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SB-1238 Behavioral health services: existing and projected needs.(2021-2022)



Current Version: 08/22/22 - Enrolled

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SB1238:v96#DOCUMENT

Enrolled  August 22, 2022
Passed  IN  Senate  May 25, 2022
Passed  IN  Assembly  August 18, 2022
Amended  IN  Senate  May 02, 2022
Amended  IN  Senate  April 18, 2022

CALIFORNIA LEGISLATURE— 2021–2022 REGULAR SESSION

Senate Bill
No. 1238

Introduced by Senator Eggman

February 17, 2022

An act to add Chapter 3 (commencing with Section 5962) to Part 7 of Division 5 of the Welfare and Institutions Code, relating to mental health.


LEGISLATIVE COUNSEL'S DIGEST


SB 1238, Eggman. Behavioral health services: existing and projected needs.
Existing law, the Children and Youth Behavioral Health Initiative Act, requires the State Department of Health Care Services to procure and oversee a vendor to establish and maintain a behavioral health services and supports virtual platform that integrates behavioral health screenings, application-based supports, and direct behavioral health services to children and youth 25 years of age and younger, regardless of payer. Existing law authorizes the department to award competitive grants to expand the community continuum of behavioral health treatment resources.
This bill would require the department, commencing January 1, 2024, and at least every 5 years thereafter, to conduct a review of, and produce a report regarding, the current and projected behavioral health care infrastructure and service needs in each region of the state. The bill would require the department to consult with the council of governments, cities, counties, and cities and counties regarding the assumptions and methodology to be used by the department, and would require local governments to provide specified data for the region. The bill would require the department to share this data and its report with the Mental Health Services Oversight and Accountability Commission. By adding to the duties of local governments, 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.
Vote: MAJORITY   Appropriation: NO   Fiscal Committee: YES   Local Program: YES  

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


SECTION 1.

 Chapter 3 (commencing with Section 5962) is added to Part 7 of Division 5 of the Welfare and Institutions Code, to read:
CHAPTER  3. Behavioral Health Continuum Planning

5962.
 (a) Commencing on January 1, 2024, and at least every five years thereafter, the State Department of Health Care Services shall conduct a review of, and produce a report regarding, the current and projected behavioral health care infrastructure and service needs in each region of the state. The department shall share its report and any data received pursuant to subdivision (b) with the Mental Health Services Oversight and Accountability Commission.
(b) Before developing the existing and projected behavioral health need report for a region, the department shall meet and consult with the council of governments, cities, counties, and cities and counties, regarding the assumptions and methodology to be used by the department to determine the region’s behavioral health needs. Local governments shall provide behavioral health service access and utilization data for the region, including the total number of beds or slots, total utilization, and unmet need, in all of the following service categories:
(1) Prevention and wellness services for mental health and substance use issues, including services, activities, and assessments that help identify individuals at risk of a mental health or substance use disorder; support for communities, families, and individuals in coping with stress and trauma; dissemination of information on ways to promote resiliency; and discouragement of risky behaviors.
(2) Outpatient services, including a variety of traditional clinical outpatient services, such as individual and group therapy and ambulatory detoxification services.
(3) Peer and recovery services delivered in the community that can be provided by individuals with lived experience, including young adults and family members.
(4) Community supports, including flexible services designed to enable individuals to remain in their homes and participate in their communities, such as supportive housing, case management, supported employment, and supported education.
(5) Intensive outpatient treatment services, including services such as full-service partnerships, assertive community treatment (ACT), and substance use intensive outpatient services that are delivered using a multidisciplinary approach to support individuals living with higher acuity behavioral health needs.
(6) Residential treatment provided on a short-term basis to divert individuals from, or as a step down from, intensive services.
(7) Crisis services, including a range of services and supports, such as crisis call centers, mobile crisis services, and crisis residential services that assess, stabilize, and treat individuals experiencing acute distress who may require hospitalization.
(8) Intensive treatment services that are provided in structured, facility-based settings to individuals who require 24-hours-a-day, seven-days-a-week care, including inpatient psychiatric treatment and clinically managed inpatient services.
(9) School-based behavioral health services.
(c) The report shall also include barriers to meeting projected future needs and suggestions to alleviate bottlenecks in the continuum.
(d) For the purposes of this section:
(1) “Council on governments” has the same meaning as in Section 65582 of the Government Code.
(2) “Region” means Superior California, North Coast, San Francisco Bay Area, Northern San Joaquin Valley, Central Coast, Southern San Joaquin Valley, Inland Empire, Los Angeles County, Orange County, and San Diego-Imperial, as designated by the United States Census Bureau.

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.