BILL ANALYSIS                                                                                                                                                                                                    





                                                                  AB 1969

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          GOVERNOR'S VETO

          AB 1969 (Steinberg)
          As Amended August 25, 2000
          2/3 vote

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          |ASSEMBLY:  |76-0 |(May 31, 2000)  |SENATE: |29-2 |(August 28,    |
          |           |     |                |        |     |2000)          |
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          |ASSEMBLY:  |76-2 |(August 29,     |        |     |               |
          |           |     |2000)           |        |     |               |
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           Original Committee Reference:    HEALTH  
           
          SUMMARY  :  Establishes a long-term mental health care working  
          group to further coordination and monitoring of treatment of  
          persons with mental illness in long-term care facilities, and  
          appropriates an unspecified sum for counties for caring for  
          patients in institutions with mental disease.  Specifically,  
           this bill  :  

          1)Makes findings and declarations relative to the nexus between  
            homelessness among the mentally ill and affordable housing,  
            the continuum of services that comprise housing for the  
            mentally ill, and the need for monitoring of the living  
            situations of the mentally ill to include more than monitoring  
            "bricks and mortar."

          2)Requires the Department of Mental Health (DMH), in conjunction  
            with the Department of Health Services (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.

          3)Requires the long-term mental health care working group to  










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            develop a plan for the development of long-term mental health  
            care facilities that are community-based and serve no more  
            than sixteen people.  Requires the plan to consider whether a  
            new licensure category is needed and the elements of  
            monitoring and evaluation that would be included in the  
            development of a new licensure category.  Requires the  
            long-term mental health care working group to make  
            recommendations to the Legislature on or before January 1,  
            2002.

          4)Requires DMH, in conjunction with DHS, to develop and submit  
            to the Legislature, on or before March 1, 2001, a state plan  
            for a consolidated and streamlined evaluation and monitoring  
            program under one regulating authority for the review of  
            mental health rehabilitation centers and skilled nursing  
            facilities (SNFs) with special treatment programs, as  
            specified.  Requires the plan to include the cost and timeline  
            for implementation.
           
          5)Requires DHS to forward to DMH and the county in which the  
            facility is located, citations issued to a SNF that has a  
            special treatment program.  Requires DMH to forward to the  
            county in which a facility is located, copies of SNF and  
            mental health rehabilitation center citations, as specified.

          6)Requires, to the extent state funds are available, counties  
            that contract for services from institutions for mental  
            disease to establish a clinical quality support program as  
            specified.

          7)Requires, on or before July 1, 2001, DHS to develop a  
            mechanism to allow public access, including internet access,  
            to information regarding long-term care facilities licensed or  
            certified by DHS, including mental health rehabilitation  
            centers and special treatment programs, as specified.

           The Senate amendments  delete the appropriation from this bill  
          and make minor, nonsubstantive changes.

           AS PASSED BY THE ASSEMBLY  , this bill established a long-term  
          mental health care working group to further coordination and  
          monitoring of treatment of persons with mental illness in  










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          long-term care facilities and appropriated an unspecified sum to  
          counties for patients in institutions with mental disease.

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

           COMMENTS  :   None


           GOVERNOR'S VETO MESSAGE  :  

           
               This bill would require a long-term care mental health  
               working group to develop a specific plan for the  
               development of certain long-term care facilities.

               The 2000-01 Budget, as signed, did not include funds  
               for this purpose.  While this working group may have  
               merit, it should compete with the many other good  
               proposals that will be suggested next year for  
               adoption in the Budget Act of 2001.

               This bill also duplicates existing law, which already  
               requires the Department of Mental Health to conduct an  
               independent evaluation of Mental Health Rehabilitation  
               Centers and develop a state-level plan for a  
               streamlined and consolidated evaluation and monitoring  
               program for the review of MHRCs and skilled Nursing  
               Facilities with special treatment programs for  
               mentally ill patients.


           Analysis Prepared by  :  Ann Blackwood / HEALTH / (916) 319-2097 


                                                                            
                                                                            
                                                                            
                                                                            
                                                       FN: 0007406 










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