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SB-1101 Mental health.(2017-2018)

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Date Published: 04/17/2018 09:00 PM
SB1101:v97#DOCUMENT

Amended  IN  Senate  April 17, 2018
Amended  IN  Senate  March 22, 2018

CALIFORNIA LEGISLATURE— 2017–2018 REGULAR SESSION

Senate Bill
No. 1101

Introduced by Senator Pan

February 13, 2018

An act to add Part 7 (commencing with Section 5953) to Division 5 of Section 5845.6 to the Welfare and Institutions Code, relating to mental health.


LEGISLATIVE COUNSEL'S DIGEST


SB 1101, as amended, Pan. Mental health.
Existing law, the Mental Health Services Act (MHSA), an initiative measure enacted by the voters as Proposition 63 at the November 2, 2004, statewide general election, establishes the Mental Health Services Oversight and Accountability Commission to oversee the administration of various parts of the act. The MHSA permits amendment by the Legislature by a 2/3 vote of each house if the amendment is consistent with, and furthers the intent of, the MHSA.
In addition to its existing duties, this This bill would require the commission, on or before January 1, 2020, to establish 5 statewide objectives for the treatment and prevention of mental illness prevention, early intervention, and treatment of mental illness, the promotion of mental health and well-being, and innovation as a strategy for transformational change, and metrics by which progress toward each of those objectives may be measured. The bill would require the commission to work with appropriate stakeholders in establishing these objectives and metrics. The bill would require the obejectives and metrics to be reviewed at least every 5 years and, if appropriate, revised. The bill would prohibit the commission from using MHSA funding to carry out these additional duties. establish strategies to collect, analyze, and monitor the established metrics and for technical assistance, support, and evaluation to support the successful implementation of these provisions. The bill would require the commission to review specified existing requirements and other oversight and accountability efforts to see if the commission can streamline those requirements, and, periodically, but at least once every 5 years, to review the established objectives, metrics, and strategies. The bill would require the commission to work with appropriate stakeholders, subject matter experts, counties, providers, state officials, and others the commission deems necessary in implementing these provisions.
The bill, beginning January 1, 2021, would require all counties to annually submit a report to the commission and the Legislature, by the end of each fiscal year, that documents its progress toward the statewide objectives, using the metrics described above. The bill would also require each county to document specified mental health funding allocations in relation to the statewide objectives. The bill would prohibit counties from encumbering MHSA funding for purposes of complying with these provisions. objectives, or, if the county does not have all the data necessary to produce the report, to provide the commission with data requested by the commission, as specified. The bill would amend the MHSA by authorizing a county to use MHSA funds to comply with these requirements. By requiring counties to submit annual reports, reports or provide specified data, 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.
The bill would declare that its provisions further the intent of the MHSA.
Vote: MAJORITY2/3   Appropriation: NO   Fiscal Committee: YES   Local Program: YES  

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


SECTION 1.

 Section 5845.6 is added to the Welfare and Institutions Code, to read:

5845.6.
 (a) On or before January 1, 2020, the Mental Health Services Oversight and Accountability Commission, in addition to its existing duties, shall establish statewide objectives for the prevention, early intervention, and treatment of mental illness, the promotion of mental health and well-being, and innovation as a strategy for transformational change. In establishing these statewide objectives, the commission shall establish a core set of objectives, ideally no more than five, that serve to bring focus to California's mental health system. The commission may identify a reasonable number of components for each objective.
(b) The commission shall establish corresponding metrics for each objective, and may establish metrics for each component. These established metrics shall allow the public to meaningfully understand whether progress is being made against the established objectives.
(c) The commission shall establish a strategy to collect, analyze, and monitor the established metrics, using existing data, if available, and proposing new data collection and reporting strategies, if necessary.
(d) The commission shall establish a strategy for technical assistance, support, and evaluation to support the successful implementation of the objectives, metrics, data collection, and reporting strategy.
(e) The commission shall periodically, but not less than once every five years, review the established objectives, components, if any, metrics, and strategies required under this section.
(f) Consistent with this section, the commission shall also review the outcome and performance monitoring, data collection, and reporting requirements, and other oversight and accountability efforts in existence on January 1, 2019, to see if the commission can streamline those requirements in order to reduce costs, improve the timeliness of relevant data, enhance the utility of reporting for decision-making, and support focus on the statewide objectives established pursuant to this section.
(g) The commission shall work with appropriate stakeholders, subject matter experts, counties, providers, state officials, and others the commission deems necessary in implementing the requirements of this section.
(h) The commission may obtain relevant data and information from other state entities, as needed to assist with monitoring of county progress toward the statewide objectives.
(i) (1) Notwithstanding Section 10231.5 of the Government Code, each county, beginning January 1, 2021, shall annually submit a report to the commission and to the Legislature, by the end of each fiscal year, that documents the county’s progress toward the statewide objectives, using the metrics described in subdivision (b). The report shall also document mental health funding allocations from Medi-Cal and the Mental Health Services Act in relation to the statewide objectives. A report submitted pursuant to this paragraph shall be submitted in compliance with Section 9795 of the Government Code.
(2) If a county does not have all the data necessary to produce the report specified in paragraph (1), the county shall instead provide data requested by the commission to assist with the monitoring of county progress towards the statewide objectives.
(3) A county may use Mental Health Services Act funds to comply with the requirements of this section.
(j) This section shall not be construed to require counties to allocate its mental health funding based on the statewide objectives established pursuant to subdivision (a). It is the intent of the Legislature that these statewide objectives work in concert with locally and regionally established goals to improve mental health outcomes statewide.

SEC. 2.

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

SEC. 3.

 The Legislature finds and declares that this act furthers the intent of the Mental Health Services Act, enacted by Proposition 63 at the November 2, 2004, statewide general election.
SECTION 1.Part 7 (commencing with Section 5953) is added to Division 5 of the Welfare and Institutions Code, to read:
7.STATEWIDE MENTAL HEALTH OBJECTIVES
5953.

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

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

(c)

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

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

(e)

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

SEC. 2.

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