Article 4. Scope Of Compensation of California Government Code >> Division 3. >> Title 2. >> Part 4. >> Chapter 5. >> Article 4.
(a) The board may grant for pecuniary loss, when the board
determines it will best aid the person seeking compensation, as
follows:
(1) Subject to the limitations set forth in Section 13957.2,
reimburse the amount of medical or medical-related expenses incurred
by the victim for services that were provided by a licensed medical
provider, including, but not limited to, eyeglasses, hearing aids,
dentures, or any prosthetic device taken, lost, or destroyed during
the commission of the crime, or the use of which became necessary as
a direct result of the crime.
(2) Subject to the limitations set forth in Section 13957.2,
reimburse the amount of outpatient psychiatric, psychological, or
other mental health counseling-related expenses incurred by the
victim or derivative victim, including peer counseling services
provided by a rape crisis center as defined by Section 13837 of the
Penal Code, and including family psychiatric, psychological, or
mental health counseling for the successful treatment of the victim
provided to family members of the victim in the presence of the
victim, whether or not the family member relationship existed at the
time of the crime, that became necessary as a direct result of the
crime, subject to the following conditions:
(A) The following persons may be reimbursed for the expense of
their outpatient mental health counseling in an amount not to exceed
ten thousand dollars ($10,000):
(i) A victim.
(ii) A derivative victim who is the surviving parent, grandparent,
sibling, child, grandchild, spouse, fiancé, or fiancée of a victim
of a crime that directly resulted in the death of the victim.
(iii) A derivative victim, as described in paragraphs (1) to (4),
inclusive, of subdivision (c) of Section 13955, who is the primary
caretaker of a minor victim whose claim is not denied or reduced
pursuant to Section 13956 in a total amount not to exceed ten
thousand dollars ($10,000) for not more than two derivative victims.
(B) The following persons may be reimbursed for the expense of
their outpatient mental health counseling in an amount not to exceed
five thousand dollars ($5,000):
(i) A derivative victim not eligible for reimbursement pursuant to
subparagraph (A), provided that mental health counseling of a
derivative victim described in paragraph (5) of subdivision (c) of
Section 13955, shall be reimbursed only if that counseling is
necessary for the treatment of the victim.
(ii) A minor who suffers emotional injury as a direct result of
witnessing a violent crime and who is not eligible for reimbursement
of the costs of outpatient mental health counseling under any other
provision of this chapter. To be eligible for reimbursement under
this clause, the minor must have been in close proximity to the
victim when he or she witnessed the crime.
(C) The board may reimburse a victim or derivative victim for
outpatient mental health counseling in excess of that authorized by
subparagraph (A) or (B) or for inpatient psychiatric, psychological,
or other mental health counseling if the claim is based on dire or
exceptional circumstances that require more extensive treatment, as
approved by the board.
(D) Expenses for psychiatric, psychological, or other mental
health counseling-related services may be reimbursed only if the
services were provided by either of the following individuals:
(i) A person who would have been authorized to provide those
services pursuant to former Article 1 (commencing with Section 13959)
as it read on January 1, 2002.
(ii) A person who is licensed in California to provide those
services, or who is properly supervised by a person who is licensed
in California to provide those services, subject to the board's
approval and subject to the limitations and restrictions the board
may impose.
(3) Subject to the limitations set forth in Section 13957.5,
authorize compensation equal to the loss of income or loss of
support, or both, that a victim or derivative victim incurs as a
direct result of the victim's or derivative victim's injury or the
victim's death. If the victim or derivative victim requests that the
board give priority to reimbursement of loss of income or support,
the board may not pay medical expenses, or mental health counseling
expenses, except upon the request of the victim or derivative victim
or after determining that payment of these expenses will not decrease
the funds available for payment of loss of income or support.
(4) Authorize a cash payment to or on behalf of the victim for job
retraining or similar employment-oriented services.
(5) Reimburse the expense of installing or increasing residential
security, not to exceed one thousand dollars ($1,000). Installing or
increasing residential security may include, but need not be limited
to, both of the following:
(A) Home security device or system.
(B) Replacing or increasing the number of locks.
(6) Reimburse the expense of renovating or retrofitting a victim's
residence, or the expense of modifying or purchasing a vehicle, to
make the residence or the vehicle accessible or operational by a
victim upon verification that the expense is medically necessary for
a victim who is permanently disabled as a direct result of the crime,
whether the disability is partial or total.
(7) (A) Authorize a cash payment or reimbursement not to exceed
two thousand dollars ($2,000) to a victim for expenses incurred in
relocating, if the expenses are determined by law enforcement to be
necessary for the personal safety of the victim or by a mental health
treatment provider to be necessary for the emotional well-being of
the victim.
(B) The cash payment or reimbursement made under this paragraph
shall only be awarded to one claimant per crime giving rise to the
relocation. The board may authorize more than one relocation per
crime if necessary for the personal safety or emotional well-being of
the claimant. However, the total cash payment or reimbursement for
all relocations due to the same crime shall not exceed two thousand
dollars ($2,000). For purposes of this paragraph a claimant is the
crime victim, or, if the victim is deceased, a person who resided
with the deceased at the time of the crime.
(C) The board may, under compelling circumstances, award a second
cash payment or reimbursement to a victim for another crime if both
of the following conditions are met:
(i) The crime occurs more than three years from the date of the
crime giving rise to the initial relocation cash payment or
reimbursement.
(ii) The crime does not involve the same offender.
(D) When a relocation payment or reimbursement is provided to a
victim of sexual assault or domestic violence and the identity of the
offender is known to the victim, the victim shall agree not to
inform the offender of the location of the victim's new residence and
not to allow the offender on the premises at any time, or shall
agree to seek a restraining order against the offender. A victim may
be required to repay the relocation payment or reimbursement to the
board if he or she violates the terms set forth in this paragraph.
(E) Notwithstanding subparagraphs (A) and (B), the board may
increase the cash payment or reimbursement for expenses incurred in
relocating to an amount greater than two thousand dollars ($2,000),
if the board finds this amount is appropriate due to the unusual,
dire, or exceptional circumstances of a particular claim.
(F) If a security deposit is required for relocation, the board
shall be named as the recipient and receive the funds upon expiration
of the victim's rental agreement.
(8) When a victim dies as a result of a crime, the board may
reimburse any individual who voluntarily, and without anticipation of
personal gain, pays or assumes the obligation to pay any of the
following expenses:
(A) The medical expenses incurred as a direct result of the crime
in an amount not to exceed the rates or limitations established by
the board.
(B) The funeral and burial expenses incurred as a direct result of
the crime, not to exceed seven thousand five hundred dollars
($7,500). The board shall not create or comply with a regulation or
policy that mandates a lower maximum potential amount of an award
pursuant to this subparagraph for less than seven thousand five
hundred dollars ($7,500).
(9) When the crime occurs in a residence or inside a vehicle, the
board may reimburse any individual who voluntarily, and without
anticipation of personal gain, pays or assumes the obligation to pay
the reasonable costs to clean the scene of the crime in an amount not
to exceed one thousand dollars ($1,000). Services reimbursed
pursuant to this subdivision shall be performed by persons registered
with the State Department of Public Health as trauma scene waste
practitioners in accordance with Chapter 9.5 (commencing with Section
118321) of Part 14 of Division 104 of the Health and Safety Code.
(10) When the crime is a violation of Section 600.2 or 600.5 of
the Penal Code, the board may reimburse the expense of veterinary
services, replacement costs, or other reasonable expenses, as ordered
by the court pursuant to Section 600.2 or 600.5 of the Penal Code,
in an amount not to exceed ten thousand dollars ($10,000).
(11) An award of compensation pursuant to paragraph (5) of
subdivision (f) of Section 13955 shall be limited to compensation to
provide mental health counseling and shall not limit the eligibility
of a victim for an award that he or she may be otherwise entitled to
receive under this part. A derivative victim shall not be eligible
for compensation under this provision.
(b) The total award to or on behalf of each victim or derivative
victim may not exceed thirty-five thousand dollars ($35,000), except
that this award may be increased to an amount not exceeding seventy
thousand dollars ($70,000) if federal funds for that increase are
available.
(a) The board may establish maximum rates and service
limitations for reimbursement of medical and medical-related services
and for mental health and counseling services. The adoption,
amendment, and repeal of these service limitations and maximum rates
shall not be subject to the rulemaking provision of the
Administrative Procedure Act (Chapter 3.5 (commencing with Section
11340) of Part 1). An informational copy of the service limitations
and maximum rates shall be filed with the Secretary of State upon
adoption by the board. Any reduction in the maximum rates or service
limitations shall not affect payment or reimbursement of losses
incurred prior to three months after the adoption of the reduction. A
provider who accepts payment from the program for a service shall
accept the program's rates as payment in full and shall not accept
any payment on account of the service from any other source if the
total of payments accepted would exceed the maximum rate set by the
board for that service. A provider shall not charge a victim or
derivative victim for any difference between the cost of a service
provided to a victim or derivative victim and the program's payment
for that service. To ensure service limitations that are uniform and
appropriate to the levels of treatment required by the victim or
derivative victim, the board may review all claims for these services
as necessary to ensure their medical necessity.
(b) The board may request an independent examination and report
from any provider of medical or medical-related services or
psychological or psychiatric treatment or mental health counseling
services, if it believes there is a reasonable basis for requesting
an additional evaluation. The victim or derivative victim shall be
notified of the name of the provider who is to perform the evaluation
within 30 calendar days of that determination. In cases where the
crime involves sexual assault, the provider shall have expertise in
the needs of sexual assault victims. In cases where the crime
involves child abuse or molestation, the provider shall have
expertise in the needs of victims of child abuse or molestation, as
appropriate. When a reevaluation is requested, payments shall not be
discontinued prior to completion of the reevaluation.
(c) Reimbursement for any medical, medical-related, or mental
health services shall, if the application has been approved, be paid
by the board within an average of 90 days from receipt of the claim
for payment. Payments to a medical or mental health provider may not
be discontinued prior to completion of any reevaluation. Whether or
not a reevaluation is obtained, if the board determines that payments
to a provider will be discontinued, the board shall notify the
provider of their discontinuance within 30 calendar days of its
determination.
(a) In authorizing compensation for loss of income and
support pursuant to paragraph (3) of subdivision (a) of Section
13957, the board may take any of the following actions:
(1) Compensate the victim for loss of income directly resulting
from the injury, except that loss of income may not be paid by the
board for more than five years following the crime, unless the victim
is disabled as defined in Section 416(i) of Title 42 of the United
States Code, as a direct result of the injury.
(2) Compensate an adult derivative victim for loss of income,
subject to all of the following:
(A) The derivative victim is the parent or legal guardian of a
victim, who at the time of the crime was under the age of 18 years
and is hospitalized as a direct result of the crime.
(B) The minor victim's treating physician certifies in writing
that the presence of the victim's parent or legal guardian at the
hospital is necessary for the treatment of the victim.
(C) Reimbursement for loss of income under this paragraph may not
exceed the total value of the income that would have been earned by
the adult derivative victim during a 30-day period.
(3) Compensate an adult derivative victim for loss of income,
subject to all of the following:
(A) The derivative victim is the parent or legal guardian of a
victim who at the time of the crime was under the age of 18 years.
(B) The victim died as a direct result of the crime.
(C) The board shall pay for loss of income under this paragraph
for not more than 30 calendar days from the date of the victim's
death.
(4) Compensate a derivative victim who was legally dependent on
the victim at the time of the crime for the loss of support incurred
by that person as a direct result of the crime, subject to both of
the following:
(A) Loss of support shall be paid by the board for income lost by
an adult for a period up to, but not more than, five years following
the date of the crime.
(B) Loss of support shall not be paid by the board on behalf of a
minor for a period beyond the child's attaining the age of 18 years.
(b) The total amount payable to all derivative victims pursuant to
this section as the result of one crime may not exceed seventy
thousand dollars ($70,000).
(a) No reimbursement may be made for any expense that is
submitted more than three years after it is incurred by the victim or
derivative victim. However, reimbursement may be made for an expense
submitted more than three years after the date it is incurred if the
victim or derivative victim has affirmed the debt and is liable for
the debt at the time the expense is submitted for reimbursement, or
has paid the expense as a direct result of a crime for which a timely
application has been filed or has paid the expense as a direct
result of a crime for which an application has been filed and
approved.
(b) Compensation made pursuant to this chapter may be on a
one-time or periodic basis. If periodic, the board may increase,
reduce, or terminate the amount of compensation according to the
applicant's need, subject to the maximum limits provided in this
chapter.
(c) (1) The board may authorize direct payment to a provider of
services that are reimbursable pursuant to this chapter and may make
those payments prior to verification. However, the board may not,
without good cause, authorize a direct payment to a provider over the
objection of the victim or derivative victim.
(2) Reimbursement on the initial claim for any psychological,
psychiatric, or mental health counseling services shall, if the
application has been approved, be paid by the board within 90 days of
the date of receipt of the claim for payment, with subsequent
payments to be made to the provider within one month of the receipt
of a claim for payment.
(d) Payments for peer counseling services provided by a rape
crisis center may not exceed fifteen dollars ($15) for each hour of
services provided. Those services shall be limited to in-person
counseling for a period not to exceed 10 weeks plus one series of
facilitated support group counseling sessions.
(e) The board shall develop procedures to ensure that a victim is
using compensation for job retraining or relocation only for its
intended purposes. The procedures may include, but need not be
limited to, requiring copies of receipts, agreements, or other
documents as requested, or developing a method for direct payment.
(f) Compensation granted pursuant to this chapter shall not
disqualify an otherwise eligible applicant from participation in any
other public assistance program.
(g) The board shall pay attorney's fees representing the
reasonable value of legal services rendered to the applicant, in an
amount equal to 10 percent of the amount of the award, or five
hundred dollars ($500), whichever is less, for each victim and each
derivative victim. The board may request that an attorney provide
verification of legal services provided to an applicant and the board
may contact an applicant to verify that legal services were
provided. An attorney receiving fees from another source may waive
the right to receive fees under this subdivision. Payments under this
subdivision shall be in addition to any amount authorized or ordered
under subdivision (b) of Section 13960. An attorney may not charge,
demand, receive, or collect any amount for services rendered in
connection with any proceedings under this chapter except as awarded
under this chapter.
(h) A private nonprofit agency shall be reimbursed for its
services at the level of the normal and customary fee charged by the
private nonprofit agency to clients with adequate means of payment
for its services, except that this reimbursement may not exceed the
maximum reimbursement rates set by the board and may be made only to
the extent that the victim otherwise qualifies for compensation under
this chapter and that other reimbursement or direct subsidies are
not available to serve the victim.
(a) In addition to the authorization provided in Section
13957 and subject to the limitations set forth in Section 13957.2,
the board may grant for pecuniary loss, when the board determines it
will best aid the person seeking compensation, reimbursement of the
amount of outpatient psychiatric, psychological, or other mental
health counseling-related expenses incurred by the victim or
derivative victim, including peer counseling services provided by
violence peer counseling services provided by a service organization
for victims of violent crime, and including family psychiatric,
psychological, or mental health counseling for the successful
treatment of the victim provided to family members of the victim in
the presence of the victim, whether or not the family member
relationship existed at the time of the crime, that became necessary
as a direct result of the crime, subject to the following conditions:
(1) The following persons may be reimbursed for the expense of
their outpatient mental health counseling in an amount not to exceed
ten thousand dollars ($10,000):
(A) A victim.
(B) A derivative victim who is the surviving parent, sibling,
child, spouse, fiancé, or fiancée of a victim of a crime that
directly resulted in the death of the victim.
(C) A derivative victim, as described in paragraphs (1) to (4),
inclusive, of subdivision (c) of Section 13955, who is the primary
caretaker of a minor victim whose claim is not denied or reduced
pursuant to Section 13956 in a total amount not to exceed ten
thousand dollars ($10,000) for not more than two derivative victims.
(2) The following persons may be reimbursed for the expense of
their outpatient mental health counseling in an amount not to exceed
five thousand dollars ($5,000):
(A) A derivative victim not eligible for reimbursement pursuant to
paragraph (1), provided that mental health counseling of a
derivative victim described in paragraph (5) of subdivision (c) of
Section 13955, shall be reimbursed only if that counseling is
necessary for the treatment of the victim.
(B) A victim of a crime of unlawful sexual intercourse with a
minor committed in violation of subdivision (d) of Section 261.5 of
the Penal Code. A derivative victim of a crime committed in violation
of subdivision (d) of Section 261.5 of the Penal Code shall not be
eligible for reimbursement of mental health counseling expenses.
(C) A minor who suffers emotional injury as a direct result of
witnessing a violent crime and who is not eligible for reimbursement
of the costs of outpatient mental health counseling under any other
provision of this chapter. To be eligible for reimbursement under
this clause, the minor must have been in close proximity to the
victim when he or she witnessed the crime.
(3) The board may reimburse a victim or derivative victim for
outpatient mental health counseling in excess of that authorized by
paragraph (1) or (2) or for inpatient psychiatric, psychological, or
other mental health counseling if the claim is based on dire or
exceptional circumstances that require more extensive treatment, as
approved by the board.
(4) Expenses for psychiatric, psychological, or other mental
health counseling-related services may be reimbursed only if the
services were provided by either of the following individuals:
(A) A person who would have been authorized to provide those
services pursuant to former Article 1 (commencing with Section 13959)
as it read on January 1, 2002.
(B) A person who is licensed by the state to provide those
services, or who is properly supervised by a person who is so
licensed, subject to the board's approval and subject to the
limitations and restrictions the board may impose.
(b) The total award to or on behalf of each victim or derivative
victim may not exceed thirty-five thousand dollars ($35,000), except
that this amount may be increased to seventy thousand dollars
($70,000) if federal funds for that increase are available.
(c) For the purposes of this section, the following definitions
shall apply:
(1) "Service organization for victims of violent crime" means a
nonprofit and charitable organization that meets both of the
following criteria:
(A) Its primary mission is to provide services to victims of
violent crime.
(B) It provides programs or services to victims of violent crime
and their families, and other programs, whether or not a similar
program exists in an agency that provides additional services.
(2) "Violence peer counseling services" means counseling by a
violence peer counselor for the purpose of rendering advice or
assistance for victims of violent crime and their families. Any
violence peer counseling services that fall under the scope of
practice of the Licensed Marriage and Family Therapist Act (Chapter
13 (commencing with Section 4980) of Division 2 of the Business and
Professions Code), the Educational Psychologist Practice Act (Chapter
13.5 (commencing with Section 4989.10) of Division 2 of the Business
and Professions Code), the Clinical Social Worker Practice Act
(Chapter 14 (commencing with Section 4991) of Division 2 of the
Business and Professions Code), and the Licensed Professional
Clinical Counselor Act (Chapter 16 (commencing with Section 4999.10)
of Division 2 of the Business and Professions Code), which are not
performed in an exempt setting as defined in Sections 4980.01,
4996.14, and 4999.22 of the Business and Professions Code, shall only
be performed by a licensee or a registrant of the Board of
Behavioral Sciences or other appropriately licensed professional,
such as a licensed psychologist or board certified psychiatrist.
(3) "Violence peer counselor" means a provider of supportive and
nonpsychotherapeutic peer counseling services who is employed by a
service organization for victims of violent crime, whether
financially compensated or not, and who meets all of the following
requirements:
(A) Possesses at least six months of full-time equivalent
experience in providing peer support services acquired through
employment, volunteer work, or as part of an internship experience.
(B) Completed a training program aimed at preparing an individual
who was once a mental health services consumer to use his or her life
experience with mental health treatment, combined with other
strengths and skills, to promote the mental health recovery of other
mental health services consumers who are in need of peer-based
services relating to recovery as a victim of a violent crime.
(C) Possesses 40 hours of training on all of the following:
(i) The profound neurological, biological, psychological, and
social effects of trauma and violence.
(ii) Peace-building and violence prevention strategies, including,
but not limited to, conflict mediation and retaliation prevention
related to gangs and gang-related violence.
(iii) Post-traumatic stress disorder and vicarious trauma,
especially as related to gangs and gang-related violence.
(iv) Case management practices, including, but not limited to,
ethics and victim compensation advocacy.
(D) When providing violence peer counseling services, is
supervised by a marriage and family therapist licensed pursuant to
Chapter 13 (commencing with Section 4980) of Division 2 of the
Business and Professions Code, a licensed educational psychologist
licensed pursuant to Chapter 13.5 (commencing with Section 4989.10)
of Division 2 of the Business and Professions Code, a clinical social
worker licensed pursuant to Chapter 14 (commencing with Section
4991) of Division 2 of the Business and Professions Code, or a
licensed professional clinical counselor licensed pursuant to Chapter
16 (commencing with Section 4999.10) of Division 2 of the Business
and Professions Code. For the purposes of this subparagraph, a
licensed marriage and family therapist, licensed educational
psychologist, licensed clinical social worker, or licensed
professional clinical counselor shall be employed by the same service
organization as the violence peer counselor.
(d) This section shall remain in effect only until January 1,
2017, and as of that date is repealed, unless a later enacted
statute, that is enacted before January 1, 2017, deletes or extends
that date.
The board shall approve or deny applications, based on
recommendations of the board staff, within an average of 90 calendar
days and no later than 180 calendar days of acceptance by the board
or victim center.
(a) If the board does not meet the 90-day average standard
prescribed in this subdivision, the board shall, thereafter, report
to the Legislature, on a quarterly basis, its progress and its
current average time of processing applications. These quarterly
reports shall continue until the board meets the 90-day average
standard for two consecutive quarters.
(b) If the board fails to approve or deny an individual
application within 180 days of the date it is accepted, pursuant to
this subdivision, the board shall advise the applicant and his or her
representative, in writing, of the reason for the failure to approve
or deny the application.