BILL ANALYSIS                                                                                                                                                                                                    Ó



                                                                    AB 1133


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          Date of Hearing:   


                        ASSEMBLY COMMITTEE ON APPROPRIATIONS


                                 Jimmy Gomez, Chair


          AB  
          1133 (Achadjian) - As Amended April 15, 2015


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          Urgency:  No  State Mandated Local Program:  NoReimbursable:  No


          SUMMARY: 


          This bill establishes a four year pilot program, the  
          School-Based Early Mental Health Intervention and Prevention  
          Services Support Program (EMHI Support Program), to provide  
          outreach, free regional training, and technical assistance for  








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          local educational agencies in providing mental health services  
          at school sites.  Specifically, this bill:  


          1)Requires the State Public Health Officer, in consultation with  
            the Superintendent of Public Instruction (SPI) and the  
            Director of the Department of Health Care Services (DHCS), to  
            establish a four-year pilot program to encourage and support  
            local decisions to provide funding for the eligible support  
            services.



          2)Requires the Department of Public Health (DPH) to provide  
            outreach to local education agencies (LEAs) and county mental  
            health agencies to inform them of the program.



          3)Requires DPH to provide free regional training on eligible  
            support services, including intervention and prevention  
            services, parent involvement, teacher and staff conferences  
            and training, referral to outside resources, and use of  
            paraprofessional staff, counselors, and social workers.  



          4)Requires DPH to also provide free regional training on how the  
            support services can help fulfill state priorities described  
            by the local control funding formula and local control and  
            accountability plans and how educational, mental health, and  
            other funds subject to local control can be used to finance  
            the eligible support services, as specified. 



          5)Requires DPH to provide technical assistance to LEAs that  
            provide or seek to provide eligible services.  Technical  
            assistance includes assistance in designing programs, training  








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            staff, conducting evaluations, and leveraging funds that are  
            subject to local control.
           


          6)Requires the DPH to select and support school sites as  
            follows:



             a)   Requires, during the first 18 months of the program, DPH  
               to support, strengthen, and expand the provision of  
               eligible services at 30 school sites that received funding  
               pursuant to the previously established School-Based EMHI  
               and Prevention Services Matching Grant Program and have  
               continued to provide eligible support services: and,



             b)   Requires the department, during the second 18 months of  
               the program, to select 30 new school sites that are not  
               providing eligible support services but that demonstrate  
               the willingness and capacity to participate in the program.  
                Requires DPH to work with these school sites to deliver  
               eligible support services. Requires the DPH to prioritize  
               geographic diversity, program effectiveness, program  
               efficiency, and long-term program sustainability.



          1)Requires the DPH to submit an interim report to the  
            Legislature at the end of the second year of the pilot program  
            and to complete an evaluation at the end of the four year  
            pilot and submit it to the Legislature.  



          2)Expands the definition of eligible students to include  
            students who attend a preschool program at a publicly funded  








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            elementary school or who attends a publicly funded elementary  
            school and who is in kindergarten, transitional kindergarten,  
            or in grades one through three. 
           


          3)Sunsets the program on January 1, 2021.



          FISCAL EFFECT:


          General Fund administrative costs to the Department of Public  
          Health (DPH) of at least $315,000 to establish the EMHI Support  
          Program and provide outreach, free regional training, and  
          technical assistance to 60 school sites over four years.  DPH  
          would also incur costs related to interim reporting requirements  
          and final evaluation of the pilot project.


          COMMENTS:


          1)Background. Between 1991 and 2011, the state Department of  
            Mental Health (DMH) operated the Early Mental Health  
            Initiative (EMHI).  Beginning with the 1997-98 fiscal year,  
            the state provided $15 million (Proposition 98/GF) in matching  
            grant funds to approximately 150 programs.   Funds were  
            primarily used to hire trained paraprofessionals (aides) to  
            meet with children identified as needing support services.  
            Aides generally meet with each child, or group of children,  
            for 30 to 40 minutes, once a week to play games, draw or talk.  
            Small group settings also allow children to develop skills  
            such as making friends and resolving conflicts.


            In 2012, DMH was eliminated and programs under the  
            department's jurisdiction were transferred to the Department  








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            of Health Care Services.  In the same year, the governor  
            redirected Proposition 98 funds to local education agencies.    
            The following year the state created the Local Control Funding  
            Formula (LCFF) and eliminated approximately three quarters of  
            all K-12 categorical programs, representing a significant  
            shift away from state control and toward local  
            decision-making.  


          2)Purpose. According to the author, this bill would help LEAs  
            maximize the use of funds that are under local control for  
            EMHI programs.  The author states that the earlier these  
            children are connected to services, the more successful they  
            might become later in life.


            The Steinberg Institute and Autism Deserves Equal Coverage  
            support this prevention and early intervention pilot program  
            which seeks to help students from preschool to third grade  
            through the delivery of EMHI services, which have proven  
            successful over the years.  


          Analysis Prepared by:Misty Feusahrens / APPR. / (916) 319-2081