BILL ANALYSIS                                                                                                                                                                                                    �






                             SENATE COMMITTEE ON HEALTH
                          Senator Ed Hernandez, O.D., Chair

          BILL NO:       AB 1929
          AUTHOR:        Chau
          AMENDED:       May 1, 2014
          HEARING DATE:  June 18, 2014
          CONSULTANT:    Diaz

           SUBJECT  :  California Housing Finance Agency: MHSA funding:  
          special needs housing for person with mental illness.
           
          SUMMARY  :  Allows county mental health departments to deposit  
          Proposition 63 (Mental Health Services Act) funding with the  
          California Housing Finance Agency (CalHFA), as specified. Allows  
          CalHFA to use those funds, as specified, for special housing  
          needs for those with mental illness. Requires CalHFA to provide  
          technical assistance to counties, as specified, and allows  
          CalHFA to charge a fee to counties of up to 1.5 percent of  
          future allocations, as specified. Requires counties to dedicate  
          funds, as specified, to provide housing assistance to those with  
          serious mental illness who are homeless or to the mentally ill  
          at risk of being homeless.

          Existing law:
          1.Authorizes CalHFA to finance permanent special needs housing,  
            including for those with mental health illness.
              
          2.Establishes the Mental Health Services Act (MHSA) housing  
            program, which provides permanent supportive housing for  
            people with mental illness and allocates up to $75 million per  
            year for this purpose.

          3.Imposes a tax of one percent on personal earnings of over one  
            million dollars for the purpose of financing new or expanded  
            mental health services, pursuant to the MHSA. Allows the  
            Legislature to add provisions to clarify procedures and terms  
            of the MHSA by a majority vote.
          
          This bill:
          1.Allows a county mental health department to deposit MHSA  
            funding with CalHFA to develop housing to meet the special  
            housing needs of those with mental illness.

          2.Allows CalHFA to receive MHSA funding from counties to finance  
            the acquisition, construction, rehabilitation, refinancing, or  
                                                         Continued---



          AB 1929 | Page 2




            development of special needs housing for those with mental  
            illness. Requires CalHFA to coordinate with the Department of  
            Health Care Services (DHCS) to administer the use of the MHSA  
            funds.

          3.Allows CalHFA to enter into financial and other agreements  
            with county and other agencies to commit sufficient county  
            MHSA funds, including future allocations.

          4.Requires CalHFA to provide technical assistance to county  
            mental health departments as necessary to assist the county in  
            selecting special needs housing that best meets the needs of  
            county residents with mental illness.

          5.Allows CalHFA to charge a county a fee of up to one percent of  
            future allocations to cover the reasonable costs incurred by  
            CalHFA for providing technical assistance. Allows CalHFA to  
            charge a county a fee of up to 1.5 percent of future  
            allocations if the county has committed less than one million  
            dollars. Allows the fees to be paid from the county's MHSA  
            funds. 

          6.Requires CalHFA to release unexpended MHSA funding from the  
            initial $400 million allocation upon request of the respective  
            county. Requires the county to dedicate the funds, within one  
            year of receipt, to providing housing assistance to those with  
            serious mental illness who are homeless or to the mentally ill  
            at risk of being homeless. Requires the county to track  
            expenditure of the funds and report to CalHFA. Defines  
            "housing assistance" to include, but is not limited to:

                  a.        Rental assistance or capitalized operating  
                    subsidies;
                  b.        Housing relocation services;
                  c.        Security deposits, utility deposits, or other  
                    move-in cost assistance;
                  d.        Utility payments;
                  e.        Moving cost assistance;
                  f.        Capital funding to build or rehabilitate  
                    affordable housing for homeless; or, mentally ill  
                    people or for the mentally ill at risk of being  
                    homeless.

          7.Specifies that it is the Legislature's intent that CalHFA  
            continue the MHSA housing program.





                                                            AB 1929 | Page  
          3


          

           FISCAL EFFECT  :   According to the Assembly Appropriations  
          Committee, this bill has ongoing costs to CalHFA to administer  
          the use of funds, likely fully offset by authorized  
          administrative fees. 

           PRIOR VOTES  :  
          Assembly Housing and Community Development:  7 - 0
          Assembly Appropriations:           17 - 0
          Assembly Floor:                    77 - 0
           
          COMMENTS  :  
           1.Author's statement.  According to the author, supportive  
            housing has proven to be an effective strategy for reducing  
            homelessness among those with mental illness. At any given  
            moment more than 133,000 Californians are homeless. Of these  
            Californians, roughly 33,800, or 25 percent, are considered  
            chronically homeless. According to researchers, at least  
            one-third of chronically homeless people are mentally ill.

            AB 1929 expressly authorizes county mental health departments,  
            CalHFA, and DHCS to partner in the development of permanent  
            supportive housing for people with mental illness.  County  
            mental health departments may continue to deposit MHSA funding  
            with CalHFA.  In return, counties may receive technical  
            assistance from CalHFA, as well as assistance with financing  
            the acquisition, construction, rehabilitation, refinancing, or  
            development of supportive housing units for people with mental  
            illness. CalHFA is authorized to charge counties a fee, paid  
            from MHSA funds, for providing this assistance.

            Additionally, this bill releases unexpended funds from the  
            original $400 million allocation to their respective counties,  
            upon request of those counties. As these funds were originally  
            set aside for housing purposes, counties must use them to  
            provide housing assistance for people with mental illness who  
            are homeless or at risk of homelessness. Releasing these funds  
            directly to the counties will better enable them to utilize  
            these funds for housing assistance.
            
          2.Background. After the passage of Proposition 63, Governor  
            Schwarzenegger, through Executive Order S-07-06 in 2006,  
            directed the creation of the MHSA housing program with a  
            stated goal of providing 10,000 permanent supportive housing  
            units for individuals with mental illness and their families,  
            with an allocation of up to $75 million per year in MHSA funds  




          AB 1929 | Page 4




            for this purpose. SB 257 (Chesbro), Chapter 748, Statutes of  
            2006, codified CalHFA's authority to finance permanent  
            supportive housing for people with mental illness and directed  
            CalHFA, in conjunction with the Department of Mental Health  
            (DMH) and the Department of Housing and Community Development  
            (HCD) to present a plan to the Legislature for the use of MHSA  
            funds for the development of supportive housing projects. In  
            2007, county mental health departments agreed to a one-time  
            set aside of $400 million of MHSA revenue with CalHFA. These  
            funds were allocated to all but the eight least populated  
            counties for the purpose of building permanent supportive  
            housing for people with mental illness who are homeless or at  
            risk of homelessness. Of this $400 million, counties were  
            authorized to use $75 million per year for capital costs and  
            $40 million per year for operating and maintenance costs. A  
            partnership was created between CalHFA and DMH (now DHCS,  
            after the Governor's 2011 Reorganization Plan).  

            To administer the $400 million allocated for the MHSA housing  
            program, CalHFA underwrites the requests for capital funds and  
            capitalizes operating expenses. DHCS evaluates each  
            applicant's proposed target population and supportive services  
            plan. Once funds are awarded, CalHFA oversees all development  
            and financial aspects of the project and DHCS oversees the  
            provision of services. CalHFA also provides technical  
            assistance to county mental health departments to select  
            special needs housing that would best meet the needs of a  
            county's residents with mental illness and charges an  
            administrative fee for this assistance.

            In the "Current Statistics on the Prevalence and  
            Characteristics of People Experiencing Homelessness in the  
            United States," last updated in July 2011 by the federal  
            Substance Abuse and Mental Health Services Administration,  
            data from 2010 shows that on a given night 407,966 individuals  
            were homeless in shelters, transitional housing programs, or  
            on the streets (not including those who were sleeping at the  
            homes of family or friends), and 109,812 individuals were  
            chronically homeless (a one percent decrease from the previous  
            year). Of these individuals, 26.2 percent had a severe mental  
            illness, and 34.7 percent of adults had chronic substance use  
            issues. Over the course of that year, data shows that a total  
            of 1,593,150 individuals experienced homelessness.
            
          3.Double referral. This bill has been double referred. Should it  
            pass out of this committee, it will be referred to the Senate  




                                                            AB 1929 | Page  
          5


          

            Transportation and Housing Committee.

          4.Prior legislation. SB 257, of 2006, codified CalHFA's  
            authority to finance permanent supportive housing for people  
            with mental illness and directed CalHFA, in conjunction with  
            DMH and HCD to present a plan to the Legislature for the use  
            of MHSA funds for the development of supportive housing  
            projects.
               
          5.Support. Supporters argue that this bill is needed to codify  
            practices and procedures from the Executive Order that put  
            into place the MHSA housing program, which since its inception  
            has helped to build more than 2,500 affordable places for  
            people with severe mental illnesses. Supporters argue that  
            this approach has demonstrated very good results for people  
            with mental disorders and could continue to be very valuable  
            in meeting the housing needs of this vulnerable population. 

           SUPPORT AND OPPOSITION  :
          Support:  California American College of Emergency Physicians
                    California Council of Community Mental Health Agencies
                    California Mental Health Directors Association
                    California Psychiatric Association
                    California Rural Legal Assistance Foundation
                    Housing California
                    Mental Health America of California
                    National Alliance on Mental Illness, California
                    National Association of Social Workers, California  
                    Chapter
                    Western Center on Law & Poverty
                         
          Oppose:   None received.


                                      -- END --