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PAI Analysis
ARCA Analysis

 If you'd like to submit your opinions to The Arc of California send comments to:

Tony Anderson, Executive Director, [email protected] otherwise forward your comments to the appropriate departments, i.e., Health and Human Services, Rehabilitation, Developmental Services, etc.

Service Delivery Reorganization Proposals

HHS24

Intermediate Care Facilities for Individuals with Developmental Disabilities not Benefiting from Full Federal Participation

Proposal

Arc CA Position

The Health and Human Services Agency, or its successor, should redefine the Intermediate Care Facilities for people with developmental disabilities (ICF/DD) program to increase federal financial participation. In addition, the agency should work with staff to address their concerns on adequately preparing for the Center for Medicare and Medicaid Services (CMS) review in the Fiscal Year (FY) 2004-2005.

Example:

Fully Support – It’s a Good Idea

Conditional Support

Neutral

Opposed – It’s a Bad Idea

Strong Opposition Warrants Advocacy

 

Comments:

Comments…

The Arc of California Governmental Affairs Worksheet for Responding to the CPR Recommendations
Will the proposal improve access to services?  Does it make it simpler for customers/clients? 

Will the proposal improve delivery of services? 

Will the proposal improve outcomes? 

What will be the impact on the service provider network?

Will the proposal improve program efficiency?

 

Proposal

Arc CA Position

The Department of Health Services, or its successor, should request consultation with CMS Region IX on developing all-inclusive ICF/DD rates and obtaining approval of a State Medicaid Plan Amendment. Pending approval of the amendment, DHS and DDS should draft regulatory changes with measures to compensate ICFs/DD, day programs, transportation providers and/or regional centers for any increased administrative responsibilities that may result from the recommended changes.

 

Comments:

Comments…

Will the proposal improve access to services?  Does it make it simpler for customers/clients? 

Will the proposal improve delivery of services? 

Will the proposal improve outcomes? 

What will be the impact on the service provider network?

Will the proposal improve program efficiency?

 

Proposal

Arc CA Position

If CMS does not approve the all-inclusive rate option, the Health and Human Services Agency, or its successor, should review and evaluate the other options suggested by the consultant to obtain additional federal fund participation for day program and transportation costs for clients in ICF/DD programs.

 

Comments:

Comments…

Will the proposal improve access to services?  Does it make it simpler for customers/clients? 

Will the proposal improve delivery of services? 

Will the proposal improve outcomes? 

What will be the impact on the service provider network?

Will the proposal improve program efficiency?

 

 

ETV13

Improve the Special Education Hearing and Mediation Process

Proposal

Arc CA Position

Comments…

The Governor should request that the California Department of Education (CDE) enter into a Memorandum of Understanding with the State of California's Office of Administrative Hearings to conduct special education hearings and mediations.

 

Comments:

Comments…

Will the proposal improve access to services?  Does it make it simpler for customers/clients? 

Will the proposal improve delivery of services? 

Will the proposal improve outcomes? 

What will be the impact on the service provider network?

Will the proposal improve program efficiency?

 

Proposal

Arc CA Position

Comments…

The Governor should request that CDE increase the number of cases resolved by mediation, thereby realizing a substantial cost savings.

 

Comments:

Comments…

Will the proposal improve access to services?  Does it make it simpler for customers/clients? 

Will the proposal improve delivery of services? 

Will the proposal improve outcomes? 

What will be the impact on the service provider network?

Will the proposal improve program efficiency?

 

Proposal

Arc CA Position

Comments…

The Governor should request that CDE permit mediators to function more as arbitrators. The arbitrators could examine the facts and law and make stronger recommendations as to the likely outcome if the matter goes to hearing. While federal law prohibits binding arbitration, there is no prohibition against strengthening the role of the mediator

 

Comments:

Comments…

Will the proposal improve access to services?  Does it make it simpler for customers/clients? 

Will the proposal improve delivery of services? 

Will the proposal improve outcomes? 

What will be the impact on the service provider network?

Will the proposal improve program efficiency?

 

 

SO70

Taking Steps to Contain State Drug Costs

Proposal

Arc CA Position

Comments…

The Department of General Services, or its successor, should enter into a contract with a Pharmacy Benefits Manager to administer the state’s drug purchasing program.

 

 

Comments:

Comments…

Will the proposal improve access to services?  Does it make it simpler for customers/clients? 

Will the proposal improve delivery of services? 

Will the proposal improve outcomes? 

What will be the impact on the service provider network?

Will the proposal improve program efficiency?

 

Proposal

Arc CA Position

Comments…

The Governor should work with the Legislature to create a new Central Pharmaceutical Office (CPO). This office shall be authorized and responsible for the procurement and management of all pharmaceutical programs. In addition, the CPO shall have the authority to establish cooperative relationships with local governmental entities, exempted state entities and representatives from pharmaceutical manufacturers in order to maximize the state’s large volume purchasing power.

 

Comments:

Comments…

Will the proposal improve access to services?  Does it make it simpler for customers/clients? 

Will the proposal improve delivery of services? 

Will the proposal improve outcomes? 

What will be the impact on the service provider network?

Will the proposal improve program efficiency?

 

 

HHS22

Issue Fee-Supported Licenses Without Delay

Proposal

Arc CA Position

Comments…

The Department of Health Services (DHS), or its successor, should fill vacant positions that can be funded from fee-supported licensing and certification activities.

 

Comments:

Comments…

Will the proposal improve access to services?  Does it make it simpler for customers/clients? 

Will the proposal improve delivery of services? 

Will the proposal improve outcomes? 

What will be the impact on the service provider network?

Will the proposal improve program efficiency?

 

Proposal

Arc CA Position

Comments…

The Governor should work with the Legislature to establish a special fund for the license fees of DHS's Licensing and Certification Division.

 

Comments:

Comments…

Will the proposal improve access to services?  Does it make it simpler for customers/clients? 

Will the proposal improve delivery of services? 

Will the proposal improve outcomes? 

What will be the impact on the service provider network?

Will the proposal improve program efficiency?

 

Proposal

Arc CA Position

Comments…

Where possible, DHS, or its successor, should address licensing backlogs by temporary redirection of staff or temporary hires.

 

Comments:

Comments…

Will the proposal improve access to services?  Does it make it simpler for customers/clients? 

Will the proposal improve delivery of services? 

Will the proposal improve outcomes? 

What will be the impact on the service provider network?

Will the proposal improve program efficiency?

 

Proposal

Arc CA Position

Comments…

DHS, or its successor, should develop proposals to reduce licensing and certification backlogs to 30 days for applications that are ready for determination or on-site survey, as applicable.

 

Comments:

Comments…

Will the proposal improve access to services?  Does it make it simpler for customers/clients? 

Will the proposal improve delivery of services? 

Will the proposal improve outcomes? 

What will be the impact on the service provider network?

Will the proposal improve program efficiency?

 

Proposal

Arc CA Position

Comments…

The special fund license and certification efforts should be initiated with a loan from the General Fund.

 

Comments:

Comments…

Will the proposal improve access to services?  Does it make it simpler for customers/clients? 

Will the proposal improve delivery of services? 

Will the proposal improve outcomes? 

What will be the impact on the service provider network?

Will the proposal improve program efficiency?

 

Proposal

Arc CA Position

Comments…

DHS and other departments in the Health and Human Services Agency, or its successor, should evaluate raising license fees in categories that do not currently support the licensing work so license applicants who pay for their license can receive them and get to work in a timely manner.

 

Comments:

Comments…

Will the proposal improve access to services?  Does it make it simpler for customers/clients? 

Will the proposal improve delivery of services? 

Will the proposal improve outcomes? 

What will be the impact on the service provider network?

Will the proposal improve program efficiency?

 

 

HHS08

State Leadership Needed to Repair a Foster Care System in Crisis

Proposal

Arc CA Position

Comments…

By September 1, 2004, the Health and Human Services Agency (HHS), or its successor, should designate one organization or individual as the state leader for foster care, vested with the responsibility and authority to coordinate efforts across state agencies to resolve issues and encourage accountability.

 

Comments:

Comments…

Will the proposal improve access to services?  Does it make it simpler for customers/clients? 

Will the proposal improve delivery of services? 

Will the proposal improve outcomes? 

What will be the impact on the service provider network?

Will the proposal improve program efficiency?

 

Proposal

Arc CA Position

Comments…

HHS, or its successor, should direct this newly designated organization or individual to work with appropriate agencies to develop, by July 1, 2005, an appropriate assessment tool to measure foster care outcomes in California and mechanisms to address poor county performance.

This organization or individual should ensure that local systems can accurately and reliably collect and maintain the necessary information. This organization or individual should also publish an annual report that provides statewide and county-specific data on foster care outcomes by July 1 of each year.

 

 

Comments:

Comments…

Will the proposal improve access to services?  Does it make it simpler for customers/clients? 

Will the proposal improve delivery of services? 

Will the proposal improve outcomes? 

What will be the impact on the service provider network?

Will the proposal improve program efficiency?

 

 

HHS25

Obtain Best Prices for Durable Medical Equipment

Proposal

Arc CA Position

The Department of Health Services (DHS), or its successor, should contract for the purchase of all durable medical equipment by competitive bid, with a limited number of providers.

This strategy will allow for significant savings, known standard costs for durable medical equipment (DME) devices, potential minimization of fraudulent billings and fraudulent providers, and increased ability to audit the universe of Medi-Cal DME providers.

 

 

Comments:

Comments…

Will the proposal improve access to services?  Does it make it simpler for customers/clients? 

Will the proposal improve delivery of services? 

Will the proposal improve outcomes? 

What will be the impact on the service provider network?

Will the proposal improve program efficiency?

 

Proposal

Arc CA Position

The competitive bid process should stipulate that the winning bids must include a weighted average rate reduction in the products offered of 10 percent, and no product should be offered at a price that is above the rate established within Title 22, California Code of Regulations relating to reimbursement rates for DME.

 

Comments:

Comments…

Will the proposal improve access to services?  Does it make it simpler for customers/clients? 

Will the proposal improve delivery of services? 

Will the proposal improve outcomes? 

What will be the impact on the service provider network?

Will the proposal improve program efficiency?

 

Proposal

Arc CA Position

The competitive bid process should include all durable medical equipment devices and supplies, including prosthesis and orthotic devices.

 

 

Comments:

Comments…

Will the proposal improve access to services?  Does it make it simpler for customers/clients? 

Will the proposal improve delivery of services? 

Will the proposal improve outcomes? 

What will be the impact on the service provider network?

Will the proposal improve program efficiency?

 

Proposal

Arc CA Position

It is imperative that the competitive bid process ensure that Medi-Cal beneficiaries have adequate reasonable access to providers of DME.

In assuring access, DHS, or its successor, should be directed to specifically address geographical barriers, public transit barriers and hours of service barriers.

 

Comments:

Comments…

Will the proposal improve access to services?  Does it make it simpler for customers/clients? 

Will the proposal improve delivery of services? 

Will the proposal improve outcomes? 

What will be the impact on the service provider network?

Will the proposal improve program efficiency?

 

Proposal

Arc CA Position

DHS, or its successor, should issue a Request For Proposals by September 1, 2004 and award individual contracts by January 1, 2005.  Staff has already been approved for this task, so the proposed timelines are viable.

 

Comments:

Comments…

Will the proposal improve access to services?  Does it make it simpler for customers/clients? 

Will the proposal improve delivery of services? 

Will the proposal improve outcomes? 

What will be the impact on the service provider network?

Will the proposal improve program efficiency?

 

 

HHS26

Maximize Federal Funding by Shifting Medi-Cal Costs to Medicare

Proposal

Arc CA Position

The Department of Health Services, or its successor, should authorize EDS to develop an outreach program to enroll Medi-Cal beneficiaries with a diagnosis of End Stage Renal Disease or ALS into the Medicare program and beneficiaries with Muscular Dystrophy or MS into the SSA Title II disability program. This should be authorized by September 2004.

 

Comments:

Comments…

Will the proposal improve access to services?  Does it make it simpler for customers/clients? 

Will the proposal improve delivery of services? 

Will the proposal improve outcomes? 

What will be the impact on the service provider network?

Will the proposal improve program efficiency?

 

Proposal

Arc CA Position

The Department of Health Services, or its successor, should discontinue the current program notifying Medi-Cal beneficiaries of the benefits of applying for Medicare, and redirect staff performing this function to other activities within the department.

 

Comments:

Comments…

Will the proposal improve access to services?  Does it make it simpler for customers/clients? 

Will the proposal improve delivery of services? 

Will the proposal improve outcomes? 

What will be the impact on the service provider network?

Will the proposal improve program efficiency?

 

Proposal

Arc CA Position

The Department of Health Services, or its successor, should submit the file of potential Medicare eligibles to SSA to identify the number of qualified work quarters and provide this information to EDS. If a beneficiary is married and the spouse's Social Security Number is on file, DHS should also send a request to SSA for the spouse's work history. This procedure should be implemented by December 2004.

 

Comments:

Comments…

Will the proposal improve access to services?  Does it make it simpler for customers/clients? 

Will the proposal improve delivery of services? 

Will the proposal improve outcomes? 

What will be the impact on the service provider network?

Will the proposal improve program efficiency?

 

Proposal

Arc CA Position

The Department of Health Services, or its successor, should establish metrics to evaluate the effectiveness of this outreach program. The data should be used to determine whether to extend the period in which EDS can share the savings beyond the two-year time frame specified in the contract, whether to staff the outreach program with state staff, or whether to discontinue the outreach program. These metrics should be established by April 2005.

 

Comments:

Comments…

Will the proposal improve access to services?  Does it make it simpler for customers/clients? 

Will the proposal improve delivery of services? 

Will the proposal improve outcomes? 

What will be the impact on the service provider network?

Will the proposal improve program efficiency?

 

Proposal

Arc CA Position

The Department of Health Services, or its successor, should determine, by August 2005, whether the Medicare outreach program should be expanded to include other high-cost Medi-Cal beneficiaries.

 

Comments:

Comments…

Will the proposal improve access to services?  Does it make it simpler for customers/clients? 

Will the proposal improve delivery of services? 

Will the proposal improve outcomes? 

What will be the impact on the service provider network?

Will the proposal improve program efficiency?

 

 

HHS30

Centralize Medi-Cal Treatment Authorization Process

Proposal

Arc CA Position

The Department of Health Services, or its successor, should centralize treatment authorization request (TARs) field office operations.

Centralization of TARs processing would result in significant savings in facility costs; improve communication among field office staff to promote consistency on TAR decisions; and reduce labor costs by consolidating data entry, filing, retrieval and scanning of online submission of TARs.

 

 

Comments:

Comments…

Will the proposal improve access to services?  Does it make it simpler for customers/clients? 

Will the proposal improve delivery of services? 

Will the proposal improve outcomes? 

What will be the impact on the service provider network?

Will the proposal improve program efficiency?

 

Proposal

Arc CA Position

The Department of Health Services, or its successor, should ensure adequate resources are devoted to automating the TAR process as scheduled for July 2005.  Automation of the TARs process will improve customer service by enhancing timeliness of TAR receipt/approval and reimbursement to providers. 

 

Comments:

Comments…

Will the proposal improve access to services?  Does it make it simpler for customers/clients? 

Will the proposal improve delivery of services? 

Will the proposal improve outcomes? 

What will be the impact on the service provider network?

Will the proposal improve program efficiency?

 

Proposal

Arc CA Position

The Department of Health Services, or its successor, should adopt telecommuting procedures for medical case management nurses currently located in TAR field offices.  Medical case management nurses already spend much of their time at health facilities or patients' homes. Telecommuting and using existing technology, including laptop computers and web-based medical reviews, would eliminate the need to continue to provide office space for these employees.

 

 

Comments:

Comments…

Will the proposal improve access to services?  Does it make it simpler for customers/clients? 

Will the proposal improve delivery of services? 

Will the proposal improve outcomes? 

What will be the impact on the service provider network?

Will the proposal improve program efficiency?

 

 

HHS32

Transfer the In-Home Supportive Services Program to the Department of Health Services

Proposal

Arc CA Position

The Governor should work with the Legislature transfer the IHSS program from the Department of Social Services to the Department of Health Services, or their successors.

 

Comments:

Comments…

Will the proposal improve access to services?  Does it make it simpler for customers/clients? 

Will the proposal improve delivery of services? 

Will the proposal improve outcomes? 

What will be the impact on the service provider network?

Will the proposal improve program efficiency?

 

 

HHS33

Eliminate Dual Capitation for Medicare/ Medi-Cal Managed Care Plans

Proposal

Arc CA Position

The DHS, or its successor, should either modify the health plan contract language to state that DHS will terminate the capitation if a beneficiary client has certain types of health insurance, including enrollment in a Medicare managed care plan, or develop a blended rate for beneficiaries that are dually capitated, so that the Medi-Cal rate only reflects payment for services not covered by the Medicare program.

 

Comments:

Comments…

Will the proposal improve access to services?  Does it make it simpler for customers/clients? 

Will the proposal improve delivery of services? 

Will the proposal improve outcomes? 

What will be the impact on the service provider network?

Will the proposal improve program efficiency?

 

Proposal

Arc CA Position

The DHS, or its successor, should notify the Health Care Options vendor that the state wishes to enforce the existing contract provisions regarding disenrollment because of other health insurance.

 

Comments:

Comments…

Will the proposal improve access to services?  Does it make it simpler for customers/clients? 

Will the proposal improve delivery of services? 

Will the proposal improve outcomes? 

What will be the impact on the service provider network?

Will the proposal improve program efficiency?

 

Proposal

Arc CA Position

The DHS, or its successor, should make all necessary programming changes to reflect the policy change in recommendation A. Some of the associated programming changes have already been coded, but were never installed.

 

Comments:

Comments…

Will the proposal improve access to services?  Does it make it simpler for customers/clients? 

Will the proposal improve delivery of services? 

Will the proposal improve outcomes?  

What will be the impact on the service provider network?

Will the proposal improve program efficiency?

 

Proposal

Arc CA Position

The DHS, or its successor, should review and analyze the policy to permit County Organized Health System (COHS) beneficiaries to also be enrolled in Medicare health plans. The analysis should determine whether it is more cost-effective to provide those health care services not covered by Medicare through a fee-for-service arrangement with the COHS plans or other local providers.

 

Comments:

Comments…

Will the proposal improve access to services?  Does it make it simpler for customers/clients? 

Will the proposal improve delivery of services? 

Will the proposal improve outcomes? 

What will be the impact on the service provider network?

Will the proposal improve program efficiency?

 

Proposal

Arc CA Position

If the DHS decision is to continue the existing policy of allowing COHS beneficiaries to be concurrently enrolled in Medicare managed plans, then DHS, or its successor, should make programming changes to provide the COHS plans with a list of their beneficiaries who have other health insurance, including Medicare HMO coverage.

 

Comments:

Comments…

Will the proposal improve access to services?  Does it make it simpler for customers/clients? 

Will the proposal improve delivery of services? 

Will the proposal improve outcomes? 

What will be the impact on the service provider network?

Will the proposal improve program efficiency?

 

 


 

 

 

Organizational/Structure Proposals

 

Code Change:

12822.2 - The Department of Health and Human Services hereby succeeds to, and is vested with, all the powers, duties, purposes, responsibilities, and jurisdiction of the following Agency, Boards, and Departments which effective July 1, 2005, shall no longer exist[1]:

Proposal

Arc CA Position

The following entities will be no longer exist and will be known as predecessor agencies:

… (d)  Department of Developmental Services, except the Office of Protective Services, which is transferred to the Department of Public Safety and Homeland Security;

 

Comments:

 

 

Code Change:

Article 6 (commencing with section 12822) is added to Chapter 1, Part 2.5, Division 3, Title 2 of the Government Code.    12822.3.  Effective July 1, 2005, the following entities are hereby transferred to the Department of Health and Human Services and shall retain all existing powers, duties, purposes, responsibilities, and jurisdiction:

Proposal

Arc CA Position

(a)  California Children and Families Commission;

(b)  State Independent Living Council;
… (d)  Developmental Disability Area Boards;


…(i) Interagency Coordinating Council on Early Intervention;

 

(j) State Council on Developmental Disabilities;

 

… (l) Board of Behavioral Sciences within the Department of Consumer Affairs;

 

Comments:

 

 

HHS Form Follows

Health and Human Services Agency and its constituent departments should be reorganized into one integrated Department with centers focused around core functions.

Proposal

Arc CA Position

Create an Office of the Secretary to serve as the policy level executive for all programs and as the primary point of accountability, reporting directly to the Governor, for the management of health and human services programs. The Office of the Secretary should bring together common functions that cut across the various health and human services programs operated within the Department.   The Department should be strengthened with the following entities housed within the Secretary’s office: Office of Policy Analysis, Office of Health and Human Services Information, Chief Counsel, Office of Communications and Public Information, Office of Client Advocacy and Chief Fiscal Officer.  The following functions should be transferred from multiple agencies within state government, and should be linked with similar functions in the various centers…:Authority for the health professions licensing boards that are currently in the Department of Consumer Affairs should be transferred from the State and Consumer Services Agency;

Authority for the oversight of the programs administered by the Office of Environmental Health Hazards Assessment should be transferred from the California Environmental Protection Agency; Authority for the California Medical Assistance Commission should be transferred from the separately established commission to the Secretary of Health and Human Services; and Authority for the programs in the Department of Managed Health Care should be transferred from the Business, Transportation and Housing Agency.

 

Comments:

Comments…

Will the reorganization proposal improve service delivery and outcomes for clients? 

Will the proposal promote better coordination and integration of policy and programs for specific client groups?

Does the proposal provide better accountability for specific client groups?

What are the strongest reasons for implementing this recommendation?  What are the greatest potential concerns?

 

Proposal

Arc CA Position

Center for Health Purchasing should maintain and improve the system of health care and insurance support for Californians. This Center should be committed to maximizing California’s purchasing power to achieve the “best price” and the “best service” in the delivery of health services. The California Medical Assistance Commission should be abolished and its functions should be transferred to the Secretary of Health and Human Services. Functions that should be included in this Center are the existing health delivery and insurance programs in the current Health and Human Services Agency, including: Medi-Cal, California Children’s Services, Child Health and Disability Prevention, Genetically Handicapped Persons, County Medical Services and In-Home Support Services Programs. The Managed Risk Medical Insurance Program, the Access for Infants and Mothers Program and the Healthy Families Program, which are currently part of the Managed Risk Medical Insurance Board, should also be transferred to this center.

 

Comments:

Comments…

Will the reorganization proposal improve service delivery and outcomes for clients? 

Will the proposal promote better coordination and integration of policy and programs for specific client groups?

Does the proposal provide better accountability for specific client groups?

What are the strongest reasons for implementing this recommendation?  What are the greatest potential concerns?

 

Proposal

Arc CA Position

Center for Public Health should prevent disease and premature death and to enhance the health and well-being of Californians. Leadership is needed to advise the Secretary of Health and Human Services and the people of California on current and emerging public health issues that have a major impact on the health of Californians.  This Center should consolidate the core public health functions of the state into one organization that reports directly to the Secretary of Health and Human Services. This Center should include significant skill and experience in public health activities and should provide direction to the state and local public health activities and organizations. This Center should also include vital records, health manpower activities, communicable disease programs, health information and promotion programs and public health laboratories.   The current public and environmental health programs from the Department of Health Services in the current Health and Human Services Agency should be the nucleus of this new public health effort. The functions of the Office of Environmental Health Hazards Assessment within the California Environmental Protection Agency should be transferred to this Center to strengthen the capacity to identify environmental health risks. Finally, the planning and manpower activities of the Office of Statewide Health Planning should be included as part of this Center.

 

Comments:

Comments…

Will the reorganization proposal improve service delivery and outcomes for clients? 

Will the proposal promote better coordination and integration of policy and programs for specific client groups?

Does the proposal provide better accountability for specific client groups?

What are the strongest reasons for implementing this recommendation?  What are the greatest potential concerns?

 

Proposal

Arc CA Position

Center for Quality Assurance provide licensing and oversight for businesses and consumers for health and human services. Consolidation should provide a consistent approach to the regulation of health care and human services in California.  The Center for Quality Assurance should consolidate the licensing activities for health facilities, community care facilities and health professions into one organization. The current licensing functions from all departments in the current Health and Human Services Agency should be transferred into this Center. These activities include health facilities licensing from the Department of Health Services and community care licensing from the Department of Social Services. The authority of the health professions licensing boards currently part of the Department of Consumer Affairs should be transferred from the State and Consumer Services Agency. Authority for the programs in the Department of Managed Health Care should be transferred to this Center from the Business, Transportation and Housing Agency.

 

 

Comments:

Comments…

Will the reorganization proposal improve service delivery and outcomes for clients? 

Will the proposal promote better coordination and integration of policy and programs for specific client groups?

Does the proposal provide better accountability for specific client groups?

What are the strongest reasons for implementing this recommendation?  What are the greatest potential concerns?

 

Proposal

Arc CA Position

Center for Behavioral Health to oversee the network of mental health and alcohol and drug treatment services provided in California. The main responsibility should be to oversee the application of state and federal laws in both county-operated programs and state-operated facilities.  The Center for Behavioral Health should incorporate the treatment programs for mental illness and alcohol and drug dependency in one entity for consistency of administration and interface with county governments. In addition, the expertise for the management of the state’s mental health hospitals should be incorporated in this Center. This Center should incorporate the programs from the Department of Mental Health and the Department of Alcohol and Drug Abuse. The transfers should include the Community Mental Health and Alcohol and Drug Programs as well as the State Hospitals for the Mentally Ill.