Bill Text: CA SB1101 | 2017-2018 | Regular Session | Amended

NOTE: There are more recent revisions of this legislation. Read Latest Draft

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Bill Title: Mental health.

Spectrum: Partisan Bill (Democrat 1-0)

Status: (Introduced - Dead) 2018-05-25 - May 25 hearing: Held in committee and under submission. [SB1101 Detail]

Download: California-2017-SB1101-Amended.html

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Amended  IN  Senate  March 22, 2018

CALIFORNIA LEGISLATURE— 2017–2018 REGULAR SESSION

Senate Bill

No. 1101

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Introduced by Senator Pan

February 13, 2018

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An act to amend Section 5840 of add Part 7 (commencing with Section 5953) to Division 5 of the Welfare and Institutions Code, relating to mental health.

LEGISLATIVE COUNSEL'S DIGEST

SB 1101, as amended, Pan. Mental health.

Existing law, the Mental Health Services Act (MHSA), an initiative measure enacted by the voters as Proposition 63 at the November 2, 2004, statewide general election, establishes the Mental Health Services Oversight and Accountability Commission to oversee the administration of various parts of the act.

In addition to its existing duties, this bill would require the commission, on or before January 1, 2020, to establish 5 statewide objectives for the treatment and prevention of mental illness and metrics by which progress toward each of those objectives may be measured. The bill would require the commission to work with appropriate stakeholders in establishing these objectives and metrics. The bill would require the obejectives and metrics to be reviewed at least every 5 years and, if appropriate, revised. The bill would prohibit the commission from using MHSA funding to carry out these additional duties.

The bill, beginning January 1, 2021, would require all counties to annually submit a report to the commission and the Legislature, by the end of each fiscal year, that documents its progress toward the statewide objectives, using the metrics described above. The bill would also require each county to document specified mental health funding allocations in relation to the statewide objectives. The bill would prohibit counties from encumbering MHSA funding for purposes of complying with these provisions. By requiring counties to submit annual reports, this bill would impose a state-mandated local program.

The California Constitution requires the state to reimburse local agencies and school districts for certain costs mandated by the state. Statutory provisions establish procedures for making that reimbursement.

This bill would provide that, if the Commission on State Mandates determines that the bill contains costs mandated by the state, reimbursement for those costs shall be made pursuant to the statutory provisions noted above.

Existing law, the Mental Health Services Act, an initiative measure enacted by the voters as Proposition 63 at the November 2, 2004, statewide general election, requires the State Department of Health Care Services to establish a program designed to prevent mental illnesses from becoming severe and disabling.

This bill would make technical, nonsubstantive changes to that provision.

Digest Key

Vote: MAJORITY   Appropriation: NO   Fiscal Committee: NOYES   Local Program: NOYES  

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Bill Text

The people of the State of California do enact as follows:

SECTION 1.

 Part 7 (commencing with Section 5953) is added to Division 5 of the Welfare and Institutions Code, to read:

PART 7. STATEWIDE MENTAL HEALTH OBJECTIVES

5953.

 (a) On or before January 1, 2020, the Mental Health Services Oversight and Accountability Commission, in addition to its existing duties, shall establish five statewide objectives for the treatment and prevention of mental illness. The commission shall also establish corresponding metrics by which progress toward each objective may be measured. The commission shall work with appropriate stakeholders in establishing these objectives and metrics. Objectives and metrics established pursuant this section shall be reviewed at least every five years and, if appropriate, revised.

(b) The commission shall not use funding allocated for purposes of the Mental Health Services Act to carry out the duties described in this section.

(c) Notwithstanding Section 10231.5 of the Government Code, each county, beginning January 1, 2021, shall annually submit a report to the commission and to the Legislature, by the end of each fiscal year, that documents the county’s progress toward the statewide objectives, using the metrics described in subdivision (a). The report shall also document mental health funding allocations from Medi-Cal and the Mental Health Services Act in relation to the statewide objectives. A report submitted pursuant to this subdivision shall be submitted in compliance with Section 9795 of the Government Code.

(d) Counties shall not encumber funding received pursuant to the Mental Health Services Act to comply with the reporting requirements described in this section.

(e) This section shall not be construed to require counties to allocate its mental health funding based on the statewide objectives established pursuant to subdivision (a). It is the intent of the Legislature that these statewide objectives work in concert with locally and regionally established goals to improve mental health outcomes statewide.

SEC. 2.

 If the Commission on State Mandates determines that this act contains costs mandated by the state, reimbursement to local agencies and school districts for those costs shall be made pursuant to Part 7 (commencing with Section 17500) of Division 4 of Title 2 of the Government Code.

SECTION 1.Section 5840 of the Welfare and Institutions Code is amended to read:

5840.

(a)The State Department of Health Care Services, in coordination with counties, shall establish a program designed to prevent mental illnesses from becoming severe and disabling. The program shall emphasize improving timely access to services for underserved populations.

(b)The program shall include all of the following components:

(1)Outreach to families, employers, primary care health care providers, and others to recognize the early signs of potentially severe and disabling mental illnesses.

(2)Access and linkage to medically necessary care provided by county mental health programs for children with severe mental illness, as defined in Section 5600.3, and for adults and seniors with severe mental illness, as defined in Section 5600.3, as early in the onset of these conditions as practicable.

(3)Reduction in stigma associated with either being diagnosed with a mental illness or seeking mental health services.

(4)Reduction in discrimination against people with mental illness.

(c)The program shall include mental health services similar to those provided under other programs effective in preventing mental illnesses from becoming severe, and shall also include components similar to programs that have been successful in reducing the duration of untreated severe mental illnesses and assisting people in quickly regaining productive lives.

(d)The program shall emphasize strategies to reduce all of the following negative outcomes that may result from untreated mental illness:

(1)Suicide.

(2)Incarcerations.

(3)School failure or dropout.

(4)Unemployment.

(5)Prolonged suffering.

(6)Homelessness.

(7)Removal of children from their homes.

(e)Prevention and early intervention funds may be used to broaden the provision of community-based mental health services by adding prevention and early intervention services or activities to these services.

(f)In consultation with mental health stakeholders, and consistent with regulations from the Mental Health Services Oversight and Accountability Commission, pursuant to Section 5846, the department shall revise the program elements in this section applicable to all county mental health programs in future years to reflect what is learned about the most effective prevention and intervention programs for children, adults, and seniors.