BILL ANALYSIS Ó SB 291 Page 1 Date of Hearing: August 19, 2015 ASSEMBLY COMMITTEE ON APPROPRIATIONS Jimmy Gomez, Chair SB 291 (Lara) - As Amended July 16, 2015 ----------------------------------------------------------------- |Policy |Health |Vote:|18 - 0 | |Committee: | | | | | | | | | | | | | | |-------------+-------------------------------+-----+-------------| | | | | | | | | | | | | | | | |-------------+-------------------------------+-----+-------------| | | | | | | | | | | | | | | | ----------------------------------------------------------------- Urgency: No State Mandated Local Program: NoReimbursable: No SUMMARY: This bill: 1)Amends the definition of vulnerable communities to include SB 291 Page 2 individuals who have experienced trauma related to genocide, for purposes of the California Department of Public Health (CDPH) Office of Health Equity (OHE)'s health disparity initiatives. 2)Requires the Department of Health Care Services (DHCS) to include stakeholders in vulnerable communities, as defined, in its decision making process, to promote effective and efficient quality mental health services. FISCAL EFFECT: Negligible state fiscal impact. COMMENTS: 1)Purpose. According to the author, in the last decade, the Legislature has sought to expand access to mental health care. OHE and DHCS, among other state and local entities, have been charged with carrying out various mental health initiatives. Yet barriers to mental health care remain, and community and non-profit organizations that serve individuals suffering from trauma related to genocide struggle to access programs and services administered by these departments. The author states the Cambodian-American population still suffers from the effects of the Cambodian Genocide that occurred between 1975-1979 and their mental health challenges are multigenerational, extending beyond the elders who were refugees to the youth who are U.S. born citizens. This bill attempts to include those groups in the definition of "vulnerable communities," for purposes of including this unique type of trauma in the state's mental health initiatives. SB 291 Page 3 Analysis Prepared by:Lisa Murawski / APPR. / (916) 319-2081