Amended IN Assembly April 25, 2019 Amended IN Assembly March 25, 2019 CALIFORNIA LEGISLATURE 20192020 REGULAR SESSION Assembly Bill No. 1275Introduced by Assembly Member SantiagoFebruary 21, 2019An act to add Section 5688.7 to the Welfare and Institutions Code, relating to mental health, and making an appropriation therefor.LEGISLATIVE COUNSEL'S DIGESTAB 1275, as amended, Santiago. Mental health services.Existing law establishes a community support system to, among other things, conduct active outreach to persons who are mentally disabled and homeless to secure and maintain income, housing, food, and clothing. Existing law states the intent of the Legislature, when funds are made available, that counties ensure the delivery of long-range services and community support assistance to these persons.This bill would require each county to the State Department of Health Care Services to establish a 3-year pilot project to include the County of Los Angeles and up to 9 additional counties in which each participating county would be required to establish an outreach team to provide outreach services to homeless and at-risk individuals with a history of mental illness or substance use disorders who are unable to provide for urgently needed medical care. The bill would require the outreach team to facilitate early intervention and treatment for these individuals in the least restrictive environment and to provide intensive outreach, case management, and linkage to services, including housing and treatment services. The bill would also require that persons staffing these teams be county employees. By imposing new duties on county employees, the bill would impose a state-mandated local program. The bill would also require the department to submit, on or before July 1, 2021, and in each subsequent year for the duration of the pilot project, a report to the Legislature on the status of the pilot project and a final report to the Legislature on or before July 1, 2024.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.The bill would also appropriate $68,000,000 from the General Fund to the State Department of Health Care Services for distribution to the counties for allocation to the county public administrator, public guardian, and public conservator in each participating county to enable those officers to better assist persons who are subject to the jurisdiction of those officers and who are gravely disabled and either homeless or at risk of becoming homeless.Digest Key Vote: 2/3 Appropriation: YES Fiscal Committee: YES Local Program: YESNO Bill TextThe people of the State of California do enact as follows:SECTION 1. Section 5688.7 is added to the Welfare and Institutions Code, to read:5688.7. Each county shall (a) The State Department of Health Care Services shall establish a three-year pilot project to include the County of Los Angeles and up to nine additional counties. The purpose of the pilot project shall be for each participating county to establish an outreach team to provide outreach services to individuals with a history of mental illness or substance use disorders who are unable to provide for urgently needed medical care and who are homeless or at risk of experiencing homelessness. The outreach team shall facilitate early intervention and treatment for these individuals in the least restrictive environment and shall provide intensive outreach, case management, and linkage to services, including housing and treatment services. The persons staffing these teams shall be county employees.(b) The department shall select from applicants a representative sampling of counties to include, but not be limited to, rural, urban, northern, central, and southern counties. The department shall consult and collaborate with, at a minimum, the County Behavioral Health Directors Association of California to establish the criteria for selection in the pilot project, the outcome measurements of the pilot project, and the reporting criteria.(c) The department shall, on or before July 1, 2021, and in each subsequent year for the duration of the pilot project, report to the Legislature on the status of the pilot project and submit a final report to the Legislature on or before July 1, 2024. A report submitted pursuant to this section shall be submitted in accordance with Section 9795 of the Government Code.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.SEC. 3.SEC. 2. The sum of sixty-eight million dollars ($68,000,000) is hereby appropriated from the General Fund to the State Department of Health Care Services for distribution to the counties for allocation to the county public administrator, public guardian, and public conservator in each participating county to enable those officers to better assist persons who are subject to the jurisdiction of those officers and who are gravely disabled and either homeless or at risk of becoming homeless. The department shall, in consultation and collaboration with the California Association of Public Administrators, Public Guardians and Public Conservators, the California State Association of Counties, the Service Employees International Union, and the County Behavioral Health Directors Association of California, determine the formula to be used in making the allocations. Priority consideration shall be given to those counties with the highest caseload per capita.
Amended IN Assembly April 25, 2019 Amended IN Assembly March 25, 2019 CALIFORNIA LEGISLATURE 20192020 REGULAR SESSION Assembly Bill No. 1275Introduced by Assembly Member SantiagoFebruary 21, 2019An act to add Section 5688.7 to the Welfare and Institutions Code, relating to mental health, and making an appropriation therefor.LEGISLATIVE COUNSEL'S DIGESTAB 1275, as amended, Santiago. Mental health services.Existing law establishes a community support system to, among other things, conduct active outreach to persons who are mentally disabled and homeless to secure and maintain income, housing, food, and clothing. Existing law states the intent of the Legislature, when funds are made available, that counties ensure the delivery of long-range services and community support assistance to these persons.This bill would require each county to the State Department of Health Care Services to establish a 3-year pilot project to include the County of Los Angeles and up to 9 additional counties in which each participating county would be required to establish an outreach team to provide outreach services to homeless and at-risk individuals with a history of mental illness or substance use disorders who are unable to provide for urgently needed medical care. The bill would require the outreach team to facilitate early intervention and treatment for these individuals in the least restrictive environment and to provide intensive outreach, case management, and linkage to services, including housing and treatment services. The bill would also require that persons staffing these teams be county employees. By imposing new duties on county employees, the bill would impose a state-mandated local program. The bill would also require the department to submit, on or before July 1, 2021, and in each subsequent year for the duration of the pilot project, a report to the Legislature on the status of the pilot project and a final report to the Legislature on or before July 1, 2024.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.The bill would also appropriate $68,000,000 from the General Fund to the State Department of Health Care Services for distribution to the counties for allocation to the county public administrator, public guardian, and public conservator in each participating county to enable those officers to better assist persons who are subject to the jurisdiction of those officers and who are gravely disabled and either homeless or at risk of becoming homeless.Digest Key Vote: 2/3 Appropriation: YES Fiscal Committee: YES Local Program: YESNO
Amended IN Assembly April 25, 2019 Amended IN Assembly March 25, 2019
Amended IN Assembly April 25, 2019
Amended IN Assembly March 25, 2019
CALIFORNIA LEGISLATURE 20192020 REGULAR SESSION
Assembly Bill No. 1275
Introduced by Assembly Member SantiagoFebruary 21, 2019
Introduced by Assembly Member Santiago
February 21, 2019
An act to add Section 5688.7 to the Welfare and Institutions Code, relating to mental health, and making an appropriation therefor.
LEGISLATIVE COUNSEL'S DIGEST
## LEGISLATIVE COUNSEL'S DIGEST
AB 1275, as amended, Santiago. Mental health services.
Existing law establishes a community support system to, among other things, conduct active outreach to persons who are mentally disabled and homeless to secure and maintain income, housing, food, and clothing. Existing law states the intent of the Legislature, when funds are made available, that counties ensure the delivery of long-range services and community support assistance to these persons.This bill would require each county to the State Department of Health Care Services to establish a 3-year pilot project to include the County of Los Angeles and up to 9 additional counties in which each participating county would be required to establish an outreach team to provide outreach services to homeless and at-risk individuals with a history of mental illness or substance use disorders who are unable to provide for urgently needed medical care. The bill would require the outreach team to facilitate early intervention and treatment for these individuals in the least restrictive environment and to provide intensive outreach, case management, and linkage to services, including housing and treatment services. The bill would also require that persons staffing these teams be county employees. By imposing new duties on county employees, the bill would impose a state-mandated local program. The bill would also require the department to submit, on or before July 1, 2021, and in each subsequent year for the duration of the pilot project, a report to the Legislature on the status of the pilot project and a final report to the Legislature on or before July 1, 2024.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.The bill would also appropriate $68,000,000 from the General Fund to the State Department of Health Care Services for distribution to the counties for allocation to the county public administrator, public guardian, and public conservator in each participating county to enable those officers to better assist persons who are subject to the jurisdiction of those officers and who are gravely disabled and either homeless or at risk of becoming homeless.
Existing law establishes a community support system to, among other things, conduct active outreach to persons who are mentally disabled and homeless to secure and maintain income, housing, food, and clothing. Existing law states the intent of the Legislature, when funds are made available, that counties ensure the delivery of long-range services and community support assistance to these persons.
This bill would require each county to the State Department of Health Care Services to establish a 3-year pilot project to include the County of Los Angeles and up to 9 additional counties in which each participating county would be required to establish an outreach team to provide outreach services to homeless and at-risk individuals with a history of mental illness or substance use disorders who are unable to provide for urgently needed medical care. The bill would require the outreach team to facilitate early intervention and treatment for these individuals in the least restrictive environment and to provide intensive outreach, case management, and linkage to services, including housing and treatment services. The bill would also require that persons staffing these teams be county employees. By imposing new duties on county employees, the bill would impose a state-mandated local program. The bill would also require the department to submit, on or before July 1, 2021, and in each subsequent year for the duration of the pilot project, a report to the Legislature on the status of the pilot project and a final report to the Legislature on or before July 1, 2024.
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.
The bill would also appropriate $68,000,000 from the General Fund to the State Department of Health Care Services for distribution to the counties for allocation to the county public administrator, public guardian, and public conservator in each participating county to enable those officers to better assist persons who are subject to the jurisdiction of those officers and who are gravely disabled and either homeless or at risk of becoming homeless.
## Digest Key
## Bill Text
The people of the State of California do enact as follows:SECTION 1. Section 5688.7 is added to the Welfare and Institutions Code, to read:5688.7. Each county shall (a) The State Department of Health Care Services shall establish a three-year pilot project to include the County of Los Angeles and up to nine additional counties. The purpose of the pilot project shall be for each participating county to establish an outreach team to provide outreach services to individuals with a history of mental illness or substance use disorders who are unable to provide for urgently needed medical care and who are homeless or at risk of experiencing homelessness. The outreach team shall facilitate early intervention and treatment for these individuals in the least restrictive environment and shall provide intensive outreach, case management, and linkage to services, including housing and treatment services. The persons staffing these teams shall be county employees.(b) The department shall select from applicants a representative sampling of counties to include, but not be limited to, rural, urban, northern, central, and southern counties. The department shall consult and collaborate with, at a minimum, the County Behavioral Health Directors Association of California to establish the criteria for selection in the pilot project, the outcome measurements of the pilot project, and the reporting criteria.(c) The department shall, on or before July 1, 2021, and in each subsequent year for the duration of the pilot project, report to the Legislature on the status of the pilot project and submit a final report to the Legislature on or before July 1, 2024. A report submitted pursuant to this section shall be submitted in accordance with Section 9795 of the Government Code.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.SEC. 3.SEC. 2. The sum of sixty-eight million dollars ($68,000,000) is hereby appropriated from the General Fund to the State Department of Health Care Services for distribution to the counties for allocation to the county public administrator, public guardian, and public conservator in each participating county to enable those officers to better assist persons who are subject to the jurisdiction of those officers and who are gravely disabled and either homeless or at risk of becoming homeless. The department shall, in consultation and collaboration with the California Association of Public Administrators, Public Guardians and Public Conservators, the California State Association of Counties, the Service Employees International Union, and the County Behavioral Health Directors Association of California, determine the formula to be used in making the allocations. Priority consideration shall be given to those counties with the highest caseload per capita.
The people of the State of California do enact as follows:
## The people of the State of California do enact as follows:
SECTION 1. Section 5688.7 is added to the Welfare and Institutions Code, to read:5688.7. Each county shall (a) The State Department of Health Care Services shall establish a three-year pilot project to include the County of Los Angeles and up to nine additional counties. The purpose of the pilot project shall be for each participating county to establish an outreach team to provide outreach services to individuals with a history of mental illness or substance use disorders who are unable to provide for urgently needed medical care and who are homeless or at risk of experiencing homelessness. The outreach team shall facilitate early intervention and treatment for these individuals in the least restrictive environment and shall provide intensive outreach, case management, and linkage to services, including housing and treatment services. The persons staffing these teams shall be county employees.(b) The department shall select from applicants a representative sampling of counties to include, but not be limited to, rural, urban, northern, central, and southern counties. The department shall consult and collaborate with, at a minimum, the County Behavioral Health Directors Association of California to establish the criteria for selection in the pilot project, the outcome measurements of the pilot project, and the reporting criteria.(c) The department shall, on or before July 1, 2021, and in each subsequent year for the duration of the pilot project, report to the Legislature on the status of the pilot project and submit a final report to the Legislature on or before July 1, 2024. A report submitted pursuant to this section shall be submitted in accordance with Section 9795 of the Government Code.
SECTION 1. Section 5688.7 is added to the Welfare and Institutions Code, to read:
### SECTION 1.
5688.7. Each county shall (a) The State Department of Health Care Services shall establish a three-year pilot project to include the County of Los Angeles and up to nine additional counties. The purpose of the pilot project shall be for each participating county to establish an outreach team to provide outreach services to individuals with a history of mental illness or substance use disorders who are unable to provide for urgently needed medical care and who are homeless or at risk of experiencing homelessness. The outreach team shall facilitate early intervention and treatment for these individuals in the least restrictive environment and shall provide intensive outreach, case management, and linkage to services, including housing and treatment services. The persons staffing these teams shall be county employees.(b) The department shall select from applicants a representative sampling of counties to include, but not be limited to, rural, urban, northern, central, and southern counties. The department shall consult and collaborate with, at a minimum, the County Behavioral Health Directors Association of California to establish the criteria for selection in the pilot project, the outcome measurements of the pilot project, and the reporting criteria.(c) The department shall, on or before July 1, 2021, and in each subsequent year for the duration of the pilot project, report to the Legislature on the status of the pilot project and submit a final report to the Legislature on or before July 1, 2024. A report submitted pursuant to this section shall be submitted in accordance with Section 9795 of the Government Code.
5688.7. Each county shall (a) The State Department of Health Care Services shall establish a three-year pilot project to include the County of Los Angeles and up to nine additional counties. The purpose of the pilot project shall be for each participating county to establish an outreach team to provide outreach services to individuals with a history of mental illness or substance use disorders who are unable to provide for urgently needed medical care and who are homeless or at risk of experiencing homelessness. The outreach team shall facilitate early intervention and treatment for these individuals in the least restrictive environment and shall provide intensive outreach, case management, and linkage to services, including housing and treatment services. The persons staffing these teams shall be county employees.(b) The department shall select from applicants a representative sampling of counties to include, but not be limited to, rural, urban, northern, central, and southern counties. The department shall consult and collaborate with, at a minimum, the County Behavioral Health Directors Association of California to establish the criteria for selection in the pilot project, the outcome measurements of the pilot project, and the reporting criteria.(c) The department shall, on or before July 1, 2021, and in each subsequent year for the duration of the pilot project, report to the Legislature on the status of the pilot project and submit a final report to the Legislature on or before July 1, 2024. A report submitted pursuant to this section shall be submitted in accordance with Section 9795 of the Government Code.
5688.7. Each county shall (a) The State Department of Health Care Services shall establish a three-year pilot project to include the County of Los Angeles and up to nine additional counties. The purpose of the pilot project shall be for each participating county to establish an outreach team to provide outreach services to individuals with a history of mental illness or substance use disorders who are unable to provide for urgently needed medical care and who are homeless or at risk of experiencing homelessness. The outreach team shall facilitate early intervention and treatment for these individuals in the least restrictive environment and shall provide intensive outreach, case management, and linkage to services, including housing and treatment services. The persons staffing these teams shall be county employees.(b) The department shall select from applicants a representative sampling of counties to include, but not be limited to, rural, urban, northern, central, and southern counties. The department shall consult and collaborate with, at a minimum, the County Behavioral Health Directors Association of California to establish the criteria for selection in the pilot project, the outcome measurements of the pilot project, and the reporting criteria.(c) The department shall, on or before July 1, 2021, and in each subsequent year for the duration of the pilot project, report to the Legislature on the status of the pilot project and submit a final report to the Legislature on or before July 1, 2024. A report submitted pursuant to this section shall be submitted in accordance with Section 9795 of the Government Code.
5688.7. Each county shall (a) The State Department of Health Care Services shall establish a three-year pilot project to include the County of Los Angeles and up to nine additional counties. The purpose of the pilot project shall be for each participating county to establish an outreach team to provide outreach services to individuals with a history of mental illness or substance use disorders who are unable to provide for urgently needed medical care and who are homeless or at risk of experiencing homelessness. The outreach team shall facilitate early intervention and treatment for these individuals in the least restrictive environment and shall provide intensive outreach, case management, and linkage to services, including housing and treatment services. The persons staffing these teams shall be county employees.
(b) The department shall select from applicants a representative sampling of counties to include, but not be limited to, rural, urban, northern, central, and southern counties. The department shall consult and collaborate with, at a minimum, the County Behavioral Health Directors Association of California to establish the criteria for selection in the pilot project, the outcome measurements of the pilot project, and the reporting criteria.
(c) The department shall, on or before July 1, 2021, and in each subsequent year for the duration of the pilot project, report to the Legislature on the status of the pilot project and submit a final report to the Legislature on or before July 1, 2024. A report submitted pursuant to this section shall be submitted in accordance with Section 9795 of the Government Code.
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.
SEC. 3.SEC. 2. The sum of sixty-eight million dollars ($68,000,000) is hereby appropriated from the General Fund to the State Department of Health Care Services for distribution to the counties for allocation to the county public administrator, public guardian, and public conservator in each participating county to enable those officers to better assist persons who are subject to the jurisdiction of those officers and who are gravely disabled and either homeless or at risk of becoming homeless. The department shall, in consultation and collaboration with the California Association of Public Administrators, Public Guardians and Public Conservators, the California State Association of Counties, the Service Employees International Union, and the County Behavioral Health Directors Association of California, determine the formula to be used in making the allocations. Priority consideration shall be given to those counties with the highest caseload per capita.
SEC. 3.SEC. 2. The sum of sixty-eight million dollars ($68,000,000) is hereby appropriated from the General Fund to the State Department of Health Care Services for distribution to the counties for allocation to the county public administrator, public guardian, and public conservator in each participating county to enable those officers to better assist persons who are subject to the jurisdiction of those officers and who are gravely disabled and either homeless or at risk of becoming homeless. The department shall, in consultation and collaboration with the California Association of Public Administrators, Public Guardians and Public Conservators, the California State Association of Counties, the Service Employees International Union, and the County Behavioral Health Directors Association of California, determine the formula to be used in making the allocations. Priority consideration shall be given to those counties with the highest caseload per capita.
SEC. 3.SEC. 2. The sum of sixty-eight million dollars ($68,000,000) is hereby appropriated from the General Fund to the State Department of Health Care Services for distribution to the counties for allocation to the county public administrator, public guardian, and public conservator in each participating county to enable those officers to better assist persons who are subject to the jurisdiction of those officers and who are gravely disabled and either homeless or at risk of becoming homeless. The department shall, in consultation and collaboration with the California Association of Public Administrators, Public Guardians and Public Conservators, the California State Association of Counties, the Service Employees International Union, and the County Behavioral Health Directors Association of California, determine the formula to be used in making the allocations. Priority consideration shall be given to those counties with the highest caseload per capita.
### SEC. 3.SEC. 2.