Bill Text: CA AB1110 | 2023-2024 | Regular Session | Amended


Bill Title: Public health: adverse childhood experiences.

Spectrum: Partisan Bill (Democrat 1-0)

Status: (Engrossed) 2023-09-01 - In committee: Held under submission. [AB1110 Detail]

Download: California-2023-AB1110-Amended.html

Amended  IN  Senate  July 10, 2023
Amended  IN  Assembly  March 30, 2023

CALIFORNIA LEGISLATURE— 2023–2024 REGULAR SESSION

Assembly Bill
No. 1110


Introduced by Assembly Member Arambula

February 15, 2023


An act to add Section 439.1 to, and to add and repeal Section 439.2 of, the Health and Safety Code, relating to public health.


LEGISLATIVE COUNSEL'S DIGEST


AB 1110, as amended, Arambula. Public health: adverse childhood experiences.
Existing law requires the Office of the Surgeon General to, among other things, raise public awareness and coordinate policies governing scientific screening and treatment for toxic stress and adverse childhood experiences (ACEs).
This bill would, subject to an appropriation and until January 1, 2027, require the office, office and the State Department of Health Care Services, while administering the ACEs Aware initiative and in collaboration with ACEs Aware, other relevant state departments, and subject matter experts, to review available literature on ACEs, as defined, and ancestry or ethnicity-based data disaggregation practices in ACEs screenings, develop guidance for culturally and linguistically competent ACEs screenings through improved data collection methods, and post the guidance on the office’s department’s internet website and the ACEs Aware internet website, and make the guidance accessible, as specified. The bill would make legislative findings and declarations.
Vote: MAJORITY   Appropriation: NO   Fiscal Committee: YES   Local Program: NO  

The people of the State of California do enact as follows:


SECTION 1.

 Section 439.1 is added to the Health and Safety Code, to read:

439.1.
 The Legislature finds and declares all of the following:
(a) Adverse childhood experiences (ACEs) are traumatic events that occur before 18 years of age, including physical, emotional, or sexual abuse, emotional or physical neglect, and other types of adverse experiences, including mental illness, substance use, incarceration, parental separation or divorce, or having lived experiences of, or witnessing, domestic violence.
(b) ACEs are incredibly prevalent and can disrupt healthy development in young people. Experiencing four or more ACEs is associated with significantly increased risk for 9 out of 10 leading causes of death, such as heart disease, cancer, diabetes, and suicide.
(c) Children of color experience disproportionately higher rates of ACEs due to stressful environments, socioeconomic inequity, and lack of culturally and linguistically competent resources.
(d) Data disaggregation is critical in unveiling health, economic, educational, and social disparities inherent in all ethnic populations and may drive a more informed policy response.
(e) The state should consider future policy and funding decisions to address ACEs and the well-being of children in the State of California.

SEC. 2.

 Section 439.2 is added to the Health and Safety Code, to read:

439.2.
 (a) Subject to an appropriation of funds by the Legislature in the annual Budget Act or another statute for this purpose, the State Department of Health Care Services and the Office of the Surgeon General, while administering the ACEs Aware initiative and in collaboration with ACEs Aware, other relevant state departments, and subject matter experts, shall do all of the following:
(1) Review available literature on Adverse Childhood Experiences (ACEs), as described in subdivision (a) of Section 439.1, and ancestry or ethnicity-based data disaggregation practices in ACEs screenings.
(2) On or before January 1, 2027, develop guidance for culturally and linguistically competent ACEs screenings through improved data collection methods. Improved data collection should incorporate ancestry or ethnicity-based data disaggregation practices in collecting ACEs screenings data. The office department shall post this guidance on its internet website and make it and the ACEs Aware internet website. The department shall make the guidance accessible to medical and community-based health care organizations that conduct ACEs screenings.
(b) This section shall remain in effect only until January 1, 2027, and as of that date is repealed.

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