BILL ANALYSIS                                                                                                                                                                                                    Ó




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          |SENATE RULES COMMITTEE            |                        ACR 77|
          |Office of Senate Floor Analyses   |                              |
          |(916) 651-1520    Fax: (916)      |                              |
          |327-4478                          |                              |
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                                    THIRD READING


          Bill No:  ACR 77
          Author:   Mark Stone (D), et al.
          Amended:  7/9/15 in Assembly
          Vote:     21

          ASSEMBLY FLOOR:  Read and adopted, 7/9/15

           SUBJECT:   California Early Intervention Services Act


          SOURCE:    Children Now
                     First 5 Association of California


          DIGEST:  This resolution makes legislative findings and  
          declaration related to children's development and urges the  
          Legislature to leverage existing efforts and statutes to ensure  
          an accountable, results-oriented, and coordinated network of  
          resources in order to provide multidisciplinary early  
          identification and intervention services and supports to  
          California infants and toddlers.


          ANALYSIS:   This resolution makes the following legislative  
          findings:


          1)The period between a child's birth and third birthday is a  
            time of intense and ongoing development across the cognitive,  
            motor, language, and social-emotional domains.


          2)Adversity during the early years can impair development, and  
            has a cumulative impact, with children exposed to maltreatment  
            and additional risk factors facing increased likelihood of  








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            having one or more delays in their cognitive, language, or  
            emotional development.


          3)Unaddressed developmental delays and disabilities result in  
            persistently impaired learning and health outcomes for  
            children.


          4)One in four California children have moderate or higher risk  
            for a developmental delay, such as speech or language  
            impairment, and that nationally one in every 68 children were  
            affected by autism spectrum disorder in 2014.


          5)The American Academy of Pediatrics recommend routine, regular,  
            and formalized developmental and behavioral screening for all  
            infants and toddlers as the most effective way of identifying  
            children in need of supports and services. Fewer than  
            one-third of California infants and toddlers received the  
            recommended developmental and behavioral screenings according  
            to 2011-12 parent reported data.


          6)Nearly three out of four California children with special  
            health care needs under three years of age do not receive  
            early intervention services they could benefit from, and the  
            2012 annual report for California's Early Start program shows  
            that it serves fewer infants and toddlers with early  
            intervention services than the national average.


          7)A system of universal developmental and behavioral screenings  
            should work hand in hand with a robust early intervention  
            system, and should be linked by facilitated family-focused  
            referral, care coordination, child-centered health homes, and  
            information-sharing mechanisms to guide and support families  
            while maintaining accountability.












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          This resolution recognizes that every child who needs  
          comprehensive health and early intervention services and  
          supports in order to achieve his or her developmental potential  
          should have those services easily accessible, sufficient,  
          responsive, timely, and of high quality. This resolution urges  
          the Legislature to leverage existing efforts and statutes to  
          ensure an accountable, results-oriented, and coordinated network  
          of resources in order to provide multidisciplinary early  
          identification and intervention services and supports to  
          California infants and toddlers.




          Comments




          According to the author, "Children need access to developmental  
          screening tools to ensure they can access appropriate resources  
          and care.  While most experts in the health field agree early  
          screening is important for the future development of children,  
          many children are not being properly screened.  Seventy-two  
          percent or 1.7 million Californian children are not being  
          screened with recommended tools, putting them at risk for late  
          or no identification of developmental or behavioral delays.  The  
          problem is especially pronounced for children of color; for  
          instance, Latino children are diagnosed with autism an average  
          of 2.5 years later than white children. When children are not  
          diagnosed with developmental delays or other problems, they may  
          not receive the care they need and may fall further behind.   
          When delays are not early identified during children's first  
          years of life, they must wait to get the help they need when  
          they enroll in school.  Since development is often sequential, a  
          developmental or behavioral delay can often cause more problems  
          if it is not identified and if the child does not access the  
          appropriate care.  Without proper intervention treatment,  
          developmentally delayed children may experience academic and  
          social hardships. ? It has been shown that the earlier the  
          identification and intervention, the more beneficial to children  
          and families because it strengthens families' ability to support  








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          their child's growth and development while maintaining the  
          greatest cost effectiveness."


          FISCAL EFFECT:   Appropriation:    No          Fiscal  
          Com.:NoLocal:    No


          SUPPORT:   (Verified7/31/15)


          Children Now (co-source)
          First 5 Association of California (co-source)
          Association of Regional Center Agencies 
          Autism Speaks
          Center for Autism and Related Disorders
          Family Resource Centers Network of California
          Fight Crime Invest in Kids California
          First 5 Fresno County
          First 5 Monterey County
          First 5 San Luis Obispo
          First 5 Santa Clara County
          First 5 Santa Cruz County
          Lucille Packard Stanford Children's Health
          ZERO TO THREE Western Office 


          OPPOSITION:   (Verified7/31/15)


          None received


          Prepared by:Melissa Ward / SFA / (916) 651-1520
          8/13/15 13:13:45


                                   ****  END  ****


          









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