BILL ANALYSIS                                                                                                                                                                                                    Ó



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

          Bill No:             SB 689         Hearing Date:     4/14/15
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          |Author:    |Huff                                                 |
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          |Version:   |2/27/15                                              |
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          |Urgency:   |No                     |Fiscal:    |No               |
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          |Consultant:|Wade Teasdale                                        |
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                            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.








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                 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  








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          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  








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               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  








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          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  








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                  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  








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            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%.)








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           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


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