BILL ANALYSIS                                                                                                                                                                                                    



                                                                  AB 1571
                                                                  Page  1

          CONCURRENCE IN SENATE AMENDMENTS
          AB 1571 (Committee on Veterans Affairs)
          As Amended September 1, 2009
          2/3 vote
           
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          |ASSEMBLY:  |73-2 |(June 2, 2009)  |SENATE: |31-0 |(September 9,  |
          |           |     |                |        |     |2009)          |
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           Original Committee Reference:    HEALTH  

           SUMMARY  :  Includes veterans and representatives from a veterans  
          organization in the list of local stakeholders required to be  
          consulted in the development and update of each county's Mental  
          Health Services Act (MHSA) plan and requires the Department of  
          Mental Health (DMH) to inform the California Department of  
          Veterans Affairs (CDVA) of county plans that have outreach  
          programs or that provide services specifically for veterans.  

           The Senate amendments  :  

           1)Delete the provisions prohibiting DMH from approving a  
            county's plan for the expenditure of funds from the MHSA, as  
            specified, unless it includes verifiable representation from a  
            legitimate veterans group in the stakeholder planning process  
            and a separate section that specifically addresses how the  
            mental health needs of veterans are, or are not, being met.

          2)Revise the list of local stakeholders required to be consulted  
            in the development and update of each county's MHSA plan to  
            include veterans and representatives from a veterans  
            organization.

          3)Direct DMH to inform CDVA of county plans that contain  
            outreach and services for veterans.

           EXISTING LAW  :

          1)Establishes DMH to direct and coordinate statewide efforts for  
            the treatment of mental disabilities.

          2)Establishes the MHSA, enacted by voters in 2004 as Proposition  
            63, to provide funds to counties to expand services and  
            develop innovative programs and integrated service plans for  








                                                                  AB 1571
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            mentally ill children, adults, and seniors through a 1% tax on  
            personal income above $1 million.

          3)Requires each county mental health department to prepare and  
            submit to DMH a three-year program and expenditure plan for  
            MHSA funding that addresses specified components, including  
            prevention and early intervention, and innovation.  Requires  
            DMH to establish guidelines for the content of each of the  
            components and approval of county plans.  

          4)Requires each county plan and update to be developed with  
            local stakeholders, including adults and seniors with severe  
            mental illness, families of children, adults, and seniors with  
            severe mental illness, providers of services, law enforcement  
            agencies, educators, social services agencies, and other  
            important interests.

          5)Specifies that the MHSA may only be amended by a two-thirds  
            vote of both houses of the Legislature and only so long as the  
            amendment is consistent with and furthers the intent of the  
            MHSA.  Permits provisions clarifying the procedures and terms  
            of the MHSA to be added by majority vote of the Legislature.


          6)Requires counties to provide mental health services to target  
            populations to the extent resources are available.  Includes  
            in the target populations California veterans in need of  
            mental health services who are not eligible for care by the VA  
            or other federal health care provider.  Specifies the minimum  
            array of services that must be provided to target populations.


          7)Clarifies that counties are required to provide mental health  
            services to California veterans in need of services and who  
            meet existing eligibility requirements, to the extent services  
            are available to other adults and to the extent resources are  
            available.

          8)Prohibits an eligible veteran from being denied county mental  
            health services based solely on his or her status as a  
            veteran.

           AS PASSED BY THE ASSEMBLY  , this bill was substantially similar  
          to the version approved by the Senate.









                                                                  AB 1571
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           FISCAL EFFECT  :  According to the Senate Appropriations  
          Committee, minor staffing costs for DMH to identify services  
          targeted for veterans in the mental health plans and to provide  
          that information to CDVA.  The provision of the bill requiring  
          representation of veterans in the development of local mental  
          health plans should not result in any significant local costs.    
           

           COMMENTS  :  The Senate version differs from the Assembly-approved  
          version in that the Senate amendments delete provisions relating  
          to the specificity of planning and reporting regarding veterans'  
          mental health; require DMH to inform CDVA of county mental  
          health plans that have outreach programs or that provide  
          services specifically for veterans as part of its review and  
          approval of prevention and early intervention programs and  
          innovations programs of MHSA; and add veterans and  
          representatives from a veterans group to the list of  
          stakeholders involved in each county's MHSA plan review process.


           Analysis Prepared by  :    Cassie Rafanan / HEALTH / (916)  
          319-2097                                          


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