✅ Cell fee to fund 988 crisis hotline

llustration by Miguel Gutierrez Jr., CalMatters; iStock
llustration by Miguel Gutierrez Jr., CalMatters; iStock

By Jocelyn Wiener

WHAT THE BILL WOULD DO

AB 988 would raise funds to support call centers and mobile crisis teams associated with the new three-digit federal mental health crisis hotline, also 988. The bill would attach a fee to cell phone lines.That fee has been lowered significantly in negotiations with the telecommunications industry, which in turn has dropped its opposition.

WHO SUPPORTS IT

The Steinberg Institute and The Kennedy Forum, co-sponsors of the bill, point to a rise in mental health needs, which has been further aggravated by the pandemic. They say the fee is an important way to make sure the services associated with the hotline are adequately funded.

WHO IS OPPOSED

The California Association of Health Plans is opposing the bill, saying amendments to it have created a broad new mandate on insurers without a chance for stakeholders to weigh in. County mental health directors and the union that represents county mental health employees called for the bill to be amended, saying they want private insurers to pitch in more, and that they fear implementation may be patchy and variable among counties without sufficient funding. 

WHY IT MATTERS

In July, the new federal 988 number debuted in California and across the country. The number, billed as an alternative to 911, is intended to make it easier for people experiencing mental health emergencies to tap into the state’s network of National Suicide Prevention Lifeline call centers. But to build out the system as envisioned, including providing mobile crisis response, proponents of the cell phone fee say the state needs ongoing funding.

GOVERNOR’S CALL

Newsom signed the bill on Sept. 29, but directed his administration to draft “cleanup language” in the governor’s budget next year because the use of the revenue is “unduly restricted.”

“This creates considerable confusion about how certain services will be financed, and could severely limit the full potential of the behavioral health crisis response promised by the bill,” he said in a signing statement.

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