SB 1143: Acute Care Psychiatric Hospital Loan Fund.
- Session Year: 2021-2022
- House: Senate
- Latest Version Date: 2022-09-01
The California Health Facilities Financing Authority Act authorizes the California Health Facilities Financing Authority (authority) to, among other things, make loans from the continuously appropriated California Health Facilities Financing Authority Fund to participating health institutions, as defined, for financing or refinancing the acquisition, construction, or remodeling of health facilities.
Under existing law, the board of supervisors of each county may maintain in the county hospital or in any other hospital situated within or without the county, or in any other psychiatric health facility situated within or without the county, suitable facilities and nonhospital or hospital services for the detention, supervision, care, and treatment of persons who have a mental health disorder or a developmental disability, or who are alleged to be such. Existing law defines county psychiatric hospital as a hospital, ward, or facility provided by the county pursuant to certain provisions.
This bill would establish the California Acute Care Psychiatric Hospital Loan Fund and would continuously appropriate moneys in that fund to the authority to provide loans to qualifying county or city and county applicants for the purpose of building or renovating acute care psychiatric hospitals, psychiatric health facilities, or psychiatric units in general acute care hospitals, as defined. The bill would require the authority to develop an application for county or city and county applicants by January 1, 2024. The bill would require initial preliminary applications for projects to be submitted to the authority by April 1, 2024, and would require the authority to approve the project based on specified criteria. The bill would provide for the return of any funds not encumbered by a loan recipient within a specified period and would require a loan recipient to maintain and operate the facility for the life of the loan. The bill would authorize the authority to charge a fee to cover the cost of administering the loan. The bill would also require the authority to provide a report to the Department of Finance and the budget and health committees of the Assembly and Senate by a specified date that would include, among other things, the number of projects that are receiving loans and their geographic distribution. By creating a continuously appropriated fund, the bill would make an appropriation.
The California Health Facilities Financing Authority Act authorizes the California Health Facilities Financing Authority (authority) to, among other things, make loans from the continuously appropriated California Health Facilities Financing Authority Fund to participating health institutions, as defined, for financing or refinancing the acquisition, construction, or remodeling of health facilities.
Under existing law, the board of supervisors of each county may maintain in the county hospital or in any other hospital situated within or without the county, or in any other psychiatric health facility situated within or without the county, suitable facilities and nonhospital or hospital services for the detention, supervision, care, and treatment of persons who have a mental health disorder or a developmental disability, or who are alleged to be such. Existing law defines county psychiatric hospital as a hospital, ward, or facility provided by the county pursuant to certain provisions.
This bill would establish the California Acute Care Psychiatric Hospital Loan Fund and would continuously appropriate moneys in that fund to the authority to provide loans, upon appropriation by the Legislature, loans to qualifying county or city and county applicants for the purpose of building or renovating acute care psychiatric hospitals, psychiatric health facilities, or psychiatric units in general acute care hospitals, as defined. The bill would require the authority to develop an application for county or city and county applicants by January 1, 2024. The bill would require initial preliminary applications for projects to be submitted to the authority by April 1, 2024, and would require the authority to approve the project based on specified criteria. The bill would provide for the return of any funds not encumbered by a loan recipient within a specified period and would require a loan recipient to maintain and operate the facility for the life of the loan. The bill would authorize the authority to charge a fee to cover the cost of administering the loan. The bill would also require the authority to provide a report to the Department of Finance and the budget and health committees of the Assembly and Senate by an unspecified date that would include, among other things, the number of projects that are receiving loans and their geographic distribution. By creating a continuously appropriated fund, the bill would make an appropriation.
The California Health Facilities Financing Authority Act authorizes the California Health Facilities Financing Authority (authority) to, among other things, make loans from the continuously appropriated California Health Facilities Financing Authority Fund to participating health institutions, as defined, for financing or refinancing the acquisition, construction, or remodeling of health facilities.
Under existing law, the board of supervisors of each county may maintain in the county hospital or in any other hospital situated within or without the county, or in any other psychiatric health facility situated within or without the county, suitable facilities and nonhospital or hospital services for the detention, supervision, care, and treatment of persons who have a mental health disorder or a developmental disability, or who are alleged to be such. Existing law defines county psychiatric hospital as a hospital, ward, or facility provided by the county pursuant to certain provisions.
This bill would establish the California Acute Care Psychiatric Hospital Loan Fund to provide loans, upon appropriation by the Legislature, to qualifying county or city and county applicants for the purpose of building or renovating acute care psychiatric hospitals hospitals, psychiatric health facilities, or psychiatric units in general acute care hospitals, as defined. The bill would require the authority to develop an application for county or city and county applicants by January 1, 2024. The bill would require initial preliminary applications for projects to be submitted to the authority by April 1, 2024, and would require the authority to approve the project based on specified criteria. The bill would provide for the return of any funds not encumbered by a loan recipient within a specified period and would require a loan recipient to maintain and operate the facility for the life of the loan. The bill would authorize the authority to charge a fee to cover the cost of administering the loan. The bill would also require the authority to provide a report to the Department of Finance and the budget and health committees of the Assembly and Senate by an unspecified date that would include, among other things, the number of projects that are receiving loans and their geographic distribution.
The California Health Facilities Financing Authority Act authorizes the California Health Facilities Financing Authority (authority) to, among other things, make loans from the continuously appropriated California Health Facilities Financing Authority Fund to participating health institutions, as defined, for financing or refinancing the acquisition, construction, or remodeling of health facilities.
Under existing law, the board of supervisors of each county may maintain in the county hospital or in any other hospital situated within or without the county, or in any other psychiatric health facility situated within or without the county, suitable facilities and nonhospital or hospital services for the detention, supervision, care, and treatment of persons who have a mental health disorder or a developmental disability, or who are alleged to be such. Existing law defines county psychiatric hospital as a hospital, ward, or facility provided by the county pursuant to certain provisions.
This bill would establish the California Acute Care Psychiatric Hospital Loan Fund to provide loans, upon appropriation by the Legislature, to qualifying county or city and county applicants for the purpose of building or renovating acute care psychiatric hospitals. hospitals or psychiatric units in general acute care hospitals, as defined. The bill would require the authority to develop an application for county or city and county applicants by January 1, 2024. The bill would require initial preliminary applications for projects to be submitted to the authority by April 1, 2024, and would require the authority to approve the project based on specified criteria. The bill would provide for the return of any funds not encumbered by a loan recipient within a specified period and would require a loan recipient to maintain and operate the facility for the life of the loan. The bill would authorize the authority to charge a fee to cover the cost of administering the loan. The bill would also require the authority to provide a report to the Department of Finance and the budget and health committees of the Assembly and Senate by an unspecified date that would include, among other things, the number of projects that are receiving loans and their geographic distribution.
The California Health Facilities Financing Authority Act authorizes the California Health Facilities Financing Authority (authority) to, among other things, make loans from the continuously appropriated California Health Facilities Financing Authority Fund to participating health institutions, as defined, for financing or refinancing the acquisition, construction, or remodeling of health facilities.
Under existing law, the board of supervisors of each county may maintain in the county hospital or in any other hospital situated within or without the county, or in any other psychiatric health facility situated within or without the county, suitable facilities and nonhospital or hospital services for the detention, supervision, care, and treatment of persons who have a mental health disorder or a developmental disability, or who are alleged to be such. Existing law defines county psychiatric hospital as a hospital, ward, or facility provided by the county pursuant to certain provisions.
This bill would establish the California Acute Care Psychiatric Hospital Loan Fund to provide loans, upon appropriation by the Legislature, to qualifying county or city and county applicants for the purpose of building or renovating acute care psychiatric hospitals. The bill would require the authority to develop an application for county or city and county applicants by January 1, 2024. The bill would require initial preliminary applications for projects to be submitted to the authority by an unspecified date April 1, 2024, and would require the authority to approve the project based on specified criteria. The bill would provide for the return of any funds not encumbered by a loan recipient within a specified period and would require a loan recipient to maintain and operate the facility for the life of the loan. The bill would authorize the authority to charge a fee to cover the cost of administering the loan. The bill would also require the authority to provide a report to the Department of Finance and the budget and health committees of the Assembly and Senate by an unspecified date that would include, among other things, the number of projects that are receiving loans and their geographic distribution.
The California Health Facilities Financing Authority Act authorizes the California Health Facilities Financing Authority (authority) to, among other things, make loans from the continuously appropriated California Health Facilities Financing Authority Fund to participating health institutions, as defined, for financing or refinancing the acquisition, construction, or remodeling of health facilities.
Under existing law, the board of supervisors of each county may maintain in the county hospital or in any other hospital situated within or without the county, or in any other psychiatric health facility situated within or without the county, suitable facilities and nonhospital or hospital services for the detention, supervision, care, and treatment of persons who have a mental health disorder or a developmental disability, or who are alleged to be such. Existing law defines county psychiatric hospital as a hospital, ward, or facility provided by the county pursuant to certain provisions.
This bill would establish the California Acute Care Psychiatric Hospital Loan Fund to provide loans, upon appropriation by the Legislature, to qualifying county applicants for the purpose of building acute care psychiatric hospitals. The bill would require the authority to develop an application for county applicants by January 1, 2024. The bill would require initial preliminary applications for projects to be submitted to the authority by an unspecified date and would require the authority to approve the project based on specified criteria. The bill would also require the authority to provide a report to the Department of Finance and the budget committees of the Assembly and Senate by an unspecified date that would include, among other things, the number of projects that are receiving loans and their geographic distribution.
Existing law, until January 1, 2024, establishes a procedure, for the County of Los Angeles, the County of San Diego, and the City and County of San Francisco, if the board of supervisors of the respective county or city and county authorizes the application of these provisions subject to specified requirements, for the appointment of a conservator for a person who is incapable of caring for the persons own health and well-being due to a serious mental illness and substance use disorder, as specified, for the purpose of providing the least restrictive and most clinically appropriate alternative needed for the protection of the person. This bill would make a technical, nonsubstantive change to those provisions.Existing law, until January 1, 2024, establishes a procedure, for the County of Los Angeles, the County of San Diego, and the City and County of San Francisco, if the board of supervisors of the respective county or city and county authorizes the application of these provisions subject to specified requirements, for the appointment of a conservator for a person who is incapable of caring for the persons own health and well-being due to a serious mental illness and substance use disorder, as specified, for the purpose of providing the least restrictive and most clinically appropriate alternative needed for the protection of the person.
This bill would make a technical, nonsubstantive change to those provisions.
The Legislature finds and declares all of the following:
(a)Psychiatric beds are an essential infrastructure for meeting the needs of individuals with serious mental health conditions. These beds serve several functions, including enabling safe, stable, and supportive environments for individuals in acute mental health crisis and for those with significant impairment who require ongoing medical monitoring.
(b)Psychiatric bed capacity is severely strained in California and the United States. The present situation may be viewed, in part, as the long tale of an effort to deinstitutionalize psychiatric services throughout the United States during the latter half of the 20th century.
(c)Today, hundreds of Californians in need of psychiatric beds are held in hospitals emergency departments or county jails awaiting openings in inpatient care settings.
(d)According to data compiled by the Department of Health Care Access and Information, California has lost 37 psychiatric facilities from 1999 to 2016, either through the elimination of psychiatric inpatient care, or complete hospital closure. During this same period, Californias population grew by 24 percent, or 7,600,000 people.
(e)California is home to over 1,000,000 adults who are afflicted with schizophrenia or bipolar disorder, with over 477,000 going untreated.
(f)According to a recent Rand Study, it is estimated that California requires 50.5 inpatient psychiatric beds per 100,000 adults: 26.0 per 100,000 at the acute level and 24.6 at the subacute level.
(g)In the rapidly growing and ethnically diverse area of Inland Empire in southern California, the shortage of beds is particularly severe and the Department of Health Care Access and Informations data in 2016 shows there was a need of an additional 2,264 beds.
(h)For example, the County of Riverside currently has 8.3 acute care inpatient psychiatric beds per 100,000. The need for acute psychiatric beds is even greater in the San Joaquin Valley where there are only 6.81 beds per 100,000 people.
SEC. 2.Part 6.9 (commencing with Section 1179.500) is added to Division 1 of the Health and Safety Code, to read:6.9.ACUTE CARE PSYCHIATRIC HOSPITAL LOAN FUND1179.500.(a)The California Acute Care Psychiatric Hospital Loan Fund is hereby established in the State Treasury to provide zero-interest loans to qualifying county or city and county applicants for any of the following purposes:
(1)Constructing or renovating acute care psychiatric hospitals, as defined in subdivision (b) of Section 1250.
(2)Constructing or renovating psychiatric health facilities, as defined in subdivision (a) of Section 1250.2.
(3)Renovating or expanding general acute care hospitals, as defined in subdivision (a) of Section 1250, in order to add or expand an inpatient psychiatric unit.
(b)Notwithstanding Section 13340 of the Government Code, all moneys in the fund are hereby continuously appropriated without regard to fiscal years to the California Health Facilities Financing Authority for purposes of this part. All moneys accruing to the authority pursuant to this part from any source shall be deposited into the fund.
(c)The Treasurer may invest moneys in the fund that are not required for its current needs in eligible securities specified in Section 16430 of the Government Code, and may transfer moneys in the fund to the Surplus Money Investment Fund for investment pursuant to Article 4 (commencing with Section 16470) of Chapter 3 of Part 2 of Division 4 of Title 2 of the Government Code. Notwithstanding Section 16305.7 of the Government Code, all interest or other increment resulting from the investment or deposit of moneys from the fund shall be deposited in the fund. Moneys in the fund shall not be subject to transfer to any other funds pursuant to any provision of Part 2 (commencing with Section 16300) of Division 4 of Title 2 of the Government Code, except to the Surplus Money Investment Fund.
1179.501.(a)For purposes of Section 1179.500, the California Health Facilities Financing Authority shall develop an application for county and city and county applicants.
(b)The application shall include requests for relevant information, such as project goals, costs, demonstrated need, timeline for the project, financial feasibility of the project, and other information deemed necessary for evaluation of creditworthiness and public benefit criteria established by the authority pursuant to this chapter. The applications shall be available by January 1, 2024, in accordance with the authoritys existing regulations or any necessary amendments, which shall be undertaken as emergency regulations, if necessary.
(c)The initial preliminary applications for projects to be considered pursuant to this chapter shall be submitted to the authority no later than April 1, 2024. The authority may also establish subsequent application periods, as necessary.
(d)Applications may be submitted to the authority by county or city and county applicants as set forth in this chapter pursuant to certain criteria that shall be determined by the authority.
(e)In the event that the authority receives or anticipates receiving more applications than its allocation of moneys can support, the authority shall consider any of the following criteria in the selection of the projects:
(1)The countys or city and countys unmet need for acute care psychiatric hospital infrastructure, with priority given to applicants with greater unmet need.
(2)A local match is available and priority is given to applicants with a local match based on the proposed number of acute psychiatric beds:
(A)For a project with 75 beds or greater, priority shall be given to projects with a 20-percent match.
(B)For a project with 50 beds, priority shall be given to projects with a 30-percent match.
(C)For a project with 25 beds, priority shall be given to projects with a 40-percent match.
(D)For a project with fewer than 25 beds, priority shall be given to projects with a 50-percent match.
(3)Medically underserved regions in the state.
(4)When considered as a whole, the applications approved pursuant to this chapter are fairly representative of various geographical regions, including inland regions of the state.
(f)A loan recipient shall maintain the facility and provide sufficient staff to operate the facility throughout the life of the loan.
(g)Any funds not encumbered by a loan recipient for the purposes of this chapter within 36 months of the issuance of a loan shall be returned to the Acute Care Psychiatric Hospital Loan Fund for use consistent with Section 1179.500. The authority may extend this timeframe to accommodate delays associated with regulatory and economic environments. The authority may cause funds to be reverted to the Acute Care Psychiatric Hospital Loan Fund at any time, if it determines there is diminished demand.
1179.502.(a)The California Health Facilities Financing Authority may adopt, amend, or repeal rules and regulations pursuant to this chapter as emergency regulations. The adoption, amendment, or repeal of these regulations is conclusively presumed to be necessary for the immediate preservation of the public peace, health, safety, or general welfare within the meaning of Section 11346.1 of the Government Code.
(b)A loan made pursuant to this chapter may be subject to a fee set by the authority sufficient to cover, but not exceed the cost of administering the loan.
1179.503.(a)The California Health Facilities Financing Authority shall provide a report to the Department of Finance and the budget committees and health committees of the Assembly and Senate no later than two years after implementation of this program. The report shall include, but shall not necessarily be limited to, all of the following information:
(1)The number of projects receiving loans and their geographic distribution.
(2)The total dollar amount of loans made.
(3)The dollar amount of the loan provided for each project.
(4)The terms of the loan for each project.
(b)The report to be submitted pursuant to subdivision (a) shall be submitted in compliance with Section 9795 of the Government Code.
The Legislature finds and declares all of the following:
(a)Psychiatric beds are an essential infrastructure for meeting the needs of individuals with serious mental health conditions. These beds serve several functions, including enabling safe, stable, and supportive environments for individuals in acute mental health crisis and for those with significant impairment who require ongoing medical monitoring.
(b)Psychiatric bed capacity is severely strained in California and the United States. The present situation may be viewed, in part, as the long tale of an effort to deinstitutionalize psychiatric services throughout the United States during the latter half of the 20th century.
(c)Today, hundreds of Californians in need of psychiatric beds are held in hospitals emergency departments or county jails awaiting openings in inpatient care settings.
(d)According to data compiled by the Department of Health Care Access and Information, California has lost 37 psychiatric facilities from 1999 to 2016, either through the elimination of psychiatric inpatient care, or complete hospital closure. During this same period, Californias population grew by 24 percent, or 7,600,000 people.
(e)California is home to over 1,000,000 adults who are afflicted with schizophrenia or bipolar disorder, with over 477,000 going untreated.
(f)According to a recent Rand Study, it is estimated that California requires 50.5 inpatient psychiatric beds per 100,000 adults: 26.0 per 100,000 at the acute level and 24.6 at the subacute level.
(g)In the rapidly growing and ethnically diverse area of Inland Empire in southern California, the shortage of beds is particularly severe and the Department of Health Care Access and Informations data in 2016 shows there was a need of an additional 2,264 beds.
(h)For example, the County of Riverside currently has 8.3 acute care inpatient psychiatric beds per 100,000. The need for acute psychiatric beds is even greater in the San Joaquin Valley where there are only 6.81 beds per 100,000 people.
SEC. 2.Part 6.9 (commencing with Section 1179.500) is added to Division 1 of the Health and Safety Code, to read:6.9.ACUTE CARE PSYCHIATRIC HOSPITAL LOAN FUND1179.500.(a)The California Acute Care Psychiatric Hospital Loan Fund is hereby established in the State Treasury to provide zero-interest loans to qualifying county or city and county applicants for any of the following purposes:
(1)Constructing or renovating acute care psychiatric hospitals, as defined in subdivision (b) of Section 1250.
(2)Constructing or renovating psychiatric health facilities, as defined in subdivision (a) of Section 1250.2.
(3)Renovating or expanding general acute care hospitals, as defined in subdivision (a) of Section 1250, in order to add or expand an inpatient psychiatric unit.
(b)Moneys in the fund are available upon appropriation by the Legislature.(b)Notwithstanding Section 13340 of the Government Code, all moneys in the fund are hereby continuously appropriated without regard to fiscal years to the California Health Facilities Financing Authority for purposes of this part. All moneys accruing to the authority pursuant to this part from any source shall be deposited into the fund.
(c)The Treasurer may invest moneys in the fund that are not required for its current needs in eligible securities specified in Section 16430 of the Government Code, and may transfer moneys in the fund to the Surplus Money Investment Fund for investment pursuant to Article 4 (commencing with Section 16470) of Chapter 3 of Part 2 of Division 4 of Title 2 of the Government Code. Notwithstanding Section 16305.7 of the Government Code, all interest or other increment resulting from the investment or deposit of moneys from the fund shall be deposited in the fund. Moneys in the fund shall not be subject to transfer to any other funds pursuant to any provision of Part 2 (commencing with Section 16300) of Division 4 of Title 2 of the Government Code, except to the Surplus Money Investment Fund.
1179.501.(a)For purposes of Section 1179.500, the California Health Facilities Financing Authority shall develop an application for county and city and county applicants.
(b)The application shall include requests for relevant information, such as project goals, costs, demonstrated need, timeline for the project, financial feasibility of the project, and other information deemed necessary for evaluation of creditworthiness and public benefit criteria established by the authority pursuant to this chapter. The applications shall be available by January 1, 2024, in accordance with the authoritys existing regulations or any necessary amendments, which shall be undertaken as emergency regulations, if necessary.
(c)The initial preliminary applications for projects to be considered pursuant to this chapter shall be submitted to the authority no later than April 1, 2024. The authority may also establish subsequent application periods, as necessary.
(d)Applications may be submitted to the authority by county or city and county applicants as set forth in this chapter pursuant to certain criteria that shall be determined by the authority.
(e)In the event that the authority receives or anticipates receiving more applications than its allocation of moneys can support, the authority shall consider any of the following criteria in the selection of the projects:
(1)The countys or city and countys unmet need for acute care psychiatric hospital infrastructure, with priority given to applicants with greater unmet need.
(2)A local match is available and priority is given to applicants with a local match based on the proposed number of acute psychiatric beds:
(A)For a project with 75 beds or greater, priority shall be given to projects with a 20-percent match.
(B)For a project with 50 beds, priority shall be given to projects with a 30-percent match.
(C)For a project with 25 beds, priority shall be given to projects with a 40-percent match.
(D)For a project with fewer than 25 beds, priority shall be given to projects with a 50-percent match.
(3)Medically underserved regions in the state.
(4)When considered as a whole, the applications approved pursuant to this chapter are fairly representative of various geographical regions, including inland regions of the state.
(f)A loan recipient shall maintain the facility and provide sufficient staff to operate the facility throughout the life of the loan.
(g)Any funds not encumbered by a loan recipient for the purposes of this chapter within 36 months of the issuance of a loan shall be returned to the Acute Care Psychiatric Hospital Loan Fund for use consistent with Section 1179.500. The authority may extend this timeframe to accommodate delays associated with regulatory and economic environments. The authority may cause funds to be reverted to the Acute Care Psychiatric Hospital Loan Fund at any time, if it determines there is diminished demand.
1179.502.(a)The California Health Facilities Financing Authority may adopt, amend, or repeal rules and regulations pursuant to this chapter as emergency regulations. The adoption, amendment, or repeal of these regulations is conclusively presumed to be necessary for the immediate preservation of the public peace, health, safety, or general welfare within the meaning of Section 11346.1 of the Government Code.
(b)A loan made pursuant to this chapter may be subject to a fee set by the authority sufficient to cover, but not exceed the cost of administering the loan.
1179.503.(a)The California Health Facilities Financing Authority shall provide a report to the Department of Finance and the budget committees and health committees of the Assembly and Senate no later than two years after implementation of this program. The report shall include, but shall not necessarily be limited to, all of the following information:
(1)The number of projects receiving loans and their geographic distribution.
(2)The total dollar amount of loans made.
(3)The dollar amount of the loan provided for each project.
(4)The terms of the loan for each project.
(b)The report to be submitted pursuant to subdivision (a) shall be submitted in compliance with Section 9795 of the Government Code.
The Legislature finds and declares all of the following:
(a)Psychiatric beds are an essential infrastructure for meeting the needs of individuals with serious mental health conditions. These beds serve several functions, including enabling safe, stable, and supportive environments for individuals in acute mental health crisis and for those with significant impairment who require ongoing medical monitoring.
(b)Psychiatric bed capacity is severely strained in California and the United States. The present situation may be viewed, in part, as the long tale of an effort to deinstitutionalize psychiatric services throughout the United States during the latter half of the 20th century.
(c)Today, hundreds of Californians in need of psychiatric beds are held in hospitals emergency departments or county jails awaiting openings in inpatient care settings.
(d)According to data compiled by the Department of Health Care Access and Information, California has lost 37 psychiatric facilities from 1999 to 2016, either through the elimination of psychiatric inpatient care, or complete hospital closure. During this same period, Californias population grew by 24 percent, or 7,600,000 people.
(e)California is home to over 1,000,000 adults who are afflicted with schizophrenia or bipolar disorder, with over 477,000 going untreated.
(f)According to a recent Rand Study, it is estimated that California requires 50.5 inpatient psychiatric beds per 100,000 adults: 26.0 per 100,000 at the acute level and 24.6 at the subacute level.
(g)In the rapidly growing and ethnically diverse area of Inland Empire in southern California, the shortage of beds is particularly severe and the Department of Health Care Access and Informations data in 2016 shows there was a need of an additional 2,264 beds.
(h)For example, the County of Riverside currently has 8.3 acute care inpatient psychiatric beds per 100,000. The need for acute psychiatric beds is even greater in the San Joaquin Valley where there are only 6.81 beds per 100,000 people.
SEC. 2.Part 6.9 (commencing with Section 1179.500) is added to Division 1 of the Health and Safety Code, to read:6.9.ACUTE CARE PSYCHIATRIC HOSPITAL LOAN FUND1179.500.(a)The California Acute Care Psychiatric Hospital Loan Fund is hereby established in the State Treasury to provide zero-interest loans to qualifying county or city and county applicants for either any of the following purposes:
(1)Constructing or renovating acute care psychiatric hospitals, as defined in subdivision (b) of Section 1250.
(2)Constructing or renovating psychiatric health facilities, as defined in subdivision (a) of Section 1250.2.
(2)(3)Renovating or expanding general acute care hospitals, as defined in subdivision (a) of Section 1250, in order to add or expand an inpatient psychiatric unit.
(b)Moneys in the fund are available upon appropriation by the Legislature.
1179.501.(a)For purposes of Section 1179.500, the California Health Facilities Financing Authority shall develop an application for county and city and county applicants.
(b)The application shall include requests for relevant information, such as project goals, costs, demonstrated need, timeline for the project, financial feasibility of the project, and other information deemed necessary for evaluation of creditworthiness and public benefit criteria established by the authority pursuant to this chapter. The applications shall be available by January 1, 2024, in accordance with the authoritys existing regulations or any necessary amendments, which shall be undertaken as emergency regulations, if necessary.
(c)The initial preliminary applications for projects to be considered pursuant to this chapter shall be submitted to the authority no later than April 1, 2024. The authority may also establish subsequent application periods, as necessary.
(d)Applications may be submitted to the authority by county or city and county applicants as set forth in this chapter pursuant to certain criteria that shall be determined by the authority.
(e)In the event that the authority receives or anticipates receiving more applications than its allocation of moneys can support, the authority shall consider any of the following criteria in the selection of the projects:
(1)The countys or city and countys unmet need for acute care psychiatric hospital infrastructure, with priority given to applicants with greater unmet need.
(2)A local match is available and priority is given to applicants with a local match based on the proposed number of acute psychiatric beds:
(A)For a project with 100 beds, priority shall be given to projects with a 10-percent match. (B)(A)For a project with 75 beds, beds or greater, priority shall be given to projects with a 20-percent match.
(C)(B)For a project with 50 beds, priority shall be given to projects with a 30-percent match.
(D)(C)For a project with 25 beds, priority shall be given to projects with a 40-percent match.
(E)(D)For a project with fewer than 25 beds, priority shall be given to projects with a 50-percent match.
(3)Medically underserved regions in the state.
(4)When considered as a whole, the applications approved pursuant to this chapter are fairly representative of various geographical regions, including inland regions of the state.
(f)A loan recipient shall maintain the facility and provide sufficient staff to operate the facility throughout the life of the loan.
(g)Any funds not encumbered by a loan recipient for the purposes of this chapter within 36 months of the issuance of a loan, loan shall be returned to the Acute Care Psychiatric Hospital Loan fund Fund for use consistent with Section 1179.500. The authority may extend this timeframe to accommodate delays associated with regulatory and economic environments. The authority may cause funds to be reverted to the Acute Care Psychiatric Hospital Loan Fund at any time, if it determines there is diminished demand.
1179.502.(a)The California Health Facilities Financing Authority may adopt, amend, or repeal rules and regulations pursuant to this chapter as emergency regulations. The adoption, amendment, or repeal of these regulations is conclusively presumed to be necessary for the immediate preservation of the public peace, health, safety, or general welfare within the meaning of Section 11346.1 of the Government Code.
(b)A loan made pursuant to this chapter may be subject to a fee set by the authority sufficient to cover, but not exceed to the cost of administering the loan.
1179.503.(a)The California Health Facilities Financing Authority shall provide a report to the Department of Finance and the budget committees and health committees of the Assembly and Senate no later than two years after implementation of this program. The report shall include, but shall not necessarily be limited to, all of the following information:
(1)The number of projects receiving loans and their geographic distribution.
(2)The total dollar amount of loans made.
(3)The dollar amount of the loan provided for each project.
(4)The terms of the loan for each project.
(b)The report to be submitted pursuant to subdivision (a) shall be submitted in compliance with Section 9795 of the Government Code.
The Legislature finds and declares all of the following:
(a)Psychiatric beds are an essential infrastructure for meeting the needs of individuals with serious mental health conditions. These beds serve several functions, including enabling safe, stable, and supportive environments for individuals in acute mental health crisis and for those with significant impairment who require ongoing medical monitoring.
(b)Psychiatric bed capacity is severely strained in California and the United States. The present situation may be viewed, in part, as the long tale of an effort to deinstitutionalize psychiatric services throughout the United States during the latter half of the 20th century.
(c)Today, hundreds of Californians in need of psychiatric beds are held in hospitals emergency departments or county jails awaiting openings in inpatient care settings.
(d)According to data compiled by the Department of Health Care Access and Information, California has lost 37 psychiatric facilities from 1999 to 2016, either through the elimination of psychiatric inpatient care, or complete hospital closure. During this same period, Californias population grew by 24 percent, or 7,600,000 people.
(e)California is home to over 1,000,000 adults who are afflicted with schizophrenia or bipolar disorder, with over 477,000 going untreated.
(f)According to a recent Rand Study, it is estimated that California requires 50.5 inpatient psychiatric beds per 100,000 adults: 26.0 per 100,000 at the acute level and 24.6 at the subacute level.
(g)In the rapidly growing and ethnically diverse area of Inland Empire in southern California, the shortage of beds is particularly severe and the Department of Health Care Access and Informations data in 2016 shows there was a need of an additional 2,264 beds.
(h)For example, the County of Riverside currently has 8.3 inpatient psychiatric beds per 100,000. The need for acute psychiatric beds is even greater in the San Joaquin Valley where there are only 6.81 beds per 100,000 people.
SEC. 2.Part 6.9 (commencing with Section 1179.500) is added to Division 7 of the Welfare and Institutions Code, to read:SEC. 2.Part 6.9 (commencing with Section 1179.500) is added to Division 1 of the Health and Safety Code, to read:6.9.ACUTE CARE PSYCHIATRIC HOSPITAL LOAN FUND1179.500.(a)The California Acute Care Psychiatric Hospital Loan Fund is hereby established in the State Treasury to provide zero-interest loans to qualifying county or city and county applicants for the purpose of constructing either of the following purposes:
(1)Constructing or renovating acute care psychiatric hospitals, as defined in subdivision (b) of Section 1250. Moneys
(2)Renovating or expanding general acute care hospitals, as defined in subdivision (a) of Section 1250, in order to add or expand an inpatient psychiatric unit.
(b)Moneys in the fund are available upon appropriation by the Legislature.
1179.501.(a)For purposes of Section 1179.500, the California Health Facilities Financing Authority shall develop an application for county and city and county applicants.
(b)The application shall include requests for relevant information, such as project goals, costs, demonstrated need, timeline for the project, financial feasibility of the project, and other information deemed necessary for evaluation of creditworthiness and public benefit criteria established by the authority pursuant to this chapter. The applications shall be available by January 1, 2024, in accordance with the authoritys existing regulations or any necessary amendments, which shall be undertaken as emergency regulations, if necessary.
(c)The initial preliminary applications for projects to be considered pursuant to this chapter shall be submitted to the authority no later than April 1, 2024. The authority may also establish subsequent application periods, as necessary.
(d)Applications may be submitted to the authority by county or city and county applicants as set forth in this chapter pursuant to certain criteria that shall be determined by the authority.
(e)In the event that the authority receives or anticipates receiving more applications than its allocation of moneys can support, the authority shall consider any of the following criteria in the selection of the projects:
(1)The countys or city and countys unmet need for acute care psychiatric hospital infrastructure, with priority given to applicants with greater unmet need.
(2)A local match is available and priority is given to applicants with a local match based on the proposed number of acute psychiatric beds:
(A)For a project with 100 beds, priority shall be given to projects with a 10-percent match.
(B)For a project with 75 beds, priority shall be given to projects with a 20-percent match.
(C)For a project with 50 beds, priority shall be given to projects with a 30-percent match.
(D)For a project with 25 beds, priority shall be given to projects with a 40-percent match.
(E)For a project with fewer than 25 beds, priority shall be given to projects with a 50-percent match.
(3)Medically underserved regions in the state.
(4)When considered as a whole, the applications approved pursuant to this chapter are fairly representative of various geographical regions, including inland regions of the state.
(f)A loan recipient shall maintain the facility and provide sufficient staff to operate the facility throughout the life of the loan.
(g)Any funds not encumbered by a loan recipient for the purposes of this chapter within 36 months of the issuance of a loan, shall be returned to the Acute Care Psychiatric Hospital Loan fund for use consistent with Section 1179.500. The authority may extend this timeframe to accommodate delays associated with regulatory and economic environments. The authority may cause funds to be reverted to the Acute Care Psychiatric Hospital Loan Fund at any time, if it determines there is diminished demand.
1179.502.(a)The California Health Facilities Financing Authority may adopt, amend, or repeal rules and regulations pursuant to this chapter as emergency regulations. The adoption, amendment, or repeal of these regulations is conclusively presumed to be necessary for the immediate preservation of the public peace, health, safety, or general welfare within the meaning of Section 11346.1 of the Government Code.
(b)A loan made pursuant to this chapter may be subject to a fee set by the authority sufficient to cover, but not exceed to cost of administering the loan.
1179.503.(a)The California Health Facilities Financing Authority shall provide a report to the Department of Finance and the budget committees and health committees of the Assembly and Senate no later than two years after implementation of this program. The report shall include, but shall not necessarily be limited to, all of the following information:
(1)The number of projects receiving loans and their geographic distribution.
(2)The total dollar amount of loans made.
(3)The dollar amount of the loan provided for each project.
(4)The terms of the loan for each project.
(b)The report to be submitted pursuant to subdivision (a) shall be submitted in compliance with Section 9795 of the Government Code.
The Legislature finds and declares all of the following:
(a)Psychiatric beds are an essential infrastructure for meeting the needs of individuals with serious mental health conditions. These beds serve several functions, including enabling safe, stable, and supportive environments for individuals in acute mental health crisis and for those with significant impairment who require ongoing medical monitoring.
(b)Psychiatric bed capacity is severely strained in California and the United States. The present situation may be viewed, in part, as the long tale of an effort to deinstitutionalize psychiatric services throughout the United States during the latter half of the 20th century.
(c)Today, hundreds of Californians in need of psychiatric beds are held in hospitals emergency departments or county jails awaiting openings in inpatient care settings.
(d)According to data compiled by the Department of Health Care Access and Information, California has lost 37 psychiatric facilities from 1999 to 2016, either through the elimination of psychiatric inpatient care, or complete hospital closure. During this same period, Californias population grew by 24 percent, or 7,600,000 people.
(e)California is home to over 1,000,000 adults who are afflicted with schizophrenia or bipolar disorder, with over 477,000 going untreated.
(f)It is widely presumed that a minimum of 50 beds per 100,000 people is considered necessary to provide minimally adequate treatment for individuals with severe mental illness. In 2016, California had 15.1 psychiatric beds per 100,000 people.(f)According to a recent Rand Study, it is estimated that California requires 50.5 inpatient psychiatric beds per 100,000 adults: 26.0 per 100,000 at the acute level and 24.6 at the subacute level.
(g)In the rapidly growing and ethnically diverse area of Inland Empire in southern California, the shortage of beds is particularly severe and the Department of Health Care Access and Informations data in 2016 shows there was a need of an additional 2,264 beds.
(h)For example, the County of Riverside currently has 21 inpatient psychiatric beds per 100,000 people. Based on a countywide population of 2,500,000 in 2020, the County of Riverside is in need of an estimated 1,250 additional beds.(i)The need for acute psychiatric beds is even greater in northern and southern San Joaquin Valley, with the former having only 9.05 beds per 100,000 people and the latter with 15.37 per 100,000 people.(h)For example, the County of Riverside currently has 8.3 inpatient psychiatric beds per 100,000. The need for acute psychiatric beds is even greater in the San Joaquin Valley where there are only 6.81 beds per 100,000 people.
SEC. 2.Chapter 6 (commencing with Section 7800) is added to Division 7 of the Welfare and Institutions Code, to read:6.acute care psychiatric hospital loan fund7800.(a)TheSEC. 2.Part 6.9 (commencing with Section 1179.500) is added to Division 7 of the Welfare and Institutions Code, to read:6.9.ACUTE CARE PSYCHIATRIC HOSPITAL LOAN FUND1179.500.The California Acute Care Psychiatric Hospital Loan Fund is hereby established in the State Treasury to provide zero-interest loans to qualifying county or city and county applicants for the purpose of constructing acute care psychiatric hospitals. or renovating acute care psychiatric hospitals, as defined in subdivision (b) of Section 1250. Moneys in the fund are available upon appropriation by the Legislature.
7801.1179.501.(a)For purposes of Section 7800, 1179.500, the California Health Facilities Financing Authority shall develop an application for county and city and county applicants.
(b)The application shall include requests for relevant information, such as project goals, costs, demonstrated need, timeline for the project, financial feasibility of the project, and other information deemed necessary for evaluation of creditworthiness and public benefit criteria established by the authority pursuant to this chapter. The applications shall be available by January 1, 2024, in accordance with the authoritys existing regulations or any necessary amendments, which shall be undertaken as emergency regulations, if necessary.
(c)The initial preliminary applications for projects to be considered pursuant to this chapter shall be submitted to the authority by ____. no later than April 1, 2024. The authority may also establish subsequent application periods, as necessary.
(d)Applications may be submitted to the authority by county or city and county applicants as set forth in this chapter pursuant to certain criteria that shall be determined by the authority.
(e)In the event that the authority receives or anticipates receiving more applications than its allocation of moneys can support, the authority shall consider any of the following criteria in the selection of the projects:
(1)The countys or city and countys unmet need for acute care psychiatric hospital infrastructure, with priority given to applicants with greater unmet need.
(2)A local match is available and priority is given to applicants with a local match based on the proposed number of acute psychiatric beds:
(A)For a project with 100 beds, priority shall be given to projects with a 10-percent match.
(B)For a project with 75 beds, priority shall be given to projects with a 20-percent match.
(C)For a project with 50 beds, priority shall be given to projects with a 30-percent match.
(D)For a project with 25 beds, priority shall be given to projects with a 40-percent match.
(E)For a project with fewer than 25 beds, priority shall be given to projects with a 50-percent match.
(3)Medically underserved regions in the state.
(4)When considered as a whole, the applications approved pursuant to this chapter are fairly representative of various geographical regions, including inland regions of the state.
(f)A loan recipient shall maintain the facility and provide sufficient staff to operate the facility throughout the life of the loan.
(g)Any funds not encumbered by a loan recipient for the purposes of this chapter within 36 months of the issuance of a loan, shall be returned to the Acute Care Psychiatric Hospital Loan fund for use consistent with Section 1179.500. The authority may extend this timeframe to accommodate delays associated with regulatory and economic environments. The authority may cause funds to be reverted to the Acute Care Psychiatric Hospital Loan Fund at any time, if it determines there is diminished demand.
7802.1179.502.(a)The California Health Facilities Financing Authority may adopt, amend, or repeal rules and regulations pursuant to this chapter as emergency regulations. The adoption, amendment, or repeal of these regulations is conclusively presumed to be necessary for the immediate preservation of the public peace, health, safety, or general welfare within the meaning of Section 11346.1 of the Government Code.
(b)A loan made pursuant to this chapter may be subject to a fee set by the authority sufficient to cover, but not exceed to cost of administering the loan.
7803.1179.503.(a)The California Health Facilities Financing Authority shall provide a report to the Department of Finance and the budget committees of the Assembly and Senate by ____. and health committees of the Assembly and Senate no later than two years after implementation of this program. The report shall include, but shall not necessarily be limited to, all of the following information:
(1)The number of projects receiving loans and their geographic distribution.
(2)The total dollar amount of loans made.
(3)The dollar amount of the loan provided for each project.
(4)The terms of the loan for each project.
(b)The report to be submitted pursuant to subdivision (a) shall be submitted in compliance with Section 9795 of the Government Code.
The Legislature finds and declares all of the following:
(a)Psychiatric beds are an essential infrastructure for meeting the needs of individuals with serious mental health conditions. These beds serve several functions, including enabling safe, stable, and supportive environments for individuals in acute mental health crisis and for those with significant impairment who require ongoing medical monitoring.
(b)Psychiatric bed capacity is severely strained in California and the United States. The present situation may be viewed, in part, as the long tale of an effort to deinstitutionalize psychiatric services throughout the United States during the latter half of the 20th century.
(c)Today, hundreds of Californians in need of psychiatric beds are held in hospitals emergency departments or county jails awaiting openings in inpatient care settings.
(d)According to data compiled by the Department of Health Care Access and Information, California has lost 37 psychiatric facilities from 1999 to 2016, either through the elimination of psychiatric inpatient care, or complete hospital closure. During this same period, Californias population grew by 24 percent, or 7,600,000 people.
(e)California is home to over 1,000,000 adults who are afflicted with schizophrenia or bipolar disorder, with over 477,000 going untreated.
(f)It is widely presumed that a minimum of 50 beds per 100,000 people is considered necessary to provide minimally adequate treatment for individuals with severe mental illness. In 2016, California had 15.1 psychiatric beds per 100,000 people.
(g)In the rapidly growing and ethnically diverse area of Inland Empire in southern California, the shortage of beds is particularly severe and the Department of Health Care Access and Informations data in 2016 shows there was a need of an additional 2,264 beds.
(h)For example, the County of Riverside currently has 21 inpatient psychiatric beds per 100,000 people. Based on a countywide population of 2,500,000 in 2020, the County of Riverside is in need of an estimated 1,250 additional beds.
(i)The need for acute psychiatric beds is even greater in northern and southern San Joaquin Valley, with the former having only 9.05 beds per 100,000 people and the latter with 15.37 per 100,000 people.
SEC. 2.Chapter 6 (commencing with Section 7800) is added to Division 7 of the Welfare and Institutions Code, to read:6.acute care psychiatric hospital loan fund7800.(a)The California Acute Care Psychiatric Hospital Loan Fund is hereby established in the State Treasury to provide zero-interest loans to qualifying county applicants for the purpose of constructing acute care psychiatric hospitals. Moneys in the fund are available upon appropriation by the Legislature.
7801.(a)For purposes of Section 7800, the California Health Facilities Financing Authority shall develop an application for county applicants.
(b)The application shall include requests for relevant information, such as project goals, costs, demonstrated need, timeline for the project, financial feasibility of the project, and other information deemed necessary for evaluation of creditworthiness and public benefit criteria established by the authority pursuant to this chapter. The applications shall be available by January 1, 2024, in accordance with the authoritys existing regulations or any necessary amendments, which shall be undertaken as emergency regulations, if necessary.
(c)The initial preliminary applications for projects to be considered pursuant to this chapter shall be submitted to the authority by ____. The authority may also establish subsequent application periods, as necessary.
(d)Applications may be submitted to the authority by county applicants as set forth in this chapter pursuant to certain criteria that shall be determined by the authority.
(e)In the event that the authority receives or anticipates receiving more applications than its allocation of moneys can support, the authority shall consider any of the following criteria in the selection of the projects:
(1)The countys unmet need for acute care psychiatric hospital infrastructure, with priority given to applicants with greater unmet need.
(2)A local match is available and priority is given to applicants with a local match based on the proposed number of acute psychiatric beds:
(A)For a project with 100 beds, priority shall be given to projects with a 10-percent match.
(B)For a project with 75 beds, priority shall be given to projects with a 20-percent match.
(C)For a project with 50 beds, priority shall be given to projects with a 30-percent match.
(D)For a project with 25 beds, priority shall be given to projects with a 40-percent match.
(E)For a project with fewer than 25 beds, priority shall be given to projects with a 50-percent match.
(3)Medically underserved regions in the state.
(4)When considered as a whole, the applications approved pursuant to this chapter are fairly representative of various geographical regions, including inland regions of the state.
7802.The California Health Facilities Financing Authority may adopt, amend, or repeal rules and regulations pursuant to this chapter as emergency regulations. The adoption, amendment, or repeal of these regulations is conclusively presumed to be necessary for the immediate preservation of the public peace, health, safety, or general welfare within the meaning of Section 11346.1 of the Government Code.
7803.(a)The California Health Facilities Financing Authority shall provide a report to the Department of Finance and the budget committees of the Assembly and Senate by ____. The report shall include, but shall not necessarily be limited to, all of the following information:
(1)The number of projects receiving loans and their geographic distribution.
(2)The total dollar amount of loans made.
(3)The dollar amount of the loan provided for each project.
(4)The terms of the loan for each project.
(b)The report to be submitted pursuant to subdivision (a) shall be submitted in compliance with Section 9795 of the Government Code.
SECTION 1.Section 5450 of the Welfare and Institutions Code is amended to read:5450.(a)Until January 1, 2024, this chapter applies only to the County of Los Angeles, the County of San Diego, and the City and County of San Francisco if the board of supervisors of the respective county or city and county, by resolution or through the county budget process, authorizes the application of this chapter and makes a finding that no voluntary mental health program serving adults, no childrens mental health program, and no services or supports provided in conservatorships established pursuant to Division 4 (commencing with Section 1400) of the Probate Code or conservatorships established pursuant to Chapter 3 (commencing with Section 5350), including availability of conservators, may be reduced as a result of the implementation of this chapter.(b)(1)Before the county board of supervisors may authorize the application of this chapter, the county mental health department, the county welfare department, and, if one exists, the county department of housing and homeless services shall do both of the following:(A)Develop a plan to implement this chapter in consultation with representatives of disability rights advocacy groups, a provider of permanent supportive housing services, the county health department, law enforcement, labor unions, and staff from hospitals located in the county or the city and county.(B)Present before the county board of supervisors on the plan and available resources for the implementation of this chapter.(2)In order to approve authorization of the application of this chapter, the county board of supervisors shall determine, after a public hearing, based on materials presented, that all of the following services are available in, at a minimum, sufficient quantity, resources, and funding levels to serve the identified population that the county board of supervisors intends to serve, within the county or city and county for utilization in connection with the application of this chapter:(A)Supportive community housing that provides wraparound services, with adequate beds available.(B)Public conservators trained on the specifics of how to assess and evaluate individuals for the new form of conservatorship described in this chapter.(C)Outpatient mental health counseling.(D)Coordination and access to medications.(E)Psychiatric and psychological services.(F)Substance use disorder services.(G)Vocational rehabilitation.(H)Veterans services.(I)Family support and consultation services.(J)A service planning and delivery process that includes all of the following:(i)Plans for services that contain evaluation strategies, which shall consider cultural, linguistic, gender, sexual orientation, age, and special needs of minorities and those based on any characteristic listed or defined in Section 11135 of the Government Code in the target populations. Provision shall be made for staff with the cultural background and linguistic skills necessary to remove barriers to mental health services as a result of having limited-English-speaking ability or cultural differences.(ii)Provision for services to meet the needs of persons who are physically disabled.(iii)Provision for services to meet the special needs of older adults.(iv)Provision for family support and consultation services, parenting support and consultation services, and peer support or self-help group support, if appropriate.(v)Provision for services to be client-directed and to employ psychosocial rehabilitation and recovery principles.(vi)Provision for psychiatric and psychological services that are integrated with other services and for psychiatric and psychological collaboration in overall service planning.(vii)Provision for services reflecting special needs of women from diverse cultural and socioeconomic backgrounds.(viii)Provision for housing for clients that is immediate, transitional, permanent, or all of these.(ix)Provision for services reflecting special needs of lesbian, gay, bisexual, and transgender (LGBT) individuals.(K)The individual personal services plan ensures that a person subject to conservatorship pursuant to this chapter receives age-appropriate, gender-appropriate, disability-appropriate, and culturally appropriate services, to the extent feasible and when appropriate, that are designed to enable those persons to do all of the following:(i)Live in the most independent, least restrictive housing feasible in the local community, and, for clients with children, to live in a supportive housing environment that strives for reunification with their children or assists clients in maintaining custody of their children as is appropriate.(ii)Engage in the highest level of work or productive activity appropriate to their abilities and experience.(iii)Create and maintain a support system consisting of friends, family, and participation in community activities.(iv)Access an appropriate level of academic education or vocational training.(v)Obtain an adequate income.(vi)Self-manage their illnesses and exert as much control as possible over both the day-to-day and long-term decisions that affect their lives.(vii)Access necessary physical health benefits and care and maintain the best possible physical health.(viii)Reduce or eliminate the distress caused by the symptoms of mental illness.(3)The county or the city and county shall not seek to conserve any individual pursuant to this chapter unless there is funding and available resources to provide all of the services set forth in paragraph (2).(a)Until January 1, 2024, this chapter shall apply applies only to the County of Los Angeles, the County of San Diego, and the City and County of San Francisco if the board of supervisors of the respective county or city and county, by resolution or through the county budget process, authorizes the application of this chapter and makes a finding that no voluntary mental health program serving adults, no childrens mental health program, and no services or supports provided in conservatorships established pursuant to Division 4 (commencing with Section 1400) of the Probate Code or conservatorships established pursuant to Chapter 3 (commencing with Section 5350), including availability of conservators, may be reduced as a result of the implementation of this chapter.
(b)(1)Before the county board of supervisors may authorize the application of this chapter, the county mental health department, the county welfare department, and, if one exists, the county department of housing and homeless services shall do both of the following:
(A)Develop a plan to implement this chapter in consultation with representatives of disability rights advocacy groups, a provider of permanent supportive housing services, the county health department, law enforcement, labor unions, and staff from hospitals located in the county or the city and county.
(B)Present before the county board of supervisors on the plan and available resources for the implementation of this chapter.
(2)In order to approve authorization of the application of this chapter, the county board of supervisors shall determine, after a public hearing, based on materials presented, that all of the following services are available in, at a minimum, sufficient quantity, resources, and funding levels to serve the identified population that the county board of supervisors intends to serve, within the county or city and county for utilization in connection with the application of this chapter:
(A)Supportive community housing that provides wraparound services, with adequate beds available.
(B)Public conservators trained on the specifics of how to assess and evaluate individuals for the new form of conservatorship described in this chapter.
(C)Outpatient mental health counseling.
(D)Coordination and access to medications.
(E)Psychiatric and psychological services.
(F)Substance use disorder services.
(G)Vocational rehabilitation.
(H)Veterans services.
(I)Family support and consultation services.
(J)A service planning and delivery process that includes all of the following:
(i)Plans for services that contain evaluation strategies, which shall consider cultural, linguistic, gender, sexual orientation, age, and special needs of minorities and those based on any characteristic listed or defined in Section 11135 of the Government Code in the target populations. Provision shall be made for staff with the cultural background and linguistic skills necessary to remove barriers to mental health services as a result of having limited-English-speaking ability or cultural differences.
(ii)Provision for services to meet the needs of persons who are physically disabled.
(iii)Provision for services to meet the special needs of older adults.
(iv)Provision for family support and consultation services, parenting support and consultation services, and peer support or self-help group support, if appropriate.
(v)Provision for services to be client-directed and to employ psychosocial rehabilitation and recovery principles.
(vi)Provision for psychiatric and psychological services that are integrated with other services and for psychiatric and psychological collaboration in overall service planning.
(vii)Provision for services reflecting special needs of women from diverse cultural and socioeconomic backgrounds.
(viii)Provision for housing for clients that is immediate, transitional, permanent, or all of these.
(ix)Provision for services reflecting special needs of lesbian, gay, bisexual, and transgender (LGBT) individuals.
(K)The individual personal services plan ensures that a person subject to conservatorship pursuant to this chapter receives age-appropriate, gender-appropriate, disability-appropriate, and culturally appropriate services, to the extent feasible and when appropriate, that are designed to enable those persons to do all of the following:
(i)Live in the most independent, least restrictive housing feasible in the local community, and, for clients with children, to live in a supportive housing environment that strives for reunification with their children or assists clients in maintaining custody of their children as is appropriate.
(ii)Engage in the highest level of work or productive activity appropriate to their abilities and experience.
(iii)Create and maintain a support system consisting of friends, family, and participation in community activities.
(iv)Access an appropriate level of academic education or vocational training.
(v)Obtain an adequate income.
(vi)Self-manage their illnesses and exert as much control as possible over both the day-to-day and long-term decisions that affect their lives.
(vii)Access necessary physical health benefits and care and maintain the best possible physical health.
(viii)Reduce or eliminate the distress caused by the symptoms of mental illness.
(3)The county or the city and county shall not seek to conserve any individual pursuant to this chapter unless there is funding and available resources to provide all of the services set forth in paragraph (2).
|
Date
|
Status
|
|---|---|
| Sep 27, 2022 | In Senate. Consideration of Governor's veto pending. |
| Sep 27, 2022 | Vetoed by the Governor. |
| Sep 6, 2022 | Enrolled and presented to the Governor at 3:30 p.m. |
| Aug 30, 2022 | Assembly amendments concurred in. (Ayes 38. Noes 0. Page 5342.) Ordered to engrossing and enrolling. |
| Aug 30, 2022 | Ordered to special consent calendar. |
| Aug 22, 2022 | In Senate. Concurrence in Assembly amendments pending. |
| Aug 22, 2022 | Read third time. Passed. (Ayes 76. Noes 0. Page 6029.) Ordered to the Senate. |
| Aug 16, 2022 | Read second time. Ordered to third reading. |
| Aug 15, 2022 | Read second time and amended. Ordered to second reading. |
| Aug 11, 2022 | From committee: Do pass as amended. (Ayes 12. Noes 0.) (August 11). |
| Aug 11, 2022 | Joint Rule 62(a) suspended. |
| Aug 10, 2022 | August 10 set for first hearing. Placed on suspense file. |
| Aug 3, 2022 | August 3 hearing postponed by committee. |
| Jun 23, 2022 | Read second time and amended. Re-referred to Com. on APPR. |
| Jun 22, 2022 | From committee: Do pass as amended and re-refer to Com. on APPR. with recommendation: To consent calendar. (Ayes 15. Noes 0.) (June 21). |
| Jun 2, 2022 | Referred to Com. on HEALTH. |
| May 26, 2022 | In Assembly. Read first time. Held at Desk. |
| May 25, 2022 | Read third time. Passed. (Ayes 39. Noes 0. Page 3934.) Ordered to the Assembly. |
| May 23, 2022 | Ordered to special consent calendar. |
| May 19, 2022 | Read second time. Ordered to third reading. |
| May 17, 2022 | Set for hearing May 19. |
| May 16, 2022 | May 16 hearing: Placed on APPR suspense file. |
| May 6, 2022 | Set for hearing May 16. |
| May 2, 2022 | Read second time and amended. Re-referred to Com. on APPR. |
| Apr 28, 2022 | From committee: Do pass as amended and re-refer to Com. on APPR. (Ayes 10. Noes 0. Page 3542.) (April 27). |
| Apr 18, 2022 | From committee with author's amendments. Read second time and amended. Re-referred to Com. on HEALTH. |
| Apr 6, 2022 | Set for hearing April 27. |
| Mar 31, 2022 | April 6 set for first hearing canceled at the request of author. |
| Mar 25, 2022 | Set for hearing April 6. |
| Mar 23, 2022 | Re-referred to Com. on HEALTH. |
| Mar 16, 2022 | From committee with author's amendments. Read second time and amended. Re-referred to Com. on RLS. |
| Feb 23, 2022 | Referred to Com. on RLS. |
| Feb 17, 2022 | From printer. |
| Feb 16, 2022 | Introduced. Read first time. To Com. on RLS. for assignment. To print. |
|
Date
|
Description
|
Location
|
Votes
|
|
|---|---|---|---|---|
| Aug 30, 2022 | Special Consent SB1143 | Senate Floor |
Passed |
|
| Aug 22, 2022 | SB 1143 Roth Senate Third Reading By Wood | Assembly Floor |
Passed |
|
| May 25, 2022 | Special Consent SB1143 | Senate Floor |
Passed |
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Positions by individuals are not included.
Bill Author
