Amended in Senate June 24, 2013

Amended in Assembly May 24, 2013

Amended in Assembly April 17, 2013

Amended in Assembly April 4, 2013

Amended in Assembly March 19, 2013

California Legislature—2013–14 Regular Session

Assembly BillNo. 174

Introduced by Assembly Member Bonta

January 24, 2013

An act to add and repeal Section 124174.7 of the Health and Safety Code, relating to public health.


AB 174, as amended, Bonta. Public school health centers.

Existing law establishes the Public School Health Center Support Program, pursuant to which the State Department of Public Health, in collaboration with the State Department of Education, provides, among other things, technical assistance to school health centers on effective outreach and enrollment strategies to identify children who are eligible for, but not enrolled in, the Medi-Cal program, the Healthy Families Program, or any other applicable program and technical assistance to facilitate and encourage the establishment, retention, or expansion of school health centers.

This bill would require the State Department of Public Health to establish, within the County of Alameda, a grant pilot program within the Public School Health Center Support Program that would be known as Promoting Resilience: Offering Mental Health Interventions to Support Education (PROMISE).begin insert The bill would authorize the department to delegate administrative duties relating to the program to the County of Alameda. By imposing new duties on county employees, the bill would impose a state-mandated local program.end insertbegin delete Theend delete

begin insert Theend insert program would operatebegin delete from September 1, 2014, to August 31, 2015end deletebegin insert for the 2015-16 school yearend insert. The program would provide resources to eligible applicants, including local education agencies, nonprofit organizations, and community health centers, to fund activities and services to directly address the mental health and related needs of students who are impacted by trauma, as specified. The bill would define trauma for these purposes. The bill would require the department, within 60 days following the completion of the program, to submit specified information on the program to the appropriate policy and fiscal committees of the Legislature. The bill would require the department to implement these provisions only to the extent that funding is made available, as specified, and wouldbegin delete requireend deletebegin insert provide thatend insert any administrative costsbegin delete to the department to be paidend deletebegin insert incurred by the state department be reimbursableend insert through nonstate funds. The bill would repeal these provisions on January 1,begin delete 2017end deletebegin insert 2019end insert.

begin insert

The California Constitution requires the state to reimburse local agencies and school districts for certain costs mandated by the state. Statutory provisions establish procedures for making that reimbursement.

end insert
begin insert

This bill would provide that, if the Commission on State Mandates determines that the bill contains costs mandated by the state, reimbursement for those costs shall be made pursuant to these statutory provisions.

end insert

Vote: majority. Appropriation: no. Fiscal committee: yes. State-mandated local program: begin deleteno end deletebegin insertyesend insert.

The people of the State of California do enact as follows:

P2    1


Section 124174.7 is added to the Health and
2Safety Code
, to read:



(a) (1) The State Department of Public Health shall
4establish a grant pilot program within the Public School Health
5Center Support Program to fund activities and services to directly
6address the mental health and related needs of students who are
7impacted by trauma. This grant pilot program shall be named
P3    1Promoting Resilience: Offering Mental Health Interventions to
2Support Education (PROMISE).

3(2) The department shall establish the pilot program in the
4County of Alamedabegin delete, andend deletebegin insert inend insert up to 10 facilities that meet the
5requirements in this sectionbegin delete may participate in the programend delete.begin insert The
6department may delegate administrative duties relating to the
7program to the County of Alameda.end insert

8(3) The program shall operate forbegin delete one year, beginning September
91, 2014, and ending on August 31, 2015end delete
begin insert the 2015-16 school yearend insert.

10(4) Within 60 days following completion of the program, the
11department shall review and compile the results of the summary
12reports prepared by participating facilities pursuant to paragraph
13(3) of subdivision (d) and submit that information to the appropriate
14policy and fiscal committees of the Legislature.

15(b) Grant funds shall be used according to the following

17(1) Grant funds shall be used by eligible applicants to directly
18address the mental health and related needs of students who are
19impacted by trauma.

20(2) Grant funds may be used for the following activities and

22(A) Individual, family, and group counseling.

23(B) Targeted outreach and education.

24(C) Risk screening, triage, and referral to campus-based services.

25(D) Schoolwide violence prevention and response efforts.

26(E) Youth development programming related to trauma and

28(F) Crisis response coordination and services.

29(G) Case management services.

30(H) Coordination with off-campus mental health and support

32(I) Staff training and consultation on supporting students’
33trauma-related needs.

34(J) Oversight, coordination, and evaluation of the above
35activities and services.

36(3) Individual, family, and group counseling funded by a grant
37awarded pursuant to this section may be provided by any of the

39(A) A mental health clinician licensed by the Board of
40Behavioral Sciences, including a licensed marriage and family
P4    1therapist, a licensed clinical social worker, or a licensed educational

3(B) A clinical psychologist licensed by the Board of Psychology.

4(C) A psychiatric nurse practitioner licensed by the Board of
5 Registered Nursing.

6(D) A psychiatrist licensed by the Medical Board of California.

7(E) A school social worker credentialed by the State of

9(F) An unlicensed mental health professional who is registered
10by either the Board of Behavioral Sciences or the Board of
11Psychology, and who is receiving clinical supervision as prescribed
12by that entity.

13(4) Other activities and services, including schoolwide violence
14prevention efforts, shall be provided or overseen by a mental health
15professional as described in subparagraphs (A) through (F),
16inclusive, of paragraph (3).

17(5) Grant funds may be used to provide referrals to
18evidence-based mental health treatment services in the community.

19(c) Grant funds shall be awarded according to the following
20begin delete requirements.end deletebegin insert requirements:end insert

21(1) Eligible applicants shall include:

22(A) Local education agencies.

23(B) Nonprofit organizations.

24(C) Community health centers.

25(D) The county mental health department.

26(2) Grant applications shall comply with all of the following:

27(A) begin deleteApplicants shall describe their end deletebegin insertDescribe the applicant’s end insert
28program to address the mental health and other related needs of
29students who are impacted by trauma, and to foster a positive
30school climate. At a minimum, the program described in the
31application shall include:

32(i) Individual, family, and group counseling.

33(ii) Youth development programming related to trauma and

35(iii) Schoolwide violence prevention and response efforts,
36including, at a minimum, training for staff on trauma and their
37roles in preventing and responding to it.

38(iv) Coordination between school-based and community

P5    1(v) A discussion of any components of the program for which
2funding does not yet exist or is currently insufficient and for which
3they are seeking grant funding.

4(B) Demonstrate the applicant’s ability to provide a dedicated
5space located on the school campus that will serve as the hub of
6the program, that will be youth friendly, and, for middle and high
7schools, that will be regularly accessible to students on a drop-in

begin insert

9(C) Demonstrate that each facility that will provide services is
10capable of providing trauma-informed services to children and

end insert
begin delete


end delete

13begin insert(end insertbegin insertD)end insert Provide evidence of a strong partnership and commitment
14to collaboration between the school and any agencies or
15organizations that will provide mental health, medical, or other
16related services on the school campus, whether funded by this
17grant or another funding source. Specific mechanisms by which
18applicants shall provide this evidence shall be detailed in the
19request for applications, but may include letters of agreement or
20support, memoranda of understanding, or draft, signed

22(3) As detailed in the request for applications, priority for
23awarding a grant shall be given to eligible applicants that
24demonstrate the following:

25(A) High levels of exposure to trauma and violence among the
26target population.

27(B) Limited access to mental health services among the target

29(C) An ability to meet the cultural and linguistic needs of the
30target population.

31(D) An ability to engage and serve subgroups of students within
32the target population who are disproportionately impacted by
33trauma and violence.

34(E) An ability to hire staff with similar backgrounds and
35experiences to the target population and who can therefore enhance
36program impact.

37(F) An ability to obtain additional sources of funding or
38third-party reimbursement to create a robust and sustainable
39school-based mental health program.

P6    1(G) An ability to integrate mental health and related services
2with primary medical care.

3(d) An eligible applicant that receives grant funds shall commit
4to all of the following:

5(1) Establish a written memorandum of understanding (MOU)
6between the school, the school district, and other agencies or
7organizations providing grant-funded mental health, medical, or
8other related services, in an effort to develop a strong collaborative
9partnership between involved entities.

10(A) The collaborative partnership shall do all of the following:

11(i) Include local education agency-employed personnel,
12 including school administrators, teachers, and staff, and any school
13health personnel, including school nurses or social workers.

14(ii) Include personnel employed by other agencies or
15 organizations, including community health centers, who provide
16relevant services on campus.

17(iii) Establish and implement regular communication protocols
18between the school and agencies or organizations.

19(iv) Engage all relevant personnel in identifying students who
20would benefit from mental health or other related services and
21linking them to those services.

22(v) Promote the integration of funded services into the overall
23school environment.

24(B) The MOU shall do both of the following:

25(i) Describe how services are coordinated on the campus and
26how services will be integrated into the overall school environment.

27(ii) Ensure the confidentiality and privacy of both education
28and health information, consistent with applicable federal and state

30(2) Make services available to all students in the school,
31regardless of ability to pay.

32(3) Submit a summary report to the department, within 30 days
33following the completion of the program, that includes a discussion
34of all of the following:

35(A) The activities and services funded through the grant award.

36(B) The number of students served through specific activities
37and services.

38(C) The roles and credentials of personnel funded through the
39grant award.

P7    1(D) Any additional funding sources that are available to enhance
2or sustain activities and services. To the extent possible, grant
3reporting requirements shall be consistent with those required by
4other funding mechanisms that support the program.

5(E) An analysis of the effects of the program on the surrounding

7(e) (1) The department shall implement this section only to the
8extent that funding is made available from the following sources:

9(A) From funding made available through public sources, upon
10appropriation by the Legislature, as applicable, and to the extent
11permitted by law.

12(B) From otherbegin insert, nonstateend insert resources, including federal funding,
13in-kind assistance, private funding, and foundation support for the
14operation and distribution of grants for this program.

15(2) Administrative costsbegin delete to the department for the establishment
16and maintenance of this programend delete
begin insert incurred by the department in
17implementing this sectionend insert
shall bebegin delete paidend deletebegin insert reimbursedend insert through federal
18funding, in-kind assistance, private funding, foundation support,
19and any other nonstate funds.

20(f) For purposes of this section, “trauma” or “trauma exposure”
21is defined as experiencing or being witness to community violence,
22terrorism, disaster, sexual abuse, or other violent acts. The effects
23of trauma or trauma exposure include emotional, cognitive,
24physical, or interpersonal reactions as a result of the event
25witnessed or experienced.

26(g) This section shall remain in effect only until January 1,begin delete 2017end delete
27begin insert 2019end insert, and as of that date is repealed, unless a later enacted statute,
28that is enacted before January 1,begin delete 2017end deletebegin insert 2019end insert, deletes or extends
29that date.

30begin insert

begin insertSEC. 2.end insert  

end insert
begin insert

If the Commission on State Mandates determines that
31this act contains costs mandated by the state, reimbursement to
32local agencies and school districts for those costs shall be made
33pursuant to Part 7 (commencing with Section 17500) of Division
344 of Title 2 of the Government Code.

end insert