Amended in Assembly May 27, 2016

Amended in Assembly April 7, 2016

Amended in Assembly March 30, 2016

California Legislature—2015–16 Regular Session

Assembly BillNo. 2017


Introduced by Assembly Member McCarty

begin insert

(Coauthor: Assembly Member Gonzalez)

end insert

February 16, 2016


An act to addbegin insert and repealend insert Part 3.3 (commencing with Section 5832)begin delete toend deletebegin insert ofend insert Division 5 of the Welfare and Institutions Code, relating to mental health, and making an appropriation therefor.

LEGISLATIVE COUNSEL’S DIGEST

AB 2017, as amended, McCarty. College Mental Health Services Program.

Existing law, the Mental Health Services Act, an initiative measure enacted by the voters as Proposition 63 at the November 2, 2004, statewide general election, funds a system of county mental health plans for the provision of mental health services, as specified. The act provides that it may be amended by the Legislature by a 23 vote of each house as long as the amendment is consistent with and furthers the intent of the act.

The act establishes the Mental Health Services Fund, continuously appropriated to and administered by the State Department of Health Care Services, to fund specified county mental health programs, including prevention and early intervention programs and programs implemented under the Adult and Older Adult Mental Health System of Care Act. The act authorizes the payment of administrative costs of the state from the fund in an amount not greater than 5% of the annual total deposited in the fund and otherwise specifies the distribution of moneys in the fund.

This bill, until January 1, 2022, would establish the College Mental Health Services Trust Account,begin delete wouldend deletebegin insert would, beginning July 1, 2017,end insert transfer $40,000,000 annually to that account frombegin delete the Mental Health Services Fund,end deletebegin insert funding that would otherwise be allocated to Mental Health Services Act Prevention and Early Intervention Programs,end insert and wouldbegin insert continuouslyend insert appropriate those funds to the department to create a grant program for public community colleges, colleges, and universities to improve access to mental health services on campus, as specified. The bill would require campuses that have been awarded grants annually to report on the use of grant funds.begin insert The bill would also require the department to submit a report to the Legislature evaluating the impact of the program, as specified.end insert

By changing the funding structure approved by the voters, this bill would amend the Mental Health Services Act. The bill would state the finding of the Legislature that the measure is consistent with and furthers the purposes of the Mental Health Services Act. The bill would make other finding and declarations.

Vote: 23. Appropriation: yes. Fiscal committee: yes. State-mandated local program: no.

The people of the State of California do enact as follows:

P2    1

SECTION 1.  

(a) The Legislature finds and declares that this
2measure is consistent with and furthers the purposes of the Mental
3Health Services Act within the meaning of Section 18 of that act.

4(b) Students, faculty, health practitioners, and college
5administrators are reporting increased rates of mental health needs
6by students attending public colleges in California.

7(c) One in four students have a diagnosable mental illness and
840 percent of students do not seek mental health when they need
9it.

10(d) Eight out of 10 people who experience psychosis have their
11first episode between 15 and 30 years of age.

12(e) The demand for mental health services by public college
13students far outpaces the ability of colleges to provide them.
14California public college campuses and higher education systems
P3    1do not meet national staffing standards for psychiatric services
2and other mental health professionals.

3(f) The lack of services directly impacts college students’
4success and academic performance as well as their ability to
5develop socially as productive members of society.

6(g) The effects of untreated mental health needs are long lasting
7and can include college students dropping out of school,
8experiencing homelessness, and dying of suicide.

9(h) One in 10 college students has considered suicide and suicide
10is the second leading cause of death among college students,
11claiming more than 1,100 lives every year nationally.

12(i) Research shows that for each dollar invested in student
13prevention and early intervention mental health services, California
14will see a return of at least six dollars ($6) and up to eleven dollars
15($11) as a result of more students graduating.

16

SEC. 2.  

Part 3.3 (commencing with Section 5832) is added to
17Division 5 of the Welfare and Institutions Code, to read:

18 

19PART 3.3.  College Mental Health Services
20Program

21

 

22

5832.  

This part shall be known, and may be cited, as the
23College Mental Health Services Program Act.

24

5832.1.  

(a) There is hereby established in the State Treasury
25the College Mental Health Services Trust Account.
26Notwithstanding Section 13340 of the Government Code, moneys
27in the account are hereby continuously appropriated to the State
28Department of Health Care Services to fund the grant program
29established pursuant to this part.

30(b) Notwithstanding Section 5892 or any other law,begin insert beginning
31July 1, 2017, and annually thereafter, end insert
forty million dollars
32($40,000,000) shall be transferred frombegin delete the Mental Health Services
33Fundend delete
begin insert funding that would otherwise be allocated to Mental Health
34Services Act Prevention and Early Intervention Programsend insert
into the
35College Mental Health Services Trust Account annually.

36

5832.2.  

(a) The department, inbegin delete consultationend deletebegin insert collaborationend insert with
37the California Mental Health Services Authority (CalMHSA), shall
38create a grant program for public community colleges, colleges,
39andbegin delete universitiesend deletebegin insert universities, in collaboration with county
40behavioral health departments,end insert
to improve access to mental health
P4    1services and early identification or intervention programs.begin delete The
2department andend delete
CalMHSA shall establishbegin delete guidelines for grant
3funding thatend delete
begin insert grant program guidelines and shall develop a request
4for application (RFA). The RFAend insert
shall include, but not be limited
5to, all of the following:

begin insert

6
(1) Eligibility standards of applicants in order to qualify to be
7considered for a grant award.

end insert
begin insert

8
(2) Required program components to be included in the grant
9 application, which may include, but are not limited to:

end insert
begin insert

10
(A) The ability of the program to meet the needs of students that
11cannot be met through existing funds.

end insert
begin delete

12(1)

end delete

13begin insert(B)end insert The ability of the program to fund the matching component
14required by subdivisionbegin delete (c).end deletebegin insert (f).end insert

begin delete

15(2)

end delete

16begin insert(C)end insert The ability of the campus, in partnership with the local
17county, to establish direct linkages for students to community-based
18mental healthbegin delete services for which the students’ health coverage
19makes them eligible, ensuring provider reimbursement.end delete
begin insert services.end insert

begin insert

20
(D) The ability of the campus to address direct services
21including, but not limited to, increasing staff to student ratios and
22decreasing wait times.

end insert
begin delete

23(3)

end delete

24begin insert(E)end insert The ability to participate in evidence-based and community
25defined best practice programs for mental health services
26improvements.

begin insert

27
(3) Preferred program components to be included in the grant
28application, which may include, but are not limited to:

end insert
begin delete

29(4)

end delete

30begin insert(A)end insert The ability of the campus to serve underserved and
31vulnerablebegin delete populations, including, but not limited to, lesbian, gay,
32bisexual, transgender, questioning, and allied (LGBTQA) persons,
33victims of domestic violence and sexual abuse, and veterans.end delete

34
begin insert populations.end insert

begin insert

35
(B) The ability of the campus, in partnership with the local
36county, to establish direct linkages for students to community-based
37mental health services for which reimbursement is available
38through the students’ health coverage.

end insert
begin delete

39(5)

end delete

P5    1begin insert(C)end insert The ability of the campus to reduce racial disparities in
2access to mental health services.

begin delete

3(6)

end delete

4begin insert(D)end insert The ability of the campus to fund mental health stigma
5reduction activities.

begin delete

6(7)

end delete

7begin insert(E)end insert The ability of the campus to provide employees and students
8with education and training on early identification, intervention,
9and referral of students with mental health needs.

begin insert

10
(F) The ability of the campus to screen students receiving other
11health care services and provide linkages to services from the
12appropriate mental health provider based on the insurance status
13of that student, for those students who are shown to have a need
14for services.

end insert
begin insert

15
(G) Evidence of an existing or planned partnership between the
16campus and the county behavioral health department to address
17complex mental health needs of students based on their health
18insurance status and based on the extent to which there are
19students whose needs cannot be met through their health plan or
20health insurance or Medi-Cal.

end insert
begin insert

21
(4) Articulation of grant program goals and expected outcomes.

end insert
begin insert

22
(5) Required reporting and evaluation standards to be met by
23applicants that are selected for a grant award.

end insert
begin insert

24
(6) Timelines and deadlines for grant applications and
25anticipated funding award determinations.

end insert
begin insert

26
(b) Colleges, in collaboration with their local county behavioral
27health department, shall submit their grant application
28electronically to CalMHSA according to the guidelines adopted
29pursuant to subdivision (a).

end insert
begin insert

30
(c) To the extent that an application follows the guidelines
31adopted pursuant to subdivision (a) and specifically states what
32activities shall be undertaken in accordance with those guidelines,
33 CalMHSA shall have the authority to approve grant programs and
34the department shall award funding in accordance with CalMHSA
35determinations.

end insert
begin delete

36(b)

end delete

37begin insert(d)end insert Grants may be awarded to a community college district in
38the California Community College system,begin insert a campus withinend insert the
39California State University system, orbegin insert a campus withinend insert the
40University of Californiabegin delete system. The scale of the program shall
P6    1determine the amount awarded, but inend delete
begin insert system, or a grouping of
2campuses within the segments.end insert

3begin insert(e)end insertbegin insertend insertbegin insertTotal available grant funding to colleges by segment shall
4be proportional to the number of students served by that segment
5but, inend insert
no case shall the department award more than five million
6dollars ($5,000,000) per campus, per application.

begin delete

7(c)

end delete

8begin insert(f)end insert Grants shall only be awarded to a campus that can show a
9dollar-for-dollar match of fundsbegin delete from the campus.end deletebegin insert or another match
10to be determined by CalMHSA, in consultation with the applicant,
11based on resources and existing mental health needs of students
12from the campus. Matching funds can include in-kind funds, student
13health fee funds, and other appropriate funds as determined by
14the department in collaboration with CalMHSA and pursuant to
15the guidelines adopted pursuant to subdivision (a).end insert

begin insert

16
(g) Grants shall be awarded to applicants on a competitive basis
17based on their ability to meet the application standards and
18prioritization of these standards as determined by CalMHSA
19through the development of the RFA guidelines adopted pursuant
20to subdivision (a).

end insert
begin insert

21
(h) Individual grant award allocations shall be expended over
22at least one year but not to exceed three years, as determined by
23CalMHSA through the grant award process.

end insert
begin delete

24(d)

end delete

25begin insert(i)end insert Administrative costs associated with administering an
26approved program shall be limited to 5 percentbegin delete for any grantee.end deletebegin insert of
27the total grant amount for any grantee. Administrative costs
28incurred by the department to administer this program shall be
29reimbursed from the College Mental Health Services Trust
30Account, and shall not exceed 5 percent of the total funds expended
31annually from the account.end insert

begin delete

32(e)

end delete

33begin insert(j)end insert The funding provided pursuant to this part shall not be used
34to supplant existingbegin delete stateend deletebegin insert campus, state,end insert or county funds utilized
35to provide mental health services.

begin delete

36(f)

end delete

37begin insert(k)end insert The department and CalMHSAbegin delete mayend deletebegin insert shallend insert provide technical
38assistance to smaller colleges andbegin delete counties inend deletebegin insert county behavioral
39health departments upon request duringend insert
the application process
40to ensure equitable distribution of the grant award.

P7    1

5832.3.  

(a) Communitybegin delete colleges andend deletebegin insert colleges,end insert campuses in
2the California Statebegin delete Universityend deletebegin insert University, and campuses in the
3University of Californiaend insert
system that have been awarded grants
4pursuant to this part shall report annuallybegin delete to the respective
5Chancellor’s Office and campuses in the University of California
6system shall report annually to the University of California Office
7of the Presidentend delete
on the use of grantbegin delete funds.end deletebegin insert funds to the department.end insert
8 This report shall include, but not be limited to, all of the following:

9(1) How grant funds and matching funds are being used.

10(2) Available evaluation data, including outcomes of the campus
11mental health programs funded pursuant to the grant program.

12(3) Program information regarding services being offered and
13the number of individuals being served.

begin insert

14
(4) Plans for sustainability of mental health programming
15beyond the funding from the College Mental Health Services Trust
16Account.

end insert

17(b) Thebegin delete Chancellor’s offices and the University of California
18Office of the Presidentend delete
begin insert campusesend insert shall electronically submit the
19reportsbegin delete of the campusesend delete required pursuant to subdivision (a),begin delete at
20one time annually, to the department, CalMHSA, and the
21Legislature for evaluation of the grant program. end delete
begin insert annually, to the
22appropriate Chancellor’s offices and the University of California
23Office of the President.end insert

begin insert
24

begin insert5832.4.end insert  

(a) The department shall develop an evaluation plan
25to assess the impact of the program.

26
(b) The department, in compliance with Section 9795 of the
27Government Code, shall submit a report to the Legislature by
28February 1, 2021, evaluating the impact of the program and
29providing recommendations for further implementation. The
30department shall make the report available to the public and shall
31post the report on its Internet Web site.

end insert
32

begin delete5832.4.end delete
33
begin insert 5832.5.end insert  

This part shall remain in effect only until January 1,
342022, and as of that date is repealed, unless a later enacted statute,
35that is enacted before January 1, 2022, deletes or extends that date.



O

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