BILL ANALYSIS                                                                                                                                                                                                    �



                                                                  AB 972
                                                                  Page  1

          Date of Hearing:   May 11, 2011

                        ASSEMBLY COMMITTEE ON APPROPRIATIONS
                                Felipe Fuentes, Chair

               AB 972 (Butler and Beall) - As Amended:  April 13, 2011 

          Policy Committee:                              HealthVote:17 - 1 


          Urgency:     No                   State Mandated Local Program: 
          No     Reimbursable:              

           SUMMARY  

          This bill adds facilities that provide limited medical services 
          to adults recovering from alcohol and drug abuse to the 
          definition of treatment facilities licensed by the Department of 
          Alcohol and Drug Programs (DADP).  Specifically, this bill: 

          1)Adds 24-hour residential facilities that have a 
            multidisciplinary team that provides medical treatment to the 
            list of facilities licensed by DADP.

          2)Limits the medical treatment to such things as detoxification, 
            psychiatric evaluation, prescribing and monitoring 
            medications, routine, noninvasive testing. 

          3)Sunsets these provisions January 1, 2017. 

           FISCAL EFFECT  

          On previous similar legislation DADP estimated GF costs of 
          $125,000 in the first year and $250,000 ongoing. Specifically, 
          DADP would require 2.5 permanent positions to conduct facility 
          site reviews, establish regulations and fees, review 
          applications, monitor compliance, investigate complaints, and 
          conduct accounting and collections activities.

           DADP estimates up to 248 licensed alcohol and other drug 
          treatment facilities throughout California may elect to offer 
          medical services if this bill were to be enacted. Although DADP 
          currently monitors these facilities, the department contends 
          there would be a higher level of monitoring necessary if these 
          facilities were to provide medical services.








                                                                  AB 972
                                                                  Page  2


           COMMENTS  

           1)Purpose  . DADP discovered that it lacked the statutory 
            authority to license residential facilities where a physician 
            was available to provide care. Because of this lack of 
            authority, the author notes, DADP began informing these 
            facilities they would lose their licenses if they continued to 
            provide any medical services.  This bill is intended to 
            provide DADP with the necessary expanded licensing authority. 

           2)DADP licensure authority  .  DADP licenses residential treatment 
            facilities to provide nonmedical services to individuals who 
            are working to overcome their addiction to alcohol or other 
            drugs.  According to DADP, these services include education, 
            group, or individual sessions, recovery or treatment planning, 
            and, detoxification services.  In addition, a licensed 
            treatment facility may offer individualized services, such as 
            vocational and employment search training, community volunteer 
            opportunities, new skills training, peer support, social and 
            recreational activities, and information about and referral to 
            appropriate community services.  

           3)Related Legislation  . AB 2221 (Beall) in 2010 which was 
            substantively similar to this bill, was held on the Senate 
            Appropriations Committee Suspense File.

            AB 1055 (Chesbro), 2009, proposed expanding DADP licensure 
            authority for alcohol and drug treatment facilities to include 
            24-hour facilities that do not require a health facility 
            license. That bill was held on this committee's Suspense File. 


           Analysis Prepared by  :    Julie Salley-Gray / APPR. / (916) 
          319-2081