BILL ANALYSIS                                                                                                                                                                                                    Ó



                                                                  AB 174
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          ASSEMBLY THIRD READING
          AB 174 (Bonta)
          As Amended May 24, 2013
          Majority vote 

           HEALTH              13-5        APPROPRIATIONS      12-0        
           
           ----------------------------------------------------------------- 
          |Ayes:|Pan, Ammiano, Atkins,     |Ayes:|Gatto, Bocanegra,         |
          |     |Bonilla, Bonta, Chesbro,  |     |Bradford,                 |
          |     |Gomez,                    |     |Ian Calderon, Campos,     |
          |     |Roger Hernández, Rendon,  |     |Eggman, Gomez, Hall,      |
          |     |Mitchell, Nazarian, V.    |     |Ammiano, Pan, Quirk,      |
          |     |Manuel Pérez, Wieckowski  |     |Weber                     |
          |     |                          |     |                          |
          |-----+--------------------------+-----+--------------------------|
          |Nays:|Logue, Maienschein,       |     |                          |
          |     |Nestande, Wagner, Wilk    |     |                          |
          |     |                          |     |                          |
           ----------------------------------------------------------------- 
           SUMMARY  :  Requires the Department of Public Health (DPH) to  
          establish a pilot program in Alameda County, to the extent that  
          funding is made available, to provide grants to eligible  
          applicants for activities and services that directly address the  
          mental health and related needs of students impacted by trauma.   
          Specifically,  this bill  :  

          1)Directs DPH to establish a pilot program in Alameda County, in  
            up to 10 facilities, within its Public School Health Center  
            Support Program to fund activities and services to directly  
            address the mental health and related needs of students who  
            are impacted by trauma and allows the program to operate for  
            one year, beginning September 1, 2014, and ending on August  
            31, 2015.

          2)Requires DPH, within 60 days of the completion of the program,  
            to review and compile the results of reports prepared by  
            participating facilities, and to submit that information to  
            the appropriate committees of the Legislature.

          3)Authorizes grant funds to be used for the specified purposes,  
            including, but not limited to, 
          individual, family, and group counseling; targeted outreach and  
            education; and, risk screening, triage, and referral to  








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            campus-based services.

          4)Authorizes the individual, family, and group counseling to be  
            provided by any of the following mental health professionals:

             a)   A mental health clinician licensed by the Board of  
               Behavioral Sciences (BBS);

             b)   A clinical psychologist licensed by the Board of  
               Psychology (BOP);

             c)   A psychiatric nurse practitioner licensed by the Board  
               of Registered Nursing;

             d)   A psychiatrist licensed by the Medical Board of  
               California;

             e)   A school social worker credentialed by the State of  
               California; and,

             f)   An unlicensed mental health professional who is  
               registered by either the BBS or BOP and who is receiving  
               clinical supervision as prescribed by that entity.

          5)Allows grant funds to be used to provide referrals to  
            evidence-based mental health treatment services in the  
            community.

          6)Directs DPH to implement this bill only to the extent that  
            funding is made available from public sources, upon  
            appropriation by the Legislature, as applicable, to the extent  
            permitted by law, and from other resources, including federal  
            funding, in-kind assistance, private funding, and foundation  
            support for the operation and distribution of grants for this  
            program.

          7)Limits administrative costs to DPH for the establishment and  
            maintenance of this program to only being paid through federal  
            funding, in-kind assistance, private funding, foundation  
            support, and any other nonstate funds.

           FISCAL EFFECT  :  According to the Assembly Appropriations  
          Committee, approximately $100,000 in administrative costs to DPH  
          to establish and administer the pilot program, which must be  








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          paid by non-state sources.  Actual grant funds are not specified  
          and are contingent on an appropriation or non-state source of  
          funding.

           COMMENTS  :  The author states that it is well documented that  
          appropriate mental health services can have a positive and  
          lasting impact on short- and long-term outcomes for children and  
          adolescents impacted by trauma.  However, the author notes that  
          many children and youth in California lack access to the health  
          and mental health services they need and California's 200 school  
          health centers (SHCs) address this gap by putting medical,  
          mental health, and/or dental care on school grounds.  

          According to the National Assembly on School-Based Care (NASBC),  
          SHCs provide a broad array of primary care and preventive  
          services, including comprehensive health assessments;  
          prescriptions for medications; treatment for acute illness;  
          asthma treatment; oral health education; and, dental screenings.  
           Approximately 75% of SHCs also have mental health providers on  
          staff to offer mental health assessments, crisis intervention,  
          brief and long-term therapy, and other services.  The NASBC  
          states that Congress recognized the importance of SHCs as a key  
          link in the nation's health care safety net by providing $50  
          million a year for four years in one-time funding for  
          construction, renovation, and equipment for SHCs in the federal  
          Patient Protection and Affordable Care Act (ACA) and more than  
          350 applicants from around the nation are seeking funding  
          through the first round of competitive grants created under the  
          ACA.  

          According to the California School Health Centers Association  
          (CSHCA) there are currently 200 SHCs in California.  Forty-four  
          percent of SHCs are in high schools; 31% are in elementary  
          schools; 13% are in middle schools; and, 12% are "school-linked"  
          or are mobile medical vans.  CSHCA points out that many SHCs are  
          located in schools serving some of the state's most vulnerable  
          children and on campuses with SHCs about 70% of students receive  
          free or reduced price meals.  The California Pan-Ethnic Health  
          Network writes in support that culturally appropriate and  
          accessible mental health services, particularly for youth of  
          color, are a growing and unmet need in our communities, which  
          this bill will begin to address.
           
          Analysis Prepared by  :    Lara Flynn / HEALTH / (916) 319-2097  








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