Los Angeles

LA County Board

August 11, 2026 Item #10

Agenda Item 10

10. Exploring a Pilot to Authorize Emergency Room Physicians under the Lanterman-Petris-Short Act to Improve the Alternative Crisis Response System in LA County Recommendation as submitted by Supervisors Hahn and Horvath: Instruct the Director of Mental Health to report back to the Board in writing in 120 days, and provide quarterly status updates at the Health and Mental Health cluster, thereafter, on the following: The status and timeline for implementing a pilot program to train and authorize Emergency Room (ER) physicians to conduct 5150 evaluations in at least five non-DHS, non-Lanterman-Petris-Short Act (LPS) designated hospitals by the end of 2026, with particular focus on hospitals in communities with the highest reliance on Psychiatric Mobile Response Teams (PMRTs) for crisis evaluation support, including the hospitals engaged by the Department of Mental Health (DMH), their readiness to participate, anticipated implementation timelines, and any unresolved barriers to participation; Protocols to ensure appropriate training, certification, and oversight by DMH with respect to the expansion of LPS authorization to ER physicians; and A plan for phased expansion to all non-DHS, non-LPS designated hospitals in the County by the end of 2027, prioritizing facilities with the highest PMRT utilization and based on lessons learned from the pilot. (26-4711) Motion by Supervisors Hahn and Horvath (Updates Following Cluster) Executive Office