Amended IN Assembly March 16, 2020 CALIFORNIA LEGISLATURE 20192020 REGULAR SESSION Assembly Bill No. 2112Introduced by Assembly Member Ramos(Principal coauthor: Assembly Member Arambula)(Coauthors: Assembly Members Eduardo Garcia, Quirk-Silva, and Wicks)(Coauthors: Senators Beall and Chang)February 06, 2020 An act to amend Section 438 of, and to add Section 438.5 to, add Chapter 3 (commencing with Section 131300) to Part 1 of Division 112 of the Health and Safety Code, relating to youth. suicide prevention.LEGISLATIVE COUNSEL'S DIGESTAB 2112, as amended, Ramos. Youth suicide Suicide prevention.Existing law establishes the State Department of Public Health within the California Health and Human Services Agency.This bill would establish the Office of Suicide Prevention within the State Department of Public Health, and make the office responsible for, among other things, providing strategic guidance to statewide and regional partners regarding best practices on suicide prevention and reporting to the Legislature on progress to reduce rates of suicide. The bill would authorize the office to apply for and use federal grants.Existing law establishes the Office of the Surgeon General within the California Health and Human Services Agency, and provides that the office is responsible for specified activities, including raising public awareness on and coordinating policies governing scientific screening and treatment for toxic stress and adverse childhood events.This bill would additionally require the office to marshall the insights and energy of specified individuals, including medical professionals and public health experts, to address the needs of youth at risk of suicide, and to establish offices to research and advise the Legislature and the agency on youth suicide and youth behavioral health.Digest Key Vote: MAJORITY Appropriation: NO Fiscal Committee: YES Local Program: NO Bill TextThe people of the State of California do enact as follows:SECTION 1. The Legislature hereby finds and declares all of the following:(a) Suicide is a public health crisis that has warranted response from the state.(b) Suicide risk is a lifespan issue, with a variety of groups at significant risk of death by suicide. The federal Centers for Disease Control and Prevention has identified groups with the greatest risk, including youth, older adults, veterans and LGBTQ people.(b)(c) Suicide risk is especially acute for young people. Suicide is the second leading cause of death for youth ages 10 to 24, inclusive.(c)Lesbian, gay, bisexual, transgender, or queer youth are especially at risk of suicide. For instance, lesbian, gay, and bisexual youth seriously contemplate suicide at almost three times the rate of heterosexual youth. Lesbian, gay, and bisexual youth are almost five times as likely to have attempted suicide compared to heterosexual youth.(d)The state has sought to address the causes of youth suicide through bullying and harassment prevention and intervention by parents and teachers, but there is still more work to do to prevent youth suicide.(d) The state has sought to address the causes of suicide, including research and development of a statewide strategic plan on suicide prevention. The state has further sought to address the causes of suicide through specific suicide prevention policies and programs.(e) The state has an obligation to focus resources on combating the crisis of youth suicide.SEC. 2.Section 438 of the Health and Safety Code is amended to read:438.The Office of the Surgeon General is hereby established within the California Health and Human Services Agency. The office shall be responsible for all of the following:(a)Raising public awareness on and coordinating policies governing scientific screening and treatment for toxic stress and adverse childhood events.(b)Advising the Governor, the Secretary of the California Health and Human Services Agency, and policymakers on a comprehensive approach to address health issues and challenges, including toxic stress and adverse childhood events, as effectively and early as possible.(c)Marshalling the insights and energy of medical professionals, scientists, and other academic experts, public health experts, public servants, and everyday Californians to do both of the following:(1)Solve our most pressing health challenges, including toxic stress and adverse childhood events.(2)Address the needs of youth at risk of suicide.SEC. 3.Section 438.5 is added to the Health and Safety Code, immediately following Section 438, to read:438.5.The Office of the Surgeon General shall establish offices to research and advise the Legislature and the California Health and Human Services Agency on the following issues:(a)Youth suicide, specifically adolescent and pre-adolescent suicide.(b)Youth behavioral health, specifically as this issue relates to toxic stress and adverse childhood experiences.SEC. 2. Chapter 3 (commencing with Section 131300) is added to Part 1 of Division 112 of the Health and Safety Code, to read: CHAPTER 3. The Office of Suicide Prevention131300. (a) The Office of Suicide Prevention is hereby established within the State Department of Public Health. The office shall be responsible for all of the following:(1) Providing strategic guidance to statewide and regional partners regarding best practices on suicide prevention.(2) Conducting state level evaluation of regional and statewide suicide prevention policies and practices, including other states suicide prevention policies, and including specific metrics and domains as appropriate.(3) Using data to identify opportunities to reduce suicide, including utilizing data elements documenting interrupted or aborted suicide attempts and crisis service interventions.(4) Marshalling the insights and energy of medical professionals, scientists, and other academic experts, and public health experts, public servants, and everyday Californians to address the crisis of suicide.(5) Disseminating information to advance statewide progress, including coordinated, targeted, and culturally appropriate campaigns to reach populations with high rates of suicide.(6) Reporting to the Legislature on progress to reduce rates of suicide.(b) The office shall focus resources on groups with the highest risk, including youth, Native American youth, older adults, veterans, and LGBTQ people.131305. The Office of Suicide Prevention may share and receive data from state entities with data relevant to the responsibilities and objectives of the office.131310. The Office of Suicide Prevention may apply for and utilize federal grants. Amended IN Assembly March 16, 2020 CALIFORNIA LEGISLATURE 20192020 REGULAR SESSION Assembly Bill No. 2112Introduced by Assembly Member Ramos(Principal coauthor: Assembly Member Arambula)(Coauthors: Assembly Members Eduardo Garcia, Quirk-Silva, and Wicks)(Coauthors: Senators Beall and Chang)February 06, 2020 An act to amend Section 438 of, and to add Section 438.5 to, add Chapter 3 (commencing with Section 131300) to Part 1 of Division 112 of the Health and Safety Code, relating to youth. suicide prevention.LEGISLATIVE COUNSEL'S DIGESTAB 2112, as amended, Ramos. Youth suicide Suicide prevention.Existing law establishes the State Department of Public Health within the California Health and Human Services Agency.This bill would establish the Office of Suicide Prevention within the State Department of Public Health, and make the office responsible for, among other things, providing strategic guidance to statewide and regional partners regarding best practices on suicide prevention and reporting to the Legislature on progress to reduce rates of suicide. The bill would authorize the office to apply for and use federal grants.Existing law establishes the Office of the Surgeon General within the California Health and Human Services Agency, and provides that the office is responsible for specified activities, including raising public awareness on and coordinating policies governing scientific screening and treatment for toxic stress and adverse childhood events.This bill would additionally require the office to marshall the insights and energy of specified individuals, including medical professionals and public health experts, to address the needs of youth at risk of suicide, and to establish offices to research and advise the Legislature and the agency on youth suicide and youth behavioral health.Digest Key Vote: MAJORITY Appropriation: NO Fiscal Committee: YES Local Program: NO Amended IN Assembly March 16, 2020 Amended IN Assembly March 16, 2020 CALIFORNIA LEGISLATURE 20192020 REGULAR SESSION Assembly Bill No. 2112 Introduced by Assembly Member Ramos(Principal coauthor: Assembly Member Arambula)(Coauthors: Assembly Members Eduardo Garcia, Quirk-Silva, and Wicks)(Coauthors: Senators Beall and Chang)February 06, 2020 Introduced by Assembly Member Ramos(Principal coauthor: Assembly Member Arambula)(Coauthors: Assembly Members Eduardo Garcia, Quirk-Silva, and Wicks)(Coauthors: Senators Beall and Chang) February 06, 2020 An act to amend Section 438 of, and to add Section 438.5 to, add Chapter 3 (commencing with Section 131300) to Part 1 of Division 112 of the Health and Safety Code, relating to youth. suicide prevention. LEGISLATIVE COUNSEL'S DIGEST ## LEGISLATIVE COUNSEL'S DIGEST AB 2112, as amended, Ramos. Youth suicide Suicide prevention. Existing law establishes the State Department of Public Health within the California Health and Human Services Agency.This bill would establish the Office of Suicide Prevention within the State Department of Public Health, and make the office responsible for, among other things, providing strategic guidance to statewide and regional partners regarding best practices on suicide prevention and reporting to the Legislature on progress to reduce rates of suicide. The bill would authorize the office to apply for and use federal grants.Existing law establishes the Office of the Surgeon General within the California Health and Human Services Agency, and provides that the office is responsible for specified activities, including raising public awareness on and coordinating policies governing scientific screening and treatment for toxic stress and adverse childhood events.This bill would additionally require the office to marshall the insights and energy of specified individuals, including medical professionals and public health experts, to address the needs of youth at risk of suicide, and to establish offices to research and advise the Legislature and the agency on youth suicide and youth behavioral health. Existing law establishes the State Department of Public Health within the California Health and Human Services Agency. This bill would establish the Office of Suicide Prevention within the State Department of Public Health, and make the office responsible for, among other things, providing strategic guidance to statewide and regional partners regarding best practices on suicide prevention and reporting to the Legislature on progress to reduce rates of suicide. The bill would authorize the office to apply for and use federal grants. Existing law establishes the Office of the Surgeon General within the California Health and Human Services Agency, and provides that the office is responsible for specified activities, including raising public awareness on and coordinating policies governing scientific screening and treatment for toxic stress and adverse childhood events. This bill would additionally require the office to marshall the insights and energy of specified individuals, including medical professionals and public health experts, to address the needs of youth at risk of suicide, and to establish offices to research and advise the Legislature and the agency on youth suicide and youth behavioral health. ## Digest Key ## Bill Text The people of the State of California do enact as follows:SECTION 1. The Legislature hereby finds and declares all of the following:(a) Suicide is a public health crisis that has warranted response from the state.(b) Suicide risk is a lifespan issue, with a variety of groups at significant risk of death by suicide. The federal Centers for Disease Control and Prevention has identified groups with the greatest risk, including youth, older adults, veterans and LGBTQ people.(b)(c) Suicide risk is especially acute for young people. Suicide is the second leading cause of death for youth ages 10 to 24, inclusive.(c)Lesbian, gay, bisexual, transgender, or queer youth are especially at risk of suicide. For instance, lesbian, gay, and bisexual youth seriously contemplate suicide at almost three times the rate of heterosexual youth. Lesbian, gay, and bisexual youth are almost five times as likely to have attempted suicide compared to heterosexual youth.(d)The state has sought to address the causes of youth suicide through bullying and harassment prevention and intervention by parents and teachers, but there is still more work to do to prevent youth suicide.(d) The state has sought to address the causes of suicide, including research and development of a statewide strategic plan on suicide prevention. The state has further sought to address the causes of suicide through specific suicide prevention policies and programs.(e) The state has an obligation to focus resources on combating the crisis of youth suicide.SEC. 2.Section 438 of the Health and Safety Code is amended to read:438.The Office of the Surgeon General is hereby established within the California Health and Human Services Agency. The office shall be responsible for all of the following:(a)Raising public awareness on and coordinating policies governing scientific screening and treatment for toxic stress and adverse childhood events.(b)Advising the Governor, the Secretary of the California Health and Human Services Agency, and policymakers on a comprehensive approach to address health issues and challenges, including toxic stress and adverse childhood events, as effectively and early as possible.(c)Marshalling the insights and energy of medical professionals, scientists, and other academic experts, public health experts, public servants, and everyday Californians to do both of the following:(1)Solve our most pressing health challenges, including toxic stress and adverse childhood events.(2)Address the needs of youth at risk of suicide.SEC. 3.Section 438.5 is added to the Health and Safety Code, immediately following Section 438, to read:438.5.The Office of the Surgeon General shall establish offices to research and advise the Legislature and the California Health and Human Services Agency on the following issues:(a)Youth suicide, specifically adolescent and pre-adolescent suicide.(b)Youth behavioral health, specifically as this issue relates to toxic stress and adverse childhood experiences.SEC. 2. Chapter 3 (commencing with Section 131300) is added to Part 1 of Division 112 of the Health and Safety Code, to read: CHAPTER 3. The Office of Suicide Prevention131300. (a) The Office of Suicide Prevention is hereby established within the State Department of Public Health. The office shall be responsible for all of the following:(1) Providing strategic guidance to statewide and regional partners regarding best practices on suicide prevention.(2) Conducting state level evaluation of regional and statewide suicide prevention policies and practices, including other states suicide prevention policies, and including specific metrics and domains as appropriate.(3) Using data to identify opportunities to reduce suicide, including utilizing data elements documenting interrupted or aborted suicide attempts and crisis service interventions.(4) Marshalling the insights and energy of medical professionals, scientists, and other academic experts, and public health experts, public servants, and everyday Californians to address the crisis of suicide.(5) Disseminating information to advance statewide progress, including coordinated, targeted, and culturally appropriate campaigns to reach populations with high rates of suicide.(6) Reporting to the Legislature on progress to reduce rates of suicide.(b) The office shall focus resources on groups with the highest risk, including youth, Native American youth, older adults, veterans, and LGBTQ people.131305. The Office of Suicide Prevention may share and receive data from state entities with data relevant to the responsibilities and objectives of the office.131310. The Office of Suicide Prevention may apply for and utilize federal grants. 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 hereby finds and declares all of the following:(a) Suicide is a public health crisis that has warranted response from the state.(b) Suicide risk is a lifespan issue, with a variety of groups at significant risk of death by suicide. The federal Centers for Disease Control and Prevention has identified groups with the greatest risk, including youth, older adults, veterans and LGBTQ people.(b)(c) Suicide risk is especially acute for young people. Suicide is the second leading cause of death for youth ages 10 to 24, inclusive.(c)Lesbian, gay, bisexual, transgender, or queer youth are especially at risk of suicide. For instance, lesbian, gay, and bisexual youth seriously contemplate suicide at almost three times the rate of heterosexual youth. Lesbian, gay, and bisexual youth are almost five times as likely to have attempted suicide compared to heterosexual youth.(d)The state has sought to address the causes of youth suicide through bullying and harassment prevention and intervention by parents and teachers, but there is still more work to do to prevent youth suicide.(d) The state has sought to address the causes of suicide, including research and development of a statewide strategic plan on suicide prevention. The state has further sought to address the causes of suicide through specific suicide prevention policies and programs.(e) The state has an obligation to focus resources on combating the crisis of youth suicide. SECTION 1. The Legislature hereby finds and declares all of the following:(a) Suicide is a public health crisis that has warranted response from the state.(b) Suicide risk is a lifespan issue, with a variety of groups at significant risk of death by suicide. The federal Centers for Disease Control and Prevention has identified groups with the greatest risk, including youth, older adults, veterans and LGBTQ people.(b)(c) Suicide risk is especially acute for young people. Suicide is the second leading cause of death for youth ages 10 to 24, inclusive.(c)Lesbian, gay, bisexual, transgender, or queer youth are especially at risk of suicide. For instance, lesbian, gay, and bisexual youth seriously contemplate suicide at almost three times the rate of heterosexual youth. Lesbian, gay, and bisexual youth are almost five times as likely to have attempted suicide compared to heterosexual youth.(d)The state has sought to address the causes of youth suicide through bullying and harassment prevention and intervention by parents and teachers, but there is still more work to do to prevent youth suicide.(d) The state has sought to address the causes of suicide, including research and development of a statewide strategic plan on suicide prevention. The state has further sought to address the causes of suicide through specific suicide prevention policies and programs.(e) The state has an obligation to focus resources on combating the crisis of youth suicide. SECTION 1. The Legislature hereby finds and declares all of the following: ### SECTION 1. (a) Suicide is a public health crisis that has warranted response from the state. (b) Suicide risk is a lifespan issue, with a variety of groups at significant risk of death by suicide. The federal Centers for Disease Control and Prevention has identified groups with the greatest risk, including youth, older adults, veterans and LGBTQ people. (b) (c) Suicide risk is especially acute for young people. Suicide is the second leading cause of death for youth ages 10 to 24, inclusive. (c)Lesbian, gay, bisexual, transgender, or queer youth are especially at risk of suicide. For instance, lesbian, gay, and bisexual youth seriously contemplate suicide at almost three times the rate of heterosexual youth. Lesbian, gay, and bisexual youth are almost five times as likely to have attempted suicide compared to heterosexual youth. (d)The state has sought to address the causes of youth suicide through bullying and harassment prevention and intervention by parents and teachers, but there is still more work to do to prevent youth suicide. (d) The state has sought to address the causes of suicide, including research and development of a statewide strategic plan on suicide prevention. The state has further sought to address the causes of suicide through specific suicide prevention policies and programs. (e) The state has an obligation to focus resources on combating the crisis of youth suicide. The Office of the Surgeon General is hereby established within the California Health and Human Services Agency. The office shall be responsible for all of the following: (a)Raising public awareness on and coordinating policies governing scientific screening and treatment for toxic stress and adverse childhood events. (b)Advising the Governor, the Secretary of the California Health and Human Services Agency, and policymakers on a comprehensive approach to address health issues and challenges, including toxic stress and adverse childhood events, as effectively and early as possible. (c)Marshalling the insights and energy of medical professionals, scientists, and other academic experts, public health experts, public servants, and everyday Californians to do both of the following: (1)Solve our most pressing health challenges, including toxic stress and adverse childhood events. (2)Address the needs of youth at risk of suicide. The Office of the Surgeon General shall establish offices to research and advise the Legislature and the California Health and Human Services Agency on the following issues: (a)Youth suicide, specifically adolescent and pre-adolescent suicide. (b)Youth behavioral health, specifically as this issue relates to toxic stress and adverse childhood experiences. SEC. 2. Chapter 3 (commencing with Section 131300) is added to Part 1 of Division 112 of the Health and Safety Code, to read: CHAPTER 3. The Office of Suicide Prevention131300. (a) The Office of Suicide Prevention is hereby established within the State Department of Public Health. The office shall be responsible for all of the following:(1) Providing strategic guidance to statewide and regional partners regarding best practices on suicide prevention.(2) Conducting state level evaluation of regional and statewide suicide prevention policies and practices, including other states suicide prevention policies, and including specific metrics and domains as appropriate.(3) Using data to identify opportunities to reduce suicide, including utilizing data elements documenting interrupted or aborted suicide attempts and crisis service interventions.(4) Marshalling the insights and energy of medical professionals, scientists, and other academic experts, and public health experts, public servants, and everyday Californians to address the crisis of suicide.(5) Disseminating information to advance statewide progress, including coordinated, targeted, and culturally appropriate campaigns to reach populations with high rates of suicide.(6) Reporting to the Legislature on progress to reduce rates of suicide.(b) The office shall focus resources on groups with the highest risk, including youth, Native American youth, older adults, veterans, and LGBTQ people.131305. The Office of Suicide Prevention may share and receive data from state entities with data relevant to the responsibilities and objectives of the office.131310. The Office of Suicide Prevention may apply for and utilize federal grants. SEC. 2. Chapter 3 (commencing with Section 131300) is added to Part 1 of Division 112 of the Health and Safety Code, to read: ### SEC. 2. CHAPTER 3. The Office of Suicide Prevention131300. (a) The Office of Suicide Prevention is hereby established within the State Department of Public Health. The office shall be responsible for all of the following:(1) Providing strategic guidance to statewide and regional partners regarding best practices on suicide prevention.(2) Conducting state level evaluation of regional and statewide suicide prevention policies and practices, including other states suicide prevention policies, and including specific metrics and domains as appropriate.(3) Using data to identify opportunities to reduce suicide, including utilizing data elements documenting interrupted or aborted suicide attempts and crisis service interventions.(4) Marshalling the insights and energy of medical professionals, scientists, and other academic experts, and public health experts, public servants, and everyday Californians to address the crisis of suicide.(5) Disseminating information to advance statewide progress, including coordinated, targeted, and culturally appropriate campaigns to reach populations with high rates of suicide.(6) Reporting to the Legislature on progress to reduce rates of suicide.(b) The office shall focus resources on groups with the highest risk, including youth, Native American youth, older adults, veterans, and LGBTQ people.131305. The Office of Suicide Prevention may share and receive data from state entities with data relevant to the responsibilities and objectives of the office.131310. The Office of Suicide Prevention may apply for and utilize federal grants. CHAPTER 3. The Office of Suicide Prevention131300. (a) The Office of Suicide Prevention is hereby established within the State Department of Public Health. The office shall be responsible for all of the following:(1) Providing strategic guidance to statewide and regional partners regarding best practices on suicide prevention.(2) Conducting state level evaluation of regional and statewide suicide prevention policies and practices, including other states suicide prevention policies, and including specific metrics and domains as appropriate.(3) Using data to identify opportunities to reduce suicide, including utilizing data elements documenting interrupted or aborted suicide attempts and crisis service interventions.(4) Marshalling the insights and energy of medical professionals, scientists, and other academic experts, and public health experts, public servants, and everyday Californians to address the crisis of suicide.(5) Disseminating information to advance statewide progress, including coordinated, targeted, and culturally appropriate campaigns to reach populations with high rates of suicide.(6) Reporting to the Legislature on progress to reduce rates of suicide.(b) The office shall focus resources on groups with the highest risk, including youth, Native American youth, older adults, veterans, and LGBTQ people.131305. The Office of Suicide Prevention may share and receive data from state entities with data relevant to the responsibilities and objectives of the office.131310. The Office of Suicide Prevention may apply for and utilize federal grants. CHAPTER 3. The Office of Suicide Prevention CHAPTER 3. The Office of Suicide Prevention 131300. (a) The Office of Suicide Prevention is hereby established within the State Department of Public Health. The office shall be responsible for all of the following:(1) Providing strategic guidance to statewide and regional partners regarding best practices on suicide prevention.(2) Conducting state level evaluation of regional and statewide suicide prevention policies and practices, including other states suicide prevention policies, and including specific metrics and domains as appropriate.(3) Using data to identify opportunities to reduce suicide, including utilizing data elements documenting interrupted or aborted suicide attempts and crisis service interventions.(4) Marshalling the insights and energy of medical professionals, scientists, and other academic experts, and public health experts, public servants, and everyday Californians to address the crisis of suicide.(5) Disseminating information to advance statewide progress, including coordinated, targeted, and culturally appropriate campaigns to reach populations with high rates of suicide.(6) Reporting to the Legislature on progress to reduce rates of suicide.(b) The office shall focus resources on groups with the highest risk, including youth, Native American youth, older adults, veterans, and LGBTQ people. 131300. (a) The Office of Suicide Prevention is hereby established within the State Department of Public Health. The office shall be responsible for all of the following: (1) Providing strategic guidance to statewide and regional partners regarding best practices on suicide prevention. (2) Conducting state level evaluation of regional and statewide suicide prevention policies and practices, including other states suicide prevention policies, and including specific metrics and domains as appropriate. (3) Using data to identify opportunities to reduce suicide, including utilizing data elements documenting interrupted or aborted suicide attempts and crisis service interventions. (4) Marshalling the insights and energy of medical professionals, scientists, and other academic experts, and public health experts, public servants, and everyday Californians to address the crisis of suicide. (5) Disseminating information to advance statewide progress, including coordinated, targeted, and culturally appropriate campaigns to reach populations with high rates of suicide. (6) Reporting to the Legislature on progress to reduce rates of suicide. (b) The office shall focus resources on groups with the highest risk, including youth, Native American youth, older adults, veterans, and LGBTQ people. 131305. The Office of Suicide Prevention may share and receive data from state entities with data relevant to the responsibilities and objectives of the office. 131305. The Office of Suicide Prevention may share and receive data from state entities with data relevant to the responsibilities and objectives of the office. 131310. The Office of Suicide Prevention may apply for and utilize federal grants. 131310. The Office of Suicide Prevention may apply for and utilize federal grants.