BILL ANALYSIS                                                                                                                                                                                                    Ó



                                                                     SB 291  


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          Date of Hearing:  August 19, 2015


                        ASSEMBLY COMMITTEE ON APPROPRIATIONS


                                 Jimmy Gomez, Chair


          SB 291  
          (Lara) - As Amended July 16, 2015


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          Urgency:  No  State Mandated Local Program:  NoReimbursable:  No


          SUMMARY:


          This bill:


          1)Amends the definition of vulnerable communities to include  








                                                                     SB 291  


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            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  


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          Analysis Prepared by:Lisa Murawski / APPR. / (916)  
          319-2081