BILL ANALYSIS                                                                                                                                                                                                    �



                                                                  AB 2520
                                                                  Page  1

          Date of Hearing:   April 30, 2014

                        ASSEMBLY COMMITTEE ON APPROPRIATIONS
                                  Mike Gatto, Chair

                  AB 2520 (Maienschein) - As Amended:  April 1, 2014

          Policy Committee:                              Public  
          SafetyVote:  7-0

          Urgency:     No                   State Mandated Local Program:  
          No     Reimbursable:              

           SUMMARY  

          This bill:

          1)Requires an independent professional appointed by the Board of  
            Parole Hearings (BPH) for purposes of determining parole  
            suitability of a mentally disordered offender (MDO), at the  
            request of the prisoner, to consult with a prisoner's primary  
            mental health clinician, if any, before making a  
            recommendation to BPH. Defines primary mental clinician as a  
            licensed psychiatrist, psychologist, or clinical social worker  
            who regularly treats the prisoner, including, but not limited  
            to, an employee of the Department of State Hospitals or a  
            privately-hired person.

          2)Requires BPH, at any hearing where BPH considers a  
            Psychological Risk Assessment, as part of its determination to  
            set, postpone, or rescind a parole release date of a prisoner  
            under a life sentence, at the request of the prisoner under a  
            life sentence, to consult with the prisoner's primary mental  
            clinician, if any. Defines primary mental clinician as a  
            licensed psychiatrist, psychologist, or clinical social worker  
            who regularly treats the prisoner, including, but not limited  
            to, a state employee or a privately-hired person.

           FISCAL EFFECT  

          1)Potentially significant ongoing GF costs, in the range of  
            $400,000, for MDO consults. Based on about 1,350 MDO hearings  
            per year, if half of the inmates request a consult with their  
            primary mental health clinician, and the consults average  
            about two hours, including scheduling, conferencing, travel  








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            and report preparation, the annual cost would be in the range  
            of $400,000.

          2)Potentially minor ongoing GF costs, in the range of $75,000.  
            Based on about 240 lifer hearings per year, if half request a  
            consult, and the consults average about two hours, including  
            scheduling, conferencing, travel and report preparation, the  
            annual cost would be in the range of $75,000.

          3)Unknown potential savings/costs to the extent additional  
            consults result in additional or fewer MDO commitments, and  
            additional or fewer parole dates for lifers.

          4)Development of regulations for the proposed changes would  
            likely be in the range of $100,000.  

           COMMENTS 

           1)Rationale  . The author contends requiring consultation with the  
            inmate's primary mental health clinician - at the inmate's  
            request - during MDO determination and lifer parole hearings  
            will help protect public safety while also protecting the  
            inmate/parolee by requiring communication between the  
            independent BPH evaluators and the subject's primary mental  
            health care clinician. 
           
          2)An MDO commitment is a post-prison civil commitment  .  The MDO  
            Act is designed to continue to confine an inmate about to be  
            released on parole when it is determined (a) the inmate has a  
            severe mental disorder; (b) the inmate used force or violence  
            in committing the underlying offense; (c) the severe mental  
            disorder was related to the commitment offense; (d) the  
            disorder is not in remission or capable of being kept in  
            remission without treatment; (e) the inmate was treated for  
            the disorder for at least 90 days in the year before the  
            inmate's release; and (f) by reason of the severe mental  
            disorder, the inmate poses a threat of physical harm to  
            others.  Rather than release the inmate to the community, CDCR  
            paroles the inmate to the supervision of the state hospital,  
            and the individual remains under hospital supervision  
            throughout the parole period, as specified. 

           3)Support.  AFSCME Local 2620 represents the state clinicians and  
            contends the contributions of the primary clinician will help  
            paint a more accurate picture of the psychological state of an  








                                                                  AB 2520
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            inmate/patient.

           4)Opposition  .   The CA Public Defenders Association is concerned  
            this bill may undermine the MDO Act's "carefully balanced  
            scheme to protect both the safety of the community and the  
            rights of the prisoner" by giving undue consideration to the  
            treating clinician. 


           Analysis Prepared by  :    Geoff Long / APPR. / (916) 319-2081