BILL ANALYSIS                                                                                                                                                                                                    �



                                                                  AB 2491
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          Date of Hearing:  April 29, 2014

                            ASSEMBLY COMMITTEE ON HEALTH
                                 Richard Pan, Chair
                   AB 2491 (Nestande) - As Amended:  April 22, 2014
           
          SUBJECT  :  Alcohol and drug abuse treatment facilities: sober  
          living homes.

           SUMMARY  :  Exempts sober living homes from licensure as an adult  
          alcoholism or drug abuse recovery or treatment facility.   
          Specifically,  this bill  :  

          1)Defines a sober living home as a residential property that is  
            operated as a cooperative living arrangement to provide an  
            alcohol and drug free environment for persons recovering from  
            alcoholism or drug abuse. 

          2)Requires that sober living homes meet certain requirements to  
            meet this definition, including:

             a)   Residents, resident owners, operators, and managers are  
               living a sober lifestyle, actively participate in  
               legitimate programs, and maintain records of meeting  
               attendance; 

             b)   Maintain a zero tolerance policy towards drugs and  
               alcohol;

             c)   Do not provide services requiring licensure by  
               Department of Alcohol and Drug Recovery Programs;

             d)   Adhere to current law regarding registered sex offenders  
               for residential areas; and, 

             e)   Residents do not require care or supervision as provided  
               by a licensed care facility.

          3)Provides that minor dependents may reside in a sober living  
            home.

          4)Provides that sober living homes that are certified,  
            registered, or approved by a recognized nonprofit organization  
            providing credible quality assurance services are presumed to  
            meet the definition of a sober living home.








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           EXISTING LAW  :  

          1)Gives the Department of Health Care Services licensing  
            authority over adult alcoholism or drug abuse recovery or  
            treatment facilities, which include any facility that provides  
            24-hour residential non-medical services to adults who are  
            recovering from problems related to alcohol, drug, or alcohol  
            and drug misuse or abuse, and who need alcohol, drug, or  
            alcohol and drug recovery treatment or detoxification  
            services.

          2)Requires a treatment facility that serves six or fewer  
            residents to be considered a residential use of property and  
            not subject to special taxes or fees, conditional use permits,  
            zoning ordinances, or other clearances.

          3)Prohibits, under the California Fair Employment and Housing  
            Act, discrimination against any person in any housing  
            accommodation on the basis of race, color, religion, sex,  
            marital status, national origin, ancestry, familial status, or  
            disability.  Specifies that discriminatory land use  
            regulations, zoning laws, and restrictive covenants are  
            unlawful acts.

          4)Under the federal Americans with Disabilities Act of 1990  
            (ADA), prohibits discrimination by any public entity by reason  
            of an individual's disability.  Under the federal Fair Housing  
            Act, makes it unlawful to make unavailable or deny, a dwelling  
            to any buyer or renter because of a disability.

           FISCAL EFFECT  :  This bill has not yet been analyzed by a fiscal  
          committee.

           COMMENTS  :

           1)PURPOSE OF THIS BILL  .  According to the author, this bill  
            creates a uniform definition of a Sober Living Home, which is  
            a residential property which is operated as a cooperative  
            living arrangement that provides a drug and alcohol-free  
            environment for individuals who are recovering from drug or  
            alcohol abuse.  The author asserts that this bill will help  
            distinguish legitimate sober living environments (SLEs) from  
            those that do not provide a safe and sober environment for  
            those in recovery.  By establishing a definition of what a  








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            sober living home is, and allowing recognized non-profit  
            organizations to develop guidelines for operation of these  
            homes, the author contends this bill will allow individuals to  
            identify facilities that share their goals of a sober  
            lifestyle.
           
           2)BACKGROUND  .  Sober living homes are alcohol and drug free  
            living environments for individuals attempting to maintain  
            abstinence from alcohol and drugs.  Sober living homes operate  
            on the concept that by surrounding oneself with individuals  
            who are experiencing the same self-help learning process,  
            recovering from one's addiction is much easier.  They offer no  
            formal treatment but either mandate or strongly encourage  
            attendance at 12-step groups. Sober living homes provide a  
            resource for individuals completing residential treatment,  
            attending outpatient programs, leaving incarceration, or  
            seeking alternatives to formal treatment.  Sober living homes  
            are financially sustained through resident fees and  
            individuals can typically stay as long as they wish.  Because  
            they do not offer formal treatment services, they are not  
            monitored by state licensing agencies.  However, many sober  
            living homes are members of sober living home coalitions or  
            associations that monitor health, safety, quality, and  
            adherence to a social model philosophy of recovery that  
            emphasizes 12-step group involvement and peer support.   
            Residents may be enrolled in outpatient treatment concurrently  
            while living at a sober living home.

            The federal Fair Housing Act protects people with past and  
            current alcohol addiction and past drug addiction.  The ADA  
            additionally gives civil rights protection to individuals with  
            disabilities, similar to that provided to individuals on the  
            basis of race, sex, national origin, and religion.  Alcohol  
            and drug dependency are covered under the ADA.  In particular,  
            protection is provided to those who have successfully  
            completed a drug rehabilitation program, or who are currently  
            enrolled in such programs.  

           3)SUPPORT  .  California Association of Addiction Recovery  
            Resources supports the concept of defining SLEs in statutes  
            and since they are a nonprofit that could certify SLEs, they  
            are the is concerned that this language might make them liable  
            if a home they certified fell out of compliance with the  
            statute. 









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           4)RELATED LEGISLATION  .  

             a)   AB 2335 (Mansoor) would have defined sober living homes  
               with certain criteria and exempted a sober living home or  
               supportive housing from licensure as an alcohol and drug  
               treatment program.  AB 2335 failed passage in this  
               committee on April 22, 2014. 

             b)   AB 2374 (Mansoor) requires licensed residential  
               treatment facilities to report deaths and other unusual  
               events to the state within specified time frames and  
               requires organizations that certify alcohol and other drug  
               counselors to check databases of other counselor certifying  
               organizations prior to registering or certifying a  
               counselor.  AB 2374 is pending hearing in the Assembly  
               Appropriations Committee.

             c)   AB 395 (Fox) would have allowed licensed residential  
               treatment facilities to provide medical services by a  
               physician to residents to assist in detoxification and  
               treatment, under certain conditions.  AB 395 was held on  
               the suspense file in the Senate Appropriations Committee.

             d)   AB 40 (Mansoor) would have required licensed residential  
               treatment facilities to report deaths and other unusual  
               events to the state within specified time frames.  AB 40  
               was held on the suspense file in the Assembly  
               Appropriations Committee.  

           5)PREVIOUS LEGISLATION  .  

             a)   AB 1983 (Mansoor) of 2012 would have required integral  
               facilities, meaning any combination of two or more  
               facilities that collectively serve seven or more persons  
               and provide housing in one facility and recovery  
               programming, treatment, meals, or any other services at  
               another facility, as specified, to be subject to state  
               licensure as an alcoholism or drug abuse recovery or  
               treatment facility.  AB 1983 died without a hearing in the  
               Assembly Health Committee.  

             b)   AB 1284 (Huffman) of 2009 would have required the state  
               to notify the appropriate city or county planning agency of  
               a proposed facility's application for licensure as a  
               residential treatment facility if it operates as an  








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               integral component of an existing licensed facility managed  
               by the same licensee and is located within 300 feet of the  
               existing facility.  AB 1284 was held on the suspense file  
               in the Assembly Appropriations Committee.

             c)   SB 268 (Harman) of 2009, which was substantially similar  
               to SB 1000 (Harman) of 2008, failed passage in the Assembly  
               Health Committee and was subsequently amended to a  
               different topic.

             d)   AB 2903 (Huffman) of 2008 would have authorized state  
               licensing authorities to require any person or entity  
               applying for licensure to provide specified information  
               before a license is issued.  AB 2903 was held in the Senate  
               Health Committee.

             e)   SB 1000 (Harman) of 2008 would have required applicants  
               seeking a treatment facility license to certify that the  
               facility is consistent with local zoning ordinances.  SB  
               1000 failed passage in the Senate Health Committee.

             f)   AB 724 (Benoit) of 2007 was identical to this bill.  AB  
               724 failed passage in the Senate Health Committee.

             g)   SB 530 (Dutton) of 2007 would have prohibited licensure  
               of a treatment facility if another treatment facility was  
               located within 300 feet.  SB 530 was held in the Senate  
               Health Committee.

             h)   AB 370 (Adams) of 2007 would have permitted a local  
               government to include a residential care facility serving  
               six or fewer persons, including a sober living facility,  
               within the definition of single family residence.  AB 370  
               was held on the suspense file in the Assembly  
               Appropriations Committee.

             i)   AB 3007 (Emmerson) of 2006 would have prohibited  
               licensure of a treatment facility if another treatment  
               facility was located within 300 feet.  AB 3007 was held on  
               the suspense file in the Assembly Appropriations Committee.

           REGISTERED SUPPORT / OPPOSITION  :  

           Support 
           








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          None on file.

           Opposition 
           
          California Association of Alcohol and Drug Program Executives
          Western Center on Law and Poverty
           
          Analysis Prepared by  :    Dharia McGrew / HEALTH / (916) 319-2097