Amended in Senate September 3, 2013

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 delete 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 delete

The program would operate for the 2015-16 school year. 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 madebegin delete available, as specified, and would provide that any administrative costs incurred by the state department be reimbursable through nonstate funds.end deletebegin insert available from nonstate resources, as specified.end insert The bill would repeal these provisions on January 1, 2019.

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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.

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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.

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Vote: majority. Appropriation: no. Fiscal committee: yes. State-mandated local program: begin deleteyes end deletebegin insertnoend 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 Alameda in up to 10 facilities that meet the requirements
5in this section.begin delete The department may delegate administrative duties
6relating to the program to the County of Alameda.end delete

7(3) The program shall operate for the 2015-16 school year.

8(4) Within 60 days following completion of the program, the
9department shall review and compile the results of the summary
10reports prepared by participating facilities pursuant to paragraph
11(3) of subdivision (d) and submit that information to the appropriate
12policy and fiscal committees of the Legislature.

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

15(1) Grant funds shall be used by eligible applicants to directly
16address the mental health and related needs of students who are
17impacted by trauma.

18(2) Grant funds may be used for the following activities and

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

21(B) Targeted outreach and education.

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

23(D) Schoolwide violence prevention and response efforts.

24(E) Youth development programming related to trauma and

26(F) Crisis response coordination and services.

27(G) Case management services.

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

30(I) Staff training and consultation on supporting students’
31trauma-related needs.

32(J) Oversight, coordination, and evaluation of the above
33activities and services.

34(3) Individual, family, and group counseling funded by a grant
35awarded pursuant to this section may be provided by any of the

37(A) A mental health clinician licensed by the Board of
38Behavioral Sciences, including a licensed marriage and family
39therapist, a licensed clinical social worker, or a licensed educational

P4    1(B) A clinical psychologist licensed by the Board of Psychology.

2(C) A psychiatric nurse practitioner licensed by the Board of
3 Registered Nursing.

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

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

7(F) An unlicensed mental health professional who is registered
8by either the Board of Behavioral Sciences or the Board of
9Psychology, and who is receiving clinical supervision as prescribed
10by that entity.

11(4) Other activities and services, including schoolwide violence
12prevention efforts, shall be provided or overseen by a mental health
13professional as described in subparagraphs (A) through (F),
14inclusive, of paragraph (3).

15(5) Grant funds may be used to provide referrals to
16evidence-based mental health treatment services in the community.

17(c) Grant funds shall be awarded according to the following

19(1) Eligible applicants shall include:

20(A) Local education agencies.

21(B) Nonprofit organizations.

22(C) Community health centers.

23(D) The county mental health department.

24(2) Grant applications shall comply with all of the following:

25(A) Describe the applicant’s program to address the mental
26health and other related needs of students who are impacted by
27trauma, and to foster a positive school climate. At a minimum, the
28program described in the application shall include:

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

30(ii) Youth development programming related to trauma and

32(iii) Schoolwide violence prevention and response efforts,
33including, at a minimum, training for staff on trauma and their
34roles in preventing and responding to it.

35(iv) Coordination between school-based and community

37(v) A discussion of any components of the program for which
38funding does not yet exist or is currently insufficient and for which
39they are seeking grant funding.

P5    1(B) Demonstrate the applicant’s ability to provide a dedicated
2space located on the school campus that will serve as the hub of
3the program, that will be youth friendly, and, for middle and high
4schools, that will be regularly accessible to students on a drop-in

6(C) Demonstrate that each facility that will provide services is
7capable of providing trauma-informed services to children and

9(D) Provide evidence of a strong partnership and commitment
10to collaboration between the school and any agencies or
11organizations that will provide mental health, medical, or other
12related services on the school campus, whether funded by this
13grant or another funding source. Specific mechanisms by which
14applicants shall provide this evidence shall be detailed in the
15request for applications, but may include letters of agreement or
16support, memoranda of understanding, or draft, signed

18(3) As detailed in the request for applications, priority for
19awarding a grant shall be given to eligible applicants that
20demonstrate the following:

21(A) High levels of exposure to trauma and violence among the
22target population.

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

25(C) An ability to meet the cultural and linguistic needs of the
26target population.

27(D) An ability to engage and serve subgroups of students within
28the target population who are disproportionately impacted by
29trauma and violence.

30(E) An ability to hire staff with similar backgrounds and
31experiences to the target population and who can therefore enhance
32program impact.

33(F) An ability to obtain additional sources of funding or
34third-party reimbursement to create a robust and sustainable
35school-based mental health program.

36(G) An ability to integrate mental health and related services
37with primary medical care.

38(d) An eligible applicant that receives grant funds shall commit
39to all of the following:

P6    1(1) Establish a written memorandum of understanding (MOU)
2between the school, the school district, and other agencies or
3organizations providing grant-funded mental health, medical, or
4other related services, in an effort to develop a strong collaborative
5partnership between involved entities.

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

7(i) Include local education agency-employed personnel,
8 including school administrators, teachers, and staff, and any school
9health personnel, including school nurses or social workers.

10(ii) Include personnel employed by other agencies or
11 organizations, including community health centers, who provide
12relevant services on campus.

13(iii) Establish and implement regular communication protocols
14between the school and agencies or organizations.

15(iv) Engage all relevant personnel in identifying students who
16would benefit from mental health or other related services and
17linking them to those services.

18(v) Promote the integration of funded services into the overall
19school environment.

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

21(i) Describe how services are coordinated on the campus and
22how services will be integrated into the overall school environment.

23(ii) Ensure the confidentiality and privacy of both education
24and health information, consistent with applicable federal and state

26(2) Make services available to all students in the school,
27regardless of ability to pay.

28(3) Submit a summary report to the department, within 30 days
29following the completion of the program, that includes a discussion
30of all of the following:

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

32(B) The number of students served through specific activities
33and services.

34(C) The roles and credentials of personnel funded through the
35grant award.

36(D) Any additional funding sources that are available to enhance
37or sustain activities and services. To the extent possible, grant
38reporting requirements shall be consistent with those required by
39other funding mechanisms that support the program.

P7    1(E) An analysis of the effects of the program on the surrounding

3(e) (1) The department shall implement this section only to the
4extent that funding is made available frombegin delete the following sources:end delete

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5(A) From funding made available through public sources, upon
6appropriation by the Legislature, as applicable, and to the extent
7permitted by law.

end delete

8begin delete(B)end deletebegin deleteend deletebegin deleteFrom other,end delete nonstate resources, including federal funding,
9in-kind assistance, private funding, and foundation support for the
10operation and distribution of grants for this programbegin delete.end delete

11begin delete(2)end deletebegin deleteend deletebegin deleteAdministrativeend deletebegin insert and for administrativeend insert costs incurred by the
12department in implementing this sectionbegin delete shall be reimbursed
13through federal funding, in-kind assistance, private funding,
14foundation support, and any other nonstate fundsend delete

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15(2) The department may work with private entities to facilitate
16the direct gift of grant funds from the private entity to a grantee.

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17(f) For purposes of this section, “trauma” or “trauma exposure”
18is defined as experiencing or being witness to community violence,
19terrorism, disaster, sexual abuse, or other violent acts. The effects
20of trauma or trauma exposure include emotional, cognitive,
21physical, or interpersonal reactions as a result of the event
22witnessed or experienced.

23(g) This section shall remain in effect only until January 1, 2019,
24and as of that date is repealed, unless a later enacted statute, that
25is enacted before January 1, 2019, deletes or extends that date.

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SEC. 2.  

If the Commission on State Mandates determines that
27this act contains costs mandated by the state, reimbursement to
28local agencies and school districts for those costs shall be made
29pursuant to Part 7 (commencing with Section 17500) of Division
304 of Title 2 of the Government Code.

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