The Assembly Budget Subcommittee No. 1 on Health and Human Services convened on April 17, 2023, to discuss critical updates regarding California's suicide prevention initiatives and the implementation of the 988 crisis hotline. The meeting highlighted the ongoing efforts to enhance mental health support across the state, particularly through the 988 system, which has been operational since July 2022.

The session began with Sherry Sinwelski from Dee Dee Hirsch, who acknowledged the emotional weight of the topic, recognizing individuals affected by suicide. She emphasized the importance of the 988 hotline, which has become a vital resource, responding to over 260,000 contacts annually. Sinwelski noted that California's 988 crisis centers are recognized nationally for their effective implementation and best practices, with a significant portion of contacts coming from young people under 24.

Sinwelski reported that approximately 96% of contacts are resolved without further intervention, showcasing the effectiveness of the crisis counselors. She also mentioned the diverse demographic of help seekers, with a notable representation from Black, Indigenous, and people of color communities. The meeting underscored the need for sustainable funding to support the growing demand for 988 services, especially as awareness increases.

Michelle Cabaretta from the California Behavioral Health Directors Association (CBHDA) followed, discussing the integration of mobile crisis services with the 988 hotline. She highlighted the challenges faced in rural areas and the necessity for flexible service models. Cabaretta expressed gratitude for state investments that have laid the groundwork for these services and emphasized the importance of removing barriers to access, particularly regarding insurance reimbursement for crisis services.

The discussion also touched on the legislative framework surrounding the 988 system, with representatives from the Department of Finance and the Department of Healthcare Services echoing the need for collaboration to ensure effective implementation. They addressed the complexities of aligning reimbursement processes for mobile crisis services with existing emergency service standards.

As the meeting concluded, the committee members expressed optimism about the progress made and the collaborative efforts required to build a robust mental health support system in California. The overarching goal remains clear: to create a comprehensive crisis care continuum that effectively addresses mental health emergencies and saves lives. The next steps will involve continued dialogue and refinement of the strategies discussed to ensure that all Californians have access to the help they need.