BILL ANALYSIS                                                                                                                                                                                                    �




                   Senate Appropriations Committee Fiscal Summary
                            Senator Kevin de Le�n, Chair


          AB 2520 (Maienschein) - Parole: primary mental health  
          clinicians.
          
          Amended: August 4, 2014         Policy Vote: Public Safety 7-0
          Urgency: No                     Mandate: No
          Hearing Date: August 4, 2014                            
          Consultant: Jolie Onodera       
          
          This bill meets the criteria for referral to the Suspense File.


          Bill Summary: AB 2520 would:
              Require an independent professional appointed by the Board  
              of Parole Hearings (BPH), at the request of a prisoner, to  
              consult with the prisoner's primary mental health clinician,  
              if any, prior to making a recommendation to the BPH  
              regarding parole suitability of a potentially mentally  
              disordered offender (MDO).
              Require the BPH, at the request of a prisoner under a life  
              sentence, to consult with the prisoner's primary mental  
              health clinician, if any, at any hearing BPH conducts as  
              part of its determination whether to set, postpone, or  
              rescind a parole release date.

          Fiscal Impact: 
              Potentially significant ongoing costs in the range of  
              $200,000 to $400,000 (General Fund) for MDO consultations.  
              Based on 1,350 MDO hearings per year, assuming 50 percent of  
              inmates request a consultation that requires on average one  
              to two hours (including time for identification and  
              notification of the clinician, scheduling, potential travel,  
              and the consultation itself). 
              Potential ongoing costs of about $37,500 to $75,000  
              (General Fund) to provide consults requested by inmates  
              serving life sentences. Based on 240 parole consideration  
              hearings for these inmates, assuming 50 percent of inmates  
              request a consultation that requires on average one to two  
              hours for the process.
              One-time costs of about $100,000 (General Fund) for the  
              CDCR to promulgate regulations for the MDO elective  
              consultation process.
              Ongoing minor costs (General Fund) to the Department of  








          AB 2520 (Maienschein)
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              State Hospitals (DSH) to the extent mandated activities can  
              be carried out over the telephone.
              Unknown future savings/costs to the extent the additional  
              consultations result in fewer or additional MDO commitments,  
              and fewer or additional releases to parole for lifer  
              inmates.

          Background: Existing law provides that prior to release on  
          parole, the person in charge of treating the prisoner and a  
          practicing psychiatrist or psychologist from the Department of  
          State Hospitals (DSH) have evaluated the prisoner at a CDCR  
          facility, and a chief psychiatrist of the CDCR has certified to  
          the BPH that the prisoner has a severe mental disorder, that the  
          disorder is not in remission, or cannot be kept in remission  
          without treatment, that the severe mental disorder was one of  
          the causes or was an aggravating factor in the prisoner's  
          criminal behavior, that the prisoner has been in treatment for  
          the severe mental disorder for 90 days or more within the year  
          prior to his or her parole release day, and that by reason of  
          his or her severe mental disorder the prisoner represents a  
          substantial danger of physical harm to others.

          For prisoners being treated by the DSH, as specified, the  
          certification shall be by a chief psychiatrist of the CDCR, and  
          the evaluation shall be done at a state hospital by the person  
          at the state hospital in charge of treating the prisoner and a  
          practicing psychiatrist or psychologist from the CDCR.

          If the professionals doing the evaluation do not concur that the  
          prisoner is a MDO, and a chief psychiatrist has certified the  
          prisoner to the BPH, the BPH shall order a further examination  
          by two independent professionals. If at least one of the  
          independent professionals who evaluate the prisoner concurs with  
          the chief psychiatrist's certification of the issues, the  
          prisoner shall be treated as an MDO.

          Proposed Law: This bill would:
              Require an independent professional appointed by the Board  
              of Parole Hearings (BPH), at the request of a prisoner, to  
              consult with the prisoner's primary mental health clinician,  
              if any, prior to making a recommendation to the BPH  
              regarding parole suitability of a potentially mentally  
              disordered offender (MDO).
              Require the BPH, at the request of a prisoner under a life  








          AB 2520 (Maienschein)
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              sentence, to consult with the prisoner's primary mental  
              health clinician, if any, at any hearing BPH conducts as  
              part of its determination whether to set, postpone, or  
              rescind a parole release date.

          Staff Comments: The provisions of this bill will require  
          additional staff time to arrange and provide additional  
          consultations by independent professionals for MDO hearings and  
          lifer hearings. The CDCR would also incur one-time costs of  
          about $100,000 to promulgate regulations for these mandated  
          processes.

          Based on 1,350 MDO hearings per year, and assuming 50 percent of  
          inmates request a consultation that requires on average one to  
          two hours of time for scheduling, notification, potential  
          travel, and the consultation itself, ongoing costs are estimated  
          in the range of $200,000 to $400,000 for MDO consultations. 

          Based on 240 parole consideration hearings per year for lifer  
          inmates, and assuming 50 percent of inmates request a  
          consultation that requires on average one to two hours of time  
          for scheduling, notification, and the consultation itself,  
          ongoing costs are estimated at $37,500 to $75,000 to provide  
          consultations requested by inmates serving life sentences. 

          The DSH has indicated minor ongoing costs to the extent the  
          consultations that they participate in can be conducted over the  
          telephone.

          To the extent the additional consultations result in fewer or  
          additional MDO commitments and releases to parole for lifer  
          inmates would result in an unknown amount of future savings or  
          costs in supervision and incarceration of these inmates.