Amended IN Senate March 21, 2024 CALIFORNIA LEGISLATURE 20232024 REGULAR SESSION Senate Bill No. 1319Introduced by Senator WahabFebruary 16, 2024An act to add Section 11848 to Article 7.7 (commencing with Section 1324.50) to Chapter 2 of Division 2 of the Health and Safety Code, relating to behavioral health.LEGISLATIVE COUNSEL'S DIGESTSB 1319, as amended, Wahab. Behavioral health treatment facilities. Skilled nursing facilities: approval to provide therapeutic behavioral health programs.Existing law provides for the licensure and regulation of health facilities, including, but not limited to, skilled nursing facilities, by the State Department of Public Health. Existing law, the Alfred E. Alquist Hospital Facilities Seismic Safety Act of 1983, establishes, under the jurisdiction of the Department of Health Care Access and Information (HCAI), a program of seismic safety building standards for certain hospitals constructed on and after March 7, 1973. The act requires the governing board or other governing authority of a hospital, before adopting plans for the hospital building, as defined, to submit to HCAI an application for approval, accompanied by the plans, as prescribed.Existing law establishes the Medi-Cal program, which is administered by the State Department of Health Care Services (DHCS), and under which qualified low-income individuals receive health care services. The Medi-Cal program is, in part, governed and funded by federal Medicaid program provisions. Existing law authorizes DHCS to adopt regulations to certify providers enrolled in the Medi-Cal program, and applicants for enrollment as providers, including providers and applicants licensed as health care facilities.This bill would require a licensed skilled nursing facility that proposes to provide therapeutic behavioral health programs in an identifiable and physically separate locked unit of a skilled nursing facility, and that is required to submit an application and receive approvals from multiple departments, as specified above, to apply simultaneously to those departments for review and approval of application materials. The bill, when an applicant for approval from one of the specified departments is unable to complete the approval process because the applicant has not obtained required approvals and documentation from one or both of the other departments, would authorize the applicant to submit all available forms and supporting documentation, along with a letter estimating when the remaining materials will be submitted. The bill would require the receiving department to initiate review of the application, and would require final approval of the application to be granted only when all required documentation has been submitted by the applicant to each department from which approval is required. The bill would require the departments to work jointly to develop processes to allow applications to be reviewed simultaneously and in a coordinated manner, as specified.Existing law authorizes the State Department of Health Care Services to establish a Behavioral Health Continuum Infrastructure Program to award grants, as specified, for the construction, acquisition, and rehabilitation of behavioral health treatment resources, as described. The program exempts a facility project funded by a grant pursuant to the program from the California Environmental Quality Act, if it meets specified requirements, and local zoning and use permits, as specified.This bill would apply those exemptions to an entity, facility, or project that is converting a long-term health care facility or skilled nursing facility, as defined, to a facility that will expand the capacity of behavioral health treatment resources in the community.Digest Key Vote: MAJORITY Appropriation: NO Fiscal Committee: NOYES Local Program: NO Bill TextThe people of the State of California do enact as follows:SECTION 1. Article 7.7 (commencing with Section 1324.50) is added to Chapter 2 of Division 2 of the Health and Safety Code, to read: Article 7.7. Behavioral Health Treatment Services in Skilled Nursing Facilities1324.50. (a) A licensed skilled nursing facility that proposes to provide therapeutic behavioral health programs in an identifiable and physically separate locked unit of a skilled nursing facility, as described in Section 1276.9, that is required to submit an application and receive approvals from multiple departments, including the State Department of Public Health, pursuant to Section 1254, the Department of Health Care Access and Information, pursuant to Section 129760, and the State Department of Health Care Services, pursuant to Section 14043.15 of the Welfare and Institutions Code, may apply simultaneously to multiple departments for review and approval of application materials.(b) If an applicant for approval from a department identified in subdivision (a) is unable to complete the approval process because the applicant has not obtained required approvals and documentation from one or both of the other specified departments, the applicant may submit all available forms and supporting documentation, along with a letter estimating when the remaining materials will be submitted. The department that receives these documents pursuant to this paragraph shall initiate review of the application. Final approval of the application shall not be granted until all required documentation has been submitted by the applicant to each department from which approval is required.(c) The State Department of Health Care Services, the State Department of Public Health, and the Department of Health Care Access and Information shall work jointly to develop processes to allow applications to be reviewed simultaneously and in a coordinated manner, so that determinations regarding approvals can be streamlined, and to minimize the total approval time for all departments.SECTION 1.Section 11848 is added to the Health and Safety Code, to read:11848.The provisions of Section 5960.3 of the Welfare and Institutions Code shall be applicable to an entity, facility, or project if the entity, facility, or project is a long-term health care facility as defined in Section 1418 or a skilled nursing facility as defined in Section 1250 and is proposed to be converted to a facility that will expand the capacity of behavioral health treatment resources in the community, including any facility that would be required to be licensed pursuant to Section 11834.01, without regard to the source of funding for the conversion.
Amended IN Senate March 21, 2024 CALIFORNIA LEGISLATURE 20232024 REGULAR SESSION Senate Bill No. 1319Introduced by Senator WahabFebruary 16, 2024An act to add Section 11848 to Article 7.7 (commencing with Section 1324.50) to Chapter 2 of Division 2 of the Health and Safety Code, relating to behavioral health.LEGISLATIVE COUNSEL'S DIGESTSB 1319, as amended, Wahab. Behavioral health treatment facilities. Skilled nursing facilities: approval to provide therapeutic behavioral health programs.Existing law provides for the licensure and regulation of health facilities, including, but not limited to, skilled nursing facilities, by the State Department of Public Health. Existing law, the Alfred E. Alquist Hospital Facilities Seismic Safety Act of 1983, establishes, under the jurisdiction of the Department of Health Care Access and Information (HCAI), a program of seismic safety building standards for certain hospitals constructed on and after March 7, 1973. The act requires the governing board or other governing authority of a hospital, before adopting plans for the hospital building, as defined, to submit to HCAI an application for approval, accompanied by the plans, as prescribed.Existing law establishes the Medi-Cal program, which is administered by the State Department of Health Care Services (DHCS), and under which qualified low-income individuals receive health care services. The Medi-Cal program is, in part, governed and funded by federal Medicaid program provisions. Existing law authorizes DHCS to adopt regulations to certify providers enrolled in the Medi-Cal program, and applicants for enrollment as providers, including providers and applicants licensed as health care facilities.This bill would require a licensed skilled nursing facility that proposes to provide therapeutic behavioral health programs in an identifiable and physically separate locked unit of a skilled nursing facility, and that is required to submit an application and receive approvals from multiple departments, as specified above, to apply simultaneously to those departments for review and approval of application materials. The bill, when an applicant for approval from one of the specified departments is unable to complete the approval process because the applicant has not obtained required approvals and documentation from one or both of the other departments, would authorize the applicant to submit all available forms and supporting documentation, along with a letter estimating when the remaining materials will be submitted. The bill would require the receiving department to initiate review of the application, and would require final approval of the application to be granted only when all required documentation has been submitted by the applicant to each department from which approval is required. The bill would require the departments to work jointly to develop processes to allow applications to be reviewed simultaneously and in a coordinated manner, as specified.Existing law authorizes the State Department of Health Care Services to establish a Behavioral Health Continuum Infrastructure Program to award grants, as specified, for the construction, acquisition, and rehabilitation of behavioral health treatment resources, as described. The program exempts a facility project funded by a grant pursuant to the program from the California Environmental Quality Act, if it meets specified requirements, and local zoning and use permits, as specified.This bill would apply those exemptions to an entity, facility, or project that is converting a long-term health care facility or skilled nursing facility, as defined, to a facility that will expand the capacity of behavioral health treatment resources in the community.Digest Key Vote: MAJORITY Appropriation: NO Fiscal Committee: NOYES Local Program: NO
Amended IN Senate March 21, 2024
Amended IN Senate March 21, 2024
CALIFORNIA LEGISLATURE 20232024 REGULAR SESSION
Senate Bill
No. 1319
Introduced by Senator WahabFebruary 16, 2024
Introduced by Senator Wahab
February 16, 2024
An act to add Section 11848 to Article 7.7 (commencing with Section 1324.50) to Chapter 2 of Division 2 of the Health and Safety Code, relating to behavioral health.
LEGISLATIVE COUNSEL'S DIGEST
## LEGISLATIVE COUNSEL'S DIGEST
SB 1319, as amended, Wahab. Behavioral health treatment facilities. Skilled nursing facilities: approval to provide therapeutic behavioral health programs.
Existing law provides for the licensure and regulation of health facilities, including, but not limited to, skilled nursing facilities, by the State Department of Public Health. Existing law, the Alfred E. Alquist Hospital Facilities Seismic Safety Act of 1983, establishes, under the jurisdiction of the Department of Health Care Access and Information (HCAI), a program of seismic safety building standards for certain hospitals constructed on and after March 7, 1973. The act requires the governing board or other governing authority of a hospital, before adopting plans for the hospital building, as defined, to submit to HCAI an application for approval, accompanied by the plans, as prescribed.Existing law establishes the Medi-Cal program, which is administered by the State Department of Health Care Services (DHCS), and under which qualified low-income individuals receive health care services. The Medi-Cal program is, in part, governed and funded by federal Medicaid program provisions. Existing law authorizes DHCS to adopt regulations to certify providers enrolled in the Medi-Cal program, and applicants for enrollment as providers, including providers and applicants licensed as health care facilities.This bill would require a licensed skilled nursing facility that proposes to provide therapeutic behavioral health programs in an identifiable and physically separate locked unit of a skilled nursing facility, and that is required to submit an application and receive approvals from multiple departments, as specified above, to apply simultaneously to those departments for review and approval of application materials. The bill, when an applicant for approval from one of the specified departments is unable to complete the approval process because the applicant has not obtained required approvals and documentation from one or both of the other departments, would authorize the applicant to submit all available forms and supporting documentation, along with a letter estimating when the remaining materials will be submitted. The bill would require the receiving department to initiate review of the application, and would require final approval of the application to be granted only when all required documentation has been submitted by the applicant to each department from which approval is required. The bill would require the departments to work jointly to develop processes to allow applications to be reviewed simultaneously and in a coordinated manner, as specified.Existing law authorizes the State Department of Health Care Services to establish a Behavioral Health Continuum Infrastructure Program to award grants, as specified, for the construction, acquisition, and rehabilitation of behavioral health treatment resources, as described. The program exempts a facility project funded by a grant pursuant to the program from the California Environmental Quality Act, if it meets specified requirements, and local zoning and use permits, as specified.This bill would apply those exemptions to an entity, facility, or project that is converting a long-term health care facility or skilled nursing facility, as defined, to a facility that will expand the capacity of behavioral health treatment resources in the community.
Existing law provides for the licensure and regulation of health facilities, including, but not limited to, skilled nursing facilities, by the State Department of Public Health. Existing law, the Alfred E. Alquist Hospital Facilities Seismic Safety Act of 1983, establishes, under the jurisdiction of the Department of Health Care Access and Information (HCAI), a program of seismic safety building standards for certain hospitals constructed on and after March 7, 1973. The act requires the governing board or other governing authority of a hospital, before adopting plans for the hospital building, as defined, to submit to HCAI an application for approval, accompanied by the plans, as prescribed.
Existing law establishes the Medi-Cal program, which is administered by the State Department of Health Care Services (DHCS), and under which qualified low-income individuals receive health care services. The Medi-Cal program is, in part, governed and funded by federal Medicaid program provisions. Existing law authorizes DHCS to adopt regulations to certify providers enrolled in the Medi-Cal program, and applicants for enrollment as providers, including providers and applicants licensed as health care facilities.
This bill would require a licensed skilled nursing facility that proposes to provide therapeutic behavioral health programs in an identifiable and physically separate locked unit of a skilled nursing facility, and that is required to submit an application and receive approvals from multiple departments, as specified above, to apply simultaneously to those departments for review and approval of application materials. The bill, when an applicant for approval from one of the specified departments is unable to complete the approval process because the applicant has not obtained required approvals and documentation from one or both of the other departments, would authorize the applicant to submit all available forms and supporting documentation, along with a letter estimating when the remaining materials will be submitted. The bill would require the receiving department to initiate review of the application, and would require final approval of the application to be granted only when all required documentation has been submitted by the applicant to each department from which approval is required. The bill would require the departments to work jointly to develop processes to allow applications to be reviewed simultaneously and in a coordinated manner, as specified.
Existing law authorizes the State Department of Health Care Services to establish a Behavioral Health Continuum Infrastructure Program to award grants, as specified, for the construction, acquisition, and rehabilitation of behavioral health treatment resources, as described. The program exempts a facility project funded by a grant pursuant to the program from the California Environmental Quality Act, if it meets specified requirements, and local zoning and use permits, as specified.
This bill would apply those exemptions to an entity, facility, or project that is converting a long-term health care facility or skilled nursing facility, as defined, to a facility that will expand the capacity of behavioral health treatment resources in the community.
## Digest Key
## Bill Text
The people of the State of California do enact as follows:SECTION 1. Article 7.7 (commencing with Section 1324.50) is added to Chapter 2 of Division 2 of the Health and Safety Code, to read: Article 7.7. Behavioral Health Treatment Services in Skilled Nursing Facilities1324.50. (a) A licensed skilled nursing facility that proposes to provide therapeutic behavioral health programs in an identifiable and physically separate locked unit of a skilled nursing facility, as described in Section 1276.9, that is required to submit an application and receive approvals from multiple departments, including the State Department of Public Health, pursuant to Section 1254, the Department of Health Care Access and Information, pursuant to Section 129760, and the State Department of Health Care Services, pursuant to Section 14043.15 of the Welfare and Institutions Code, may apply simultaneously to multiple departments for review and approval of application materials.(b) If an applicant for approval from a department identified in subdivision (a) is unable to complete the approval process because the applicant has not obtained required approvals and documentation from one or both of the other specified departments, the applicant may submit all available forms and supporting documentation, along with a letter estimating when the remaining materials will be submitted. The department that receives these documents pursuant to this paragraph shall initiate review of the application. Final approval of the application shall not be granted until all required documentation has been submitted by the applicant to each department from which approval is required.(c) The State Department of Health Care Services, the State Department of Public Health, and the Department of Health Care Access and Information shall work jointly to develop processes to allow applications to be reviewed simultaneously and in a coordinated manner, so that determinations regarding approvals can be streamlined, and to minimize the total approval time for all departments.SECTION 1.Section 11848 is added to the Health and Safety Code, to read:11848.The provisions of Section 5960.3 of the Welfare and Institutions Code shall be applicable to an entity, facility, or project if the entity, facility, or project is a long-term health care facility as defined in Section 1418 or a skilled nursing facility as defined in Section 1250 and is proposed to be converted to a facility that will expand the capacity of behavioral health treatment resources in the community, including any facility that would be required to be licensed pursuant to Section 11834.01, without regard to the source of funding for the conversion.
The people of the State of California do enact as follows:
## The people of the State of California do enact as follows:
SECTION 1. Article 7.7 (commencing with Section 1324.50) is added to Chapter 2 of Division 2 of the Health and Safety Code, to read: Article 7.7. Behavioral Health Treatment Services in Skilled Nursing Facilities1324.50. (a) A licensed skilled nursing facility that proposes to provide therapeutic behavioral health programs in an identifiable and physically separate locked unit of a skilled nursing facility, as described in Section 1276.9, that is required to submit an application and receive approvals from multiple departments, including the State Department of Public Health, pursuant to Section 1254, the Department of Health Care Access and Information, pursuant to Section 129760, and the State Department of Health Care Services, pursuant to Section 14043.15 of the Welfare and Institutions Code, may apply simultaneously to multiple departments for review and approval of application materials.(b) If an applicant for approval from a department identified in subdivision (a) is unable to complete the approval process because the applicant has not obtained required approvals and documentation from one or both of the other specified departments, the applicant may submit all available forms and supporting documentation, along with a letter estimating when the remaining materials will be submitted. The department that receives these documents pursuant to this paragraph shall initiate review of the application. Final approval of the application shall not be granted until all required documentation has been submitted by the applicant to each department from which approval is required.(c) The State Department of Health Care Services, the State Department of Public Health, and the Department of Health Care Access and Information shall work jointly to develop processes to allow applications to be reviewed simultaneously and in a coordinated manner, so that determinations regarding approvals can be streamlined, and to minimize the total approval time for all departments.
SECTION 1. Article 7.7 (commencing with Section 1324.50) is added to Chapter 2 of Division 2 of the Health and Safety Code, to read:
### SECTION 1.
Article 7.7. Behavioral Health Treatment Services in Skilled Nursing Facilities1324.50. (a) A licensed skilled nursing facility that proposes to provide therapeutic behavioral health programs in an identifiable and physically separate locked unit of a skilled nursing facility, as described in Section 1276.9, that is required to submit an application and receive approvals from multiple departments, including the State Department of Public Health, pursuant to Section 1254, the Department of Health Care Access and Information, pursuant to Section 129760, and the State Department of Health Care Services, pursuant to Section 14043.15 of the Welfare and Institutions Code, may apply simultaneously to multiple departments for review and approval of application materials.(b) If an applicant for approval from a department identified in subdivision (a) is unable to complete the approval process because the applicant has not obtained required approvals and documentation from one or both of the other specified departments, the applicant may submit all available forms and supporting documentation, along with a letter estimating when the remaining materials will be submitted. The department that receives these documents pursuant to this paragraph shall initiate review of the application. Final approval of the application shall not be granted until all required documentation has been submitted by the applicant to each department from which approval is required.(c) The State Department of Health Care Services, the State Department of Public Health, and the Department of Health Care Access and Information shall work jointly to develop processes to allow applications to be reviewed simultaneously and in a coordinated manner, so that determinations regarding approvals can be streamlined, and to minimize the total approval time for all departments.
Article 7.7. Behavioral Health Treatment Services in Skilled Nursing Facilities1324.50. (a) A licensed skilled nursing facility that proposes to provide therapeutic behavioral health programs in an identifiable and physically separate locked unit of a skilled nursing facility, as described in Section 1276.9, that is required to submit an application and receive approvals from multiple departments, including the State Department of Public Health, pursuant to Section 1254, the Department of Health Care Access and Information, pursuant to Section 129760, and the State Department of Health Care Services, pursuant to Section 14043.15 of the Welfare and Institutions Code, may apply simultaneously to multiple departments for review and approval of application materials.(b) If an applicant for approval from a department identified in subdivision (a) is unable to complete the approval process because the applicant has not obtained required approvals and documentation from one or both of the other specified departments, the applicant may submit all available forms and supporting documentation, along with a letter estimating when the remaining materials will be submitted. The department that receives these documents pursuant to this paragraph shall initiate review of the application. Final approval of the application shall not be granted until all required documentation has been submitted by the applicant to each department from which approval is required.(c) The State Department of Health Care Services, the State Department of Public Health, and the Department of Health Care Access and Information shall work jointly to develop processes to allow applications to be reviewed simultaneously and in a coordinated manner, so that determinations regarding approvals can be streamlined, and to minimize the total approval time for all departments.
Article 7.7. Behavioral Health Treatment Services in Skilled Nursing Facilities
Article 7.7. Behavioral Health Treatment Services in Skilled Nursing Facilities
1324.50. (a) A licensed skilled nursing facility that proposes to provide therapeutic behavioral health programs in an identifiable and physically separate locked unit of a skilled nursing facility, as described in Section 1276.9, that is required to submit an application and receive approvals from multiple departments, including the State Department of Public Health, pursuant to Section 1254, the Department of Health Care Access and Information, pursuant to Section 129760, and the State Department of Health Care Services, pursuant to Section 14043.15 of the Welfare and Institutions Code, may apply simultaneously to multiple departments for review and approval of application materials.(b) If an applicant for approval from a department identified in subdivision (a) is unable to complete the approval process because the applicant has not obtained required approvals and documentation from one or both of the other specified departments, the applicant may submit all available forms and supporting documentation, along with a letter estimating when the remaining materials will be submitted. The department that receives these documents pursuant to this paragraph shall initiate review of the application. Final approval of the application shall not be granted until all required documentation has been submitted by the applicant to each department from which approval is required.(c) The State Department of Health Care Services, the State Department of Public Health, and the Department of Health Care Access and Information shall work jointly to develop processes to allow applications to be reviewed simultaneously and in a coordinated manner, so that determinations regarding approvals can be streamlined, and to minimize the total approval time for all departments.
1324.50. (a) A licensed skilled nursing facility that proposes to provide therapeutic behavioral health programs in an identifiable and physically separate locked unit of a skilled nursing facility, as described in Section 1276.9, that is required to submit an application and receive approvals from multiple departments, including the State Department of Public Health, pursuant to Section 1254, the Department of Health Care Access and Information, pursuant to Section 129760, and the State Department of Health Care Services, pursuant to Section 14043.15 of the Welfare and Institutions Code, may apply simultaneously to multiple departments for review and approval of application materials.
(b) If an applicant for approval from a department identified in subdivision (a) is unable to complete the approval process because the applicant has not obtained required approvals and documentation from one or both of the other specified departments, the applicant may submit all available forms and supporting documentation, along with a letter estimating when the remaining materials will be submitted. The department that receives these documents pursuant to this paragraph shall initiate review of the application. Final approval of the application shall not be granted until all required documentation has been submitted by the applicant to each department from which approval is required.
(c) The State Department of Health Care Services, the State Department of Public Health, and the Department of Health Care Access and Information shall work jointly to develop processes to allow applications to be reviewed simultaneously and in a coordinated manner, so that determinations regarding approvals can be streamlined, and to minimize the total approval time for all departments.
The provisions of Section 5960.3 of the Welfare and Institutions Code shall be applicable to an entity, facility, or project if the entity, facility, or project is a long-term health care facility as defined in Section 1418 or a skilled nursing facility as defined in Section 1250 and is proposed to be converted to a facility that will expand the capacity of behavioral health treatment resources in the community, including any facility that would be required to be licensed pursuant to Section 11834.01, without regard to the source of funding for the conversion.