SB 1464 Senate Bill - INTRODUCED

BILL NUMBER: SB 1464	INTRODUCED
	BILL TEXT


INTRODUCED BY   Senators Johnson, Leslie, McPherson, Monteith, and
Mountjoy

                        FEBRUARY 9, 2000

   An act to amend Section 5814.5 of the Welfare and Institutions
Code, relating to mental health, and making an appropriation
therefor.



	LEGISLATIVE COUNSEL'S DIGEST


   SB 1464, as introduced, Johnson.  Mental health services:
funding.
   Existing law, the Adult and Older Adult Mental Health System of
Care Act, provides system of care programs for adults and older
adults in California with severe mental illness.  The act provides
that county participation in its programs is voluntary, and
authorizes the State Department of Mental Health to contract with
counties whose programs have been approved by the department. The
existing act further provides that its programs shall be implemented
only to the extent that funds are appropriated for its purposes, and
specifies the use of funds appropriated pursuant to the Budget Act of
1999.
   This bill would appropriate $20 million from the General Fund to
the State Department of Mental Health, and would revise existing
funding provisions to specify the manner in which the appropriated
funds are allocated.  This bill would allocate $10 million of the
appropriated funds to up to 3 counties or portions of counties that
demonstrate an ability to provide comprehensive mental health
services to severely mentally ill adults who are homeless or recently
released from the county jail.
   Vote:  2/3.  Appropriation:  yes.  Fiscal committee:  yes.
State-mandated local program:  no.


THE PEOPLE OF THE STATE OF CALIFORNIA DO ENACT AS FOLLOWS:


  SECTION 1.  Section 5814.5 of the Welfare and Institutions Code is
amended to read:
   5814.5.  (a)  Of the funds appropriated pursuant to
Schedule (a) of Item 4440-101-0001 of the Budget Act of 1999, the sum
of ten million dollars ($10,000,000)   The sum of
twenty million dollars ($20,000,000) is hereby appropriated from the
General Fund for the 2000-01 fiscal year to the State Department of
Mental Health.
   (b) The funds appropriated pursuant to subdivision (a)  shall
be allocated in accordance with the following schedule:
   (1) The sum of five hundred thousand dollars ($500,000) shall be
 reappropriated in augmentation of Schedule (a) of Item
4440-001-0001 of the Budget Act of 1999 to provide for departmental
support for the additional administrative costs associated with the
augmentation contained in paragraph (2).  Specifically, this amount
shall be  utilized by the State Department of Mental Health
to provide for its administration of these programs, and to work
together with the Department of Finance, the Department of
Corrections, the Board of Corrections, state associations
representing law enforcement and local government, and the
Legislative Analyst, in order to collect and evaluate the program
performance and cost data pertaining to these programs.
   (2) The sum of nine million five hundred thousand dollars
($9,500,000) is hereby allocated  in augmentation of Item
4440-101-0001 of the Budget Act of 1999, to be awarded by the
department in the 1999-2000 fiscal year, for up to three counties or
portions of counties, that demonstrate that the county can provide
comprehensive services, as set forth in this part, to a substantial
number of adults who are severely mentally ill, as defined in Section
5600.3, and are homeless or recently released from the county jail
or who are untreated, unstable, and at significant risk of
incarceration or homelessness unless treatment is provided.
   (b)   to be awarded by the department to those
counties, or portions of counties, that were awarded grants in the
1999-2000 fiscal year pursuant to Item 4440-101-0001 of the Budget
Act of 1999, and met the criteria and conditions set forth in
subdivisions (c) and (d).
   (3) The sum of ten million dollars ($10,000,000) is hereby
allocated to be awarded by the department in the 2000-01 fiscal year
for up to three counties or portions of counties that demonstrate
that the county can provide comprehensive services as set forth in
this part, to a substantial number of adults who are severely
mentally ill, as defined in Section 5600.3 and are homeless or
recently released from the county jail, or who are untreated,
unstable, and at significant risk of incarceration or homelessness
unless treatment is provided.
   (c)  (1) Counties eligible for funding pursuant to 
paragraph (2) of  subdivision  (a)  
(b)  shall be those that have existing integrated adult service
programs that meet the criteria for an adult system of care, as set
forth in Section 5806, and that have, or can develop, integrated
forensic programs with similar characteristics for parolees and those
recently released from county jail who meet the target population
requirements of Section 5600.3 and are at risk of incarceration
unless the services are provided.  Local enrollment for integrated
adult service programs and for integrated forensic programs funded
pursuant to  paragraph (2) of  subdivision 
(a)   (b)  shall adhere to all conditions set forth
by the department, including the total number of clients to be
enrolled, the providers to which clients are enrolled and the maximum
cost for each provider, the maximum number of clients to be served
at any one time, the outreach and screening process used to identify
enrollees, and the total cost of the program.  Local enrollment of
each individual for integrated forensic programs shall be subject to
the approval of the county mental health director or his or her
designee.
   (2) Each county shall ensure that funds provided by these grants
are used to provide new services in accordance with the purpose for
which they were appropriated and allocated, and that none of these
funds shall be used to supplant existing services to severely
mentally ill adults.  In order to ensure that this requirement is
met, the department shall develop methods and contractual
requirements, as it determines necessary.  At a minimum, these
assurances shall include that state and federal requirements
regarding tracking of funds are met and that patient records are
maintained in such a manner as to protect privacy and
confidentiality, as required under federal and state law.  
   (c)  
   (d)  Each county selected to receive a grant pursuant to this
section shall provide data as the department may require, that
demonstrates the outcomes of these adult system of care programs,
shall specify the additional numbers of severely mentally ill adults
to whom they will provide comprehensive services for each million
dollars of additional funding that may be awarded through either an
integrated adult service grant or an integrated forensic grant, and
shall agree to provide services in accordance with Section 5806.

  (d)   
  (e)  This section shall become inoperative on July 1, 
2000  2001  , and, as of January 1,  2001
  2002  , is repealed, unless a later enacted
statute, that becomes operative on or before January 1,  2001
  2002  , deletes or extends the dates on which it
becomes inoperative and is repealed.