BILL ANALYSIS                                                                                                                                                                                                    






                        SENATE HEALTH AND HUMAN SERVICES
                               COMMITTEE ANALYSIS
                        Senator Martha M. Escutia, Chair


          BILL NO:       AB 1969                                      
          A
          AUTHOR:        Steinberg                                    
          B
          AMENDED:       May 26, 2000
          HEARING DATE:  June 28, 2000                                
          1
          FISCAL:        Appropriations                               
          9
                                                                      
          6
          CONSULTANT:                                                 
          9
          McCarthy / ak
                                        

                                     SUBJECT
                                         
                            Mental health:  housing

                                    SUMMARY  

          This bill establishes a long-term care mental health  
          working group to develop long-term care facilities for  
          persons with mental illness and also establishes an  
          internet-accessible information source with specified data  
          on mental health facilities.
                                     ABSTRACT  

          Existing law: 
          1.Authorizes the state Department of Health Services (DHS)  
            to license and regulate health facilities, including  
            skilled nursing facilities (SNFs) that provide services  
            to persons with severe mental illness, among others;

          2.Establishes the state Department of Mental Health (DMH),  
            which administers various state and federally funded  
            programs relating to the care, custody, and treatment of  
            mentally ill persons, as set forth in the Welfare and  
            Institutions Code;

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          3.Provides that under the 1991 realignment of state and  
            county health and welfare responsibilities and funding,  
            counties have primary responsibility for provision of  
            mental health care services to low-income county  
            residents;

          4.Permits counties to determine whether to place severely  
            mentally ill persons in state-run hospitals, or to  
            contract with local private providers for 24-hour  
            residential care and treatment services.

          This bill:
          1.Requires DMH to establish a long-term care mental health  
            working group to prepare  a plan for the development of  
            long-term care mental health facilities that are  
            community-based and serve no more than sixteen persons;

          2.Requires the plan to consider whether a new licensure  
            category is needed, along with monitoring and evaluation  
            of that new licensing category, and requires the working  
            group to make recommendations to the Legislature on or  
            before January 1, 2002;

          3.Requires DMH, in conjunction with DHS, to develop and  
            submit to the Legislature, on or before March 1, 2001, a  
            state plan for consolidated and streamlined evaluations  
            and monitoring of mental health rehabilitation centers  
            and SNFs with special treatment programs;

           4.Requires DMH to develop a mechanism that allows "public  
             and consumer access", including internet access to  
             information on all long term care facilities licensed or  
             certified by DMH, including mental health rehabilitation  
             centers and programs certified for a special treatment  
             program;

           5.Specifies the public access information shall include  
             facility "profiles", with data on facility services and  
             ownership including, but not limited to, name, address  
             and telephone of facility, number of beds, whether the  
             facility accepts Medi-Cal or Medicare, and deficiencies  
             found in reviews, citations received, facility appeals,  
             and links to website information maintained by DHS  
             (including long term care ombudsman services);

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           6.Specifies an exception to the data to be accessible  
             through the public access mechanism, such that the  
             address of a facility serving six or fewer persons will  
             not be posted on the internet;

          7.Requires DHS to forward to DMH copies of any citations  
            issued to a SNF that has a DMH-certified special  
            treatment program, and, in turn, requires DMH to forward  
            copies to the county in which the facility is located;

          8.Requires DMH to forward to the county in which a facility  
            is located, copies of any deficiencies found in a SNF  
            that has a special treatment program or in a mental  
            health rehabilitation center, as specified;

          9.Requires, to the extent state funds are available,  
            counties that contract for services with institutions for  
            mental disease to establish "clinical quality support  
            programs," as specified;

          10.Appropriates $3 million from the General Fund to DMH in  
            FY 2000-2001 to be allocated to counties based on the  
            number of clients placed in institutions for mental  
            disease by each county.

                                  FISCAL IMPACT  

          According to the Assembly Appropriations Committee  
          analysis, this bill would result in GF costs to DMH,  
          estimated at $3 million annually, to allocate funds to  
          counties for clinical quality support programs in  
          institutions for mental disease.


                            BACKGROUND AND DISCUSSION  

          1.Background
            The Department of Health Services (DHS) has licensing and  
            citation authority over skilled nursing facilities (SNF).  
             However, DMH has authority to "certify" or "de-certify"  
            a "special treatment program" within a SNF; a special  
            treatment program serves persons with mental illness.  If  
            a SNF that has a specially licensed special treatment  
            program, certified by DMH, has an identified deficiency,  
            "citation" authority rests with DHS.  DMH has limited  
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            authority; it cannot issue a citation or impose fines.   
            However, if a SNF with a special treatment program is in  
            violation of a regulation, DMH can issue a "deficiency"  
            notice along with a request for a correction plan.  DMH  
            has authority to "de-certify" an institution, or ban  
            further admissions to the facility, if the facility fails  
            to implement the correction plan.  Under egregious  
            circumstances, DMH can notify DHS to review the  
            deficiency and, if necessary, DHS can take appropriate  
            action against the institution.  

            Following the "realignment" of responsibility and payment  
            for mental health services in 1991, counties gained the  
            option of paying to place noncriminal persons with acute,  
            severe mental illness, requiring immediate treatment, as  
            defined, in state-run hospitals, or contracting out with  
            private providers at the local level to provide care.   
            Research indicates that as planned, many counties have  
            chosen to redirect patients to private facilities that  
            tend to be less expensive than state hospital care.  This  
            redirection apparently has resulted in an increase in the  
            number of citations issued to certain private facilities.  


          2.AB 1969
            This bill makes legislative findings and declarations  
            relative to:  
              the connection between homelessness among the mentally  
               ill and the lack of affordable housing; 
              a finding that 24-hour housing for seriously mentally  
               ill persons should include a continuum of housing  
               options, such as state hospitals, board and care,  
               rehabilitation centers and independent living; 
              the need for monitoring of the living situations of  
               the mentally ill and that the monitoring should  
               include more than monitoring "bricks and mortar."  

            AB 1969 requires DMH, in conjunction with DHS, to  
            establish a long-term mental health care working group  
            that includes representatives of county mental health  
            programs, consumers, family members of residents with  
            mental disease who are in long-term care facilities, and  
            long-term care providers.

          1.Stated purpose of AB 1969
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            According to the author, this bill is intended to improve  
            coordination of oversight of SNFs that serve persons with  
            mental illness.  The author cites a lack of coordination  
            between DHS and DMH, noting that DMH may find a  
            deficiency with one of these facilities, but has no  
            authority to issue a citation or impose fines.  

            The author states that approximately 4,500 people with  
            mental illness are placed in long-term care facilities  
            that operate special treatment programs designed  
            specifically to treat persons with mental illness.  The  
            author further argues there is a lack of proper oversight  
            for these facilities and difficulty accessing any  
            derogatory information about a facility.  According to  
            information submitted to the Committee by the author, DHS  
            has issued 200 citations against 35 of the 45 facilities  
            certified to provide care for the mentally ill since  
            1992. The author argues that DMH was unaware of, or  
            ill-equipped to intervene in these situations where DHS  
            had issued citations.

            The author's stated purpose in providing a new public  
            access information system is to give consumers and  
            families access to information about the facilities where  
            they or family might receive care and treatment. 

          2.Arguments of proponents
          The Union of American Physicians and Dentists notes that  
            establishing a mechanism that allows public access to  
            health care facility information will enable an  
            assessment of the housing options available to persons  
            with mental illness.  Protection and Advocacy, Inc. (PAI)  
            argues that this bill will greatly improve mental health  
            services in California by enhancing monitoring of certain  
            facilities.
          
                              QUESTIONS AND CONCERNS
                                        
           1.AB 1969 requires that DMH develop a mechanism for public  
            access to information on facility location, services,  
            number of beds, etc., including making that data  
            accessible through the Internet.  Existing law enacted in  
            AB 893 (Chapter 430, Statutes of 1999), also requires DHS  
            to develop a similar "consumer information service  
            system" to provide updated and accurate information to  
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            the general public and consumers regarding long term  
            health care facilities in their communities (Health and  
            Safety Code Section 1422.5).  That consumer information  
            system is required to include for each long term health  
            care facility a "profile" similar to the one required in  
            this bill, including the facility's name, address,  
            telephone number, number of units or beds in the  
            facility, whether it accepts Medi-Cal or Medicare  
            patients, whether it is a nursing home, or if it has a  
            special unit for persons with Alzheimer's disease or  
            other dementias, information on substantiated complaints  
            or state citations, as well as responsive actions taken,  
            appeals filed and the resolution of appeals.  The 1999  
            bill, AB 893, also required DHS to make the information  
            available on the internet. 

          2.  AB 1969 further requires that the public access mechanism  
            include data related to facility, citations, deficiencies  
            and appeals.  Crestwood Behavioral Health, while in  
            support of this bill, notes that as the 1999 statute  
            requires DHS to develop the consumer information system  
            on long-term care facilities by July 1, 2000. Crestwood  
            expresses concern that AB 1969 would duplicate this  
            statute. 





















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          3.Current federal and state law prohibit discrimination in  
            housing against persons with disabilities, including  
            persons with mental illness.  Current state law also  
            requires that, for the purposes of local zoning  
            ordinances, group housing for 6 or fewer persons must be  
            considered the same as single family housing. 
          AB 1969 would require that a "profile" (as described above)  
            of a facility, including a facility housing 6 or fewer  
            persons, would be included in the information that DMH  
            would be required to make accessible to the public and  
            consumers, including accessible through the internet.   
            This bill makes one exception for facilities housing 6 or  
            fewer persons; it would not allow the address of such  
            facilities to be posted on the internet, but the address  
            would otherwise be made available through the public  
            access system DMH would be required to develop. 

          4.Pending legislation, AB 2547 (Hertzberg), which passed  
            this Committee on June 21, 2000, authorizes DHS to expand  
            public access to licensing and certification data  
            pertaining to health facilities, by posting the health  
            facility licensing data on the internet.  That bill also  
            exempts from posting on the internet the address of a  
            health facility licensed to serve six or fewer persons.   
            The Committee may want to inquire whether there be any  
            overlap, in terms of the facilities for which information  
            would be required to be posted by DHS under AB 2547, and  
            the data to be posted by DMH under AB 1969.

                                  PRIOR ACTIONS

           Assembly Floor:               76-0Pass
          Assembly Appropriations:      21-0Do Pass as Amended
          Assembly Health:              14-0Do Pass as Amended to  
          Consent

                                    POSITIONS  

          Support:       County Mental Health Directors (sponsor)
                         California Council of Community Mental  
          Health Agencies
                         California Mental Health Planning Council
                         California State Employees' Association
                         Crestwood Behavioral Health
                         Mental Health Association in California




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                         Protection and Advocacy, Inc.
                         Union of American Physicians & Dentists

          Oppose:   None received


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