Position Category: MHAC

September 19^th, 2025

The Honorable Gavin Newsom      
California State Governor      
1021 O Street, Suite 9000      
Sacramento, CA 95814

RE: MHAC Request for Signature of AB 309 (Zbur)

Dear Governor Newsom,   

Mental Health America of California (MHAC) is pleased to support AB 309 (Zbur), legislation that would allow a physician or pharmacist to continue providing clean and safe hypodermic needles and syringes to individuals 18 years or older without a prescription or permit.

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. MHAC recognizes the importance of harm reduction strategies that support individuals on their path to recovery while safeguarding public health.

Recovering from a substance use disorder is a journey, often nonlinear, with progress and setbacks. Individuals who use substances requiring hypodermic needles face numerous challenges and should not be further harmed while working towards recovery. Access to clean syringes is a proven harm reduction strategy that prevents the transmission of HIV, viral hepatitis, and other bloodborne diseases, ultimately improving public health and safety.[1] The distribution of safe and clean needles and syringes ensures that if individuals experience a setback in their recovery, the harm done to them is minimized.

This bill is a critical step toward reducing preventable harm and protecting community health. It is for these reasons MHAC supports AB 309 (Zbur) and asks for your signature. 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
Mental Health America of California

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[1] Centers for Disease Control and Prevention. (n.d.-b). Syringe Services Programs. Centers for Disease Control and Prevention.

September 23^rd, 2025

The Honorable Gavin Newsom    
California State Governor    
1021 O Street, Suite 9000    
Sacramento, CA 95814

Re: MHAC Request for Signature of AB 843 (Garcia)

Dear Governor Newsom,

Mental Health America of California (MHAC) is writing in support of Assembly Bill 843 (Garcia), legislation aimed at reducing barriers to healthcare access for individuals with limited English proficiency. The bill would require health plans and insurers to provide language-accessible documents and translation services, ensuring that all individuals can effectively navigate the healthcare systems and receive the services they need.

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. Due to language barriers, English language learners have significant barriers accessing voluntary community-based services.

Limited English proficiency contributes to the growing mental health disparities among Asian and Latino populations.[1] The inability to communicate effectively prohibits understanding of cultural behaviors and values, leading to unmet needs and discourages them from seeking help. Without proper accommodations to address language barriers, these disparities will continue to widen, preventing underserved populations from accessing voluntary mental health and substance use services.

This bill directly addresses the language barrier by requiring health plans and insurers to take responsibility for properly informing their enrollees. They must provide translation services and translated documents to ensure that language is not an obstacle to receiving care. For these reasons MHAC supports Assembly Bill 843 (Garcia) and asks for your signature. 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

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[1] Sentell, T., Shumway, M., & Snowden, L. (2007). Access to mental health treatment by English language proficiency and race/ethnicity. Journal of general internal medicine, 22 Suppl 2(Suppl 2), 289–293.

March 14, 2025

The Honorable Marc Berman
Chair, Assembly Committee on Business and Professions
1020 N Street, Room 379
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 through voluntary services that are delivered in their local community with compassion and respect for everyone’s dignity and autonomy.

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 become 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

February 28, 2025

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

RE: Support for AB 257 (Flora)

Dear Chair Bonta,

Mental Health America of California (MHAC) is pleased to support AB 257 (Flora), legislation that would establish a telehealth and other virtual services specialty care network, designed to serve patients of safety-net providers.

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. Californians in rural communities have the most difficulties accessing behavioral health care, which contributes to California’s growing health disparities.

AB 257 creates a network of rural health clinics, health centers, critical access hospitals, and other community health centers for the purpose of delivering tele-healthcare and other virtual services in communities that lack access. According to the California Health Care Foundation more than 67% of residents in the Central Valley, home to many rural agricultural communities, had to wait longer than reasonable for a mental health appointment in the last year.[1] In addition, more than half the residents believe their community doesn’t have enough mental health providers.

This specialty network will be instrumental to reducing mental health disparities and ensuring access to those who need it most. It is for these reasons we support AB 257 (Flora). 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 or our Director of Public Policy, Karen Vicari, at kvicari@mhaofca.org.

 In Community,

Heidi L. Strunk
President & CEO

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[1] KEY FINDINGS FROM THE 2024 CHCF CENTRAL VALLEY HEALTH POLICY SURVEY, California Health Care Foundation (2024)

July 1^st, 2025

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

RE: Support for AB 280 (Aguiar-Curry)

Dear Chair Menjivar,

Mental Health America of California (MHAC) writes in support of AB 280 ([KV1] Aguiar-Curry), a bill that would increase the accuracy of provider directories by requiring health plans to ensure 95% accurate directories by 2029 or face penalties and fines. In addition, the bill would also protect enrollees from additional costs of services incurred from out of network providers due to inaccurate directories.

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. The accuracy of network provider directories is essential to receiving timely access to the mental and behavioral health services enrollees want and need.

California has made great strides toward expanding coverage for mental health services. This expansion requires health plans to provide an accurate network of providers that is available to enrollees. Inaccurate directories increase the time it takes enrollees to make appointments and delay the delivery of services. Furthermore, inaccurate directories put enrollees at risk of being denied coverage and having to pay out-of-pocket costs due to receiving services from an out-of-network provider. By holding health plans accountable to provide accurate directories and shielding enrollees from potential costs associated to these inaccuracies, enrollees will be able to receive the care they deserve in a timely manner preventing potential crisis from occurring.

It is for these reasons MHAC supports AB 280 (Aguiar-Curry) 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

February 28, 2025

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

RE: Opposition to AB 20 (DeMaio)

Dear Chair Bonta,

Mental Health America of California (MHAC) writes in opposition to AB 20 (DeMaio), legislation that would repeal Housing First in an attempt to end homelessness. However, Housing First is a policy model that prioritizes providing permanent supportive housing to unhoused individuals, immediately ending their homelessness regardless of if they receive services. Repealing Housing First would have the opposite effect to the legislation’s intended purpose, exacerbating homelessness rather than solving it.

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.

Housing First plays a vital role in advancing MHAC’s mission by ensuring that housing remains a stable support for individuals in recovery, particularly for unhoused individuals facing behavioral health challenges. Many unhoused individuals experience substance use and mental health challenges while living on the streets. An analysis of the U.S. Department of Housing and Urban Development’s Continuum of Care Program found that 23% of unhoused Californian’s experience chronic substance abuse.[1] Housing First ensures access to permanent supportive housing by protecting individuals from housing discrimination, irrespective of their substance use, treatment history, or engagement in services. As California continues investing in resources to support our unhoused community, housing remains the most effective tool for getting people off the street. Once housed, individuals are more likely to voluntarily seek out mental and behavioral health services.

It is for these reasons MHAC must oppose AB 20 (DeMaio) and ask for your “No” 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 or our Director of Public Policy, Karen Vicari, at kvicari@mhaofca.org. 

 In Community,

Heidi L. Strunk
President & CEO

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[1] CoC Homeless Populations and Subpopulations Report

February 28, 2025

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

Re: Support for Assembly Bill 641 (Gonzalez)

Dear Chair,

Mental Health America of California (MHAC) is pleased to support AB 641 (Gonzalez), legislation that when funds are appropriated would direct the Depart of Public Health to develop a drug-induced movement disorder awareness program. Drug-induced movement disorders, such as Tardive Dyskinesia, are the result of long-term use of antipsychotic medication for serious mental illness and results in the involuntary and repetitive movement of the face, toros, and/or other body parts.

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.

Among the various choices individuals have for addressing their mental and or behavioral health challenges, taking antipsychotic medication is one option. However, taking antipsychotics comes with its own symptoms and risks, a drug-induced movement disorder being one of them. Due to a lack of awareness and the unpredictability of developing such a disorder, many individuals may not recognize the symptoms or know when to consult their healthcare provider. While the severity of symptoms can range from mild to severe, a drug-induced movement disorder can have lifelong mental and physical impacts, adding to the challenges of managing one’s mental health.

By raising awareness about drug-induced movement disorders, California can ensure that individuals who choose to take antipsychotic medication are well prepared to manage the potential risks. For these reason MHAC supports AB 641 (Gonzalez) 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 or our Director of Public Policy, Karen Vicari, at kvicari@mhaofca.org.  

In Community, 

Heidi L. Strunk 
President & CEO

February 28, 2025

The Honorable Matt Haney
Chair, Assembly Committee on Housing and Community Development
1020 N Street, Room 156
Sacramento, CA 95814

Re: MHAC Support for AB 255 (Haney)

Dear Chair Haney,

Mental Health America of California is writing to express our support of AB 255 (Haney), legislation that would authorize state programs to fund supportive-recovery residences with an emphasis on abstinence.  

MHAC is a peer-run organization that has been 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.

For individuals in recovery who secure permanent supportive housing, many prefer the option of living in a drug and alcohol-free environment. Under the current Housing First model, state-funded housing programs cannot deny housing solely based on drug or alcohol use unless other violations occur. This bill would authorize up to 25% of a county’s total permanent supportive housing inventory to offer a drug- and alcohol-free environment for those who voluntarily choose it. If participation in a supportive recovery residence remains a voluntary choice and is not the individual’s only available housing option, this bill would align with the Housing First model and supports MHAC mission to increase access to essential supports and services.

By respecting an individual’s right to self-determination in choosing the housing environment that best supports their recovery journey, this bill promotes a person-centered approach to care. For these reason MHAC supports AB 255 (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 or our Director of Public Policy, Karen Vicari, at kvicari@mhaofca.org.  

In Community, 

Heidi L. Strunk 
President & CEO