BILL ANALYSIS                                                                                                                                                                                                    






                        SENATE HEALTH AND HUMAN SERVICES
                               COMMITTEE ANALYSIS
                        Senator Deborah V. Ortiz, Chair


          BILL NO:       AB 1424                                      
          A
          AUTHOR:        Thomson                                      
          B
          AMENDED:       May 1, 2001
          HEARING DATE:  July 11, 2001                                
          1
          FISCAL:        Judiciary/Appropriations                     
          4
                                                                      
          2
          CONSULTANT:                                                 
          4
          McCarthy / ak
                                        

                                     SUBJECT
                                         
                     Mental Health:  involuntary treatment

                                     SUMMARY  

          Expands family involvement in the Lanterman-Petris-Short  
          involuntary commitment process; adds patient's medical and  
          psychiatric records to the list of "historical" information  
          that must be considered in involuntary commitment  
          proceedings; requires specified training for those involved  
          in commitment proceedings; and prohibits disability  
          insurers, health plans and the Medi-Cal program from  
          conditioning services eligibility on a patient's legal  
          status.

                                     ABSTRACT  

          Existing law:
          Involuntary commitment initial 72-hour and 14-day holds
          1.Authorizes, under the Lanterman-Petris-Short (LPS) Act,  
            an initial involuntary detention--for a period of up to  
            72 hours for evaluation and treatment--of persons who, as  
            a result of a mental disorder, are dangerous to  
            themselves or others, or who are "gravely disabled."   
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            This is commonly referred to as a "72-hour hold" or a  
            "5150."  [Welfare and Institutions Code (WIC) Section  
            5150] 

          2.Authorizes a peace officer and certain other designated  
            persons to, upon probable cause, take or cause to be  
            taken an individual into custody and transport the  
            individual to a facility designated by the county with  
            the authority to conduct a "5150" evaluation.  [WIC  
            Section 5150]

          3.Provides that a person who is detained for 72 hours under  
            the above "5150" provision may be "certified" for an  
            additional 14 days of involuntary detention and treatment  
            if:  a) the person has been advised of the need for, but  
            has not been willing or able to accept, treatment on a  
            voluntary basis; and b) the professional staff of the  
            facility finds that the person continues to be a danger  
            to self or others, or is gravely disabled. This is  
            commonly referred to as a "14-day hold" or a "5250."   
            [WIC Section 5250]

          4.Provides that a "certification review hearing" must be  
            held within four days of the date on which a person is  
            certified for involuntary detention and treatment, unless  
            the person certified requests judicial review of his or  
            her detention prior to this hearing.  This hearing is to  
            determine whether "probable cause" exists that the person  
            certified is, as a result of a mental disorder, a danger  
            to self or others, or is gravely disabled.  If the  
            certification review hearing officer finds probable cause  
            that the person meets one or more of these commitment  
            criteria, the individual may be detained for the  
            remainder of the certification period.  [WIC Section  
            5254-5256.7]

          Additional 14-day, 30-day holds, one-year conservatorships
          5.Provides that a person who has been detained on the basis  
            of being dangerous to self may be certified for an  
            additional (i.e., a second) 14 days of involuntary  
            detention and treatment, after the initial 72-hour hold  
            and 14-day certification, for a total of 31 days, if the  
            person continues to be imminently suicidal.  [WIC Section  
            5260]

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          6.Provides that, upon the expiration of the initial 72-hour  
            hold and 14-day certification, an individual who  
            continues to be gravely disabled, and is unable or  
            unwilling to accept treatment on a voluntary basis, may  
            be placed under a 30-day temporary conservatorship and  
            then a permanent, one-year conservatorship, which is  
            renewable.  [WIC Section 5350 et seq.]  (As an  
            alternative to conservatorship, certain counties are  
            authorized to impose an additional 30-day certification,  
            after the expiration of the initial 72-hour hold and  
            14-day certification, for persons being detained on the  
            basis of grave disability.)  [WIC Section 5270.10 et  
            seq.]

          Information on patient's medical history
          7.Requires a "certification review hearing" officer, judge  
            or jury, when applying the definition of mental disorder  
            in the above proceedings, to consider information about  
            the "historical course of the person's mental disorder",  
            as determined by all available relevant information, when  
            it has a direct bearing on the determination of whether  
            the person is a danger to others, or to himself or  
            herself, or is gravely disabled as a result of a mental  
            illness.  Further, provides that the "historical course"  
            may include, but is not limited to, evidence presented by  
            persons who have provided, or are providing, mental  
            health or related support services to the patient, or  
            evidence presented by family members or any other person  
            designated by the patient. 

          8.Allows, but does not require, the hearing officer, court,  
            or jury to exclude evidence it deems to be irrelevant due  
            to remoteness of time or dissimilarity of circumstances.   
            [WIC Section 5008.2]

          Confidentiality of records
          9.Establishes confidentiality of mental health information  
            and records.  [WIC Section 5328 et seq.]



          Insurance coverage/reimbursement for mental health  
          treatment
          10.Sets forth detailed statutory provisions governing  
            health care service plans [Health and Safety Code Section  
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            1340 et seq.) and disability insurers [Insurance Code  
            Section 10110 et seq.]  

          11.Provides for the Medi-Cal program, administered by the  
            State Department of Health Services, under which  
            qualified low-income persons are provided with health  
            services, including mental health services.  [WIC Section  
            14000 et seq.]
          
          This bill:
          Information on patient's medical history
          1.Expands the list of "historical course" information that  
            a hearing officer, court, or jury must consider, in  
            specified commitment and conservatorship proceedings, to  
            include the patient's medical records, including  
            psychiatric records, and information voluntarily  
            presented by the patient.

          2.Requires, in regard to the "historical course"  
            information described in "1" above, that treatment  
            facilities make "every reasonable effort" to make  
            information provided by a patient's family available to  
            the court.  Also, clarifies that information provided by  
            family members is voluntary.

          3.Requires (rather than permits as under current law) the  
            hearing officer, court or jury to exclude from  
            consideration "historical course" evidence it determines  
            to be irrelevant because of remoteness of time or  
            dissimilarity of circumstances.

          4.Requires (rather than permits as under current law) that,  
            when determining if probable cause exists to take, or  
            cause to be taken, a person into custody for a 72-hour  
            hold for psychiatric evaluation and treatment, any person  
            with the legal authority to make that determination must  
            consider "available relevant information about the  
            historical course of the person's mental disorder".  Such  
            information must be considered if the person making the  
            determination finds that the information has a reasonable  
            bearing on the determination as to whether the person is  
            a danger to others, or to himself or herself, or is  
            gravely disabled as a result of the mental illness.  

          5.Specifies that such information (about the "historical  
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            course of the person's mental disorder", for the purpose  
            of a probable court hearing) includes evidence presented  
            by the person who has provided or is providing mental  
            health or related support services to the person, as well  
            as evidence presented by one or more members of the  
            family of that person.  This is subject to the same  
            condition as above that the information must have a  
            reasonable bearing on the probable cause determination at  
            issue.

          6.Requires that an agency or facility providing mental  
            health treatment to an individual who is subject to a  
            72-hour hold, 14-day certification, second 14-day  
            certification for suicidal persons, or a 30-day  
            certification for gravely disabled persons, must obtain  
            his or her medication history, if possible.



          Confidentiality requirement
          7.Provides that the existing statute governing the  
            confidentiality of mental health information and records  
            [WIC Section 5328] is not limited by (i.e., applies to)  
            the provisions described in #'s 4,5, and 6 above.

          Training:
          8.Requires the Department of Mental Health (DMH or  
            department) to provide training and technical assistance  
            to counties and their contractors, as well as mental  
            health professionals, law enforcement officials,  
            certification review hearing officers, and other  
            individuals involved in making treatment and involuntary  
            commitment decisions.

            Requires the training to include information on the legal  
            requirements for detaining a person for involuntary  
            inpatient treatment, criteria for when a person may be  
            considered to be gravely disabled, and methods for  
            ensuring that decisions made regarding involuntary  
            treatment, pursuant to existing law, "direct patients  
            toward the most effective treatment".  Also, requires DMH  
            to include mental health clients, parents, other family  
            members, and advocates in the design and delivery of the  
            training program. 

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          Insurance coverage/reimbursement for mental health  
          treatment:
          9.Prohibits a disability insurer or health care service  
            plan or, under the Medi-Cal program, the State Department  
            of Health Services, from utilizing any information  
            regarding whether a person's psychiatric inpatient  
            admission was made on a voluntary or involuntary basis  
            for the purpose of determining eligibility for claim  
            reimbursement.  Similarly, provides that the fact that a  
            person has been taken into custody under the existing  
            involuntary commitment procedures (LPS Act) may not be  
            used by such entities doing business in California, in  
            the determination of the person's eligibility for payment  
            or reimbursement for mental health or other health care  
            services. 

                                 FISCAL IMPACT  

          According to the Assembly Appropriations Committee  
          analysis, there would be moderate costs to DMH--estimated  
          at $200,000 (GF) annually--to provide the training and  
          technical assistance to counties and others on involuntary  
          commitments.

                            BACKGROUND AND DISCUSSION  

          1.AB 1424 - Overview
            This bill makes several changes to the LPS Act including:
                 Increasing the ability of family members to have  
               input at various stages in the commitment process;
                 Requiring police officers and other authorized  
               court officials to consider information on the  
               "historical course" of a person's illness, when  
               determining probable cause to take the person into  
               custody for a 72-hour 5150 evaluation;
                 Requiring treatment facilities to make "every  
               reasonable effort to make information provided by  
               family members available to the court;
                 Requiring treatment facilities to obtain the  
               medication history of patients, if possible;
                 Prohibiting disability insurers and health plans,  
               as well as the Medi-Cal program, from making  
               eligibility determinations for services or benefits or  
               for claim reimbursement, based on an individual  
               patient's voluntary or involuntary treatment status;
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                 Providing training to those making commitment  
               decisions to enable a more consistent implementation  
               of current law.
          
          2.Training for those involved in making commitment  
            decisions
          As noted above, this bill requires DMH to:
                 Provide training and technical assistance to  
               counties and their contractors, as well as other  
               individuals involved in making treatment and  
               involuntary commitment decisions;
                 Specify that the training must include information  
               relative to legal requirements for detaining a person  
               for involuntary inpatient treatment, including  
               criteria for when a person may be considered gravely  
               disabled, and methods for ensuring that decisions made  
               regarding involuntary treatment direct patients toward  
               the most effective treatment;
                 Include clients, parents, other family members, and  
               advocates in the design and delivery of the training;
                 Develop a proposed curriculum and schedule for  
               frequency of the training with input from all the  
               stakeholders in the mental health delivery system.

            A similar training requirement was contained in the  
            author's AB 1800 of last session.  The need for such  
            training has been recognized since at least 1986, when  
            the "Russell" study, which was mandated by SB 1708  
            (Russell), Statutes of 1986, Ch. 1272, called for uniform  
            training and certification standards for personnel who  
            are routinely involved in the implementation of the LPS  
            Act.  (See Lewin & Associates, Evaluation of Proposed  
            Changes to California's Lanterman-Petris-Short Civil  
            Commitment Statute Pursuant to SB 1708 (Chapter 1272,  
            1986), at p. 105.)
          
          3.Family involvement in the commitment process
          Current law specifies that information on the "historical  
            course" of a person's mental illness that a court must  
            consider, may include evidence presented from a variety  
            of sources, including "evidence presented by family  
            members, or any other person designated by the patient."   
            [WIC Section 5008.2.]  However, according to the author,  
            family members frequently complain of inconsistent  
            implementation of this provision by hearing officers and  
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            judges, and of feeling that their voices are not being  
            heard despite their longstanding involvement with, and  
            intimate knowledge of, their loved ones who are the  
            subject of the commitment or conservatorship proceedings.  
             According to the author, AB 1424 will increase the  
            ability of family members to have meaningful input at the  
            initial detention stage and throughout the commitment  
            process by clarifying and strengthening the historical  
            course information requirements.
          


          1.Obtaining a patient's medication history, confidentiality  
            of data
          AB 1424 would add a new requirement that treatment  
            facilities must obtain a patient's medication history,  
            whenever possible.  Initial concerns were raised by some  
            regarding the confidentiality of such information.   
            However, the bill now provides that Section 5328, which  
            is the existing statute governing the confidentiality of  
            mental health information and records, is not limited by  
            this provision.  [See proposed WIC Section 5328(w)].  In  
            other words, medication history information from other  
            sources may only be disclosed to the treatment facility  
            in accordance with existing confidentiality requirements.

          However, this bill also allows the "historical course"  
            information considered by a court to include "the  
            patient's medical records, including psychiatric  
            records".
          
          5.Prohibition on conditioning eligibility for services or  
            benefits based on patient's legal status.  
          The California Psychiatric Association explains the problem  
            as follows:  "The accounts by persons with mental  
            illnesses and their families of having to get  
            involuntarily admitted to get insurance coverage are  
            numerous.  Our members indicate that they consistently  
            have this problem with carriers.  Consequently, some  
            sophisticated consumers who know they need  
            hospitalization (or their families) request to be placed  
            on involuntary status to assure insurance coverage.   
            Legal status should never be used as a test for medical  
            necessity for treatment.  It certainly is not true for  
            any other kind of illness."
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            In response to this problem, author intends the bill to  
            prohibit a disability insurer, health care service plan,  
            or, under the Medi-Cal program, the State Department of  
            Health Services, from utilizing any information regarding  
            whether a person's psychiatric inpatient admission was  
            made on a voluntary or involuntary basis for the purpose  
            of determining eligibility for claim reimbursement.  It  
            similarly provides that the fact that a person has been  
            taken into custody under the LPS Act may not be used by  
            such entities in the determination of the person's  
            eligibility for payment or reimbursement for mental  
            health or other health care services.

          6.Author's stated purpose
            The author argues that persons with mental illness are  
            best served in a system of care that supports and  
            acknowledges the role of the family, and that the bill  
            facilitates their involvement.  The author also argues  
            that the bill would eliminate some of the barriers to  
            appropriate levels of care in the civil commitment  
            process for the mentally ill without changing the  
            underlying LPS criteria.  

            According to the author, "families of persons with  
            serious mental illness find the Lanterman-Petris-Short  
            Act system difficult to access and not supportive of  
            family information regarding history and symptoms."  The  
            author states that "persons with mental illness are best  
            served in a system of care that supports and acknowledges  
            the role of the family, including parents, children,  
            spouses, significant others, and consumer-identified  
            natural resource systems."   



            The author further states that:
            Historical evidence -- "The only evidence presented to  
            the court, upon which a commitment determination is  
            based, is the testimony of inpatient treatment providers,  
            testimony from the detained individual, and observation  
            of the detained individual's behavior while in court  
            without any regard or presentation of historical factors  
            which might make clear the true present clinical state of  
            the individual to the court".
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            Training  -- "Training should be improved for various  
            providers and professionals who regularly make  
            determinations regarding involuntary holds"

            Insurance, Medi-Cal treatment coverage -- "A patient's  
            legal status should have no bearing on whether or not  
            his/her condition warrants acute hospital care". 
          
          7.Arguments in support
          Representatives of the National Alliance for the Mentally  
            Ill state that, more often than not, the only evidence  
            presented to the court and upon which a commitment  
            determination is based is the testimony of inpatient  
            treatment providers, testimony from the detained person,  
            and observation of the person's behavior while in court.   
            The California Mental Health Directors Association  
            (CMHDA) state in support of AB 1424 that families should  
            be a part of the response to individuals for whom an  
            involuntary hold is being contemplated, subject to  
            existing rules of evidence and court procedures.  CMHDA  
            also asserts that this bill's language is designed to  
            include the review of medical records, including  
            psychiatric records, by the court; improve training for  
            various individuals who regularly make determinations  
            regarding involuntary holds; and include input from  
            individuals providing mental health services.  The  
            California Psychiatric Association (CPA) also supports  
            the legislation, stating that one of the most important  
            provisions in the bill is the prohibition on Medi-Cal  
            programs and health insurers considering the patient's  
            legal status in determining eligibility for services or  
            coverage.  According to CPA, "[t]hese reforms will assure  
            that persons who need treatment are not artificially  
            precluded from receiving it by either insurance rules or  
            inappropriate evidentiary rules."
          
          8.Arguments in opposition
            The California Association of Mental Health Patients  
            Rights Advocates (CAMHPRA), while supportive of some  
            provisions of the bill, has taken a "support if amended"  
            position on AB 1424.  CAMHPRA requests several amendments  
            to provisions of the bill pertaining to training  
            requirements, direct access of hearing officers to the  
            patient's medical records, and certain "legislative  
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            findings and declarations" contained in the bill.  (See  
            "Comments and Questions" below for more detail on the  
            requested amendments.  The California Judges Association  
              also takes a "support if amended" position and requests  
            an amendment pertaining to confidentiality of medical  
            records (See "Comments and questions" below).  

            The Alameda County Network of Mental Health Clients  
            opposes AB 1424, stating the bill would allow family  
            members to gain the right to make treatment decisions for  
            persons who are not minor children. The Network argues  
            that current law, Probate Code Section 3200, already  
            provides for a medical treatment order without an  
            individual's consent and that current law, which requires  
            a court order and makes it difficult for a family member  
            to override an individual's treatment decision, should  
            remain in effect.  The Network further argues that AB  
            1424 makes a mockery of due process, resulting in  
            discrimination and denial of equal protection.  
          
          9.Related Pending Legislation  
                 SB 224 (Speier) creates the Breast and Cervical  
               Cancer treatment fund to provide Medi-Cal coverage of  
               low income women who are not otherwise eligible for  
               Medi-Cal with no share of cost.  That bill is in the  
               Assembly Health Committee.  

                 SB 891 (Escutia) would establish demonstration  
               projects providing expanded community-based  
               post-discharge services for persons be released from a  
               mental health inpatient treatment facility,  
               especially, self-help and peer help services.  This  
               bill is in the Assembly Health Committee.  

                 SB 931 (Burton) would establish a statewide 4-year  
               grant program to provide counties with funds to expand  
               voluntary community-based mental health services to  
               persons with mental illness who are being discharged  
               from a period of inpatient involuntary commitment.   
               Also, specifies services required to be provided by  
               participating counties.  This bill is in the Assembly  
               Health Committee.

                 AB 213 (Nation) adds marriage and family therapists  
               (MFT's) to the list of mental health professionals who  
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               may approve disclosure of information and records  
               relating to services provided to mentally disordered  
               patients,  in instances where the patient has  
               designated persons to whom the information or records  
               may be released.  AB 213 passed this SH&HS Committee  
               on May 3, 2001 and is in enrollment.

                 AB 334 (Steinberg) revises an existing program,  
               under the Adult and Older Adult Mental Health Systems  
               of Care Act, through which grants are provided to  
               county mental health departments to provide a  
               community-based, integrated services program for  
               persons with mental illness who are homeless or at  
               risk of homelessness.  That bill also will be heard in  
               this Committee on July 11, 2001. 

                 AB 1421 (Thomson) would establish the "Assisted  
               Outpatient Treatment Demonstration Project Act of  
               2001" authorizing a new type of outpatient involuntary  
               commitment.  That bill is in the Senate Health and  
               Human Services Committee; it is two-year bill.

                              QUESTIONS AND COMMENTS  

          Requested amendments
          1.The California Association of Mental Health Patient's  
            Rights Advocates (CAMHPRA) requests the following  
            amendments:
             a.   Legislative findings and declarations -- Delete the  
               statement in the "Legislative findings and  
               declarations" portion of the bill, Section 1 (a), that  
               "families of persons with serious mental illness find  
               the LPS Act system difficult to access and not  
               supportive of family information regarding history and  
               symptoms". 

               CAMPHRA argues that this statement is an assumption  
               not substantiated by formal research or statistics and  
               is based on anecdotal information.  

             a.   Training - Include language in the proposed WIC  
               Section 5013 stating that,
                     "The training shall emphasize that voluntary  
                 treatment is preferable over involuntary treatment  
                 whenever the patient is willing and able to be a  
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                 voluntary patient."

             a.   Notification of family members of certification  
               review hearing - Specify that this bill's proposed  
               revisions to WIC Section 5008.2 are subject to  
               existing WIC section 5256.4.  

             WIC Section 5256.4 states that "reasonable attempts  
               shall be made by the mental health facility to notify  
               family?of the certification review hearing, unless the  
               patient requests that this information not be  
               provided.  The patient shall be advised by the  
               facility that is treating the patients that he or she  
               has the right to request that this information not be  
               provided".  AB 1424 (see Section 5008.2) would require  
               the inclusion of evidence "voluntarily presented by  
               family members" when determining whether an individual  
               is gravely disabled or a danger to him or her self or  
               others for the purpose of an initial 14-day hold or  
               subsequent extensions of the hold.  Under current law,  
               within 4 days after the initial hold commences, a  
               "certification review" hearing is held by the court to  
               determine "probable cause" that the person meets the  
               criteria for continued involuntary commitment.   
               CAMHPRA argues that the proposed provision in AB 1424  
               to include the evidence of family members in certain  
               proceedings should not supercede the patient's right  
               to not notify family members regarding certification  
               review hearings.

             a.   Medical records access -- Delete the language in  
               the proposed bill requiring direct access by the  
               hearing officer of information found in a patient's  
               medical records. (See AB 1424 Section 5008.2).  

             CAMHPRA argues that this provision of AB 1424 is  
               unreasonable because medical records may contain  
               hearsay information, misinformation or information for  
               which the source is unclear.  According to CAMHPRA, it  
               is one thing to have the hearing officer hear a  
               representative of a mental health facility present  
               direct oral information regarding a patient's history,  
               as this gives the mental health patient the  
               opportunity to respond to and clarify any  
               misinformation.  However, CAMPRHA states that AB 1424  
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               would permit a hearing officer to read a medical chart  
               to him or her self, without giving an indication to  
               the patient of what information is being read and  
               considered as part of the hearing officer's  
               decision-making process, resulting in a serious  
               impairment of the patient's due process rights.







































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          1.The California Judges Association (CJA) requests the  
            following amendment:

            Add to proposed changes to WIC Section 5008.2 the phrase  
            "as presented to the court" (i.e., add to the provision  
            of the bill regarding court consideration of the  
            patient's medical records, including psychiatric  
            records).

            CJA requests this amendment, stating the proposed  
            provision in the bill is "?problematic regarding  
            confidentiality, in that a treating mental health  
            facility cannot obtain prior treatment records without  
            the patient's consent."

                                  PRIOR ACTIONS

           Assembly Floor:               78 - 0 Pass
          Assembly Appropriations:      21 - 0 Do Pass
          Assembly Judiciary:                  9 -  0 Do Pass as  
          Amended
          Assembly Health:                   12 -  0 Do Pass as  
          Amended

                                    POSITIONS  

          Support:  California Mental Health Directors Association 
                    California Psychiatric Association
                    California Treatment Advocacy Coalition
                    County of Los Angeles, Board of Supervisors
                    LPS Reform Task Force (Southern California  
               Psychiatric Society and
                       NAMI Los Angeles)
                    NAMI - California
                    NAMI - California Consumer Council
                    NAMI in:
                       Los Angeles
                       Pomona Valley
                       Sacramento
                       Santa Barbara
                       Ventura
                    Stanley Foundation Research Programs/NAMI  
               Research Institute 
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                       (Maryland)
                    Treatment Advocacy Center (Virginia)
                    Union of American Physicians and Dentists
                    13 individual letters

          Support        California Association of Mental Health  
          Patients' Rights Advocates
          if Amended:    California Healthcare Association
                    California Judges Association 

          Oppose:Alameda County Network of Mental Health Clients

                                   -- END --