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

NOTE: There are more recent revisions of this legislation. Read Latest Draft

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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

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Amended  IN  Assembly  March 30, 2023

CALIFORNIA LEGISLATURE— 2023–2024 REGULAR SESSION

Assembly Bill

No. 1110

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Introduced by Assembly Member Arambula

February 15, 2023

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An act to add Article 3.1 (commencing with Section 124270) to Chapter 4 of Part 2 of Division 106 of, Section 439.1 to, and to add and repeal Section 124271 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 State Department of Public Health to maintain a program of maternal and child health, which may include, among other things, facilitating services directed toward reducing infant mortality and improving the health of mothers and children. 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 department, in consultation with office, in collaboration with ACEs Aware, other relevant state departments, and subject matter experts, to review available literature on adverse childhood experiences (ACEs), 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 provide guidance to the Legislature by submitting a report that includes legislative or policy recommendations on best practices for data disaggregation. post the guidance on the office’s internet website and make the guidance accessible, as specified. The bill would make Legislative legislative findings and declarations.

Digest Key

Vote: MAJORITY   Appropriation: NO   Fiscal Committee: YES   Local Program: NO  

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Bill Text

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 Office of the Surgeon General, 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 shall post this guidance on its internet website and make it 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.

SECTION 1.Article 3.1 (commencing with Section 124270) is added to Chapter 4 of Part 2 of Division 106 of the Health and Safety Code, to read:

3.1.Adverse Childhood Experiences

124270.

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 is 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.

124271.

(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 Public Health, in consultation with 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 124270, and ethnicity-based data disaggregation practices in ACEs screenings.

(2)Develop guidance for culturally and linguistically competent ACEs screenings through improved data collection methods. Improved data collection should incorporate ethnicity-based data disaggregation practices in collecting ACEs screenings data. The department shall post this guidance on its internet website and make it accessible to medical and community-based health care organizations that conduct ACEs screenings.

(3)Provide guidance and supporting information to the Legislature by submitting a report that includes legislative or policy recommendations on best practices for data disaggregation.

(b)(1)A report to be submitted pursuant to subdivision (a) shall be submitted in compliance with Section 9795 of the Government Code.

(2)Pursuant to Section 10231.5 of the Government Code, this section shall be inoperative on January 1, 2027, and as of that date is repealed.