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Guide: California bills that would crack down on shady drug rehab practices

Drug treatment experts and public health officials said they see an increase in heroin use that is accompanying a rise in prescription opioid abuse by young people. A report released by the L.A. Department of Public Health Monday said drug overdose is the third leading cause of death and injury in the county.
Southern California is a hub for substance abuse treatment facilities and sober living homes -- including heroin addiction. Two related bills heard in a California Senate committee this week aim to crack down on unscrupulous operators.
(
Daniel Anderson/California Watch
)

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Guide: California bills that would crack down on shady drug rehab practices
Southern California is a hub for substance abuse treatment facilities. It’s a lucrative industry – and this has led to unsavory practices, patient advocates say.

Southern California is a hub for substance abuse treatment facilities. It’s a lucrative industry – and patient advocates say this has led to unsavory practices. 

Two bills that got a hearing this week in the state senate health committee take aim at practices that potentially exploit addicts. What they'd do:

"Patient brokering"

Here's how "patient brokering" works:

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Treatment facilities hire people to recruit patients, often targeting people with insurance. The "broker" gets paid for the referral. 

Sen. Steven Bradford (D-Gardena), who is sponsoring a bill outlawing the practice, says it does more harm than good. 

“What appears as a strong incentive to help addicts hoping to recover has instead invited unscrupulous individuals and programs to take advantage of a vulnerable population," Bradford said. 

SB 1268 would make patient brokering a misdemeanor, punishable by a $2,500 fine. 

 

Rehab facility oversight

A second bill , sponsored by Sen. Ed Hernandez (D-West Covina), seeks tighter oversight for treatment facilities. It would also require state health officials to establish a voluntary registration system by July 2020 for unlicensed recovery homes.

Such facilities, often called "sober living homes," are not supposed to provide treatment.  Critics say there is little accountability.

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"Some of them actually start providing treatment services in these homes without licensure, and advertising that this is what they have, is a treatment facility, when in fact they do not have a treatment facility," said Al Senella, president of the California Association of Alcohol and Drug Program Executives, and CEO of a treatment program in Tarzana. 

SB 992 also seeks to close loopholes that allow some facilities to skirt licensing laws if they claim to provide services for less than 24 hours a day.

 

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