Amended IN Senate March 16, 2017 CALIFORNIA LEGISLATURE 20172018 REGULAR SESSION Senate Bill No. 320Introduced by Senator LeyvaFebruary 13, 2017 An act to amend Section 137 of the Health and Safety add Chapter 5.5 (commencing with Section 99250) to Part 65 of Division 14 of Title 3 of the Education Code, relating to public health. LEGISLATIVE COUNSEL'S DIGESTSB 320, as amended, Leyva. Womens health. Public health: public postsecondary education: student health insurance plans: on-campus student health centers: abortion by medication techniques.Existing law establishes the University of California, under the administration of the Regents of University of California, the California State University, under the administration of the Trustees of the California State University, and the California Community Colleges, under the administration of the Board of Governors of the California Community Colleges, as the 3 segments of public postsecondary education in this state.This bill would express findings and declarations of the Legislature relating to the availability of abortion by techniques at on-campus student health centers at public postsecondary educational institutions in the state.The bill would require student health insurance plans offered by campuses of the California State University and the California Community Colleges to include coverage of abortion as part of the student health insurance plan. The bill would also require, as a condition for the use of state funds for purposes of providing health insurance coverage for its students, the University of California to offer coverage of abortion as part of the student health insurance plan.The bill would require campuses of the California State University and the California Community Colleges that operate on-campus health centers to offer abortion by medication techniques and scientifically accurate abortion counseling services to their students. The bill would also require, as a condition for the use of state funds for purposes of operating on-campus health centers, each campus of the University of California that has an on-campus health center to offer abortion by medication techniques and scientifically accurate abortion counseling services to its students.Because this bill would impose new duties on community college districts, it would constitute a state-mandated local program.(2) 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 imposes various functions and duties on the State Department of Public Health with respect to the administration and oversight of various health programs and facilities relating to the prevention of disease and the promotion of health. Existing law requires the department to develop a coordinated state strategy for addressing the health-related needs of women, as prescribed.This bill would make technical, nonsubstantive changes to that provision.Digest Key Vote: MAJORITY Appropriation: NO Fiscal Committee: NOYES Local Program: NOYES Bill TextThe people of the State of California do enact as follows:SECTION 1. The Legislature finds and declares all of the following:(a) Abortion care is a constitutional right and an integral part of comprehensive sexual and reproductive health care.(b) Many California public higher education institutions with on-campus health centers do not currently provide abortion by medication techniques. Abortion by medication techniques is extremely safe, highly effective, and cost effective. Abortion by medication techniques is an essential part of comprehensive womens health care, and should be accessible at on-campus health care centers.(c) Staff at on-campus health care centers include health professionals who are trained and licensed to provide abortion by medication techniques. Under current California law, all residency programs in obstetrics and gynecology include training in abortion. Clinicians who are legally authorized to provide abortion, but are not currently trained to provide abortion by medication techniques, can be trained inexpensively to do so, and such training falls within the requirements of continuing education for medical providers.(d) Students seeking early pregnancy termination, especially those enrolled at institutions outside of major urban centers, face prohibitively expensive travel, often without reliable means of transportation, to a clinic that may be hours from their campus, out of their city, county, or even geographic region. These financial and time burdens negatively impact academic performance and mental health.(e) The health insurance plans of some University of California institutions include abortion care; however, students must go off campus to access this service. Alternatively, students who are not covered by the University of California health insurance plans that include abortion, and do not have their own private insurance that covers abortion, must either pay for abortion care out-of-pocket, or apply for Medi-Cal.SEC. 2. Chapter 5.5 (commencing with Section 99250) is added to Part 65 of Division 14 of Title 3 of the Education Code, to read: CHAPTER 5.5. Student Health Care Services99250. (a) (1) A student health insurance plan offered by a campus of the California State University or the California Community Colleges shall include coverage of abortion in that plan.(2) As a condition for the use of state funds for purposes of providing health insurance coverage for its students, the University of California shall include coverage of abortion as part of the student health insurance plan.(b) (1) A campus of the California State University or the California Community Colleges that operates an on-campus health care center shall offer abortion by medication techniques and scientifically accurate abortion counseling services to its students.(2) As a condition for the use of state funds for purposes of operating on-campus health care centers, each campus of the University of California that has an on-campus health care center shall offer abortion by medication techniques and scientifically accurate abortion counseling services to its students.SEC. 3. If the Commission on State Mandates determines that this act contains costs mandated by the state, reimbursement to local agencies and school districts for those costs shall be made pursuant to Part 7 (commencing with Section 17500) of Division 4 of Title 2 of the Government Code.SECTION 1.Section 137 of the Health and Safety Code is amended to read:137.(a)The State Department of Public Health shall develop a coordinated state strategy for addressing the health-related needs of women, including, but not limited to, the implementation of goals and objectives for womens health.(b)The approved programmatic costs associated with this strategy shall be the responsibility of the State Department of Public Health, unless otherwise provided by law. Amended IN Senate March 16, 2017 CALIFORNIA LEGISLATURE 20172018 REGULAR SESSION Senate Bill No. 320Introduced by Senator LeyvaFebruary 13, 2017 An act to amend Section 137 of the Health and Safety add Chapter 5.5 (commencing with Section 99250) to Part 65 of Division 14 of Title 3 of the Education Code, relating to public health. LEGISLATIVE COUNSEL'S DIGESTSB 320, as amended, Leyva. Womens health. Public health: public postsecondary education: student health insurance plans: on-campus student health centers: abortion by medication techniques.Existing law establishes the University of California, under the administration of the Regents of University of California, the California State University, under the administration of the Trustees of the California State University, and the California Community Colleges, under the administration of the Board of Governors of the California Community Colleges, as the 3 segments of public postsecondary education in this state.This bill would express findings and declarations of the Legislature relating to the availability of abortion by techniques at on-campus student health centers at public postsecondary educational institutions in the state.The bill would require student health insurance plans offered by campuses of the California State University and the California Community Colleges to include coverage of abortion as part of the student health insurance plan. The bill would also require, as a condition for the use of state funds for purposes of providing health insurance coverage for its students, the University of California to offer coverage of abortion as part of the student health insurance plan.The bill would require campuses of the California State University and the California Community Colleges that operate on-campus health centers to offer abortion by medication techniques and scientifically accurate abortion counseling services to their students. The bill would also require, as a condition for the use of state funds for purposes of operating on-campus health centers, each campus of the University of California that has an on-campus health center to offer abortion by medication techniques and scientifically accurate abortion counseling services to its students.Because this bill would impose new duties on community college districts, it would constitute a state-mandated local program.(2) 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 imposes various functions and duties on the State Department of Public Health with respect to the administration and oversight of various health programs and facilities relating to the prevention of disease and the promotion of health. Existing law requires the department to develop a coordinated state strategy for addressing the health-related needs of women, as prescribed.This bill would make technical, nonsubstantive changes to that provision.Digest Key Vote: MAJORITY Appropriation: NO Fiscal Committee: NOYES Local Program: NOYES Amended IN Senate March 16, 2017 Amended IN Senate March 16, 2017 CALIFORNIA LEGISLATURE 20172018 REGULAR SESSION Senate Bill No. 320 Introduced by Senator LeyvaFebruary 13, 2017 Introduced by Senator Leyva February 13, 2017 An act to amend Section 137 of the Health and Safety add Chapter 5.5 (commencing with Section 99250) to Part 65 of Division 14 of Title 3 of the Education Code, relating to public health. LEGISLATIVE COUNSEL'S DIGEST ## LEGISLATIVE COUNSEL'S DIGEST SB 320, as amended, Leyva. Womens health. Public health: public postsecondary education: student health insurance plans: on-campus student health centers: abortion by medication techniques. Existing law establishes the University of California, under the administration of the Regents of University of California, the California State University, under the administration of the Trustees of the California State University, and the California Community Colleges, under the administration of the Board of Governors of the California Community Colleges, as the 3 segments of public postsecondary education in this state.This bill would express findings and declarations of the Legislature relating to the availability of abortion by techniques at on-campus student health centers at public postsecondary educational institutions in the state.The bill would require student health insurance plans offered by campuses of the California State University and the California Community Colleges to include coverage of abortion as part of the student health insurance plan. The bill would also require, as a condition for the use of state funds for purposes of providing health insurance coverage for its students, the University of California to offer coverage of abortion as part of the student health insurance plan.The bill would require campuses of the California State University and the California Community Colleges that operate on-campus health centers to offer abortion by medication techniques and scientifically accurate abortion counseling services to their students. The bill would also require, as a condition for the use of state funds for purposes of operating on-campus health centers, each campus of the University of California that has an on-campus health center to offer abortion by medication techniques and scientifically accurate abortion counseling services to its students.Because this bill would impose new duties on community college districts, it would constitute a state-mandated local program.(2) 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 imposes various functions and duties on the State Department of Public Health with respect to the administration and oversight of various health programs and facilities relating to the prevention of disease and the promotion of health. Existing law requires the department to develop a coordinated state strategy for addressing the health-related needs of women, as prescribed.This bill would make technical, nonsubstantive changes to that provision. Existing law establishes the University of California, under the administration of the Regents of University of California, the California State University, under the administration of the Trustees of the California State University, and the California Community Colleges, under the administration of the Board of Governors of the California Community Colleges, as the 3 segments of public postsecondary education in this state. This bill would express findings and declarations of the Legislature relating to the availability of abortion by techniques at on-campus student health centers at public postsecondary educational institutions in the state. The bill would require student health insurance plans offered by campuses of the California State University and the California Community Colleges to include coverage of abortion as part of the student health insurance plan. The bill would also require, as a condition for the use of state funds for purposes of providing health insurance coverage for its students, the University of California to offer coverage of abortion as part of the student health insurance plan. The bill would require campuses of the California State University and the California Community Colleges that operate on-campus health centers to offer abortion by medication techniques and scientifically accurate abortion counseling services to their students. The bill would also require, as a condition for the use of state funds for purposes of operating on-campus health centers, each campus of the University of California that has an on-campus health center to offer abortion by medication techniques and scientifically accurate abortion counseling services to its students. Because this bill would impose new duties on community college districts, it would constitute a state-mandated local program. (2) 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 imposes various functions and duties on the State Department of Public Health with respect to the administration and oversight of various health programs and facilities relating to the prevention of disease and the promotion of health. Existing law requires the department to develop a coordinated state strategy for addressing the health-related needs of women, as prescribed. This bill would make technical, nonsubstantive changes to that provision. ## Digest Key ## Bill Text The people of the State of California do enact as follows:SECTION 1. The Legislature finds and declares all of the following:(a) Abortion care is a constitutional right and an integral part of comprehensive sexual and reproductive health care.(b) Many California public higher education institutions with on-campus health centers do not currently provide abortion by medication techniques. Abortion by medication techniques is extremely safe, highly effective, and cost effective. Abortion by medication techniques is an essential part of comprehensive womens health care, and should be accessible at on-campus health care centers.(c) Staff at on-campus health care centers include health professionals who are trained and licensed to provide abortion by medication techniques. Under current California law, all residency programs in obstetrics and gynecology include training in abortion. Clinicians who are legally authorized to provide abortion, but are not currently trained to provide abortion by medication techniques, can be trained inexpensively to do so, and such training falls within the requirements of continuing education for medical providers.(d) Students seeking early pregnancy termination, especially those enrolled at institutions outside of major urban centers, face prohibitively expensive travel, often without reliable means of transportation, to a clinic that may be hours from their campus, out of their city, county, or even geographic region. These financial and time burdens negatively impact academic performance and mental health.(e) The health insurance plans of some University of California institutions include abortion care; however, students must go off campus to access this service. Alternatively, students who are not covered by the University of California health insurance plans that include abortion, and do not have their own private insurance that covers abortion, must either pay for abortion care out-of-pocket, or apply for Medi-Cal.SEC. 2. Chapter 5.5 (commencing with Section 99250) is added to Part 65 of Division 14 of Title 3 of the Education Code, to read: CHAPTER 5.5. Student Health Care Services99250. (a) (1) A student health insurance plan offered by a campus of the California State University or the California Community Colleges shall include coverage of abortion in that plan.(2) As a condition for the use of state funds for purposes of providing health insurance coverage for its students, the University of California shall include coverage of abortion as part of the student health insurance plan.(b) (1) A campus of the California State University or the California Community Colleges that operates an on-campus health care center shall offer abortion by medication techniques and scientifically accurate abortion counseling services to its students.(2) As a condition for the use of state funds for purposes of operating on-campus health care centers, each campus of the University of California that has an on-campus health care center shall offer abortion by medication techniques and scientifically accurate abortion counseling services to its students.SEC. 3. If the Commission on State Mandates determines that this act contains costs mandated by the state, reimbursement to local agencies and school districts for those costs shall be made pursuant to Part 7 (commencing with Section 17500) of Division 4 of Title 2 of the Government Code.SECTION 1.Section 137 of the Health and Safety Code is amended to read:137.(a)The State Department of Public Health shall develop a coordinated state strategy for addressing the health-related needs of women, including, but not limited to, the implementation of goals and objectives for womens health.(b)The approved programmatic costs associated with this strategy shall be the responsibility of the State Department of Public Health, unless otherwise provided by law. The people of the State of California do enact as follows: ## The people of the State of California do enact as follows: SECTION 1. The Legislature finds and declares all of the following:(a) Abortion care is a constitutional right and an integral part of comprehensive sexual and reproductive health care.(b) Many California public higher education institutions with on-campus health centers do not currently provide abortion by medication techniques. Abortion by medication techniques is extremely safe, highly effective, and cost effective. Abortion by medication techniques is an essential part of comprehensive womens health care, and should be accessible at on-campus health care centers.(c) Staff at on-campus health care centers include health professionals who are trained and licensed to provide abortion by medication techniques. Under current California law, all residency programs in obstetrics and gynecology include training in abortion. Clinicians who are legally authorized to provide abortion, but are not currently trained to provide abortion by medication techniques, can be trained inexpensively to do so, and such training falls within the requirements of continuing education for medical providers.(d) Students seeking early pregnancy termination, especially those enrolled at institutions outside of major urban centers, face prohibitively expensive travel, often without reliable means of transportation, to a clinic that may be hours from their campus, out of their city, county, or even geographic region. These financial and time burdens negatively impact academic performance and mental health.(e) The health insurance plans of some University of California institutions include abortion care; however, students must go off campus to access this service. Alternatively, students who are not covered by the University of California health insurance plans that include abortion, and do not have their own private insurance that covers abortion, must either pay for abortion care out-of-pocket, or apply for Medi-Cal. SECTION 1. The Legislature finds and declares all of the following:(a) Abortion care is a constitutional right and an integral part of comprehensive sexual and reproductive health care.(b) Many California public higher education institutions with on-campus health centers do not currently provide abortion by medication techniques. Abortion by medication techniques is extremely safe, highly effective, and cost effective. Abortion by medication techniques is an essential part of comprehensive womens health care, and should be accessible at on-campus health care centers.(c) Staff at on-campus health care centers include health professionals who are trained and licensed to provide abortion by medication techniques. Under current California law, all residency programs in obstetrics and gynecology include training in abortion. Clinicians who are legally authorized to provide abortion, but are not currently trained to provide abortion by medication techniques, can be trained inexpensively to do so, and such training falls within the requirements of continuing education for medical providers.(d) Students seeking early pregnancy termination, especially those enrolled at institutions outside of major urban centers, face prohibitively expensive travel, often without reliable means of transportation, to a clinic that may be hours from their campus, out of their city, county, or even geographic region. These financial and time burdens negatively impact academic performance and mental health.(e) The health insurance plans of some University of California institutions include abortion care; however, students must go off campus to access this service. Alternatively, students who are not covered by the University of California health insurance plans that include abortion, and do not have their own private insurance that covers abortion, must either pay for abortion care out-of-pocket, or apply for Medi-Cal. SECTION 1. The Legislature finds and declares all of the following: ### SECTION 1. (a) Abortion care is a constitutional right and an integral part of comprehensive sexual and reproductive health care. (b) Many California public higher education institutions with on-campus health centers do not currently provide abortion by medication techniques. Abortion by medication techniques is extremely safe, highly effective, and cost effective. Abortion by medication techniques is an essential part of comprehensive womens health care, and should be accessible at on-campus health care centers. (c) Staff at on-campus health care centers include health professionals who are trained and licensed to provide abortion by medication techniques. Under current California law, all residency programs in obstetrics and gynecology include training in abortion. Clinicians who are legally authorized to provide abortion, but are not currently trained to provide abortion by medication techniques, can be trained inexpensively to do so, and such training falls within the requirements of continuing education for medical providers. (d) Students seeking early pregnancy termination, especially those enrolled at institutions outside of major urban centers, face prohibitively expensive travel, often without reliable means of transportation, to a clinic that may be hours from their campus, out of their city, county, or even geographic region. These financial and time burdens negatively impact academic performance and mental health. (e) The health insurance plans of some University of California institutions include abortion care; however, students must go off campus to access this service. Alternatively, students who are not covered by the University of California health insurance plans that include abortion, and do not have their own private insurance that covers abortion, must either pay for abortion care out-of-pocket, or apply for Medi-Cal. SEC. 2. Chapter 5.5 (commencing with Section 99250) is added to Part 65 of Division 14 of Title 3 of the Education Code, to read: CHAPTER 5.5. Student Health Care Services99250. (a) (1) A student health insurance plan offered by a campus of the California State University or the California Community Colleges shall include coverage of abortion in that plan.(2) As a condition for the use of state funds for purposes of providing health insurance coverage for its students, the University of California shall include coverage of abortion as part of the student health insurance plan.(b) (1) A campus of the California State University or the California Community Colleges that operates an on-campus health care center shall offer abortion by medication techniques and scientifically accurate abortion counseling services to its students.(2) As a condition for the use of state funds for purposes of operating on-campus health care centers, each campus of the University of California that has an on-campus health care center shall offer abortion by medication techniques and scientifically accurate abortion counseling services to its students. SEC. 2. Chapter 5.5 (commencing with Section 99250) is added to Part 65 of Division 14 of Title 3 of the Education Code, to read: ### SEC. 2. CHAPTER 5.5. Student Health Care Services99250. (a) (1) A student health insurance plan offered by a campus of the California State University or the California Community Colleges shall include coverage of abortion in that plan.(2) As a condition for the use of state funds for purposes of providing health insurance coverage for its students, the University of California shall include coverage of abortion as part of the student health insurance plan.(b) (1) A campus of the California State University or the California Community Colleges that operates an on-campus health care center shall offer abortion by medication techniques and scientifically accurate abortion counseling services to its students.(2) As a condition for the use of state funds for purposes of operating on-campus health care centers, each campus of the University of California that has an on-campus health care center shall offer abortion by medication techniques and scientifically accurate abortion counseling services to its students. CHAPTER 5.5. Student Health Care Services99250. (a) (1) A student health insurance plan offered by a campus of the California State University or the California Community Colleges shall include coverage of abortion in that plan.(2) As a condition for the use of state funds for purposes of providing health insurance coverage for its students, the University of California shall include coverage of abortion as part of the student health insurance plan.(b) (1) A campus of the California State University or the California Community Colleges that operates an on-campus health care center shall offer abortion by medication techniques and scientifically accurate abortion counseling services to its students.(2) As a condition for the use of state funds for purposes of operating on-campus health care centers, each campus of the University of California that has an on-campus health care center shall offer abortion by medication techniques and scientifically accurate abortion counseling services to its students. CHAPTER 5.5. Student Health Care Services CHAPTER 5.5. Student Health Care Services 99250. (a) (1) A student health insurance plan offered by a campus of the California State University or the California Community Colleges shall include coverage of abortion in that plan.(2) As a condition for the use of state funds for purposes of providing health insurance coverage for its students, the University of California shall include coverage of abortion as part of the student health insurance plan.(b) (1) A campus of the California State University or the California Community Colleges that operates an on-campus health care center shall offer abortion by medication techniques and scientifically accurate abortion counseling services to its students.(2) As a condition for the use of state funds for purposes of operating on-campus health care centers, each campus of the University of California that has an on-campus health care center shall offer abortion by medication techniques and scientifically accurate abortion counseling services to its students. 99250. (a) (1) A student health insurance plan offered by a campus of the California State University or the California Community Colleges shall include coverage of abortion in that plan. (2) As a condition for the use of state funds for purposes of providing health insurance coverage for its students, the University of California shall include coverage of abortion as part of the student health insurance plan. (b) (1) A campus of the California State University or the California Community Colleges that operates an on-campus health care center shall offer abortion by medication techniques and scientifically accurate abortion counseling services to its students. (2) As a condition for the use of state funds for purposes of operating on-campus health care centers, each campus of the University of California that has an on-campus health care center shall offer abortion by medication techniques and scientifically accurate abortion counseling services to its students. SEC. 3. If the Commission on State Mandates determines that this act contains costs mandated by the state, reimbursement to local agencies and school districts for those costs shall be made pursuant to Part 7 (commencing with Section 17500) of Division 4 of Title 2 of the Government Code. SEC. 3. If the Commission on State Mandates determines that this act contains costs mandated by the state, reimbursement to local agencies and school districts for those costs shall be made pursuant to Part 7 (commencing with Section 17500) of Division 4 of Title 2 of the Government Code. SEC. 3. If the Commission on State Mandates determines that this act contains costs mandated by the state, reimbursement to local agencies and school districts for those costs shall be made pursuant to Part 7 (commencing with Section 17500) of Division 4 of Title 2 of the Government Code. ### SEC. 3. (a)The State Department of Public Health shall develop a coordinated state strategy for addressing the health-related needs of women, including, but not limited to, the implementation of goals and objectives for womens health. (b)The approved programmatic costs associated with this strategy shall be the responsibility of the State Department of Public Health, unless otherwise provided by law.