Amended in Senate August 2, 2016

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 deleteCoauthor: end deletebegin insertCoauthors: end insertAssemblybegin delete Member Gonzalezend deletebegin insert Members Bonta, Chang, Cristina end insertbegin insertGarcia, Gonzalez, and Levineend insert)

begin insert

(Coauthors: Senators Hancock and Pan)

end insert

February 16, 2016


An act to add and repeal Part 3.3 (commencing with Section 5832) of 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, would, beginning July 1, 2017, transfer $40,000,000 annually to that account from funding that would otherwise be allocated to Mental Health Services Act Prevention and Early Intervention Programs, and would continuously 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 grantsbegin delete annuallyend delete to reportbegin insert annuallyend insert on the use of grantbegin delete funds.end deletebegin insert funds and to post that information on their Internet Web sites.end insert The bill would also require the department to submit a report to the Legislature evaluating the impact of the program, as specified.

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.  

begin delete(a)end deletebegin deleteend deleteThe Legislature finds and declaresbegin delete that thisend delete
2
begin insert all of the following:end insert

3begin insert(a)end insertbegin insertend insertbegin insertThat thisend insert measure is consistent with and furthers the purposes
4of the Mental Health Services Act within the meaning of Section
518 of that act.

6(b) Students, faculty, health practitioners, and college
7administrators are reporting increased rates of mental health needs
8by students attending public colleges in California.

9(c) One in four studentsbegin delete haveend deletebegin insert hasend insert a diagnosable mental illness
10and 40 percent of students do not seek mental health when they
11need it.

P3    1(d) Eight out of 10 people who experience psychosis have their
2first episode between 15 and 30 years of age.

3(e) The demand for mental health services by public college
4students far outpaces the ability of colleges to provide them.
5California public college campuses and higher education systems
6do not meet national staffing standards for psychiatric services
7and other mental health professionals.

8(f) The lack of services directly impacts college students’
9success and academic performance as well as their ability to
10develop socially as productive members of society.

11(g) The effects of untreated mental health needs are long lasting
12and can include college students dropping out of school,
13experiencing homelessness, and dying of suicide.

14(h) One in 10 college students has considered suicide and suicide
15is the second leading cause of death among college students,
16claiming more than 1,100 lives every year nationally.

17(i) Research shows that for each dollar invested in student
18prevention and early intervention mental health services, California
19will see a return of at least six dollars ($6) and up to eleven dollars
20($11) as a result of more students graduating.

21

SEC. 2.  

Part 3.3 (commencing with Section 5832) is added to
22Division 5 of the Welfare and Institutions Code, to read:

23 

24PART 3.3.  College Mental Health Services
25Program

26

 

27

5832.  

This part shall be known, and may be cited, as the
28College Mental Health Services Program Act.

29

5832.1.  

(a) There is hereby established in the State Treasury
30the College Mental Health Services Trust Account.
31Notwithstanding Section 13340 of the Government Code, moneys
32in the account are hereby continuously appropriated to the State
33Department of Health Care Services to fund the grant program
34established pursuant to this part.

35(b) Notwithstanding Section 5892 or any other law, beginning
36July 1, 2017, and annually thereafter, forty million dollars
37($40,000,000) shall be transferred from funding that would
38otherwise be allocated to Mental Health Services Act Prevention
39and Early Intervention Programs into the College Mental Health
40Services Trust Account annually.

P4    1

5832.2.  

(a) The department, in collaboration with the California
2Mental Health Services Authority (CalMHSA), shall create a grant
3program for public community colleges, colleges, and universities,
4in collaboration with county behavioral health departments, to
5improve access to mental health services and early identification
6or intervention programs. CalMHSA shall establish grant program
7guidelines and shall develop a request for application (RFA). The
8RFA shall include, but not be limited to, all of the following:

9(1) Eligibility standards of applicants in order to qualify to be
10considered for a grant award.

11(2) Required program components to be included in the grant
12 application, which may include, but are not limited to:

13(A) The ability of the program to meet the needs of students
14that cannot be met through existing funds.

15(B) The ability of the program to fund the matching component
16required by subdivision (f).

17(C) The ability of the campus, in partnership with the local
18county, to establish direct linkages for students to community-based
19mental health services.

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.

23(E) The ability to participate in evidence-based andbegin delete community
24definedend delete
begin insert communityend insertbegin insert-definedend insert best practice programs for mental
25health services improvements.

26(3) Preferred program components to be included in the grant
27application, which may include, but are not limited to:

28(A) The ability of the campus to serve underserved and
29vulnerable populations.

30(B) The ability of the campus, in partnership with the local
31county, to establish direct linkages for students to community-based
32mental health services for which reimbursement is available
33through the students’ health coverage.

34(C) The ability of the campus to reduce racial disparities in
35access to mental health services.

36(D) The ability of the campus to fund mental health stigma
37reduction activities.

38(E) The ability of the campus to provide employees and students
39with education and training on early identification, intervention,
40and referral of students with mental health needs.

P5    1(F) The ability of the campus to screen students receiving other
2health care services and provide linkages to services from the
3appropriate mental health provider based on thebegin insert healthend insert insurance
4status of that student, for those students who are shown to have a
5need for services.

6(G) Evidence of an existing or planned partnership between the
7campus and the county behavioral health department to address
8complex mental health needs of students based on their health
9insurance status and based on the extent to which there are students
10whose needs cannot be met through their healthbegin delete plan or health
11insuranceend delete
begin insert plan, health insurance,end insert or Medi-Cal.

begin insert

12
(H) Evidence of an existing or planned partnership between the
13campus and local safety net providers to ensure linkages to primary
14care and community-based mental health care, regardless of the
15health insurance status of the student.

end insert

16(4) Articulation of grant program goals and expected outcomes.

17(5) Required reporting and evaluation standards to be met by
18applicants that are selected for a grant award.

19(6) Timelines and deadlines for grant applications and
20anticipated funding award determinations.

21(b) Colleges, in collaboration with their local county behavioral
22health department, shall submit their grant application
23electronically to CalMHSA according to the guidelines adopted
24pursuant to subdivision (a).

25(c) To the extent that an application follows the guidelines
26adopted pursuant to subdivision (a) and specifically states what
27activities shall be undertaken in accordance with those guidelines,
28 CalMHSA shall have the authority to approve grant programs and
29the department shall award funding in accordance with CalMHSA
30determinations.

31(d) Grants may be awarded to a community college district in
32the California Community College system, a campus within the
33California State University system, or a campus within the
34University of California system, or a grouping of campuses within
35the segments.

36(e) Total available grant funding to colleges by segment shall
37be proportional to the number of students served by that segment
38but, in no case shall the department award more than five million
39dollars ($5,000,000) per campus, per application.

P6    1(f) Grants shall only be awarded to a campus that can show a
2dollar-for-dollar match of funds or another match to be determined
3by CalMHSA, in consultation with the applicant, based on
4resources and existing mental health needs of students from the
5campus. Matching funds can include in-kind funds, student health
6feebegin delete funds,end deletebegin insert funds after notification to the student association,end insert and
7other appropriate funds as determined by the department in
8collaboration with CalMHSA and pursuant to the guidelines
9adopted pursuant to subdivision (a).

10(g) Grants shall be awarded to applicants on a competitive basis
11based on their ability to meet the application standards and
12prioritization of these standards as determined by CalMHSA
13through the development of the RFA guidelines adopted pursuant
14to subdivision (a).

15(h) Individual grant award allocations shall be expended over
16at least one year but not to exceed three years, as determined by
17CalMHSA through the grant award process.

18(i) Administrative costs associated with administering an
19approved program shall be limited to 5 percent of the total grant
20amount for any grantee. Administrative costs incurred by the
21department to administer this program shall be reimbursed from
22the College Mental Health Services Trust Account, and shall not
23exceed 5 percent of the total funds expended annually from the
24account.

25(j) The funding provided pursuant to this part shall not be used
26to supplant existing campus, state, or county funds utilized to
27provide mental health services.

28(k) The department and CalMHSA shall provide technical
29assistance to smaller colleges and county behavioral health
30departments upon request during the application process to ensure
31equitable distribution of the grant award.

32

5832.3.  

(a) Community colleges, campuses in the California
33State University, and campuses in the University of California
34system that have been awarded grants pursuant to this part shall
35report annually on the use of grant funds to thebegin delete department.end delete
36begin insert department and post the annual report on the use of the funds on
37their Internet Web sites.end insert
This report shall include, but not be limited
38to, all of the following:

39(1) How grant funds and matching funds are being used.

P7    1(2) Available evaluation data, including outcomes of the campus
2mental health programs funded pursuant to the grant program.

3(3) Program information regarding services being offered and
4the number of individuals being served.

5(4) Plans for sustainability of mental health programming
6beyond the funding from the College Mental Health Services Trust
7Account.

8(b) The campuses shall electronically submit the reports required
9pursuant to subdivision (a), annually, to the appropriate
10Chancellor’s offices and the University of California Office of the
11President.

12

5832.4.  

(a) The department shall develop an evaluation plan
13to assess the impact of the program.

14(b) The department, in compliance with Section 9795 of the
15Government Code, shall submit a report to the Legislature by
16February 1, 2021, evaluating the impact of the program and
17providing recommendations for further implementation. The
18department shall make the report available to the public and shall
19post the report on its Internet Web site.

20

5832.5.  

This part shall remain in effect only until January 1,
212022, and as of that date is repealed, unless a later enacted statute,
22that is enacted before January 1, 2022, deletes or extends that date.



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