BILL ANALYSIS �
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THIRD READING
Bill No: SB 1055
Author: Liu (D)
Amended: 5/7/14
Vote: 21
SENATE HEALTH COMMITTEE : 7-1, 3/26/14
AYES: Hernandez, Beall, De Le�n, DeSaulnier, Evans, Monning,
Wolk
NOES: Anderson
NO VOTE RECORDED: Nielsen
SENATE EDUCATION COMMITTEE : 8-1, 4/30/14
AYES: Liu, Wyland, Block, Correa, Galgiani, Hancock, Hueso,
Monning
NOES: Huff
SENATE APPROPRIATIONS COMMITTEE : 7-0, 5/23/14
AYES: De Le�n, Walters, Gaines, Hill, Lara, Padilla, Steinberg
SUBJECT : Public School Health Center Support Program
SOURCE : California School-Based Health Alliance
DIGEST : This bill renames the Public School Health Center
Support Program (PSHCSP) the School-Based Health and Education
Partnership Program (SBHEPP) and makes changes to the
requirements and funding levels. This bill creates a new type
of grant to fund interventions related to obesity, asthma,
alcohol and substance abuse, and mental health.
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ANALYSIS : Existing law:
1.Requires the Department of Public Health (DPH) to establish
the PSHCSP, in collaboration with the California Department of
Education (CDE), to perform specified functions relating to
the establishment, retention, or expansion of school health
centers (SHCs) in California.
2.Establishes a grant program administered by DPH to provide
technical assistance and funding to SHCs, to the extent funds
are appropriated for implementation of the PSHCSP. Provides
for planning, facilities and startup, and sustainability
grants, as specified.
3.Defines an SHC, for purposes of the PSHCSP, as a center or
program located on a school campus or at a local educational
agency that provides age-appropriate health care services at
the program site or through referrals.
This bill:
1. Renames the PSHCSP the SBHEPP. Changes sustainability grant
amount from between $25,000 and $125,000 per year for a
three-year period to between $50,000 and $100,000 on a
one-time basis. Deletes the requirement that the grant be
used for operating SHCs or enhancing programming at SHCs to
include oral health or mental health services and instead
requires the grant funds be used to develop new and
leveraging existing funding streams to support a sustainable
funding model for SHCs. Provides examples of existing
funding streams, such as local educational agency funds
available under the local control funding formula, the
federal Affordable Care Act (ACA), or the Mental Health
Services Act.
2. Creates a new population health grant in amounts between
$50,000 and $125,000 for a period of up to three years to
fund interventions to implement population health outcomes
and target specific health or education risk factors,
including, but not limited to: obesity prevention programs;
asthma prevention programs; early intervention for mental
health; and, alcohol and substance abuse prevention.
Requires applicants for this grant to meet the same criteria
as those for the facilities and startup grant in existing
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law.
3. Adds to requirements for SBHEPP grantees to strive to
address the population health of an entire school by focusing
on prevention services, such as group and classroom
education, school wide prevention programs, community
outreach strategies; also strives to provide integrated and
individualized support for students and families, and to act
as a partner with students or families to ensure that health,
social, or behavioral challenges are addressed.
4. Clarifies that SBHEPP is required, in collaboration with
CDE, to also provide technical assistance to SHCs on
effective outreach and enrollment strategies to identify
children who are eligible for, but not enrolled in Covered
California, or any other applicable health insurance
affordability program for children.
5. Adds alcohol and substance abuse to the comprehensive set of
services SHCs are required to provide.
6. Adds evidence-based mental health treatment services to the
services an appropriately licensed mental health professional
is authorized to provide.
7. Makes several legislative findings related to SHCs including
the following:
A. SHCs can be integral to providing the entire school
community with prevention and health integration services
by working collaboratively with school staff and
administrators to meet the spectrum of health and
prevention needs in a school community.
B. The ACA contains provisions that recognize the
importance of SHCs in the delivery of quality, affordable
health care and that would call for their expansion.
Under the ACA, California is developing new strategies to
increase access to health care and reduce health care
costs through investing in prevention services.
C. Additionally, through education finance reform,
California has increased accountability strategies for
local educational agencies that highlight the need for
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schools to address important health-related indicators,
such as chronic absenteeism.
1. Makes technical, clarifying changes.
Prior Legislation
AB 174 (Bonta, 2013) would have required DPH to establish a
pilot grant program in Alameda County, to the extent that
funding is made available, to provide resources to eligible
applicants for activities and services that directly address the
mental health and related needs of students impacted by trauma.
The bill was vetoed by Governor Brown.
SB 564 (Ridley-Thomas, Chapter 381, Statutes of 2008) specified
that an SHC may conduct routine physical health, mental health,
and oral health assessments, and provide for any services not
offered onsite or through a referral process. The bill also
required DPH, to the extent funds are appropriated for
implementation of the PSHCSP, to establish a grant program to
provide technical assistance, and funding for the expansion,
renovation, and retrofitting of existing SHCs, and the
development of new SHCs, in accordance with specified
procedures.
AB 2560 (Ridley-Thomas, Chapter 334, Statutes of 2006) required
the Department of Health Services (DHS), in cooperation with
CDE, to establish the PSHCSP to perform specified functions
relating to the establishment, retention, or expansion of SHCs.
AB 2105 (Scott, 2000) would have required the Director of Mental
Health, in consultation with the Secretary of Child Development
and Education and the Superintendent of Public Instruction, to
establish a program to award planning grants to counties for the
provision of school-based mental health services to children, as
specified. The bill failed in the Assembly Appropriations
Committee.
SB 566 (Escutia, 1999) would have established the SHC Grant
Program, to be administered by DHS, to provide grants to
qualifying SHCs in order to assist the centers in providing
health services to students, provided that funds were
appropriated in the annual Budget Act. The bill was moved to
the Inactive File on the Senate Floor.
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FISCAL EFFECT : Appropriation: No Fiscal Com.: Yes
Local: No
According to the Senate Appropriations Committee, unknown costs
to provide additional grants (General Fund or other, unknown
fund source). This bill authorizes a new category of grants
that may be issued to schools with SHCs for interventions such
as obesity prevention or mental health prevention. This bill
does not identify a source of funds for these new grants. The
current program has been authorized in statute for eight years,
but has never been funded.
SUPPORT : (Verified 5/23/14)
California School-Based Health Alliance (source)
California Alliance of Child and Family Services
California Association of School Business Officials
California Charter Schools Association Advocates
California Primary Care Association
California School-Based Health Alliance
California State PTA
Children Now
Health Access California
Hispanas Organized for Political Equality
Partnership for Children and Youth
San Diego Unified School District
OPPOSITION : (Verified 5/23/14)
California Right to Life Committee
ARGUMENTS IN SUPPORT : The California School-Based Health
Alliance (CSBHA), the sponsor of this bill, states that children
attend school every day while suffering from mental health
issues, poor nutrition, asthma, diabetes, and other conditions
that seriously impact their ability to succeed. CSBHA states
that in 2011 even though about nine out of 10 California
children had health insurance, almost 20% of them did not have a
recommended annual preventive medical visit.
The California Primary Care Association, which represents nearly
1,000 not-for-profit community clinics and health centers,
writes in support of this bill and SHCs, which provide
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approximately 228,000 students with a range of services,
including primary medical care, mental health, and
nutrition/fitness.
The Partnership for Children and Youth states that in their
direct work with community-based organizations and school
districts they have seen first-hand the vital role that access
to SHCs has on students and their families and the communities
at large.
ARGUMENTS IN OPPOSITION : The California Right to Life
Committee (CRLC) states that this bill represents advocacy for
minors' treatment in many health areas, including reproductive
health services, as well as advances the governance format of
public-private partnerships, which CRLC argues erode
representative government.
JL:k 5/25/14 Senate Floor Analyses
SUPPORT/OPPOSITION: SEE ABOVE
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