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California Enhances CARE Act with SB 27 Signing, Expanding Access to Mental Health Services and Addressing Homelessness

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Published on October 10, 2025
California Enhances CARE Act with SB 27 Signing, Expanding Access to Mental Health Services and Addressing HomelessnessSource: Governor Newsom press release

In a decisive move addressing mental health and homelessness crises, Governor Gavin Newsom has signed SB 27 into law. This legislation strengthens California's Community Assistance, Recovery, and Empowerment (CARE) Act, broadening access to behavioral health services and fortifying a coordinated effort across state courts and local agencies. The CARE Act, established in 2023, has since been a pivot in California's handling of mental illness, aiming to offer court-supervised pathways into care and housing for individuals with severe mental health conditions.

According to an announcement by Governor Newsom, "California doesn't sit on the sidelines while people fall through the cracks." His administration has prioritized connecting those suffering on the streets to the care they require, framing the CARE Court concept as not just an intervention but a dignity-restoring initiative. Despite not traditionally leading mental health initiatives, criminal court judges will now consider CARE as a frontline option for misdemeanor defendants under SB 27, which can seriously change the trajectory of mental illness in offenders.

The legislation pushes for closer coordination between the criminal justice system and mental health care, as many defendants with mental illness often find themselves repeatedly cycling in and out of jail. With CARE Court, there's a robustly outlined path for these individuals to secure critical support, including mental health care and housing, potentially breaking this punitive loop. Senator Thomas Umberg, who introduced SB 27, praised the bill's balanced and compassionate approach, which upholds accountability for both institutions and individuals, avoiding the extremes of heavy-handed executive orders or a negligent laissez-faire attitude.

Arguably signaling a shift in tackling unsheltered homelessness, Governor Newsom's administration boasts of substantial declines in homelessness numbers in California's largest communities. This, coupled with the positive outlook presented by the bill, paints a hopeful picture of a state working towards repairing its mental health care system that had long been languishing since its disassembly under then-Governor Reagan. Now, with more Californians eligible for CARE, the state might witness an upturn in how mental health crises are managed and, ultimately, reduced.

While the nation struggled with increasing homelessness, California reported a modest 3% growth compared to a national uptick of over 18%. This statistic, coupled with SB 27's framework, reasserts California's commitment to addressing mental illness with what appears to be a strategy that balances compassion and accountability. Even as Governor Newsom has made policy and structural changes since taking office in 2019, initiatives such as CARE Court are steps taken with an intention to offer recovery paths over incarceration for those battling severe mental illness.

With the CARE Act's scope now extended to include individuals with bipolar I disorder with psychotic features, California embarks on further refining its already groundbreaking approach to mental health crises. Through SB 27, care is not just an ideal but an actionable plan intended to reach those teetering on the edge of the system's cracks.

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