2021-2022 Legislative Priorities

1. Behavioral and Mental Health

2. Health Equity

3. Immigrant Youth Health

 

Information on the above priorities will be updated as state and local policy initiatives arise. 

The Quorum: Monthly Policy Updates

November 2021: The Pediatric Mental Health Crisis

The National Emergency
On October 19th, the AAP, American Academy of Child and Adolescent Psychiatry (AACAP), and Children’s Hospital Association declared a national emergency in children’s mental health. Below is an overview of the crisis, AAP policy recommendations, and ongoing legislation at the national and state levels to improve mental health service and delivery.
 Mental Health Crisis by the Numbers
By 2018, suicide was the second-leading cause of death for people between the ages of 10 and 24.
Teenage girls are particularly at risk: From February to March of 2021, emergency department visits for suspected suicide attempts were up 51% for girls ages 12 to 17, compared to the same period in 2019.
Overall, CDC data shows that in 2020, the percentage of emergency department visits for mental health emergencies rose by 24% for children between the ages of 5 and 11 and 31% for those 12 to 17, compared with 2019.
This ongoing mental health crisis disproportionately affects children of color. According to Pediatrics, 140,000 children have lost a parent or grandparent caregiver to COVID. Compared with white children, Native American children were 4.5 times more likely to have lost a primary caregiver. Black children were 2.4 times more likely, and Hispanic children nearly twice as likely.
Sources:
https://www.aappublications.org/news/2021/10/19/children-mental-health-national-emergency-101921
https://www.cdc.gov/mmwr/volumes/69/wr/mm6945a3.htm?s_cid=mm6945a3_w
AAP Recommendations
 The AAP is recommending the following policy actions:
  • Increase federal funding to ensure all families can access mental health services
  • Improve access to telemedicine
  • Support effective models of school-based mental health care
  • Accelerate integration of mental health care in primary care pediatrics
  • Fully fund community-based systems of care that connect families to evidence-based interventions
  • Address workforce challenges and shortages so that children can access mental health services no matter where they live
Source:
https://www.aappublications.org/news/2021/10/19/children-mental-health-national-emergency-101921
Advocacy: National Legislation
In August 2021 the Biden administration announced nearly $85 million in funding for mental health awareness, training, and treatment. The funding includes $10.7 million in American Rescue Plan funds from the Health Resources and Services Administration for the Pediatric Mental Health Care Access Program, which trains primary care providers to treat and refer kids for mental health issues. Another $74.2 million in grants is being distributed from the Substance Abuse and Mental Health Services Administration to raise awareness about youth mental health issues and train school personnel and programs that coordinate treatment for young people with behavioral health diagnoses.
Our own California Senator, Alex Padilla, introduced the Comprehensive Mental Health in Schools Pilot Program Act, which would direct the secretary of education of establish a 4-year pilot grant program, authorized at $20 million, prioritized to help schools predominantly serving low-income students address the mental and behavioral well-being of their students.
Sources:
https://www.npr.org/sections/back-to-school-live-updates/2021/08/27/1031493941/childrens-mental-health-gets-millions-in-funding-from-the-biden-administration
https://www.padilla.senate.gov/wp-content/uploads/FINAL-One-pager-Comprehensive-Mental-Health-in-Schools-Pilot-Program-Act-of-2021-1.pdf
Advocacy: CA State Legislation
AB 552 (Quirk-Silva): Integrated School-Based Behavioral Health Partnership Program.
This bill would establish the integrated school-based behavioral health partnership program to provide early intervention for, and access to, behavioral services for students. Specifically, partnerships will strive to provide more behavioral health professionals in school and ensure that schools have a space available to deliver behavioral health services.
Status: This is a two-year bill, currently in the assembly health committee.
AB 563 (Berman): School-based health programs
This bill would require the California Department of Education to establish an Office of School-Based Health Programs for the purpose of improving the operation of, and participation in, school-based health programs.
Status: This is a two-year bill, referred to the senate education and health committees.
AB 1117 (Wicks): Pupil support services: Healthy start: Toxic Stress and Trauma Resiliency for Children Program
This bill would establish the Healthy Start: Toxic Stress and Trauma Resiliency for Children Program, under which local superintendents would be required to award grants to qualifying schools and other local educational agencies to pay the costs of planning and operating programs that provide support services to pupils and their families. Grants would strive to create a sustainable funding stream to provide community support to vulnerable Californians.
Status: This is a two-year bill, currently referred to the assembly health and education committees.
Previous Legislative Spotlights: 
October 2021 

Get Involved with Advocacy

Pediatricians can play a unique role in facilitating policy change. We know first-hand what it takes to care for vulnerable populations and by educating the public, conducting research, and assisting in the interpretation of medical research – our potential impact on driving policy change is immeasurable.

Advocacy doesn’t just happen in Sacramento. We all have a role to play and it is our responsibility to speak up on behalf of the children in our Chapter. 

 

Are you interested in joining the advocacy committee, writing letters, and/or speaking at public forums? If so, contact the chapter legislative and advocacy analyst below: 

CONTACT: Kvangroningen@mednet.ucla.edu

Karinne Van Groningen, MD, MPH 

 

AAP-CA2 State Government Affairs (SGA) Committee Representatives and Staff:

Susan Wu, MD, FAAP (SGA) 

Marti Baum, MD, FAAP (SGA)

Karinne Van Groningen, MD, FAAP (SGA)