SB 27 (UMBERG) Care Court Expansion – Oppose

July 28th, 2025

The Honorable Buffy Wicks
Assembly Appropriations Committee
1021 O Street, Suite 8220
Sacramento, CA 95814

RE: Opposition to Senate Bill 27 (Umberg)

Dear Chair Wicks, 

Mental Health America of California (MHAC) strongly opposes Senate Bill 27 (Umberg), legislation that would expand CARE Court, an unproven statewide mental health program that has cost taxpayers millions of dollars as California faces a multi-billion-dollar deficit.

MHAC is a peer-run organization leading the state in behavioral health public policy and advocacy since 1957. MHAC envisions a society in which all communities, families and individuals can enjoy full, productive and healthy lives free from discrimination of all kinds regardless of previous or current issues with their mental health or substance use issues. MHAC believes that every person deserves access to appropriate, voluntary services that are delivered in their local community with compassion and respect for everyone’s dignity and autonomy.

CARE Court is a legal mechanism to force individuals into court-ordered behavioral healthcare. Currently, CARE Court eligibility is limited to individuals with schizophrenia spectrum disorders with a prevalence in the U.S. ranging between 0.25% and 0.64%.[1] Senate Bill 27 expands eligibility to individuals with Bipolar 1 Disorder with psychotic features. Given that approximately 4.4% of U.S. adults experience bipolar disorder in their lifetime, this bill would represent a substantial increase in CARE referrals.[2] This bill will further expand CARE Court by providing it as an option for individuals found incompetent to stand trial (IST).

In the CARE Court Early Implementation Report released in November 2024, the Department of Health Care Services reported only a total of 100 participants statewide [3][4]. With only 100 people enrolled in CARE Court, it costs an estimated $713,000 per person a year. These costs are for court personnel and other court costs, and do not include any allocation for services. For comparison, Full-Service Partnerships (FSP) are designed to provide treatment for, and services to, adults with serious mental illness. FSP’s cost taxpayers approximately $16,666 per person per year and in 2021 served more than 60,000 people statewide.

Considering the significant changes this bill makes to CARE Court, the high price tag per participant, and our state’s budget challenges, a delayed approach might better address cost factors. The urgency clause must be removed, and time must be given to the courts and counties to properly serve a whole new population eligible for CARE Court and the increase in petitions from criminal court.

However, MHAC strongly opposes this costly expansion of CARE Court, which diverts scarce funds from essential behavioral health supports and services. This bill is a clear attempt to increase CARE Court referrals in response to the low, almost nonexistent, number of CARE participants. CARE Court’s failure to meet expectations shows an inherent flaw in the system that won’t be solved by expanding the criteria of who can be forced into treatment via a court order. It is for these reasons that we are opposed to SB 27 (Umberg) and ask for your “No” vote.

If you have any questions, or if MHAC can provide any assistance on this bill or any behavioral health legislation, please do not hesitate to contact me at kvicari@mhac.org or our Public Policy Coordinator, Danny Thirakul, at dthirakul@mhac.org.

In Community,

Karen A Vicari, JD
Director of Public Policy


[1] U.S. Department of Health and Human Services. (n.d.-b). Schizophrenia. National Institute of Mental Health. https://www.nimh.nih.gov/health/statistics/schizophrenia

[2] U.S. Department of Health and Human Services. (n.d.). Bipolar disorder. National Institute of Mental Health. https://www.nimh.nih.gov/health/statistics/bipolar-disorder#part_2605

[3] Mai-Duc, C. (2024, November 27). California falling short of enrollment goal as Mental Health Courts Roll Out Statewide. California Healthline.

[4] Depart of Health Care Services . (2024, November). CARE Act Early Implementation Report. Community Assistance, Recovery, and Empowerment Act.  

AB 787 (PAPAN) Provider Directory Disclosure – Support

June 11th, 2025

The Honorable Caroline Menjivar
Senate Health Committee
1021 O Street, Room 3310
Sacramento, CA 95814

RE: MHAC Support for AB 787 (Papan)

Dear Chair Menjivar,   

Mental Health America of California (MHAC) is pleased to support Assembly Bill 787 (Papan), legislation that would require health plans to respond to enrollee inquires seeking a provider within one business day and provide a list of available providers within 2 business days.

MHAC is a peer-run organization leading the state in behavioral health public policy and advocacy since 1957. The mission of MHAC is to assist and encourage communities, families and individuals to experience hope, wellness and recovery from mental health and substance use disorder issues. The people and communities we aim to serve include those of all ages; sexual orientation, gender identity or expression; language, racial and ethnic backgrounds, national origin, and immigration status; spirituality and religious affiliations; or socioeconomic status.

Finding a mental health provider within your health plan can be a significant barrier to receiving services. Inaccurate provider directories can lead to prolonged delays in care, frustration, and sometimes leads individuals to give up seeking mental health care altogether. Enrollees attempting to make an appointment using a directory may discover that the provider is no longer contracted with their health plan, has moved, or is no longer accepting new patients. Once a provider is located, enrollees may still have to wait up to 15 days before establishing care.

Timely access plays a vital role in an individual’s health and wellness. This bill will help reduce delays in identifying an available provider by disclosing to enrollees that they should contact the health plan if they need assistance and establishing a standardized response time. It is for these reasons MHAC supports AB 787 (Papan) and asks for your “Aye” vote. If you have any questions, or if MHAC can provide any assistance on this bill or any behavioral health legislation, please do not hesitate to contact me at hstrunk@mhac.org or our Director of Public Policy, Karen Vicari, at kvicari@mhaofca.org. 

In Community,   

Heidi L. Strunk   
President & CEO 

AB 602 (HANEY) Postsecondary Education Substance Use Harm Reduction Policy – Support

June 27th, 2025

The Honorable Sasha Renée Pérez
Senate Education Committee
1021 O Street, Room 6740
Sacramento, CA 95814

RE: MHAC Support for Assembly Bill 602 (Haney)

Dear Chair Pérez,   

Mental Health America of California (MHAC) is pleased to support AB 602 (Haney), legislation that would establish a harm reduction approach to supporting students who are experiencing substance use crises by protecting them from punitive academic disciplinary policies.

MHAC is a peer-run organization leading the state in behavioral health public policy and advocacy since 1957. The mission of MHAC is to assist and encourage communities, families and individuals to experience hope, wellness and recovery from mental health and substance use disorder issues through voluntary services that are delivered in their local community with compassion and respect for everyone’s dignity and autonomy.  People experiencing a mental health or substance use crisis need to be able to seek help without fear of repercussions.

For youth, colleges and universities can impose various punishments on students found with drugs or involved in overdose incidents. While some CSU and UC campuses have medical amnesty policies, most only protect students in alcohol-related emergencies, not drug overdoses. Additionally, a disciplinary record can make it harder to transfer, graduate, or find a job, as many employers and professional licensing boards ask about academic misconduct.

The inconsistent implementation of these policies creates confusion and fear, leaving students afraid to call 911 in life-or-death situations. No student should have to choose between saving a life and risking their future. Without a clear, statewide policy, students fear severe consequences for seeking medical help, leading to dangerous delays in life-or-death situations. This bill will protect students involved in overdose emergencies by ensuring they are fully shielded from academic penalties.

This bill guarantees that neither the student experiencing an overdose nor bystanders who summon help will face any academic consequences. Students will no longer be punished for surviving an overdose, and the fear of severe academic penalties will no longer prevent them from seeking life-saving assistance. It is for these reasons MHAC supports AB 602 (Haney) and asks for your “Aye” vote. If you have any questions, or if MHAC can provide any assistance on this bill or any behavioral health legislation, please do not hesitate to contact me at kvicari@mhac.org or our Public Policy Coordinator, Danny Thirakul, at dthirakul@mhac.org.

In Community,   

Karen Vicari
Director of Public Policy

SB 27 (UMBERG) CARE Court – Oppose

July 11th, 2025

The Honorable Nick Schultz
Assembly Public Safety Committee
1020 N Street, Room 111
Sacramento, CA 95814

RE: Opposition to Senate Bill 27 (Umberg)

Dear Chair Schultz, 

Mental Health America of California (MHAC) strongly opposes Senate Bill 27 (Umberg), legislation that would expand forced behavioral health treatment by extending CARE Court eligibility to individuals diagnosed with Bipolar 1 Disorder with psychotic features. This bill would also create an unnecessary judicial barrier that could deny individuals found incompetent to stand trial (IST) from qualifying for mental health diversion.

MHAC is a peer-run organization leading the state in behavioral health public policy and advocacy since 1957. MHAC envisions a society in which all communities, families and individuals can enjoy full, productive and healthy lives free from discrimination of all kinds regardless of previous or current issues with their mental health or substance use issues. MHAC believes that every person deserves access to appropriate, voluntary services that are delivered in their local community with compassion and respect for everyone’s dignity and autonomy.

CARE Court is a legal mechanism to force individuals into court-ordered, and thus involuntary, behavioral healthcare. Approximately 4.4% of U.S. adults experience bipolar disorder in their lifetime.[1] Currently, CARE Court eligibility is limited to individuals with schizophrenia spectrum disorders with a prevalence in the U.S. ranging between 0.25% and 0.64%.[2] Expanding eligibility to include Bipolar 1 Disorder with psychotic features would increase the number of individuals being stripped of their right to choose the mental health supports and services that best meet their needs. An individual’s mental health challenges are not better addressed when the government tells them what to do.

Senate Bill 27 also makes sweeping changes to California’s mental health diversion process. Under current law, when a person is found incompetent to stand trial, the court is required to hold a diversion hearing. If, at this hearing, a person is deemed ineligible for diversion, another hearing is conducted to determine alternatives to diversion including Assisted Outpatient Treatment, CARE Court, or conservatorship. This bill instead mandates a new initial hearing to determine if: a) the court wants to hold an additional diversion hearing; or b) the court wants to refer an individual directly to CARE Court. At this point, no other alternatives are offered, and the court would be able to bypass the entire diversion process by sending an individual directly to CARE Court. If the court chooses option (a) under SB 27, the diversion process would proceed in a similar manner to current law, with the option to refer individuals to a range of alternative programs if they are deemed ineligible for diversion.

CARE Court is a new, unproven mental health program. In its Early Implementation Report released in November 2024, the Department of Health Care Services reported only a total of 100 Care Court participants, yet state officials estimated 7,000 to 12,000 people would be eligible.[3][4] With only 100 people enrolled in CARE Court, it costs an estimated $713,000 per person a year. These costs are for court personnel and other court costs, and do not include any costs for treatment. For comparison, Full-Service Partnerships (FSP) are designed to provide treatment for, and services to, adults with serious mental illness. This costs taxpayers approximately $16,666 per person and, as of 2021, services more than 60,000 people statewide.

MHAC strongly opposes any legislation that bypasses the diversion process by streamlining enrollment in CARE Court. The diversion process, as currently in statute, has proven highly effective for those who are eligible, with a range of alternative programs available for those who are ineligible. SB 27 would prioritize CARE Court above diversion and above all other alternatives.

This bill is a clear attempt to increase CARE Court referrals in response to the low, almost nonexistent, number of CARE participants. CARE Court’s failure to meet expectations shows an inherent flaw in the system that won’t be solved by expanding the criteria of who can be forced into treatment via a court order. It is for these reasons that we are opposed to SB 27 (Umberg). If you have any questions, or if MHAC can provide any assistance on this bill or any behavioral health legislation, please do not hesitate to contact me at kvicari@mhac.org or our Public Policy Coordinator, Danny Thirakul, at dthirakul@mhac.org

In Community,   

Karen A Vicari, JD
Director of Public Policy


[1] U.S. Department of Health and Human Services. (n.d.). Bipolar disorder. National Institute of Mental Health. https://www.nimh.nih.gov/health/statistics/bipolar-disorder#part_2605

[2] U.S. Department of Health and Human Services. (n.d.-b). Schizophrenia. National Institute of Mental Health. https://www.nimh.nih.gov/health/statistics/schizophrenia

[3] Mai-Duc, C. (2024, November 27). California falling short of enrollment goal as Mental Health Courts Roll Out Statewide. California Healthline.

[4] Depart of Health Care Services . (2024, November). CARE Act Early Implementation Report. Community Assistance, Recovery, and Empowerment Act.  

AB 512 (HARABEDIAN) Shortened timeline for prior authorization – Support

July 1st, 2025

The Honorable Caroline Menjivar
Senate Health Committee
1021 O Street, Room 3310
Sacramento, CA 95814

RE: Support for AB 512 (Harabedian)

Dear Chair Menjivar,   

Mental Health America of California (MHAC) is pleased to support Assembly Bill 512 (Harabedian), legislation that would shorten prior authorizations for health care services to no more than 48 hours for standard requests or 24 hours for urgent requests.

MHAC is a peer-run organization leading the state in behavioral health public policy and advocacy since 1957. The mission of MHAC is to assist and encourage communities, families and individuals to experience hope, wellness and recovery from mental health and substance use disorder issues through voluntary services that are delivered in their local community with compassion and respect for everyone’s dignity and autonomy. Prior authorization procedures can create significant barriers to access voluntary mental health and substance use services.

The prior authorization process requires providers to obtain approval from health plans before delivering certain supports or services, including mental health care. However, this process can take anywhere from one to five days. This delay can create unnecessary barriers to accessing voluntary services, services that are intended to support individuals before they reach a point of crisis. This bill ensures that care is delivered promptly by reducing delays for both standard and urgent requests.

It is for these reasons MHAC supports AB  512 (Harabedian) and asks for your “Aye” vote. If you have any questions, or if MHAC can provide any assistance on this bill or any other behavioral health legislation, please do not hesitate to contact me at kvicari@mhac.org or our Public Policy Coordinator, Danny Thirakul, at dthirakul@mhac.org.

In Community,

Karen Vicari|
Director of Public Policy
Mental Health America of California 

AB 510 (ADDIS) Health care coverage peer-to-peer review – Support

April 14th, 2025

The Honorable Mia Bonta
Chair, Assembly Health Committee
1020 N Street, Room 390
Sacramento, CA 95814

RE: Support for Assembly Bill 510 (Addis)

Dear Chair Bonta,

Mental Health America of California (MHAC) is pleased to support AB 510 (Addis), legislation that ensures appeals or grievances related to denied healthcare services are reviewed within 2 business days by a licensed physician or a qualified healthcare professional with expertise in the relevant area. Additionally, if these timelines are not met, the request would be automatically approved.

MHAC is a peer-run organization leading the state in behavioral health public policy and advocacy since 1957. The mission of MHAC is to assist and encourage communities, families and individuals to experience hope, wellness and recovery from mental health and substance use disorder issues through voluntary services that are delivered in their local community with compassion and respect for everyone’s dignity and autonomy.

Individuals can experience a range of mental health or substance use challenges, and when they seek appropriate support or services through their health insurance, coverage denials can create serious gaps in care. While health plans offer grievance processes for enrollees to challenge these denials, the grievances are sometimes reviewed by general physicians or health administrators who may lack the specialized expertise needed to assess mental health or substance use conditions. This lack of competency can lead to continued denials, delaying or denying access to necessary care. In 2016, the Department of Managed Health Care reported that enrollees who requested an Independent Medical Review (IMR) after a health plan grievance was unresolved received the requested health care services in nearly 69 percent of cases.[1]

By ensuring competent review of coverage denials in the grievance process, this bill will help reduce gaps in care and reduce the need for IMRs. It is for these reasons MHAC supports AB 510 (Addis) and asks for your “Aye” vote. If you have any questions, or if MHAC can provide any assistance on this bill or any behavioral health legislation, please feel free to contact me at hstrunk@mhac.org or reach out to our Director of Public Policy, Karen Vicari, at kvicari@mhaofca.org.

In Community,   

Heidi L. Strunk   
President & CEO 


[1] The California Department of Managed Health Care. (2016). 2016 ANNUAL REPORT.

AB 348 (Krell) Full Service Partnership Eligibility – Support

June 3rd, 2025

The Honorable Caroline Menjivar
Senate Health Committee
1021 O Street, Room 3310
Sacramento, CA 95814

RE: MHAC Support for Assembly Bill 348 (Krell)

Dear Chair Menjivar,   

Mental Health America of California (MHAC) is pleased to support Assembly Bill 348 (Krell), legislation that defines presumptive eligibility for full-service partnerships (FSPs) to include individuals with a serious mental illness (SMI) who are experiencing unsheltered homelessness, transitioning to the community after six months or more in a secured treatment facility, has been detained five or more times pursuant to Section 5150 over the last five years, or transitioning to the community after six months or more in the state prison or county jail.

MHAC is a peer-run organization leading the state in behavioral health public policy and advocacy since 1957. The mission of MHAC is to assist and encourage communities, families and individuals to experience hope, wellness and recovery from mental health and substance use disorder issues. The people and communities we aim to serve include those of all ages; sexual orientation, gender identity or expression; language, racial and ethnic backgrounds, national origin, and immigration status; spirituality and religious affiliations; or socioeconomic status. FSPs align with this mission by offering flexible, voluntary services with a “whatever it takes” approach to support individuals living with an SMI.

FSPs offer wraparound, whole-person care that helps reduce homelessness, improve mental health outcomes, lower emergency room visits, reduce justice involvement, and increase community integration. By establishing presumptive eligibility, AB 348 (Krell) removes unnecessary barriers to care and ensures timely access to vital services. This bill is especially applicable to individuals with an SMI who need step-down levels of care after leaving locked institutional treatment facilities, incarceration, or while experiencing homelessness. It also ensures eligibility even when the primary diagnosis is a substance use disorder with a co-occurring serious mental illness.

Each eligibility criteria represents a significant life event for someone living with an SMI. Being properly supported with an FSP can mark a significant turning point in one’s recovery journey. It is for these reasons MHAC supports AB 348 (Krell) and asks for your “Aye” vote. If you have any questions, or if MHAC can provide any assistance on this bill or any behavioral health legislation, please do not hesitate to contact me at hstrunk@mhac.org or our Director of Public Policy, Karen Vicari, at kvicari@mhaofca.org. 

In Community,   

Heidi L. Strunk   
President & CEO 

AB 529 (Ahrens) Pharmacy State of Emergency – Support

June 3rd, 2025

The Honorable Angelique Ashby
Senate Business, Professions, and Economic Development Committee
1021 O Street, Room 3320
Sacramento, CA 95814

Re: MHAC Support for AB 529 (Ahrens)

Dear Chair,

Mental Health America of California is writing in support of AB 529 (Ahrens), legislation that would allow the California State Board of Pharmacy to waive provisions of the Pharmacy Law for up to 120 days instead of 90 days after the end of a declared federal, state, or local state of emergency. This would allow mobile pharmacies or clinics to continue severing impacted areas and ensure continuity of services.

MHAC is a peer-run organization leading the state in behavioral health public policy and advocacy since 1957. The mission of MHAC is to assist and encourage communities, families and individuals to experience hope, wellness and recovery from mental health and substance use disorder issues. The people and communities we aim to serve include those of all ages; sexual orientation, gender identity or expression; language, racial and ethnic backgrounds, national origin, and immigration status; spirituality and religious affiliations; or socioeconomic status. When natural disasters impact whole communities, access to vital mental health and substance use services must be prioritized to prevent disruptions in care and provide hope for restoration.

A state of emergency can arise in various forms, including epidemics, power outages, extreme weather, and natural disasters such as floods, earthquakes, and wildfires. During such emergencies, the availability of resources and public services becomes scarce, such as access to healthcare services and medication. During times of great stress, Individuals may develop, or experience heightened, mental health challenges increasing the need for these vital services.

While the Board of Pharmacy may currently waive provisions of the pharmacy law for up to 90 days after the end of a state of emergency to allow mobile clinics and pharmacies to operate, it can take more than 90 days to rebuild a community and for any sense of normalcy to return. This bill would allow for an additional 30 days for a total of 120 days expanding access to care and medications as communities transition from crisis intervention to rehabilitation.

For these reason MHAC supports AB 529 (Ahrens) and asks for your “Aye” vote. If you have any questions, or if MHAC can provide any assistance on this bill or any behavioral health legislation, please do not hesitate to contact me at hstrunk@mhac.org or our Director of Public Policy, Karen Vicari, at kvicari@mhaofca.org.  

In Community, 

Heidi L. Strunk 
President & CEO

AB 1387 (Quirk-Silva) Mental Health Multidisciplinary Personnel Team – Support

June 6th, 2025

The Honorable Jesse Arreguín
Senate Public Safety Committee
1020 N Street, Room 545
Sacramento, CA 95814

RE: Support for Assembly Bill 1387 (Quirk-Silva)

Dear Chair Arreguín,   

Mental Health America of California (MHAC) is pleased to support AB 1387 (Quirk-Silva), legislation that would establish mental health multidisciplinary personnel teams, to facilitate the identification, assessment, and linkage of a justice-involved person diagnosed with a mental illness to supportive services while incarcerated and upon release from county jail.

MHAC is a peer-run organization leading the state in behavioral health public policy and advocacy since 1957. The mission of MHAC is to assist and encourage communities, families and individuals to experience hope, wellness and recovery from mental health and substance use disorder issues. The people and communities we aim to serve include those of all ages; sexual orientation, gender identity or expression; language, racial and ethnic backgrounds, national origin, and immigration status; spirituality and religious affiliations; or socioeconomic status.

Transition services from institutions for mental diseases, jails, and mental health rehabilitation centers help ensure that individuals with mental health challenges won’t experience any disruptions in care and can be safely integrated into their community. These services help individuals develop independence and can reduce cycling between California’s health crisis and justice system. Justice involved individuals have significant challenges reintegrating into their community due to the stigma of being formerly incarcerated and the lack of assistance to identify the services they need. Without proper support, individuals can fall through the cracks of California’s safety net programs, experience additional health challenges leading to more health crises, and potentially be incarcerated again.

This bill ensures a designated mental health multidisciplinary personnel team is established to provide transitional services and support that can prevent mental health crises from developing and promote long-term wellness goals. To accomplish these goals, services include but are not limited to healthcare, housing, and other social services.

It is for these reasons MHAC supports AB 1387 (Quirk Silva) and asks for your “Aye” vote. If you have any questions, or if MHAC can provide any assistance on this bill or any behavioral health legislation, please do not hesitate to contact me at hstrunk@mhac.org or our Director of Public Policy, Karen Vicari, at kvicari@mhaofca.org. 

In Community,   

Heidi L. Strunk   
President & CEO 

MHAC Concerns with Joint Sunset Review Issue #11

May 19th, 2025

Marc Berman
Chair, Assembly Committee on Business and Professions
1020 N Street, Room 379
Sacramento, CA 95814

Angelique Ashby
Chair, Senate Committee on Business, Professions, and Economic Development 
1021 O Street, Room 3320
Sacramento, CA 95814

RE: Joint Sunset Review – Board of Psychology – Exception to Psychotherapist-Patient Privilege for Board Investigations—OPPOSE

Dear Chair Berman and Chair Ashby,   

Mental Health America of California (MHAC) would like to express opposition to the California Board of Psychology’s proposed exception to the psychotherapist-patient privilege in Board investigations (Proposal #1 of Section 10 of the Sunset Review Report, page 97) and request that proposal not move forward. The proposal would establish a psychotherapist-patient privilege exception for Board investigations.

MHAC is a peer-run organization leading the state in behavioral health public policy and advocacy since 1957. The mission of MHAC is to assist and encourage communities, families and individuals to experience hope, wellness and recovery from mental health and substance use disorder issues. The people and communities we aim to serve include those of all ages; sexual orientation, gender identity or expression; language, racial and ethnic backgrounds, national origin, and immigration status; spirituality and religious affiliations; or socioeconomic status. Our communities rely on the expectation of privacy when accessing mental health care.

Currently, if a patient refuses to disclose records in a Board investigation, the Board has recourse to obtain the records through a subpoena and obtain a civil court order to enforce the subpoena. This ensures that the Board demonstrates compelling interest that the disclosure of such records is relevant and material to the issue. This court process offers the Board an avenue to obtain records while upholding the psychotherapist’s duty to patient privilege and protecting the patient’s constitutional right to privacy.

Confidentiality is essential to successful psychotherapy because it allows for open dialogue between the Psychologist and the patient on extremely personal and sensitive issues. Patients rely on the expectation of privacy every time they attend a therapy session, and without the guarantee of privacy, patients will be less likely to be forthcoming with their therapist and possibly be less likely to seek care.

In addition, this proposal has the potential to severely undermine the quality and effectiveness of psychotherapy. If Psychotherapists fear that their client records could be seized without proper protections, this could result in less than accurate and potentially reductive work products.

The Board has reported that over the last four years it has had to close only three cases due to an inability to access records. The low number of cases being closed does not provide any significant or compelling arguments for a psychotherapist-patient privilege exception. It is for these reasons that MHAC asks you not to move forward with the Board’s proposal. If you have any questions, or if MHAC can provide any assistance on this issue or any behavioral health legislation, please do not hesitate to contact me at hstrunk@mhac.org or our Director of Public Policy, Karen Vicari, at kvicari@mhaofca.org. 

In Community,   

Heidi L. Strunk   
President & CEO 

Cc:       Honorable Members, Assembly Business and Professions Committee
Honorable Members, Senate Business and Professions and Economic Development Committee
Kaitlin Curry, Consultant, Assembly Business and Professions Committee
Anna Billy, Consultant, Senate Business and Professions and Economic Development Committee