BILL ANALYSIS Ó AB 1133 Page 1 Date of Hearing: ASSEMBLY COMMITTEE ON APPROPRIATIONS Jimmy Gomez, Chair AB 1133 (Achadjian) - As Amended April 15, 2015 ----------------------------------------------------------------- |Policy |Education |Vote:|7 - 0 | |Committee: | | | | | | | | | | | | | | |-------------+-------------------------------+-----+-------------| | | | | | | | | | | | | | | | |-------------+-------------------------------+-----+-------------| | | | | | | | | | | | | | | | ----------------------------------------------------------------- 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 AB 1133 Page 2 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 AB 1133 Page 3 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 AB 1133 Page 4 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 AB 1133 Page 5 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