Amended in Senate August 16, 2016

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

(Coauthors: Assembly Members Bonta, Chang, Cristina Garcia, Gonzalez, and Levine)

(Coauthors: Senators Hancock and Pan)

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 mentalbegin delete health, and making an appropriation therefor.end deletebegin insert health.end insert

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.begin delete The act provides that it may be amended by the Legislature by a end deletebegin delete23end deletebegin delete vote of each house as long as the amendment is consistent with and furthers the intent of the act.end deletebegin insert Existing law provides for the operation and administration of various end insertbegin insertmental health programs at a statewide and county level, as specified.end insert

begin delete

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.

end delete

This bill, until January 1, 2022, would establish the College Mental Health Services Trustbegin delete 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 createend deletebegin insert Account. The bill would make moneys in the account available to the State Department of Health Care Services, subject to appropriation by the Legislature, for purposes of creatingend insert a grant program for public community colleges, colleges, and universities to improve access to mental health services onbegin delete campus,end deletebegin insert those campuses,end insert as specified. The bill would require campuses that have been awarded grantsbegin insert under these provisionsend insert to report annually on the use ofbegin insert thoseend insert grant funds and to post that information on their Internet Web sites. The bill would also require the department to submit a report to the Legislature evaluating the impact of the program, as specified.

begin delete

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.

end delete

Vote: begin delete23 end deletebegin insertmajorityend insert. Appropriation: begin deleteyes end deletebegin insertnoend insert. Fiscal committee: yes. State-mandated local program: no.

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

P2    1

SECTION 1.  

The Legislature finds and declares all of the
2following:

begin delete

P3    1(a) That this measure is consistent with and furthers the purposes
2of the Mental Health Services Act within the meaning of Section
318 of that act.

4(b)

end delete

5begin insert(a)end insert Students, faculty, health practitioners, and college
6administrators are reporting increased rates of mental health needs
7by students attending public colleges in California.

begin delete

8(c)

end delete

9begin insert(b)end insert One in four students has a diagnosable mental illness and
1040 percent of students do not seek mental healthbegin insert servicesend insert when
11they need it.

begin delete

12(d)

end delete

13begin insert(c)end insert Eight out of 10 people who experience psychosis have their
14first episode between 15 and 30 years of age.

begin delete

15(e)

end delete

16begin insert(d)end insert The demand for mental health services by public college
17students far outpaces the ability of colleges to provide them.
18California public college campuses and higher education systems
19do not meet national staffing standards for psychiatric services
20and other mental health professionals.

begin delete

21(f)

end delete

22begin insert(e)end insert The lack of services directly impacts college students’
23success and academic performance as well as their ability to
24develop socially as productive members of society.

begin delete

25(g)

end delete

26begin insert(f)end insert The effects of untreated mental health needs are long lasting
27and can include college students dropping out of school,
28experiencing homelessness, and dying of suicide.

begin delete

29(h)

end delete

30begin insert(g)end insert One in 10 college students has considered suicide and suicide
31is the second leading cause of death among college students,
32claiming more than 1,100 lives every year nationally.

begin delete

33(i)

end delete

34begin insert(h)end insert Research shows that for each dollar invested in student
35prevention and early intervention mental health services, California
36will see a return of at leastbegin delete six dollars ($6)end deletebegin insert $6end insert and upbegin delete to eleven
37dollars ($11)end delete
begin insert $11end insert as a result of more students graduating.

38

SEC. 2.  

Part 3.3 (commencing with Section 5832) is added to
39Division 5 of the Welfare and Institutions Code, to read:

 

P4    1PART 3.3.  College Mental Health Services
2Program

3

 

4

5832.  

This part shall be known, and may be cited, as the
5College Mental Health Services Program Act.

6

5832.1.  

begin delete(a)end deletebegin deleteend deleteThere is hereby established in the State Treasury
7the College Mental Health Services Trust Account.
8begin delete Notwithstanding Section 13340 of the Government Code, moneys
9in the account are hereby continuously appropriatedend delete
begin insert Moneys in
10the account shall be available, upon appropriation by the
11Legislature,end insert
to the State Department of Health Care Services to
12fund the grant program established pursuant to this part.

begin delete

13(b) Notwithstanding Section 5892 or any other law, beginning
14July 1, 2017, and annually thereafter, forty million dollars
15($40,000,000) shall be transferred from funding that would
16otherwise be allocated to Mental Health Services Act Prevention
17and Early Intervention Programs into the College Mental Health
18Services Trust Account annually.

end delete
19

5832.2.  

(a) Thebegin delete department, in collaboration with the California
20Mental Health Services Authority (CalMHSA),end delete
begin insert departmentend insert shall
21create a grant program for public community colleges, colleges,
22and universities, in collaboration with county behavioral health
23departments, to improve access to mental health services and early
24identification or intervention programs.begin delete CalMHSAend deletebegin insert The departmentend insert
25 shall establish grant program guidelines and shall develop a request
26for application (RFA). The RFA shall include, but not be limited
27to, all of the following:

28(1) Eligibility standards of applicants in order to qualify to be
29considered for a grant award.

30(2) Required program components to be included in the grant
31 application, which may include, but are not limited to:

32(A) The ability of the program to meet the needs of students
33that cannot be met through existing funds.

34(B) The ability of the program to fund the matching component
35required by subdivision (f).

36(C) The ability of the campus, in partnership with the local
37county, to establish direct linkages for students to community-based
38mental health services.

P5    1(D) The ability of the campus to address direct services
2including, but not limited to, increasing staff to student ratios and
3decreasing wait times.

4(E) The ability to participate in evidence-based and
5community-defined best practice programs for mental health
6services improvements.

7(3) Preferred program components to be included in the grant
8application, which may include, but are not limited to:

9(A) The ability of the campus to serve underserved and
10vulnerable populations.

11(B) The ability of the campus, in partnership with the local
12county, to establish direct linkages for students to community-based
13mental health services for which reimbursement is available
14through the students’ health coverage.

15(C) The ability of the campus to reduce racial disparities in
16access to mental health services.

17(D) The ability of the campus to fund mental health stigma
18reduction activities.

19(E) The ability of the campus to provide employees and students
20with education and training on early identification, intervention,
21and referral of students with mental health needs.

22(F) The ability of the campus to screen students receiving other
23health care services and provide linkages to services from the
24appropriate mental health provider based on the health insurance
25status of that student, for those students who are shown to have a
26need for services.

27(G) Evidence of an existing or planned partnership between the
28campus and the county behavioral health department to address
29complex mental health needs of students based on their health
30insurance status and based on the extent to which there are students
31whose needs cannot be met through their health plan, health
32insurance, or Medi-Cal.

33(H) Evidence of an existing or planned partnership between the
34campus and local safety net providers to ensure linkages to primary
35care and community-based mental health care, regardless of the
36health insurance status of the student.

37(4) Articulation of grant program goals and expected outcomes.

38(5) Required reporting and evaluation standards to be met by
39applicants that are selected for a grant award.

P6    1(6) Timelines and deadlines for grant applications and
2anticipated funding award determinations.

3(b) Colleges, in collaboration with their local county behavioral
4health department, shall submit their grant application
5begin delete electronically to CalMHSAend deletebegin insert to the departmentend insert according to the
6guidelines adopted pursuant to subdivision (a).

7(c) To the extent that an application follows the guidelines
8adopted pursuant to subdivision (a) and specifically states what
9activities shall be undertaken in accordance with those guidelines, begin delete10 CalMHSAend delete begin insert the departmentend insert shall have the authority to approve grant
11programs andbegin delete the department shall award funding in accordance
12with CalMHSA determinations.end delete
begin insert shall award funding.end insert

13(d) Grants may be awarded to a community college district in
14the California Community College system, a campus within the
15California State University system, or a campus within the
16University of California system, or a grouping of campuses within
17the segments.

18(e) Total available grant funding to colleges by segment shall
19be proportional to the number of students served by that segment
20but, in no case shall the department award more than five million
21dollars ($5,000,000) per campus, per application.

22(f) Grants shall only be awarded to a campus that can show a
23dollar-for-dollar match of funds or another match to be determined
24bybegin delete CalMHSA,end deletebegin insert the department,end insert in consultation with the applicant,
25based on resources and existing mental health needs of students
26from the campus. Matching funds can include in-kind funds,
27student health fee funds after notification to the student association,
28and other appropriate funds as determined by the departmentbegin delete in
29collaboration with CalMHSAend delete
and pursuant to the guidelines
30adopted pursuant to subdivision (a).

31(g) Grants shall be awarded to applicants on a competitive basis
32based on their ability to meet the application standards and
33prioritization of these standards as determined bybegin delete CalMHSAend deletebegin insert the
34departmentend insert
through the development of the RFA guidelines
35adopted pursuant to subdivision (a).

36(h) Individual grant award allocations shall be expended over
37at least one year but not to exceed three years, as determined by
38begin delete CalMHSAend deletebegin insert the departmentend insert through the grant award process.

39(i) Administrative costs associated with administering an
40approved program shall be limited to 5 percent of the total grant
P7    1amount for any grantee. Administrative costs incurred by the
2department to administer this program shall be reimbursed from
3the College Mental Health Services Trust Account, and shall not
4exceed 5 percent of the total funds expended annually from the
5account.

6(j) The funding provided pursuant to this part shall not be used
7to supplant existing campus, state, or county funds utilized to
8provide mental health services.

9(k) The departmentbegin delete and CalMHSAend delete shall provide technical
10assistance to smaller colleges and county behavioral health
11departments upon request during the application process to ensure
12equitable distribution of the grant award.

13

5832.3.  

(a) Community colleges, campuses in the California
14State University, and campuses in the University of California
15system that have been awarded grants pursuant to this part shall
16report annually on the use of grant funds to the department and
17post the annual report on the use of the funds on their Internet Web
18sites. This report shall include, but not be limited to, all of the
19following:

20(1) How grant funds and matching funds are being used.

21(2) Available evaluation data, including outcomes of the campus
22mental health programs funded pursuant to the grant program.

23(3) Program information regarding services being offered and
24the number of individuals being served.

25(4) Plans for sustainability of mental health programming
26beyond the funding from the College Mental Health Services Trust
27Account.

28(b) The campuses shall electronically submit the reports required
29pursuant to subdivision (a), annually, to the appropriate
30Chancellor’s offices and the University of California Office of the
31President.

32

5832.4.  

(a) The department shall develop an evaluation plan
33to assess the impact of the program.

34(b) The department, in compliance with Section 9795 of the
35Government Code, shall submit a report to the Legislature by
36February 1, 2021, evaluating the impact of the program and
37providing recommendations for further implementation. The
38department shall make the report available to the public and shall
39post the report on its Internet Web site.

P8    1

5832.5.  

This part shall remain in effect only until January 1,
22022, and as of that date is repealed, unless a later enacted statute,
3that is enacted before January 1, 2022, deletes or extends that date.



O

    94