SB 803 (Beall): Mental health services: Peer Support Specialist Certification – SUPPORT

February 19, 2020
The Honorable Jim Beall
California State Senator
California State Capitol, Room 2082
Sacramento, CA 95814

RE: SB 803 (Beall): Mental health services: peer support specialist certification – SUPPORT

Dear Senator Beall: The California Association of Mental Health Peer Run Organizations (CAMHPRO) supports Senate Bill 806, which would establish a statewide certification program for peer support specialists and would provide the structure needed to maximize the federal match for peer services under Medi-Cal. CAMHPRO is proud to be a co-sponsor of SB 803.

CAMHPRO promotes the work and missions of peer-run organizations devoted to advocacy and empowerment for mental health consumers. CAMHPRO’s mission is to transform communities and the behavioral health care system throughout California to empower, support, and ensure the rights of consumers; eliminate stigma, and advance self-determination for all those affected by mental health issues.

In supporting a Peer Support Specialist Certification Program in California, CAMHPRO joins the formidable array of California organizations, counties and individuals advocating for growth in high quality peer/family support services and peer specialist career development. Through support of SB 803, we look to finally bring peer support specialist certification to California.

Programmatically, peer certification makes sense
Numerous research studies support the efficacy and cost effectiveness of peer specialist services. Peer services, as opposed to traditional services alone, lead to less inpatient services, decreased symptoms, increased coping skills and life satisfaction, reduced overall ongoing need for mental health services, and decreased substance use.

Across California, peers are already providing peer support services. However, there is no statewide scope of practice, standardized curriculum, training standards, supervision standards, or certification protocol. Few counties that provide peer support services require training prior to hire. The benefits of Peer Certification for peer support are obvious.

Peer certification:
  • Defines the service of peer support;
  • Provides a standardized scope of practice, values and ethics, and competencies;
  • Assures that practitioners receive standardized training and demonstrate competency;
  • Ensures that service recipients will receive the same quality of services regardless of where in California they live;
  • Provides a basis for the ability to bill Medi-Cal for services provided; and
  • Allows for portability of Certification between counties.
Peer Certification also makes good fiscal sense, and California is one of only two states in the nation without it.

In 2007, the US Centers for Medicare and Medicaid Services (CMS) sent a guidance letter to all State Medicaid Directors emphasizing, “peer support services are an evidence-based mental health model of care which consists of a qualified peer support provider who assists individuals with their recovery from mental illness and substance use disorders.” CMS encouraged states to establish a state certification process for training, credentialing, supervision and care coordination. (CMS, SMDL #07-011). This enables the use of federal Medicaid (Medi-Cal in California) financial participation with a 50% match. Currently, 48 states, plus the District of Columbia and the US Department of Veteran’s Affairs, have implemented protocols to certify peer specialists, enabling them to leverage Medicaid funds. However, California has not acted and Californians deserve better!

Initially funded by Department of Mental Health and then Office of Statewide Health Planning and Development (OSHPD), California began an in-depth and focused look at peer certification in 2011.Substantial grassroots work has been done toward peer certification since 2012 and substantial government funds have already been invested into developing peer certification in California.

SB 803 makes sense from both a policy and fiscal perspective and will provide more comprehensive assistance to people in need. CAMHPRO is proud to be part of a statewide movement to bring California up to speed with the rest of the nation in recovery and resiliency services through a state protocol for Medi-CAL billing and certification of peer support specialists.

Sincerely,
Sally Zinman
Executive Director
CAMHPRO
sallyzinman@gmail.com

United States Department of Health & Human Services, Centers for Medicare & Medicaid Services, Guidance Letter to State Medicaid Directors, SMDL #07-011, August 15, 2007.

Click to access SMD081507A.pdf

PRESS RELEASE: New Peer Certification Bill SB 803 Introduced

SB 803 (Beall) PRESS RELEASE

Principle author Senator Jim Beall,  Principal Co-author Assemblymember Marie Waldron, Co-authors Senator Wiener and Senator Wilk Assembly members Aguiar-Curry, Arambula Aguiar-Curry, Grayson, Ramos and Wicks  CAMHPRO a co sponsor

SB 803 Fact Sheet

SB 803 Peers Press Release January 8 2020

Senator Jim Beall Champions Mental Health Legislation to Certify Peers

Today, long-time mental health champion Senator Jim Beall introduced legislation SB 803 to create state certification for mental health care providers known as Peer Support Specialists.

Last year, Senator Beall’s bipartisan effort, SB 10, made it to the Governor’s desk with unanimous votes, where it was vetoed. Sen. Beall is reintroducing this legislative initiative as an effort to make strategic, cost-effective reforms to California’s mental health programs.

“Statewide certification of Peer Support Specialists will ultimately save the state money while improving mental health outcomes. The Governor and I have the same goals- help people and use our resources wisely. SB 803 will improve our system in an ongoing, sustainable way.”

A peer is a person who draws on lived experience with mental illness and/or substance use disorder and recovery, bolstered by specialized training, to deliver valuable support services in a mental health and/or substance use setting. “It is time that peers are validated as an essential and professional part of the behavioral health workforce” asserts Sally Zinman, Executive Director of California Association of Mental Health Peer Run Organizations (CAMHPRO).

The state is facing a shortage of qualified mental health professionals to ensure all Californians receive care. Peer Support Specialists are a much needed addition to the workforce.

Dr. Jonathan Sherin, Director of the Los Angeles County Department of Mental Health, emphasized that LA County is ready to take action. “LA County looks to expand upon and professionalize its peer support programs in a sustainable manner which will not be possible until we secure statewide certification and a reliable reimbursement mechanism. Leveraging lived experience through peer support is critical to the service transformation we need in California. The state must make the most of every resource available to address our mental health crisis; recognizing and resourcing Peer Support Specialists statewide will be a wise investment.”

The U.S. Department of Veterans Affairs and 48 states have a certification process in place or in development for mental health peer support specialists. The federal Centers for Medicare and Medicaid Services released guidance in 2007 for establishing a certification program for peers to enable the use of federal Medicaid (Medi-Cal in California) financial participation with a 50% match.

Studies show that peers contribute to the ability of people with mental illness and substance abuse to obtain education and employment, contributing to the California economy rather than depending on social safety nets alone.

“Research demonstrates that the utilization of qualified peer support specialists has measurable benefits to clients including reduced hospitalizations, improved functioning, and alleviation of depression and other symptoms. The time has come for California to embrace peer support as an evidence-based model and put in place a certification program that will standardize best practices” stated Maggie Merritt, Executive Director of the Steinberg Institute, a Sacramento-based non-profit mental health public policy institute.

In California, demand for peer services is growing, but there is no statewide scope of practice, training standards, supervision standards, or certification.

 “California has an important opportunity to deliver quality, cost-effective, evidence-based mental health services and add diversity to our mental health workforce by certifying Peer Support Specialists,” said Michelle Doty Cabrera, executive director of the County Behavioral Health Directors Association of California (CBHDA).  “While California faces a severe shortage of mental health professionals needed to serve our diverse communities, the specific services delivered by trained, supervised peers have shown to improve client outcomes and reduce costs at the same time.  But California can only realize these benefits for our mental health clients in Medi-Cal if we join the 48 states that have already recognized the effectiveness of Peer Support Services through certification.” 

SB 803, The Peer Support Specialist Certification Act of 2020 establishes a statewide certification program for peer support specialists and provides the structure needed to maximize the federal match for peer services under Medi-Cal.

The legislation is applauded by a broad and large coalition of supporters, and is sponsored by California Association of Mental Health Peer Run Organizations, County Behavioral Health Directors Association of California, County of Los Angeles Board of Supervisors, and Steinberg Institute.

PRESS RELEASE: New Peer Certification SB 803 Introduced

SB 803 (Beall) PRESS RELEASE

Principle author Senator Jim Beall,  Principal Co-author Assemblymember Marie Waldron, Co-authors Senator Wiener and Senator Wilk Assembly members Aguiar-Curry, Arambula Aguiar-Curry, Grayson, Ramos and Wicks  CAMHPRO a co sponsor

SB 803 Fact Sheet

SB 803 Peers Press Release January 8 2020

Senator Jim Beall Champions Mental Health Legislation to Certify Peers

Today, long-time mental health champion Senator Jim Beall introduced legislation SB 803 to create state certification for mental health care providers known as Peer Support Specialists.

Last year, Senator Beall’s bipartisan effort, SB 10, made it to the Governor’s desk with unanimous votes, where it was vetoed. Sen. Beall is reintroducing this legislative initiative as an effort to make strategic, cost-effective reforms to California’s mental health programs.

“Statewide certification of Peer Support Specialists will ultimately save the state money while improving mental health outcomes. The Governor and I have the same goals- help people and use our resources wisely. SB 803 will improve our system in an ongoing, sustainable way.”

A peer is a person who draws on lived experience with mental illness and/or substance use disorder and recovery, bolstered by specialized training, to deliver valuable support services in a mental health and/or substance use setting. “It is time that peers are validated as an essential and professional part of the behavioral health workforce” asserts Sally Zinman, Executive Director of California Association of Mental Health Peer Run Organizations (CAMHPRO).

The state is facing a shortage of qualified mental health professionals to ensure all Californians receive care. Peer Support Specialists are a much needed addition to the workforce.

Dr. Jonathan Sherin, Director of the Los Angeles County Department of Mental Health, emphasized that LA County is ready to take action. “LA County looks to expand upon and professionalize its peer support programs in a sustainable manner which will not be possible until we secure statewide certification and a reliable reimbursement mechanism. Leveraging lived experience through peer support is critical to the service transformation we need in California. The state must make the most of every resource available to address our mental health crisis; recognizing and resourcing Peer Support Specialists statewide will be a wise investment.”

The U.S. Department of Veterans Affairs and 48 states have a certification process in place or in development for mental health peer support specialists. The federal Centers for Medicare and Medicaid Services released guidance in 2007 for establishing a certification program for peers to enable the use of federal Medicaid (Medi-Cal in California) financial participation with a 50% match.

Studies show that peers contribute to the ability of people with mental illness and substance abuse to obtain education and employment, contributing to the California economy rather than depending on social safety nets alone.

“Research demonstrates that the utilization of qualified peer support specialists has measurable benefits to clients including reduced hospitalizations, improved functioning, and alleviation of depression and other symptoms. The time has come for California to embrace peer support as an evidence-based model and put in place a certification program that will standardize best practices” stated Maggie Merritt, Executive Director of the Steinberg Institute, a Sacramento-based non-profit mental health public policy institute.

In California, demand for peer services is growing, but there is no statewide scope of practice, training standards, supervision standards, or certification.

 “California has an important opportunity to deliver quality, cost-effective, evidence-based mental health services and add diversity to our mental health workforce by certifying Peer Support Specialists,” said Michelle Doty Cabrera, executive director of the County Behavioral Health Directors Association of California (CBHDA).  “While California faces a severe shortage of mental health professionals needed to serve our diverse communities, the specific services delivered by trained, supervised peers have shown to improve client outcomes and reduce costs at the same time.  But California can only realize these benefits for our mental health clients in Medi-Cal if we join the 48 states that have already recognized the effectiveness of Peer Support Services through certification.” 

SB 803, The Peer Support Specialist Certification Act of 2020 establishes a statewide certification program for peer support specialists and provides the structure needed to maximize the federal match for peer services under Medi-Cal.

The legislation is applauded by a broad and large coalition of supporters, and is sponsored by California Association of Mental Health Peer Run Organizations, County Behavioral Health Directors Association of California, County of Los Angeles Board of Supervisors, and Steinberg Institute.

SB 10 Peer Certification VETOED – again

Governor Newsom Takes Final Action of 2019 Legislative Season
Published: 

LINK TO ALL FINAL ACTIONS

OFFICAL SB 10 VETO MESSAGE

*From the website*
Joint accomplishments include urgently addressing California’s affordability crisis by passing the Nation’s strongest statewide rent protections, expanding health care coverage and passing legislation to lower prescription drug prices

Focused on effective government by fortifying state against natural disasters and economic downturns – passing historic wildfire safety legislation and creating largest rainy day fund Ensuring justice for all Californians by passing historic clean drinking water legislation and taking on powerful institutions on behalf of everyday Californians

“Together, we have accomplished a great deal this year to help California families get ahead and made historic progress on some of the state’s most intractable challenges.”

SACRAMENTO — Governor Gavin Newsom took his final actions of the 2019 legislative season today and thanked the Legislature for their work and accomplishment on enacting 870 bills in the following statement:

“I want to take a moment to congratulate the Legislature on their work this year and to thank Senate President pro Tempore Toni Atkins and Speaker of the Assembly Anthony Rendon for their leadership. Together, we have accomplished a great deal this year – through the budget and legislation – that helps California families get ahead and tackles some of the state’s most intractable problems.

“This year, California passed the nation’s strongest renter protection package. Our state made record housing and homeless investments paired with big new tools for housing production. We moved California closer to universal health care coverage by expanding coverage, increasing Covered California subsidies for middle-income Californians and taking on rising prescription drug prices. 

“California, faced with catastrophic wildfires, invested $1 billion to prevent, mitigate and recover from wildfires, disasters and emergencies. And in July, our state enacted something that few people thought could be done – wildfire legislation that moved California closer to a safer, reliable and affordable energy future.

“Our state is doing more now than at any point in our history to help California families tackle the challenges of affordability and provide opportunity to all Californians – more than doubling tax cuts for working families, expanding paid family leave, increasing access to early childhood education, and taking on payday lenders. 

“On education, California brought disparate sides in the education community together and forged a historic agreement on changes to charter school law that was years in the making. We invested more in K-14 education than at any point in our history, and put on next year’s ballot the chance to make long-overdue investments in school infrastructure and safety. California made two years of community college tuition-free, increased financial aid for parents pursuing a college degree and kept tuition from rising in our UC and CSU systems.

“We have helped defend our state from Trump’s attacks – blocking the Administration from using state lands to open up drilling on protected federal lands. We took on the long-standing challenge of clean drinking water systems, became the first ever to require SMOG tests for semi trucks and convinced four major auto-makers to stand up for higher emission standards and oppose the Trump administration.

“California is once again striking out against injustice and leading the nation by example. We passed one of the country’s strongest police use-of-force laws, and outlawed private, for-profit prisons. California became the first state in the nation to stand up to the NCAA’s long-standing profiteering from student athletes. California took first-in-the-nation steps to strengthen our gun safety laws, protect workers and defend reproductive health care rights. We continued to make progress reforming our criminal justice system – eliminating a major mandatory minimum sentence and establishing a system to seal arrest and conviction records for low-level offenses.

“We are proving that our state is successful not despite our diversity, but because of it. California isn’t just defending our vibrant immigrant communities. We are affording all Californians – regardless of immigration status – the chance to serve their communities and give back.

“In California, we are putting in place new reforms of agencies that don’t serve the public as well as they should – pushing the DMV to join the 21st century, giving new authority to the California Public Utilities Commission (CPUC) to enforce wildfire safety standards, and recasting the priorities of our state’s agency that regulates oil and gas extraction.

“California did all of this while living within our means: creating the largest rainy day fund in California history, paying down pension liabilities and eliminating our state’s wall of debt.  

“In my inaugural, I spoke of the California Dream as a house – one that must be built on a strong fiscal foundation. For that reason, I am returning a number of bills to the Legislature without my signature that would significantly increase costs outside of the state’s regular budget process. 

“We have clearly achieved a great deal together, and I commend the Legislature for their hard work. I look forward to our continued partnership as we head into the new year and continue to tackle challenges of affordability and work to expand opportunity to all Californians.”

In his final action of the 2019 legislative season, the Governor today vetoed a number of bills that would significantly increase costs outside of the state’s regular budget process. In total, Governor Newsom vetoed bills this year costing $1.2 billion, increasing to $3 billion ​annually at full implementation. He also took action on a number of other bills.

CAMHPRO Postcard Campaign: Ask Governor Newsom to Sign SB10 Now!

CAMHPRO is organizing a Support SB 10 postcard campaign

If you want postcards to send to the Governor, contact Sally Zinman sallyzinman@gmail.com or 510 581 6165

Dear friends and supporters,

I am thrilled to let you know that SB 10, which will create state certification for peers, is on its way to the Governor.

Your unwavering support and enthusiasm has gotten us this far, and we need a final push to make sure the bill gets signed. We are hopeful that this new administration will keep its promise to take action on mental health. Let’s make sure they know how important this is to so many people.

The Governor’s office needs to hear from us- as soon as possible. Attached is a template letter that you can personalize. Please deliver to the Governor, or email to Sunshine and Tania, cc-d.

Please share this with anyone that might like to join in. Thank you for all you have done and are still doing to make peer certification a  reality in California.

Carrie Holmes
Pronouns: she/her/hers
Legislative Director
Senator Jim Beall
(916) 651-4015

Carrie.Holmes@sen.ca.gov

From: Holmes, Carrie <Carrie.Holmes@sen.ca.gov>
Date: Sat, Sep 7, 2019 at 3:46 PM
Subject: Action alert! Ask Governor Newsom to sign SB 10 (Beall)
To: Dikho, Tania <Tania.Dikho@sen.ca.gov>, Borelli, Sunshine <Sunshine.Borelli@sen.ca.gov>
Cc: adrienne@steinberginstitute.org <adrienne@steinberginstitute.org>

Documents:

Current SB 10 Peer Certification Fact Sheet

SB10 Peer Certification Passes on Assembly Floor 67-0

(From Steinberg Facebook Post): SB 10 (Beall), which would establish a statewide peer support specialist certification program, received bipartisan support with a 79-0 vote and passed off the Assembly Floor today. The Steinberg Institute is a proud co-sponsor along with the Los Angeles County Department of Mental Health and the Mental Health Services Oversight and Accountability Commission. Thank you to Asm Waldron and Senator Beall for your leadership on this important issue.