SB 749: Mental health program oversight: county reporting.
- Session Year: 2021-2022
- House: Senate
- Latest Version Date: 2021-07-08
Existing law provides for various mental and behavioral health programs that are administered by the counties. Existing law, the Mental Health Services Act (MHSA), an initiative measure enacted by the voters as Proposition 63 at the November 2, 2004, statewide general election, establishes the Mental Health Services Oversight and Accountability Commission to oversee the provisions of the MHSA and review the county plans for MHSA spending. Existing law requires the State Department of Health Care Services, in consultation with the commission and other entities, to develop and administer instructions for the Annual Mental Health Services Act Revenue and Expenditure Report, which identifies and evaluates county mental health programs funded by the MHSA.
This bill would require, to the extent the Legislature makes an appropriation for these provisions, the commission, in consultation with state and local mental health authorities, to create a comprehensive tracking program for county spending on mental and behavioral health programs and services, as specified, including funding sources, funding utilization, and outcome data at the program, service, and statewide levels. The bill would require each county to report specified data for the preceding fiscal year to the commission on or before July 31 of each year. to the commission in a manner and on a timeline determined by the commission. The bill would require the commission, no later than January 1, 2023, to submit a progress report to the Governors office and the Legislature. The bill would also require the commission to report the results of the county reporting for the preceding fiscal year to the Governors office and the Legislature on or before September 1 of each year, on or before January 1, 2024, and annually thereafter on a date determined by the commission, and to publish that information on its internet website in a location accessible to the public. The bill would require the commission to promulgate regulations, but would authorize the commission to implement these provisions by all-county letter until final regulations are adopted. By requiring additional reporting from the counties to the extent these provisions are implemented, this bill would impose a state-mandated local program.
The California Constitution requires the state to reimburse local agencies and school districts for certain costs mandated by the state. Statutory provisions establish procedures for making that reimbursement.
This bill would provide that, if the Commission on State Mandates determines that the bill contains costs mandated by the state, reimbursement for those costs shall be made pursuant to the statutory provisions noted above.
Existing law provides for various mental and behavioral health programs that are administered by the counties. Existing law, the Mental Health Services Act (MHSA), an initiative measure enacted by the voters as Proposition 63 at the November 2, 2004, statewide general election, establishes the Mental Health Services Oversight and Accountability Commission to oversee the provisions of the MHSA and review the county plans for MHSA spending. Existing law requires the State Department of Health Care Services, in consultation with the commission and other entities, to develop and administer instructions for the Annual Mental Health Services Act Revenue and Expenditure Report, which identifies and evaluates county mental health programs funded by the MHSA.
This bill would require require, to the extent the Legislature makes an appropriation for these provisions, the commission, in consultation with state and local mental health authorities, to create a comprehensive tracking program for county spending on mental and behavioral health programs and services, as specified, including funding sources, funding utilization, and outcome data at the program, service, and statewide levels. The bill would require the counties each county to report specified data for the preceding fiscal year to the commission on or before July 31 of each year. The bill would also require the commission to report the results of the county reporting to the Governors office and the Legislature on or before September 1 of each year, and to publish that information on its internet website in a location accessible to the public. By requiring additional reporting from the counties, counties to the extent these provisions are implemented, this bill would impose a state-mandated local program.
The California Constitution requires the state to reimburse local agencies and school districts for certain costs mandated by the state. Statutory provisions establish procedures for making that reimbursement.
This bill would provide that, if the Commission on State Mandates determines that the bill contains costs mandated by the state, reimbursement for those costs shall be made pursuant to the statutory provisions noted above.
Existing law provides for various mental and behavioral health programs that are administered by the counties. Existing law, the Mental Health Services Act (MHSA), an initiative measure enacted by the voters as Proposition 63 at the November 2, 2004, statewide general election, establishes the Mental Health Services Oversight and Accountability Commission to oversee the provisions of the MHSA and review the county plans for MHSA spending. Existing law requires the State Department of Health Care Services, in consultation with the commission and other entities, to develop and administer instructions for the Annual Mental Health Services Act Revenue and Expenditure Report, which identifies and evaluates county mental health programs funded by the MHSA.
This bill would require the commission, in consultation with state and local mental health authorities, to create a comprehensive tracking program for county spending on mental and behavioral health programs and services, as specified, including funding sources, funding utilization, and outcome data at the program, service, and statewide levels. The bill would require the counties to report specified data for the preceding fiscal year to the commission on or before July 31 of each year. The bill would also require the commission to report the results of the county reporting to the Governors office and the Legislature on or before September 1 of each year, and to publish that information on its internet website in a location accessible to the public. By requiring additional reporting from the counties, this bill would impose a state-mandated local program.
The California Constitution requires the state to reimburse local agencies and school districts for certain costs mandated by the state. Statutory provisions establish procedures for making that reimbursement.
This bill would provide that, if the Commission on State Mandates determines that the bill contains costs mandated by the state, reimbursement for those costs shall be made pursuant to the statutory provisions noted above.
(a)The commission, in consultation with state and local mental health authorities, shall create a comprehensive tracking program for county spending on mental and behavioral health programs and services, including funding sources, funding utilization, and outcome data at the program, service, and statewide levels.
(b)As part of the program required in subdivision (a), the commission shall do all of the following:
(1)Explore available data and information when developing the reporting framework, and obtain relevant data and information from other state entities.
(2)Develop categories of mental health programs and services tailored to inform assessments of spending patterns. These programs and services may include, but are not limited to, the following:
(A)Emergency services.
(B)Inpatient care.
(C)Intensive outpatient services.
(D)Basic social supports.
(E)General outpatient services.
(F)Community wellness supports.
(G)Outreach and education.
(3)Develop statewide measurements of mental health and report publicly about those measurements annually so that stakeholders and policymakers can assess the progress the state is making in addressing mental health needs.
(c)On or before July 31 of each year, each Each county shall report to the commission, in a manner to be determined by the commission, and on a timeline to be determined by the commission, all of the following for the preceding fiscal year: following:
(1)The expenditures in each of the major categories established in paragraph (2) of subdivision (b).
(2)Unspent funding that was dedicated to mental and behavioral health programs and services, from all major sources.
(3)Program- and service-level outcomes that enable stakeholders to determine whether the countys use of funds benefits individuals living with mental illnesses. These outcomes may include, but not be limited to, all of the following:
(A)For emergency services: the response time of first responders, emergency room wait time and length of stay, and the frequency and timeliness of linkage to subsequent services.
(B)For inpatient care; the availability of beds and the timeliness of placement by facility type, medication compliance, and the frequency and timeliness of linkage to subsequent services.
(C)For intensive outpatient services: the population served and the population with unmet needs, medication compliance, and the incidences of hospitalization, incarceration, and other negative outcomes.
(D)For basic support services: the population served and the population with unmet needs, the average length of stay for housing and shelter, and the frequency and timeliness of linkage to concurrent or subsequent services.
(E)For general outpatient services: the population served and the population with unmet needs, the frequency and timeliness of linkage to concurrent or subsequent services, medication compliance when applicable, and incidences of hospitalization, incarceration, and other negative outcomes.
(F)For community wellness supports: the population served and the population with unmet needs, the frequency and timeliness of linkage to concurrent or subsequent services, and client-reported wellness and satisfaction with programs and supports.
(G)For outreach and education: the population served or affected by outreach and education efforts, the impact of those efforts on individuals engagement with treatment, and community awareness of, and attitude toward, available services.
(d)(1)(A)The commission shall, no later than January 1, 2023, submit a progress report to the Governor office and the Legislature on its efforts to create and implement the county reporting required by this section.
(d)(1)On or(B)On or before September 1 of each year, January 1, 2024, and annually thereafter on a date determined by the commission, the commission shall report to the Governors office and the Legislature the results of the county reporting required by this section. section for the preceding fiscal year. The report shall also be posted on the commissions internet website in an area accessible to the public.
(2)A report to be submitted pursuant to this subdivision shall be submitted in compliance with Section 9795 of the Government Code.
(e)The commission shall promulgate regulations to ensure compliance with this section by the counties. Notwithstanding the Administrative Procedure Act (Chapter 3.5 (commencing with Section 11340) of Part 1 of Division 3 of Title 2 of the Government Code), the commission may implement any requirements through all-county letters, without taking regulatory action, until final regulations are adopted.
(e)(f)This section shall be implemented only to the extent the Legislature makes an appropriation for these provisions.
SEC. 2.If the Commission on State Mandates determines that this act contains costs mandated by the state, reimbursement to local agencies and school districts for those costs shall be made pursuant to Part 7 (commencing with Section 17500) of Division 4 of Title 2 of the Government Code.
REVISIONS: HeadingLine 3.(a)The commission, in consultation with state and local mental health authorities, shall create a comprehensive tracking program for county spending on mental and behavioral health programs and services, including funding sources, funding utilization, and outcome data at the program, service, and statewide levels.
(b)As part of the program required in subdivision (a), the commission shall do all of the following:
(1)Explore available data and information when developing the reporting framework, and obtain relevant data and information from other state entities.
(2)Develop categories of mental health programs and services tailored to inform assessments of spending patterns. These programs and services may include, but are not limited to, the following:
(A)Emergency services.
(B)Inpatient care.
(C)Intensive outpatient services.
(D)Basic social supports.
(E)General outpatient services.
(F)Community wellness supports.
(G)Outreach and education.
(3)Develop statewide measurements of mental health and report publicly about those measurements annually so that stakeholders and policymakers can assess the progress the state is making in addressing mental health needs.
(c)On or before July 31 of each year, each county shall report to the commission, in a manner to be determined by the commission, all of the following for the preceding fiscal year:
(1)The expenditures in each of the major categories established in paragraph (2) of subdivision (b).
(2)Unspent funding that was dedicated to mental and behavioral health programs and services, from all major sources.
(3)Program- and service-level outcomes that enable stakeholders to determine whether the countys use of funds benefits individuals living with mental illnesses. These outcomes may include, but not be limited to, all of the following:
(A)For emergency services: the response time of first responders, emergency room wait time and length of stay, and the frequency and timeliness of linkage to subsequent services.
(B)For inpatient care; the availability of beds and the timeliness of placement by facility type, medication compliance, and the frequency and timeliness of linkage to subsequent services.
(C)For intensive outpatient services: the population served and the population with unmet needs, medication compliance, and the incidences of hospitalization, incarceration, and other negative outcomes.
(D)For basic support services: the population served and the population with unmet needs, the average length of stay for housing and shelter, and the frequency and timeliness of linkage to concurrent or subsequent services.
(E)For general outpatient services: the population served and the population with unmet needs, the frequency and timeliness of linkage to concurrent or subsequent services, medication compliance when applicable, and incidences of hospitalization, incarceration, and other negative outcomes.
(F)For community wellness supports: the population served and the population with unmet needs, the frequency and timeliness of linkage to concurrent or subsequent services, and client-reported wellness and satisfaction with programs and supports.
(G)For outreach and education: the population served or affected by outreach and education efforts, the impact of those efforts on individuals engagement with treatment, and community awareness of, and attitude toward, available services.
(d)(1)On or before September 1 of each year, the commission shall report to the Governors office and the Legislature the results of the county reporting required by this section. The report shall also be posted on the commissions internet website in an area accessible to the public.
(2)A report to be submitted pursuant to this subdivision shall be submitted in compliance with Section 9795 of the Government Code.
(e)This section shall be implemented only to the extent the Legislature makes an appropriation for these provisions.
SEC. 2.If the Commission on State Mandates determines that this act contains costs mandated by the state, reimbursement to local agencies and school districts for those costs shall be made pursuant to Part 7 (commencing with Section 17500) of Division 4 of Title 2 of the Government Code.
(a)The commission, in consultation with state and local mental health authorities, shall create a comprehensive tracking program for county spending on mental and behavioral health programs and services, including funding sources, funding utilization, and outcome data at the program, service, and statewide levels.
(b)As part of the program required in subdivision (a), the commission shall do all of the following:
(1)Explore available data and information when developing the reporting framework, and obtain relevant data and information from other state entities.
(2)Develop categories of mental health programs and services tailored to inform assessments of spending patterns. These programs and services may include, but are not limited to, the following:
(A)Emergency services.
(B)Inpatient care.
(C)Intensive outpatient services.
(D)Basic social supports.
(E)General outpatient services.
(F)Community wellness supports.
(G)Outreach and education.
(3)Develop statewide measurements of mental health and report publicly about those measurements annually so that stakeholders and policymakers can assess the progress the state is making in addressing mental health needs.
(c)On or before July 31 of each year, each county shall report to the commission, in a manner to be determined by the commission, all of the following for the preceding fiscal year:
(1)The expenditures in each of the major categories established in paragraph (2) of subdivision (b).
(2)Unspent funding that was dedicated to mental and behavioral health programs and services, from all major sources.
(3)Program- and service-level outcomes that enable stakeholders to determine whether the countys use of funds benefits individuals living with mental illnesses. These outcomes may include, but not be limited to, all of the following:
(A)For emergency services: the response time of first responders, emergency room wait time and length of stay, and the frequency and timeliness of linkage to subsequent services.
(B)For inpatient care; the availability of beds and the timeliness of placement by facility type, medication compliance, and the frequency and timeliness of linkage to subsequent services.
(C)For intensive outpatient services: the population served and the population with unmet needs, medication compliance, and the incidences of hospitalization, incarceration, and other negative outcomes.
(D)For basic support services: the population served and the population with unmet needs, the average length of stay for housing and shelter, and the frequency and timeliness of linkage to concurrent or subsequent services.
(E)For general outpatient services: the population served and the population with unmet needs, the frequency and timeliness of linkage to concurrent or subsequent services, medication compliance when applicable, and incidences of hospitalization, incarceration, and other negative outcomes.
(F)For community wellness supports: the population served and the population with unmet needs, the frequency and timeliness of linkage to concurrent or subsequent services, and client-reported wellness and satisfaction with programs and supports.
(G)For outreach and education: the population served or affected by outreach and education efforts, the impact of those efforts on individuals engagement with treatment, and community awareness of, and attitude toward, available services.
(d)(1)On or before September 1 of each year, the commission shall report to the Governors office and the Legislature the results of the county reporting required by this section. The report shall also be posted on the commissions internet website in an area accessible to the public.
(2)A report to be submitted pursuant to this subdivision shall be submitted in compliance with Section 9795 of the Government Code.
SEC. 2.If the Commission on State Mandates determines that this act contains costs mandated by the state, reimbursement to local agencies and school districts for those costs shall be made pursuant to Part 7 (commencing with Section 17500) of Division 4 of Title 2 of the Government Code.
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Date
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Status
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|---|---|
| Aug 30, 2022 | Ordered to inactive file on request of Assembly Member Santiago. |
| Aug 15, 2022 | From inactive file. |
| Aug 11, 2022 | Notice of intention to remove from inactive file given by Assembly Member Arambula. |
| Sep 8, 2021 | Ordered to inactive file on request of Assembly Member Arambula. |
| Aug 30, 2021 | Read second time. Ordered to third reading. |
| Aug 26, 2021 | Coauthors revised. |
| Aug 19, 2021 | August 19 set for first hearing. Placed on suspense file. |
| Jul 8, 2021 | Read second time and amended. Re-referred to Com. on APPR. |
| Jul 7, 2021 | From committee: Do pass as amended and re-refer to Com. on APPR. (Ayes 15. Noes 0.) (July 6). |
| Jun 10, 2021 | Referred to Com. on HEALTH. |
| Jun 2, 2021 | In Assembly. Read first time. Held at Desk. |
| Jun 2, 2021 | Read third time. Passed. (Ayes 38. Noes 0. Page 1391.) Ordered to the Assembly. |
| May 25, 2021 | Read second time and amended. Ordered to third reading. |
| May 24, 2021 | From committee: Do pass as amended. (Ayes 7. Noes 0. Page 1203.) (May 20). |
| May 14, 2021 | Set for hearing May 20. |
| Apr 20, 2021 | April 19 hearing: Placed on APPR suspense file. |
| Apr 9, 2021 | Set for hearing April 19. |
| Mar 17, 2021 | From committee: Do pass and re-refer to Com. on APPR. (Ayes 11. Noes 0. Page 533.) (March 17). Re-referred to Com. on APPR. |
| Mar 4, 2021 | Set for hearing March 17. |
| Mar 3, 2021 | Referred to Com. on HEALTH. |
| Feb 22, 2021 | Art. IV. Sec. 8(a) of the Constitution dispensed with. |
| Feb 22, 2021 | Read first time. |
| Feb 19, 2021 | Introduced. To Com. on RLS. for assignment. To print. |
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Date
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Description
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Location
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Votes
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|---|---|---|---|---|
| Jun 2, 2021 | Senate 3rd Reading SB749 Glazer et al. | Senate Floor |
Passed |
This list shows positions taken on this bill by organizations on the date displayed, which is linked to the original source.
Positions by individuals are not included.
