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Monthly Updates - May 2008

Government Affairs Committee Report for May 19, 2008
 
1.   AOT in Orange County: 
A meeting of Government partners in Pasadena delayed to early July. Pacific Clinics in Pasadena provides the services for the AOT program in LA County, now called Wraparound Assisted Treatment (WAT) Program.
 
2.  Senate Bill 1606 (2008) put on suspense, but still hope in the assembly
SB 1606 authored by Senator Leland Yee (D-San Francisco/San Mateo) originally was meant to facilitate the use and efficiency of California's law for assisted outpatient treatment (AOT.   Now a bill to study how to best care for people with severe mental illnesses who do not meet California's commitment criteria yet are nonetheless incapacitated by symptoms and incapable of accessing available treatment.
 
3. MHSA (Prop 63) in Orange County:
 
Mental Health Board MHSA Workforce Education and Training Hearing May 8 resulted in unanimous approval for the plan.  Copy of plan is to be placed in the NAMI OC library. NAMI OC Family to Family and Provider Education programs mentioned in the plan. 
 
An Ed / Stakeholder meeting will be held in Lake Forest at Saddleback Church on PEI of MHSA on May 28, 7-8:30 PM.  
Participate in the Planning for New MHSA (Prop 63) Prevention and Early Intervention Programs for At-Risk Children, Adults and Older Adults
  Saddleback Church, 1 Saddleback Pkwy, Rm. 303,
Lake Forest, CA  92630

Speaker:  Alan Albright, MFT,  OC Health Care Agency,
Behavioral Health, MHSA  PEI Coordinator

For Directions:  (North of El Toro Rd. on Saddleback Pkwy or Portolla Exit of 241 toll road)
 http://www.saddlebackfamily.com/contact/index.html
click on directions or call the church at 949.609.8000

RSVP: NAMI OC Support Group Facilitator at Saddleback Church:
Nan Ibarra (949) 922-3425
 
The next phase of the Mental Health Service Act (MHSA)
Prevention and Early Intervention (PEI) and Community and Organizational Surveys are available at  http://ochealthinfo.com/mhsa/pei/survey/
Community Services & Supports 2007 Implementation Progress Report is available for public review and comment from April 25, 2008 to May 25, 2008.  http://ochealthinfo.com/mhsa/css/index.htm
Capital Facilities and Technological Needs Component Three-Year Plan and Expenditure Plan Guidelines
http://ochealthinfo.com/mhsa/cft/
 
The Mental Health Training program for Police Officers (MHSA CIT Training)
The next Round Table discussion on curriculum development for Golden West College course is May 28th from 9-11 at 600 West Santa Ana Blvd, Suite 510, Santa Ana, CA. 
 
Bill: AB 1486 - Author: Calderon C : Bill killed in April SENATE
Committee on BUSINESS, PROFESSIONS & ECONOMIC DEVELOPMENT meeting April 9 in Sacramento. Another form of the bill that requires medication training for licensed professional counselors may return in the next legislative session. 
 
Western Med and College Hospital have made extra beds available to the county
These beds will make up for loss of adult psychiatric treatment care ending at Huntington Beach Hospital and La Palma Hospitals. Only Geriatric psychiatric treatment on a voluntary basis will be offered at the hospitals if the Adult units are closed.
 
Mental Health Advocacy/ Disability Capitol ACTION Day 2008, Thursday, May 15 in Sacramento. 
All OC representatives offices in Sacramento were visited by NAMI OC members, Janice DeLoof, family member, Jenny Monge, consumer and Sarah Niemer, family member, and/or Jeff Thrash, Dir. of OC MHA who lead another OC team with Robert Reid, consumer on Mental Health Advocacy / Disability Capitol ACTION Day 2008, Thursday, May 15.  Members addressed the following budget issues and bills:

CA Governor's 2008-09 state budget and CA Bills regarding Mental Health

 
The Governor's May Revise is out
The Governor's 2008-09 state budget seeks to eliminate a $ 17 Billion deficit in one year.  Of this amount, $6 Billion is new since January due to lower revenues.In general all of the major proposals by the Governor made in January to balance the budget are still being proposed with the exception of suspending proposition 98, the early release of prisoners and closing of state parks. This shifts more of the burden to health and human services and $3.4 billion in reductions is proposed. 
 
Cuts to Mental Health COST more than the cuts will save!
 
OC legislators are asked to oppose Elimination of MediCal Optional Benefits
Reduced in 2007-08 by $20.2 million ($10 million General Fund) and 2008-09 by $268.2 million ($134 million General Fund) by reducing the number of optional benefits provided for adults over the age of twenty-one who are not in a nursing facility.

The eliminated optional benefits include incontinence creams and washes, acupuncture, adult dental, audiology, optometry, optical, chiropractic, podiatry, psychology, and speech therapy. The elimination of these optional benefits will mean the loss of access to these services through the Medi-Cal program. The Senate needs to support avoidance of the 10% cutback all state programs face in the current budget crisis including:
The SSI/SSP COLA Suspension, the 10% Provider Rate Reduction
The reduction of Medi-Cal services for full scope Medi-Cal beneficiaries ages 0-21 in the Early and Periodic Screening, Diagnosis and Treatment (EPSDT) program. These cuts will actually cost the state and counties if client/patients discontinue treatment. The ability of CA counties to deliver mental health services is threatened by the slow reimbursement from the state to deliver mental health services. The Legislators need take out the10% reductions of state programs including the 10% reduction to county mental health plans for managing the Medi-Cal specialty MH Managed Care program.
These reductions could drive counties out of the MH care business. 
Sen. Dave Cox (R-Fair Oaks) has introduced SB 1349 a bill requiring timely reimbursement of mental health services claims to local governments.
SB 1349 would require the State Controller's Office to reimburse local governments for mental health services within 90 days of the receipt of a reimbursement claim by the Department of Mental Health. The measure also requires interest to be paid on late payments. 
On 06/10/2008 the bill will go to the ASSEMBLY Committee on HEALTH. Most counties support as this would help keep them in the business of providing mental health services. Without Dept of MH support, which they have not given, the governor may not sign the bill. NAMI CA does not yet have a position on this bill on their web site. 
Important mental health bills include SB 1651
Steinberg and Romero Mentally ill offenders bill, which provides for more counties to develop Mental Health Courts,  AB 1945 & SB 1553 (both parity bills).
 
Re: SB 1553: (Lowenthal)
To suspense file -  fate determined on about May 22.
 
If passed, this bill would help make the goal of parity for mental care health services a reality. Although a mental health parity law was passed nearly ten years ago, health care plans have failed to assure that consumers have timely access to mental health care services. The Department of Manage Health Care (DMHC) has not been able or willing to assure that the health care plans provide timely access.  DMHC has failed to adopt access regulations, which it was required to do by January 1, 2004.
 
More information on these bills and others regarding mental health is at:
www.namicalifornia.org  - click on legislation for a selected list of current bills about mental health.
The Orange County Network of Care site gives a list of all bills regarding health at:
http://www.orange.networkofcare.org/mh/home/index.cfm
click on legislation. 
 
Report from the Government Affairs Committee of NAMI Orange County

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