The Child Care and Development Services Act, administered by the State Department of Social Services, establishes a system of childcare and development services for children up to 13 years of age. The Early Education Act requires the Superintendent of Public Instruction, to, among other things, provide an inclusive and cost-effective preschool program. Under both acts, the cost to a provider agency of providing an early childhood mental health consultation service is reimbursable if certain requirements are met, including that the consultation service uses a relationship-based model that includes specified components, including, among others, that, at least twice per program year, early care- and education setting-based mental health assessments are conducted and that there is, with the consent of parents or legal guardians, at least one screening of each enrolled child for adverse childhood experiences and screening for buffering factors. This bill would remove the requirement that the consultation service use a relationship-based model that includes those components in order to be reimbursable and would instead require that, in order to be reimbursable, the consultation service, among other things, uses a relationship-based model that incorporates, at least once per school or program year, an early care and education classroom observation tool that includes measures on the classroom environment, social-emotional learning climate, and teacher and child interactions to guide the specific activities and support the consultant will provide.
Existing law establishes the Medi-Cal program, administered by the State Department of Health Care Services, under which health care services are provided to qualified, low-income persons. The Medi-Cal program is, in part, governed and funded by federal Medicaid program provisions. Existing law authorizes a county board of supervisors to establish a commission to negotiate an exclusive contract with the department to provide, or arrange for the provision of, health care services under the Medi-Cal program. Pursuant to the authority described above, the County of Orange established a commission and existing law established the governance of that commission, known as the Orange County Health Authority or CalOptima, to provide health care services under the Medi-Cal program. Existing law prescribes who can serve on the 10-member governing body of the commission and requires each member to serve a 4-year term, except as described. This bill, for terms commencing after January 1, 2027, would impose one-, 2-, and 4-year terms of office, as specified. The bill would also prohibit specified voting members from serving more than two consecutive terms and from serving in that capacity for more than 10 consecutive years. The bill would require the governing body of the Orange County Health Authority to authorize and pay for an independent external audit of its governance procedures and practices, including the roles and responsibilities of the governing body, executive leadership, and staff, among others. The bill would require the audit to be completed by July 1, 2027, and would require that a copy of the report be provided to the Legislature and made public. Because this bill would impose a unique requirement on how services are provided on a local government and would require additional duties of county authorities, the bill would impose a state-mandated local program. This bill would make legislative findings and declarations as to the necessity of a special statute for County of Orange. Existing constitutional provisions require that a statute that limits the right of access to the meetings of public bodies or the writings of public officials and agencies be adopted with findings demonstrating the interest protected by the limitation and the need for protecting that interest. This bill would make legislative findings to that effect. The California Constitution requires the state to reimburse local agencies and school districts for certain costs mandated by the state. Statutory provisions establish procedures for making that reimbursement. This bill would provide that no reimbursement is required by this act for a specified reason.
The Donahoe Higher Education Act sets forth, among other things, the missions and functions of California's public and independent segments of higher education and their respective institutions of higher education. The act requests the Regents of the University of California, and requires the Trustees of the California State University, to require each campus in their respective segments to grant students the right to reenroll in their baccalaureate degree program after withdrawing or stopping out, if the student was in good academic standing with the university. This bill, commencing with the 2027–28 academic year, would require a campus of the University of California, the California State University, or the California Community Colleges, a private postsecondary educational institution, or an independent institution of higher education to adopt a written policy to allow a student to take a voluntary medical leave of absence for a period to be determined by the postsecondary educational institution, or for a period of up to one academic year, whichever is longer. The bill would prohibit the leave of absence policy from, among other things, requiring a student who takes a medical leave of absence to submit an official notice of withdrawal to the postsecondary educational institution. The bill would require a postsecondary educational institution, among other things, to post the medical leave of absence policy on the institution's internet website and notify students and faculty of the location of the posted policy on its internet website by sending an email at the beginning of each academic semester or term. These provisions would apply to the University of California only to the extent that the regents, by appropriate resolution, make them applicable. By imposing additional duties on community college districts, the bill would impose a state-mandated local program. The California Constitution requires the state to reimburse local agencies and school districts for certain costs mandated by the state. Statutory provisions establish procedures for making that reimbursement. This bill would provide that, if the Commission on State Mandates determines that the bill contains costs mandated by the state, reimbursement for those costs shall be made pursuant to the statutory provisions noted above.
Existing law requires the governing board of a school district to have general control of, and be responsible for, all aspects of the interscholastic athletic policies, programs, and activities in its school district, as provided, and requires the governing board of a school district to ensure that all interscholastic policies, programs, and activities in the school district comply with state and federal law. Existing law authorizes the governing board of a school district to enter into associations or consortia with other governing boards for purposes of governing regional or statewide interscholastic athletics, as provided. Existing law describes the California Interscholastic Federation (CIF) as a voluntary organization that consists of school and school-related personnel with responsibility for administering interscholastic athletic activities in secondary schools and states the intent of the Legislature that the CIF, in consultation with the State Department of Education, implement specified policies relating to interscholastic athletics. Existing law, the 1998 California High School Coaching Education and Training Program, declares the intent of the Legislature to establish a California High School Coaching Education and Training Program, to be administered by school districts with an emphasis on specific components, including, among other components, sports psychology. Existing law requires every high school sports coach to complete, at their own expense, a coaching education program that meets the guidelines established by the California High School Coaching Education and Training Program. This bill would add a component on mental health training, as specified, to the list of components to be emphasized by the 1998 California High School Coaching Education and Training Program. The bill, commencing with the 2027–28 school year, would require a person who serves as a coach in an interscholastic athletic program at a high school, including a private school, that is a member of the California Interscholastic Federation to complete an initial training, and a subsequent training every 2 years, on mental health, as provided. The bill, commencing with the 2027–28 school year, would also require a school district, county office of education, or charter school that elects to offer an athletic program, other than an interscholastic athletic program, to ensure that the athletic program's coaches complete an initial training, and a subsequent training every 2 years, that covers sudden cardiac arrest, as provided, and youth athletics behavioral and mental health training, as provided. This bill would incorporate additional changes to Section 35179.1 of the Education Code proposed by AB 1626 to be operative only if this bill and AB 1626 are enacted and this bill is enacted last. This bill would make the operation of its provisions contingent upon the enactment of AB 1626 of the 2025–26 Regular Session.
Existing law establishes the Medi-Cal program, which is administered by the State Department of Health Care Services and under which qualified low-income persons receive health care benefits. The Medi-Cal program is, in part, governed and funded by federal Medicaid program provisions. Existing law establishes a schedule of benefits under the Medi-Cal program and provides for various services, including behavioral and mental health services that are rendered by Medi-Cal enrolled providers. Existing law authorizes a county, or an agency representing the county, to develop a peer support specialist certification program, subject to department approval. Existing law imposes specified requirements on applicants for certification as a peer support specialist, including that the applicant be at least 18 years of age and possess a high school diploma or equivalent degree. This bill would remove the requirement of possessing a high school diploma or equivalent degree from the requirements necessary for an applicant to receive certification.
Existing law authorizes an unmarried person who is under 18 years of age to marry upon obtaining a court order granting permission and the written consent of at least one of the parents or the guardian of each underage party to the marriage, as specified. Existing law requires the court, if it considers it necessary, as part of the court order granting permission to marry, to require the parties to the prospective marriage of a minor to participate in premarital counseling, as specified. Existing law provides that 2 unmarried, unrelated adults who have chosen to share one another's lives in an intimate and committed relationship of mutual caring may establish a domestic partnership by filing a declaration with the Secretary of State, if certain requirements are met. Existing law provides that a person under 18 years of age who, together with the person with whom the person proposes to establish a domestic partnership, meets the requirements for a domestic partnership other than the requirement of being at least 18 years of age, is capable of consenting to and establishing a domestic partnership upon obtaining a court order granting permission to the underage person or persons to establish a domestic partnership. Under existing law, registered domestic partners have the same rights, protections, and benefits as spouses. This bill would repeal the authorization for a person under 18 years of age to be issued a marriage license or to establish a domestic partnership, thereby prohibiting a person under 18 years of age from being issued a marriage license or from establishing a domestic partnership. The bill would make conforming changes. Existing law requires the State Registrar to create a document, no later than March 1, 2020, concerning marriage certificates in which one or both of the parties were minors at the time of solemnization of the marriage. Existing law requires the State Registrar to update that document annually, as specified. Existing law requires the local registrar to submit specified information for the purposes of that report. This bill would repeal those provisions.
Existing law prohibits the Department of Corrections Rehabilitation from allowing any lack of care that would injure or impair the health of an incarcerated person. Existing law prohibits the department from modifying or canceling the medical treatment of an incarcerated person if a physician certifies that the medical treatment is required to prevent certain violations of law or to prevent serious and imminent harm to the health of an incarcerated person, as specified. This bill would prohibit a supervisor, administrator, or employee of the department from interfering with or refusing to implement prescribed health care, as specified, that results in substantial emotional distress or serious bodily injury, as defined.
Existing law, the Physical Therapy Practice Act, establishes the Physical Therapy Board of California within the Department of Consumer Affairs for the licensure, approval, and regulation of physical therapists and physical therapist assistants. Existing law prescribes specified fees for licenses issued by the board. Existing law authorizes the board to decrease or increase the fee amounts, and establishes specified maximum amounts of license fees. Existing law repeals the board and its authority to employ an executive officer on January 1, 2027. This bill would extend the board's authority to enforce and administer the act and to appoint an executive officer until January 1, 2031. The bill would increase specified fees for licenses issued by the board and would increase the maximum amount to which the board may increase the fees, as specified. The bill would also make nonsubstantive changes to those fee provisions. Existing law authorizes a person whose license has been revoked or suspended, or who has been placed on probation, to petition the board for reinstatement or modification of a penalty after a specified period of time has elapsed. Existing law prohibits the board from considering a petition while the petitioner is under sentence for any criminal offense, including any period of court-imposed probation or parole, or while there is an accusation or petition to revoke probation pending against the petitioner. This bill would further prohibit the board from considering a petition if the applicant is required to register as a sex offender, as specified. The bill would except from this prohibition an applicant whose requirement to register as a sex offender is based solely on a misdemeanor conviction. The bill would also prohibit the board from considering a petition if the conduct underlying the petitioner's conviction involved certain sexual misconduct.
Existing law finds and declares that prenatal and postpartum care, among other things, are essential services necessary to ensure maternal health. Existing law establishes the State Department of Public Health, and vests the department with certain duties relating to maternal health, including maintaining a program of maternal and child health, as provided. This bill would require the department to include on its internet website information advising individuals to discuss pelvic floor concerns with their health care provider during their postpartum care visit.
Existing law, the Knox-Keene Health Care Service Plan Act of 1975, provides for the licensure and regulation of health care service plans by the Department of Managed Health Care. Existing law authorizes the Director of the Department of Managed Health Care to authorize a pilot program in southern California under which approved providers may undertake risk-bearing arrangements with a voluntary employees' beneficiary association with enrollment of more than 100,000 lives, as specified, beginning no earlier than January 1, 2022, to December 31, 2027, inclusive, if certain criteria are met. Existing law requires the association and each participating health care provider to report to the department information regarding cost savings and clinical patient outcomes compared to a fee-for-service payment model. Existing law requires the department to report those findings to the Legislature after the termination of the pilot program and before January 1, 2027. Existing law repeals these provisions on January 1, 2030. This bill would extend that repeal date to January 1, 2031. The bill would extend the end date of the pilot program to December 31, 2030, but would authorize the department to terminate the pilot program for specified reasons and would require the department to terminate the pilot program prior to the pilot program's end date based on any significant negative findings in any report, including if the department identifies any serious deficiencies that could cause enrollee harm. The bill would, instead of requiring the department to report findings to the Legislature after the termination of the pilot program, require the department to submit an interim report of the findings described above and policy recommendations regarding the continuation of the pilot program to the Legislature before January 1, 2029.
