BILL ANALYSIS
Senate Appropriations Committee Fiscal Summary
Senator Christine Kehoe, Chair
2221 (Beall)
Hearing Date: 8/12/2010 Amended: 7/15/2010
Consultant: Katie Johnson Policy Vote: Health 6-0
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BILL SUMMARY: AB 2221 would permit 24-hour residential
treatment facilities that provide services to adults recovering
from alcohol and drug abuse that are licensed by the Department
of Alcohol and Drug Programs (DADP) to provide medical services
and would provide that such a facility would not require a
health facility license.
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Fiscal Impact (in thousands)
Major Provisions 2010-11 2011-12 2012-13 Fund
DADP regulations $130 $260
$255Special*
2013-14 2014-15 2015-16
DADP ongoing oversight up to $275 up to $300 up to
$300 Special*
*Residential and Outpatient Program Licensing Fund
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STAFF COMMENTS: SUSPENSE FILE.
Until January 1, 2013, this bill would permit 24-hour
residential treatment facilities that provide services to adults
recovering from alcohol and drug abuse that are licensed by the
Department of Alcohol and Drug Programs (DADP) to provide
unspecified medical services and would provide that such a
facility would not require a health facility license.
It would take approximately 3 years, or from January 1, 2011, to
January 1, 2014, for DADP to draft and promulgate regulations
related to this bill at a cost of $130,000 in FY 2010-2011,
$260,000 in FY 2011-2012, $255,000 in FY 2012-2013, and $125,000
in FY 2013-2014 from the department's Residential and Outpatient
Program Licensing Fund. DADP would need statutory authority to
increase its licensing fees to cover the costs of the
regulations. These provisions sunset January 1, 2013, which is
prior to the reasonable date when DADP could begin to implement
this program. Staff recommends that the bill be amended to
permit a 5-year sunset, January 1, 2016, to allow for the
promulgation of regulations and adequate time to assess the
program.
The addition of medical services to the services provided by
residential treatment facilities would increase the time DADP
could expect to spend conducting its biennial facility site
reviews. DADP would need up to two and a half permanent staff at
an annual cost of approximately $300,000 to accommodate the
increased site inspection time to conduct approximately 125 site
reviews annually commencing in FY 2013-2014.