BILL ANALYSIS                                                                                                                                                                                                    

                                                                AB 174
                                                                Page  1

        AB 174 (Bonta)
        As Amended September 3, 2013
        Majority vote
        |ASSEMBLY:  |52-24|(May 29, 2013)  |SENATE: |29-10|(September 9,  |
        |           |     |                |        |     |2013)          |
         Original Committee Reference:    HEALTH  

         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.

         The Senate amendments  delete the local mandate and clarify that  
        Alameda County has the authority to decide the extent to which it  
        will participate in the pilot program.  Clarify that funding is  
        limited to non-state funds only and that DPH may work with private  
        entities to facilitate the granting of funds to grantees in the  
        pilot program.

         FISCAL EFFECT  :  According to the Senate Appropriations Committee,  
        unknown costs to provide grants (federal funds or private funds).   
        This bill specifies that the program would be limited to a one-year  
        pilot project in Alameda County at up to 10 facilities.  However,  
        this bill does not specify the total amount of funding or the  
        potential fund source.  Unknown costs to administer the program  
        (federal funds or private funds).  Typically, the cost to administer  
        a grant program is about 5% of total grant spending.  

         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.  

        Approximately 75% of SHCs have mental health providers on staff to  
        offer mental health assessments, crisis intervention, brief and  


                                                                AB 174
                                                                Page  2

        long-term therapy, and other services.  The National Assembly on  
        School-Based Care (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.  

        Analysis Prepared by  :    Lara Flynn / HEALTH / (916) 319-2097 
                                                                  FN: 0002309