BILL ANALYSIS                                                                                                                                                                                                    Ó



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          Date of Hearing:  August 19, 2015


                        ASSEMBLY COMMITTEE ON APPROPRIATIONS


                                 Jimmy Gomez, Chair


          SB 518  
          (Leno) - As Amended August 17, 2015


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          Urgency:  No  State Mandated Local Program:  NoReimbursable:  No


          SUMMARY:


          This bill requires the Victims Compensation and Government  
          Claims Board (VCGCB) to use a specified evidence-based  
          Integrated Trauma Recovery Services (ITRS) model, developed by  
          the Trauma Recovery Center (TRC) at the San Francisco General  








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          Hospital, University of California San Francisco (UCSF),  
          (recognized as the State Pilot TRC) when giving a grant to a  
          TRC.  This bill also specifies core elements that the ITRS model  
          must include.


          FISCAL EFFECT:


          The additional core elements required to be met by new TRCs  
          could result in costs pressures in the hundreds of thousands of  
          dollars to the Victim Restitution Fund (VRF) by requiring a  
          higher level of service of TRC grantees.  


          COMMENTS:


          1)Purpose.  According to the author, the TRC treatment model  
            developed in 2001 addresses the multiple barriers victims face  
            recovering from crime; it utilizes a comprehensive, flexible  
            approach that integrates three modes of service:  assertive  
            outreach, clinical case management, and evidence-based  
            trauma-focused therapies. TRCs utilize a multidisciplinary  
            staff to provide direct mental health services and health  
            treatment while coordinating services with law enforcement and  
            other social service agencies, and all services are housed  
            under one roof, with one coordinating point of contact for the  
            victim.


            SB 518 provides guidelines with the intended goal of ensuring  
            fidelity to the TRC model and ensuring the same outcomes and  
            savings demonstrated in the Trauma Recovery Center (TRC)  
            created in San Francisco in 2013.  


            SB 518 requires, in replicating programs funded by the VCGCB,  
            that the ITRS include ten specified core elements, six of  








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            which appear to be enhanced versions of existing elements. 


          2)Background.  Current law requires VCGCB to enter into an  
            interagency agreement with  UCSF to establish a recovery  
            center for victims of crime at the San Francisco General  
            Hospital for comprehensive and integrated services to victims  
            of crime, subject to funding.  The state budget act  
            appropriates $2 million annually to a grant program created in  
            2013 to replicate this successful TRC.  


            The Safe Neighborhoods and Schools Act of 2014 (Proposition  
            47) reclassified controlled substance felony and alternate  
            felony-misdemeanor crimes as misdemeanors, with some  
            exceptions.  The Director of Finance, beginning in 2016, is  
            required to calculate the savings from the reduced penalties  
            and the State Controller is required to transfer the amount of  
            savings calculated by the Director from the General Fund to  
            the Safe Neighborhoods and Schools Fund, with 10% of this  
            amount to be transferred to the Victims of Crime Program to  
            fund grants to TRCs.


          3)Argument in Support.  According to Californians for Safety and  
            Justice, SB 518 creates programmatic guidelines for the Trauma  
            Recovery Center (TRC) Grant Program and creates the TRC Center  
            of Excellence, housed at UC San Francisco, to provide  
            systematic training, technical assistance, and ongoing  
            standardized program evaluations to ensure program fidelity.   
            SB 518 will help provide quality trauma recovery services to  
            crime victims and survivors across the state.  

          4)Argument in Opposition.  The California Coalition Against  
            Sexual Assault, opposes a "one size fits all" approach to  
            victims services.  They state that each TRC must have the  
            freedom to create and implement a model appropriate for the  
            local culture and existing systems of support for victims of  
            crime. They support the development of a taskforce to  








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            establish the guidelines based on best practices in the field,  
            with a focus on trauma recovery for survivors of all forms of  
            violence and crimes, including consideration to the special  
            needs of survivors of domestic violence and sexual assault.

          5)Prior Legislation:
             a)   SB 71 (Budget and Fiscal Review) , Chapter 28, Statutes  
               of 2013, authorized the Board to administer a program to  
               award, upon appropriation by the Legislature, up to $2  
               millon in grants, annually, to trauma recovery centers, as  
               defined, funded from the Restitution Fund.


             b)   SB 733 (Leno), of the 2009-2010 legislative session,  
               failed passage on the Senate Floor, would have authorized  
               the VCGCB to evaluate applications and award grants  
               totaling up to $3 million, up to $1.7 million per center,  
               to multi-disciplinary TRCs that provide specified services  
               to and resources for crime victims.   


             c)   AB 1669 (Leno), of the 2007-08 Legislative Session,  
               would have appropriated $1.5 million for the TRC at the San  
               Francisco General Hospital.  AB 1669 was vetoed.

             d)   AB 50 (Leno), Chapter 884, Statutes of 2006,  
               appropriated $1.3 million for the TRC at the San Francisco  
               General Hospital.

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
















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