BILL ANALYSIS                                                                                                                                                                                                    Ó



                                                                      AB 1018


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          ASSEMBLY THIRD READING


          AB  
          1018 (Cooper)


          As Amended  May 28, 2015


          Majority vote


           ------------------------------------------------------------------- 
          |Committee       |Votes |Ayes                |Noes                  |
          |                |      |                    |                      |
          |                |      |                    |                      |
          |----------------+------+--------------------+----------------------|
          |Health          |18-0  |Bonta, Maienschein, |                      |
          |                |      |Bonilla, Burke,     |                      |
          |                |      |Chávez, Chiu,       |                      |
          |                |      |Gomez, Gonzalez,    |                      |
          |                |      |                    |                      |
          |                |      |                    |                      |
          |                |      |Roger Hernández,    |                      |
          |                |      |Lackey, Nazarian,   |                      |
          |                |      |Patterson,          |                      |
          |                |      |                    |                      |
          |                |      |                    |                      |
          |                |      |Ridley-Thomas,      |                      |
          |                |      |Rodriguez,          |                      |
          |                |      |Santiago,           |                      |
          |                |      |Steinorth,          |                      |
          |                |      |Thurmond, Wood      |                      |
          |                |      |                    |                      |
          |----------------+------+--------------------+----------------------|
          |Appropriations  |17-0  |Gomez, Bigelow,     |                      |
          |                |      |Bonta, Calderon,    |                      |
          |                |      |Chang, Daly,        |                      |








                                                                      AB 1018


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          |                |      |Eggman, Gallagher,  |                      |
          |                |      |                    |                      |
          |                |      |                    |                      |
          |                |      |Eduardo Garcia,     |                      |
          |                |      |Gordon, Holden,     |                      |
          |                |      |Jones, Quirk,       |                      |
          |                |      |Rendon, Wagner,     |                      |
          |                |      |Weber, Wood         |                      |
          |                |      |                    |                      |
          |                |      |                    |                      |
           ------------------------------------------------------------------- 


          SUMMARY:  Requires the Department of Health Care Services (DHCS)  
          and the California Department of Education to convene a joint task  
          force to examine the delivery of mental health services to  
          children eligible for Early and Periodic Screening, Diagnosis, and  
          Treatment services and for services required by the federal  
          Individuals with Disabilities Education Act, as specified.


          FISCAL EFFECT:  According to the Assembly Appropriations  
          Committee, this bill would have one-time administrative costs to  
          DHCS, likely under $100,000 (General Fund/federal) to staff  
          support for a stakeholder workgroup.


          COMMENTS:  Schools are a main provider of mental health services  
          for children in California.  The federal Individuals with  
          Disabilities Education Act (IDEA) was adopted in 1975 to guarantee  
          children with disabilities a right to public education in the  
          least restrictive setting. In California, the federal IDEA mandate  
          to provide special education services is administered by local  
          school districts and local education agencies. Special education  
          students may be eligible for health care services, including  
          mental health services, in specific IDEA disability categories.   
          Mental health services provided to special education students  
          include counseling and guidance, psychological services, parental  
          counseling and training, and residential placement, among others.








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          The Early and Periodic Screening, Diagnostic and Treatment (EPSDT)  
          is a Medi-Cal benefit for individuals under the age of 21 who have  
          full-scope Medi-Cal eligibility.  This benefit allows for periodic  
          screenings to determine health care needs and based upon the  
          identified health care need and diagnosis, treatment services are  
          provided.  EPSDT services include all services otherwise covered  
          by Medi-Cal and EPSDT beneficiaries can receive additional  
          medically necessary services. EPSDT mental health services are  
          Medi-Cal services that correct or improve mental health problems  
          that have been determined by a physician, psychologist, counselor,  
          social worker or other health or social services provider.  EPSDT  
          provides eligible children access to a range of mental health  
          services that include, but are not limited to:
          1)Mental health assessment;
          2)Collateral contracts;


          3)Therapy; 


          4)Rehabilitation;


          5)Mental health services; 


          6)Medication support services; 


          7)Day rehabilitation; day treatment intensive; 


          8)Crisis intervention/stabilization;


          9)Targeted case management; and,









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          10)Therapeutic behavioral services. 




          Analysis Prepared by:                                               
                          Paula Villescaz / HEALTH / (916) 319-2097  FN:  
          0000823