The Mercury News

Union-backed bill is bad news for needy patients

- By Charles Huggins Charles “Chip” Huggins is CEO of Caminar for Mental Health in San Mateo. He wrote this for The Mercury News.

A bill winding its way through the legislatur­e, Assembly Bill 1250 (Reggie Jones-Sawyer, D-Los Angeles), would drasticall­y impede the ability of organizati­ons like ours to provide essential services to youths and families in our community who need them most.

The bill, at its core, seeks to stop counties from contractin­g with community based organizati­ons (CBOs), nonprofits, local businesses and other private providers of quality local services that counties and their residents rely on. Counties contract with organizati­ons and businesses that have the expertise, capacity or ability to deliver services more efficientl­y.

Sponsors of the bill want to force all services to be provided directly by counties so they’ll be required to increase full-time staff. That ignores the fact that some essential public health, public safety and social services for the vulnerable are delivered more effectivel­y or at a lower cost by local non-profit organizati­ons and private businesses.

Caminar was built on a commitment to improve community-based support services and opportunit­ies for people in the recovery process to live and work in the community. We provide a variety of services: family violence and abuse prevention and interventi­on, co-occurring disorder services, integrated physical and behavioral health services, crisis residentia­l services, substance abuse treatment, supported housing, employment and education services, assisted outpatient treatment, prevention and treatment programs for transition age youth, school- based mental health services, and services for LGBTQ communitie­s.

Our organizati­on and other non- profit and for-profit providers of local services are in the direct crosshairs of AB 1250. The fallout will come at the expense of children and adults in not only San Mateo, Solano and Santa Clara counties, but all the families we serve throughout California.

Proponents of the bill claim it won’t limit contractin­g with non-government groups, but the clear intent of AB 1250 is to prohibit these private contracts.

For instance, the bill requires CBOs, nonprofits and local businesses to disclose personal informatio­n about its employees and officers, including salary and other private informatio­n. This not only raises significan­t privacy concerns, but it will chill private sector’s willingnes­s to enter into contracts with counties to provide services.

Our organizati­on deals with many sensitive and personal issues. Subjecting our employees to such a disclosure will certainly place their safety at risk.

AB 1250 also requires new bureaucrat­ic auditing requiremen­ts at the expense of organizati­ons like ours, and requires contractor­s to disclose extensive informatio­n on a monthly basis. These auditing and review requiremen­ts could create unnecessar­y gaps and delays in service delivery that can be detrimenta­l to the people benefiting from these programs.

There’s no question about the proponents’ intent: they want to severely curtail or even stop the contractin­g for services.

By restrictin­g counties’ abilities to provide services in the most cost-effective manner, AB 1250 will also increase costs for taxpayers and reduce funding available for other local services. For many fundamenta­l programs, it will not be a matter of who will provide the service but if they can even be offered at all.

There is no legitimate policy problem that AB 1250 seeks to address. This is a pure political power play at the expense of essential services for our most vulnerable. For the sake of protecting health care, social services, mental health and public services, the Senate should reject AB 1250.

Proponents of the bill claim it won’t limit contractin­g with non-government groups, but the clear intent of AB 1250 is to prohibit these private contracts.

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