then  
               provide funds to individual end users. 
             
          2.Related Legislation

             SB 384 (Leyva, pending Senate Transportation and Housing,  
            2015  ): To help meet the specific housing needs of underserved  
            veterans, this bill sets aside a percentage of any state funds  
            being used to acquire, construct, rehabilitate or preserve  
            multifamily housing units for veterans, in general.  

            SB 689 (Huff, pending Senate Transportation and Housing,  
            2015  ): Regarding the Veterans Housing and Homelessness  
            Prevention Act, this bill requires prioritization given to  
            applications for proposed housing projects that would maintain  
            a qualified mental health professional, as defined, on staff  
            or on contract for services.

             AB 639 (J. Pérez, Chapter 727, Statutes of 2013  ): The VHHP Act  
            of 2014 authorizes issuance of $600 million in general  
            obligation (GO) bonds to fund the acquisition, construction,  
            rehabilitation, and preservation of multifamily supportive  
            housing, affordable transitional housing, affordable rental  
            housing, and related facilities for veterans and their  
            families, if approved by the voters at the June, 2014,  








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            statewide election. (As Proposition 41, the measure was  
            approved by the voters 65.4% to 34.6%.)


           POSITIONS
           
          Sponsor:  Author.

          Support:  None on file.

          Oppose:   None on file.


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