A dispute
over state mental health funding appears headed to court following a recent
decision by Gov. Arnold Schwarzenegger to eliminate a successful $55-million
program for mentally ill homeless people.
At issue is
a complex provision of Proposition 63, the 1% "millionaires' tax" approved
by voters in 2004 to overhaul California's troubled, historically cash-strapped
mental health system.
That ballot
initiative, also called the Mental Health Services Act, was modeled largely
on a $55-million program that has helped house and treat thousands of people
who were mentally ill and living on the street. The program, which has
served 13,000 people since 1999, has been a success. Participants spent
far fewer days in hospitals and jails or on the streets than they had before
enrolling.
But Schwarzenegger
cut the funding for the program in August -- perhaps the most controversial
item among the $700-million worth of vetoes he delivered to break a budget
impasse.
The focus of
the current dispute centers on a provision in Proposition 63 that prohibits
the state from dropping below its 2004 funding levels for mental health
-- funding in place when voters approved Proposition 63.
That portion
of the law was written to prevent the state from taking advantage of new
funding, provided by the tax, to eliminate old programs and undermine the
promise of the ballot initiative, the measure's proponents say.
Mental health
advocates believe that that part of the law, known as the "maintenance
of effort" provision, should be interpreted strictly -- meaning that funding
for the mental health system must be protected on a program-by-program
basis.
But in an Oct.
22 letter to the advocates, Department of Mental Health Director Stephen
W. Mayberg suggested that despite the budget cut, the state remains in
compliance with the law because overall funding for mental health has increased
since approval of Proposition 63. By that measure, Mayberg wrote, the state
"fully complies" with the law. He could not be reached for comment Wednesday.
Mental health
advocates have pledged to file a lawsuit against the state if the funding
for the homeless-mentally ill program is not restored. Mayberg has staved
them off for a bit by agreeing to meet later this month to discuss their
differences.
But there is
little he could say to avert a lawsuit, said Jim Preis, executive director
of Mental Health Advocacy Services, a public interest law firm in Los Angeles
County. Indeed, Preis said, the dispute over the law's fine print probably
will be the focus of the lawsuit. "The voters thought they were voting
to increase services," Preis said.
One of the people
who wrote the law, state Sen. Darrell Steinberg (D-Sacramento), said that
was always the intent.
"The advocates
are correct," Steinberg said. "The intent . . . was to keep intact the
very program which laid the foundation for the Mental Health Services Act
in the first place. Under no scenario or circumstance did I, as one of
the authors, ever contemplate that the state would be able to cut core
mental health funding."
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