Tahanan Batas sa Tulong, Pagbangon, at Pagbibigay-Kapangyarihan ng Komunidad​​ 

Community Assistance, Recovery, and Empowerment Act​​ 

Pangkalahatang-ideya​​ 

Senate Bill (SB) 1338 (Umberg, Chapter 319, Statutes of 2022) established the Community Assistance, Recovery, and Empowerment (CARE) Act, which provides community-based behavioral health services and supports to Californians living with schizophrenia spectrum, other psychotic disorders, or bipolar I disorder with psychotic features who meet health and safety criteria. It is a new civil court process where certain people, such as family members, first responders, and providers, may file a petition to the court to create a voluntary CARE agreement or a court-ordered CARE plan. A CARE agreement or CARE plan may include treatment, housing resources, and other services. The CARE Act is intended to serve as an upstream intervention for individuals experiencing severe impairment to prevent avoidable psychiatric hospitalizations, incarcerations, and Lanterman-Petris-Short (LPS) Mental Health Conservatorships. The CARE Process will provide earlier action, support, and accountability for both CARE clients, and the local governments responsible for providing behavioral health services to these individuals.​​  

Ang CARE Act ay ipinatupad sa dalawang cohorts. Nagsimula ang Cohort ko noong Oktubre 1, 2023, at kasama ang pitong county: Glenn, Orange, Riverside, San Diego, Stanislaus, at Tuolumne, at ang Lungsod at County ng San Francisco. Ang County ng Los Angeles ay nasa Cohort II ngunit nahalal na ipatupad nang maaga, noong Disyembre 1, 2023. Ang natitirang mga county ng Cohort II ay kinakailangang ipatupad sa o bago ang Disyembre 1, 2024.​​ 

Batas​​ 

On July 10, 2023, Assembly Bill (AB) 102 (Ting, Chapter 102, Statutes of 2023) was signed into law. AB 102 requires the Department of Health Care Services, in consultation with the Judicial Council of California, to provide an early implementation report on key data for each trial court implementing the CARE Act. The report must include: (1) the number of petitions submitted, (2) the number of petitions dismissed, (3) the number of CARE Act participants, and (4) the number of court hearings held during October 1, 2023, through June 30, 2024. The early implementation report will be submitted to the Joint Legislative Budget Committee and the Budget Committees of each house of the Legislature by December 1, 2024.​​   

Additionally, AB 102 requires the Legal Services Trust Fund Commission (LSTFC) at the State Bar of California to collect outcome data from each county’s public defender office, qualified legal services projects (QLSP), and support centers. The State Bar of California shall annually provide to the Judicial Council a report that includes funding allocations, annual expenditures, and program outcomes by service area and service provider to be included in DHCS’ annual CARE report.​​   

On September 30, 2023, Senate Bill (SB) 35 (Umberg, Chapter 283, Statutes of 2023) was signed into law. SB 35 clarifies requirements for the CARE process and makes technical changes that will allow the CARE Act to be implemented successfully. Additionally, the bill specifies the information, including protected health information, that must be shared between behavioral health agencies and providers. This information is necessary to support the determinations, conclusions, and recommendations for the written report submitted to the court to document the respondent’s eligibility for the CARE process.​​ 

On September 27, 2024, SB 42 (Umberg, Chapter 640, Statutes of 2024) was signed into law and contained an urgency clause that became effective immediately after signing. SB 42 creates an additional pathway of referring an individual from LPS designated facilities to the CARE Act process. This bill additionally amends the Welfare and Institutions Code regarding communication between courts, alternatives to conservatorship, technical changes to CARE procedures, as well as collaboration on system performance.​​   

On September 27, 2024, SB 1400 (Stern, Chapter 647, Statutes of 2024) was signed into law. SB 1400 amends provisions of the Penal Code related to misdemeanor incompetent to stand trial (MIST) referrals to CARE. The bill provides that if the defendant is accepted into CARE, the criminal charges shall be dismissed six months after the date of the referral to CARE, unless the defendant’s case has been referred back to the criminal court prior to the expiration of that time period. The bill additionally amends provisions of the Welfare and Institutions Code to expand the requirements for data reporting, including data related to inquiries and system referrals. This data shall be included in the annual report to examine the scope of impact and monitor the performance of CARE Act model implementation.​​ 

Noong Setyembre 27, 2024, ang SB 1323 (Menjivar, Kabanata 646, Mga Batas ng 2024) ay nilagdaan sa batas. Ang SB 1323 ay nag-aamyenda sa mga probisyon ng Penal Code na may kaugnayan sa kawalan ng kakayahan na tumayo sa paglilitis (IST) para sa mga tinukoy na opensiba ng felony upang pahintulutan ang mga referral sa mga paglilitis sa CARE. Kung ang nasasakdal ay tinanggap sa CARE, ang mga singil ay dapat iwaksi alinsunod sa Penal Code Section 1385.​​ 

Noong Oktubre 10, 2025, ang SB 27 (Umberg, Kabanata 528, Mga Batas ng 2025) ay nilagdaan sa batas. Ang SB 27 ay nag-aamyenda sa mga probisyon sa Welfare and Institutions Code upang mapalawak ang mga karapat-dapat na pagsusuri upang isama ang mga indibidwal na nabubuhay na may bipolar I disorder na may mga tampok na psychotic, maliban sa psychosis na may kaugnayan sa kasalukuyang pagkalasing. Tinutukoy din ng panukalang batas na ito ang clinically stabilized sa patuloy na paggamot; nagbibigay ng isang mas direktang landas para sa mga referral mula sa Assisted Outpatient Treatment (AOT), LPS conservatorship proceedings, at felony at misdemeanor IST courts; nagsasaad na ang mga nurse practitioner at physician assistant ay itinuturing na Lisensyadong Mga Propesyonal sa Kalusugan ng Pag-uugali lamang para sa layunin ng paglagda sa Deklarasyon ng Kalusugang Pangkaisipan bilang suporta sa isang petisyon ng CARE; pinapayagan ang korte na gumawa ng isang prima facie na pagpapasiya nang hindi nagsasagawa ng pagdinig; at iba pang mga teknikal na susog. Bilang karagdagan, binago ng SB 27 ang mga probisyon ng Penal Code upang pahintulutan ang ahensya ng kalusugan ng pag-uugali ng county at mga tagapagbigay ng medikal na bilangguan na magbahagi ng kumpidensyal na mga medikal na talaan at iba pang nauugnay na impormasyon sa korte para sa layunin ng pagtukoy ng posibilidad ng pagiging karapat-dapat para sa mga serbisyo at programa sa kalusugan ng pag-uugali.​​  

To read the bills in full, please visit the California Legislative Information webpage.​​  

Pagsasanay at Tulong Teknikal​​ 

DHCS has contracted with Health Management Associates (HMA) to provide training and technical assistance, implementation support, and data collection and reporting for the CARE Act. HMA has developed the CARE Act Resource Center, which provides training, technical assistance and resources to county behavioral health agencies, counsel, volunteer supporters, and other stakeholders to support the implementation of the CARE Act. The Resource Center will continue to be updated with new information and training material.​​  

Join the HMA CARE Act email listserv to receive notification of trainings, technical assistance and other stakeholder engagement opportunities specific to the CARE Act implementation. For additional information, or to request training and technical assistance, please email info@CARE-Act.org.​​ 

Mga Mapagkukunan ng DHCS​​ 

Mga Ulat at Mahahalagang Update​​ 

Ang CARE Act at Work Videos​​ 

Mga Paunawa at Mapagkukunan ng Impormasyon​​ 

Mga Karagdagang Mapagkukunan​​ 

Makipag-ugnayan sa amin:​​