BILL ANALYSIS                                                                                                                                                                                                    

                                                                  AB 174
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          Date of Hearing:   May 1, 2013

                                  Mike Gatto, Chair

                    AB 174 (Bonta) - As Amended:  April 17, 2013 

          Policy Committee:                              HealthVote:13-5

          Urgency:     No                   State Mandated Local Program:  
          No     Reimbursable:              No


          This bill requires the Department of Public Health (DPH) to  
          establish a grant program within the Public School Health Center  
          Support Program (PSHCSP), to the extent funding is made  
          available, to provide resources for activities and services that  
          directly address the mental health and related needs of students  
          impacted by trauma, as defined.  Specifically, this bill: 

          1)Permits grant funds to be used for specified activities and  
            services, including counseling, outreach and education, risk  
            screening, triage, and referral to campus-based services,  
            crisis response coordination, and oversight, coordination, and  
            evaluation of grant services.

          2)Identifies categories of individuals who may provide  
            counseling under the grant program and who are required to  
            provide or oversee other grant program activities.  These  
            categories are: a) a licensed mental health professional, as  
            specified; b) a credentialed school social worker; and c) an  
            unlicensed mental health professional registered by either the  
            Board of Behavioral Sciences or the Board of Psychology, with  
            supervision as specified.  

          3)Requires grants to be awarded to eligible applicants,  
            including local education agencies, nonprofit organizations,  
            community health centers, and county mental health  

          4)Requires grant applications to comply with specified  
            requirements and identifies priorities for awarding a grant.

          5)Requires a grantee to commit to an annual report, as  


                                                                  AB 174
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            specified, a memorandum of understanding (MOU), as specified,  
            between the school, school district, and other entities  
            providing grant-funded services in an effort to develop a  
            strong collaborative partnership (CP), and imposes various  
            requirements on the CP.

          6)Makes its implementation contingent on public or private  
            funding, as specified.

           FISCAL EFFECT  

          Initial and ongoing costs of $200,000 to $1 million or more for  
          DPH to establish and administer the grant program.  Actual costs  
          are unknown because the bill does not address the funding level  
          of the overall grant program, the size of individual grants or  
          the number of grants to be awarded.



           1)Rationale  .  The author points to the short-term and long-term  
            consequences of trauma and the lack of current law focused  
            explicitly on preventing and addressing students'  
            trauma-related needs through school-based services.  This bill  
            has numerous supporters, including the California Medical  
            Center, Children Now, and co-sponsors California School Health  
            Centers Association and California PanEthnic Health Network,  
            who argue school-based mental health services work and can  
            reduce both depression and post-traumatic stress disorder. 

           2)Prior Legislation  .  AB 2560 (Ridley-Thomas), Chapter 334,  
            Statutes of 2006, requires the Department of Health Services  
            now DPH, to establish the PSHCSP.

            SB 564 (Ridley-Thomas), Chapter 381, Statutes of 2008, defines  
            school health centers (SHCs) and requires DPH, to the extent  
            funds are appropriated for implementation, to establish a  
            grant program to provide technical assistance and funding for  
            the expansion, renovation, and retrofitting of existing SHCs  
            and the development of new SHCs, as specified.

            Funding has not been appropriated for either the overarching  
            PSHCP or the SB 564 grant program.


                                                                  AB 174
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           Analysis Prepared by  :    Debra Roth / APPR. / (916) 319-2081