BILL ANALYSIS Ó SENATE COMMITTEE ON VETERANS AFFAIRS Senator Jim Nielsen, Chair 2015 - 2016 Regular Bill No: SB 689 Hearing Date: 4/14/15 ----------------------------------------------------------------- |Author: |Huff | |-----------+-----------------------------------------------------| |Version: |2/27/15 | ----------------------------------------------------------------- ----------------------------------------------------------------- |Urgency: |No |Fiscal: |No | ----------------------------------------------------------------- ----------------------------------------------------------------- |Consultant:|Wade Teasdale | | | | ----------------------------------------------------------------- Subject: Veterans: housing DESCRIPTION Summary: Regarding the Veterans Housing and Homelessness Prevention (VHHP) Act, this bill requires prioritization that given to applications for proposed housing projects that would maintain a qualified mental health professional, as defined, on staff or on contract for services. Existing law: Requires specified state departments to establish and implement housing programs that focus on veterans at risk for homelessness or experiencing temporary or chronic homelessness. 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: Grants priority consideration for applications for VHHP projects that include supportive services if the projects would maintain any specified mental health professionals on staff or contract for services from such professionals: Licensed psychologist. SB 689 (Huff) Page 2 of ? Licensed professional clinical counselor. Licensed social worker. Licensed marriage and family therapist. Licensed physician and surgeon who is board certified in psychiatry. BACKGROUND Housing Programs - General 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 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 SB 689 (Huff) Page 3 of ? 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. Housing First programs share critical elements: A focus on helping individuals and families access and sustain permanent rental housing as quickly as possible without time limits. A variety of services delivered to promote housing stability and individual well-being on an as-needed basis. A standard lease agreement to housing - as opposed to mandated therapy or services compliance. While all Housing First programs share these critical elements, specific models vary significantly depending upon the population served. 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 SB 689 (Huff) Page 4 of ? 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 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.) Federal Housing Assistance/Supportive Services for Veterans The U.S. Department of Housing and Urban Development (HUD) partners with the U.S. Department of Veterans Affairs' (USDVA) Supportive Housing Program to manage the HUD-VASH program, which serves the most vulnerable veterans, and provides special services for women veterans, those recently returning from combat zones, and veterans with disabilities. As of September 30, 2013, HUD had allocated more than 58,000 Housing Choice vouchers across the country, which allows veterans and their families to live in market-rate rental housing, while receiving USDVA-provided case management for clinical and supportive services. A housing subsidy is paid to the landlord directly by the local public housing authority on behalf of the participating veteran. The veteran then pays the difference between the actual rent charged by the landlord and the amount subsidized by the program. 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 SB 689 (Huff) Page 5 of ? facilities for veterans and their families. The law requires the California Department of Veterans Affairs (CalVet), Department of Housing and Community Development (HCD), and California Housing Finance Agency (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 for projects including Supportive Housing and/or Transitional Housing, and 105 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 SB 689 (Huff) Page 6 of ? 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 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.Author's Statement : Providing the option of mental health treatment to our veterans is of the utmost importance. The impact of their SB 689 (Huff) Page 7 of ? service has lifelong effects and for some veterans the impacts can manifest into mental health problems and homelessness. While it is great to have this housing bond, which I wholeheartedly support, I think we owe it to the veteran and the taxpayer to maximize this opportunity by opening a gateway for those who may need mental health services. This measure certainly will not preclude other worthy projects, but will simply give more points to projects with a serious mental health plan. Knowing we will have access to homeless veterans who may be the most in need of mental health services (those that are homeless), should give us moment to pause and think outside of the box on how to effectively offer mental health services to them. It makes sense to incorporate voluntary mental health services with a veterans housing facility. 2.Committee Staff Comments : Suggested amendments for consideration : The author's office has emphasized that the intent is to guarantee a high quality of mental health care and drug treatment services to veterans residing in VHHP housing, especially when those services are delivered by providers other than the USDVA. The author should consider amending the bill to require that services provided by non-USDVA providers be augmented by having - either on-staff or on-contract - mental health professionals who have prior veteran-specific experience, at least the equivalent of two years of full-time experience. 3.Related Legislation SB 384 (Leyva, pending Senate Vet Affairs, 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. AB 639 (J. Pérez, Ch. 727, Stats. 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, statewide election. (As Proposition 41, the measure was approved by the voters 65.4% to 34.6%.) SB 689 (Huff) Page 8 of ? POSITIONS Sponsor: Author Support: CarePossible CA Council of Community Mental Health Agencies (CCMHA) Mental Health America of CA American Legion - Department of CA AMVETS - Department of CA CA Association of County Veterans Service Officers (CACVSO) CA State Commanders Veteran Council Military Officers Association of America - CA Council of Chapters Veterans of Foreign Wars - Department of CA Vietnam Veterans of American - CA State Council Oppose: None on file -- END --