BILL ANALYSIS                                                                                                                                                                                                    Ó






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          |SENATE RULES COMMITTEE            |                       AB 2017|
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                                   THIRD READING 


          Bill No:  AB 2017
          Author:   McCarty (D), et al.
          Amended:  8/16/16 in Senate
          Vote:     21 

           SENATE HEALTH COMMITTEE:  8-0, 6/22/16
           AYES:  Hernandez, Nguyen, Hall, Mitchell, Monning, Nielsen,  
            Pan, Roth
           NO VOTE RECORDED:  Wolk

           SENATE EDUCATION COMMITTEE:  9-0, 6/29/16
           AYES:  Liu, Block, Hancock, Huff, Leyva, Mendoza, Monning, Pan,  
            Vidak

           SENATE APPROPRIATIONS COMMITTEE:  5-0, 8/11/16
           AYES: Lara, Beall, Hill, McGuire, Mendoza
           NO VOTE RECORDED: Bates, Nielsen

           ASSEMBLY FLOOR:  77-0, 6/2/16 - See last page for vote

           SUBJECT:   College Mental Health Services Program


           SOURCE:    Academic Senate for California Community Colleges
           California State Student Association
                     Faculty Association of California Community Colleges
                     Steinberg Institute 
                     University of California Student Association  


          
          DIGEST:  This bill establishes the College Mental Health  
          Services Program Act, as specified, until January 1, 2022.  








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          Requires the Department of Health Care Services to create a  
          grant program for specified colleges to provide required  
          services to college students related to improved access to  
          mental health services and early identification and intervention  
          programs, and requires grant awardees to report to specified  
          entities on the use of funds for programs.

          ANALYSIS:  Existing law establishes the Department of Health  
          Care Services (DHCS) to administer the Medi-Cal program, under  
          which eligible low-income individuals receive health care and  
          mental health services.

           This bill:

          1)Requires DHCS to create a grant program for public community  
            colleges, colleges, and universities, in collaboration with  
            county behavioral health departments, to improve access to  
            mental health services and early identification or  
            intervention programs. Establishes the College Mental Health  
            Services Program (CMHSP) Act and the College Mental Health  
            Services Trust Account in the State Treasury. 

             
          2)Requires DHCS to establish grant guidelines and develop a  
            request for application for the grants to include, but not be  
            limited to:

             a)   Eligibility standards of applicants in order to qualify  
               to be considered for a grant;


             b)   Required program components to be included in the  
               application, including the ability of the program to meet  
               the needs of students that cannot be met though existing  
               funds; the ability of the program to fund the matching  
               component, as specified; the ability of the campus to  
               address direct services like increasing staff-to-student  
               rations and decreasing wait times; and the ability to  
               participate in evidence-based and community defined best  
               practice programs for service improvements;


             c)   Preferred program components to be included in the  
               application, which may include the ability of the campus to  







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               serve underserved and vulnerable populations, establish  
               direct linkages to community-based mental health services,  
               reduce racial disparities in access to mental health  
               services, fund mental health stigma reduction activities,  
               have an existing or planned partnership between the campus  
               and the county behavioral health department to address  
               complex mental health needs of students, as specified, and  
               have evidence of an existing or planned partnership between  
               the campus and local safety net providers to ensure  
               linkages to primary care and community-based mental health  
               care, regardless of the health insurance status of the  
               student; and


             d)   Required reporting and evaluation standards to be met by  
               applicants that are selected for a grant.  

                      
          3)Requires colleges, in collaboration with their local county  
            behavioral health department, to submit the grant application  
            to DHCS, as specified.

             
          4)Gives DHCS the authority to approve grant programs and to  
            award funding. Allows grants to be awarded to a community  
            college district in the California Community College system, a  
            campus within the California State University system, or a  
            campus within the University of California system, or a  
            grouping of campuses within the segments.

               
          5)Requires total available grant funding to colleges by segment  
            to be proportional to the number of students served by that  
            segment. Prohibits the department from awarding more than $5  
            million per campus, per application.

               
          6)Requires grants to be awarded only to a campus that can show a  
            dollar-for-dollar match of funds or another match to be  
            determined by DHCS, as specified. Requires individual grant  
            award allocations to be expended over at least one year but  
            not to exceed three years, as determined by DHCS. Prohibits  
            grant awards from being used to supplant existing campus,  
            state, or county funds utilized to provide mental health  







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            services.

               
          7)Requires DHCS to provide technical assistance to smaller  
            colleges and county behavioral health departments upon request  
            to ensure equitable distribution of the grant awards.

               
          8)Requires all entities that have been awarded grants to report  
            annually on the use of grant funds to DHCS, and annually post  
            the reports on their Internet Web sites, to include, but not  
            limited to, how the grant funds and matching funds are being  
            used; available evaluation data, including grant program  
            outcomes; information regarding services being offered and the  
            number of individuals served; and plans for sustainability of  
            mental health programs beyond the funding provided by this  
            bill. Requires the reports to be electronically submitted  
            annually to the appropriate Chancellor's offices and the  
            University of California Office of the President.

               
          9)Requires DHCS to develop an evaluation plan to assess the  
            impact of the CMHSP, and to submit a report to the Legislature  
            by February 1, 2021, evaluating the impact and providing  
            recommendations to further the CMHSP implementation. Requires  
            DHCS to make the report available to the public and to post it  
            on its Internet Web site.

               
          10)Specifies that the CMHSP remains in effect only until January  
            1, 2022, unless a later enacted statute deletes or extends  
            that date.


          Comments
            
          1)Author's statement. According to the author, Californians face  
            a tremendous mental health need, often related to access,  
            care, and homelessness. However, an often forgotten part of  
            this discussion is college-age students. Unfortunately, many  
            of our public colleges do not have adequate mental health  
            services for their students on campus, particularly community  
            colleges. In many cases, college aged students do not ask for  
            help when they need it. The stigma around seeking mental  







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            health treatment is still prevalent in our society, but we can  
            help change it if we increase access to mental health services  
            for students. Once students have the resources they need, the  
            more likely they will seek help, and this can positively  
            impact all our students' success.


          2)Student mental health data. According to national data  
            compiled by the Center for Collegiate Mental Health at Penn  
            State over six academic years (2009-15) from over 93  
            participating  institutions, on average, the growth in the  
            number of students seeking services at campus counseling  
            centers (+29.6%) was more than five times the rate of  
            institutional enrollment (+5.6%). Further, the growth in  
            counseling center appointments (+38.4) is more than seven  
            times the rate of institutional enrollment. The lifetime  
            prevalence rate for serious suicidal ideation among college  
            students (i.e., "I have seriously considered suicide") has  
            increased substantially over the last five years from 23.8% to  
            more than 32.9%. According to data compiled by the California  
            Electronic Violent Death Reporting System (CalEVDRS), a total  
            of 6,471 individuals from 20 to 24 years of age were treated  
            for a suicide attempt in 2014. This represents a 17% increase  
            (5,553 to 6,471) from 2000 to 2014 in individuals who  
            attempted suicide who received professional treatment by  
            either being hospitalized or treated in an emergency  
            department.  CalEVDRS provides detailed information from  
            participating counties on violent deaths, including homicides  
            and suicides by linking data from vital statistics death  
            files, supplementary homicide reports from the California  
            Department of Justice, and coroners' investigations.


          Related Legislation 


          AB 1644 (Bonta), renames the 1991 School-Based Early Mental  
          Health Intervention and Prevention Services for Children Act the  
          Healing from Early Adversity to Level the Impact of Trauma in  
          Schools Act, to provide outreach, free regional training, and  
          technical assistance for local educational agencies in providing  
          mental health services at school sites. AB 1644 was held under  
          submission in the Senate Appropriations Committee.








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


          According to the Senate Committee on Appropriations:

          1)Unknown ongoing costs to provide grant funds to public college  
            campuses (General Fund or other fund source). 

          2)One-time costs of $240,000 and ongoing costs of $365,000 per  
            year for the DHCS to provide technical assistance to grantees  
            and to oversee the operation of the program (General Fund).

          3)Ongoing costs likely between $1 million and $2 million per  
            year for the California Mental Health Services Authority to  
            develop grant guidelines, review grant applications, and  
            provide technical assistance to college campuses (General  
            Fund).

          4)Unknown costs to public college campuses to put up matching  
            funds to receive grants under the bill (General Fund or  
            special funds). The bill would require public college campuses  
            that apply for funding to agree to provide a dollar-for-dollar  
            match or another match. Depending on the match requirement,  
            and the extent to which colleges could count existing program  
            funds for the match requirement, the bill could impose  
            additional costs on public college campuses.


          SUPPORT:   (Verified8/15/16)


          Academic Senate for California Community Colleges (co-source)
          California State Student Association (co-source)
          Faculty Association of California Community Colleges (co-source)
          Steinberg Institute (co-source)
          University of California Student Association (co-source)
          American Association for Marriage and Family Therapy, California  
                    Division
          Association of California Community College Administrators
          Board of Governors of the California Community  
          Colleges/Chancellor's Office
          California Association for Postsecondary Education and  







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                    Disability
          California Association of Marriage and Family Therapists
          California Black Health Network
          California Board of Psychology 
          California Civil Liberties Advocacy
          California Council of Community Behavioral Health Agencies
          California Faculty Association
          California Federation of Teachers
          California Pan-Ethnic Health Network
          California State University
          California Youth Empowerment Network
          Community College League of California
          Kern Community College District
          Los Angeles Community College District
          Los Rios Community College District
          National Association of Social Workers, California Chapter
          North Orange County Community College District
          San Bernardino Community College District
          San Jose/Evergreen Community College District
          Student Senate for California Community Colleges
          West Kern Community College District


          OPPOSITION:   (Verified8/15/16)


          None received

          ARGUMENTS IN SUPPORT:  Supporters argue that the state's public  
          colleges serve nearly three million students, and studies show  
          that mental health needs of this population are great, with as  
          many as one in four students having a diagnosable mental illness  
          and only 40% of them seeking help when they need it. Supporters  
          argue that colleges lack the level of needed mental health  
          professionals and resources to help college students, who often  
          suffer from depression, anxiety, psychosis, or other mental  
          health conditions due to social and emotional stress, academic  
          expectations, increasing debt, and other major life  
          transitions..
          
          ASSEMBLY FLOOR:  77-0, 6/2/16
          AYES:  Achadjian, Alejo, Travis Allen, Arambula, Atkins, Baker,  
            Bloom, Bonilla, Bonta, Brough, Brown, Burke, Calderon, Campos,  
            Chang, Chau, Chávez, Chiu, Chu, Cooley, Cooper, Dababneh,  







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            Dahle, Daly, Dodd, Eggman, Frazier, Cristina Garcia, Eduardo  
            Garcia, Gatto, Gipson, Gomez, Gonzalez, Gordon, Gray, Grove,  
            Hadley, Harper, Roger Hernández, Holden, Irwin, Jones,  
            Jones-Sawyer, Kim, Lackey, Levine, Linder, Lopez, Low,  
            Maienschein, Mathis, Mayes, McCarty, Medina, Melendez, Mullin,  
            Nazarian, Obernolte, O'Donnell, Olsen, Patterson, Quirk,  
            Ridley-Thomas, Rodriguez, Salas, Santiago, Steinorth, Mark  
            Stone, Thurmond, Ting, Wagner, Waldron, Weber, Wilk, Williams,  
            Wood, Rendon
          NO VOTE RECORDED:  Bigelow, Beth Gaines, Gallagher

          Prepared by:Reyes Diaz / HEALTH / (916) 651-4111
          8/17/16 9:13:35


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