Second Regular Session Seventy-third General Assembly STATE OF COLORADO INTRODUCED LLS NO. 22-0974.02 Jane Ritter x4342 HOUSE BILL 22-1369 House Committees Senate Committees Public & Behavioral Health & Human Services A BILL FOR AN ACT C ONCERNING SUPPORT FOR CHILDREN 'S MENTAL HEALTH PROGRAMS .101 Bill Summary (Note: This summary applies to this bill as introduced and does not reflect any amendments that may be subsequently adopted. If this bill passes third reading in the house of introduction, a bill summary that applies to the reengrossed version of this bill will be available at http://leg.colorado.gov .) The bill directs the department of early childhood to contract with a Colorado-based nonprofit entity to provide children's mental health programs. Be it enacted by the General Assembly of the State of Colorado:1 HOUSE SPONSORSHIP Sirota and Pelton, SENATE SPONSORSHIP Story and Sonnenberg, Shading denotes HOUSE amendment. Double underlining denotes SENATE amendment. Capital letters or bold & italic numbers indicate new material to be added to existing statute. Dashes through the words indicate deletions from existing statute. SECTION 1. In Colorado Revised Statutes, add 26.5-1-105 as1 follows:2 26.5-1-105. Children's mental health program - appropriation3 - legislative declaration - definitions - repeal. (1) (a) T HE GENERAL4 ASSEMBLY FINDS AND DECLARES THAT :5 (I) N EUROBIOLOGICAL RESEARCH CONFIRMS THAT STRESSFUL6 EXPERIENCES EARLY IN LIFE CAN HAVE PROFOUND AND DESTRUCTIVE7 IMPACTS ON THE ARCHITECTURE OF THE BRAIN ;8 (II) A DDITIONAL SCIENTIFIC RESEARCH HAS SHOWN , HOWEVER,9 THAT RESPONSIVE, NURTURING RELATIONSHIPS BETWEEN YOUNG10 CHILDREN AND THEIR CAREGIVERS THAT LEAD TO SECURE ATTACHMENT11 SERVE AS POWERFUL, PROTECTIVE BUFFERS TO STRESSFUL EXPERIENCES12 EARLY IN LIFE;13 (III) P ROVIDING AN EVIDENCE-BASED, TWO-GENERATION, AND14 HOME-BASED PREVENTION AND EARLY INTERVENTION MENTAL HEALTH15 PROGRAM CAN PREVENT OR AMEL IORATE THE DAMAGE CAUSED BY16 STRESSFUL EXPERIENCES; AND17 (IV) I T IS POSSIBLE TO DECREASE THE STRESS EXPERIENCED BY18 FAMILIES BY CONNECTING FAMILY MEMBERS TO NEEDED SERVICES19 THROUGH INTENSIVE CARE COORDINATION . BY PROVIDING20 PSYCHOTHERAPY TO A CAREGIVER AND CHILD TOGETHER , IT IS POSSIBLE21 TO REPAIR THE IMPACT OF STRESS ON THE CHILD AND STRENGTHEN THE22 CAREGIVING RELATIONSHIP.23 (b) T HE GENERAL ASSEMBLY FINDS, THEREFORE, THAT:24 (I) G IVEN THE HARMFUL CONSEQUENCES OF THE ECONOMIC25 DISRUPTIONS RESULTING FROM AND EXACERBATED BY THE COVID-1926 PUBLIC HEALTH EMERGENCY , IT IS IN THE BEST INTEREST OF THE STATE TO27 HB22-1369 -2- AUTHORIZE THE DEPARTMENT OF EARLY CHILDHOOD TO CONTRACT WITH1 A NONPROFIT ENTITY TO PROVIDE EVIDENCE -BASED, TWO-GENERATION,2 AND HOME-BASED PREVENTION AND EARLY INTERVENTION CHILDREN 'S3 MENTAL HEALTH PROGRAMS ; AND4 (II) T HE PURPOSE OF CHILDREN'S MENTAL HEALTH PROGRAMS IS TO5 ENHANCE THE MENTAL HEALTH AND DEVELOPMENT OF CAREGIVERS AND6 YOUNG CHILDREN. CHILDREN'S MENTAL HEALTH PROGRAMS MUST7 COMBINE COMPREHENSIVE , COORDINATED SERVICES AND8 PSYCHOTHERAPEUTIC INTERVENTION FOR CAREGIVERS AND CHILDREN ,9 INCREASE ADULT SELF-REGULATION AND EXECUTIVE FUNCTIONING , AND10 RESULT IN LONG-TERM POSITIVE OUTCOMES FOR CHILDREN AND FAMILIES .11 (c) I T IS THE INTENT OF THE GENERAL ASSEMBLY THAT THE12 DEPARTMENT AND A NONPROFIT ENTITY WORK COLLABORATIVELY TO13 SHARE INFORMATION AS NECESSARY TO PROMOTE EFFICIENT AND14 EFFECTIVE IMPLEMENTATION OF THE CHILDREN 'S MENTAL HEALTH15 PROGRAMS IN COLORADO.16 (d) T HE GENERAL ASSEMBLY FURTHER FINDS AND DECLARES THAT17 CONTRACTING WITH A NONPROFIT ENTITY TO PROVIDE CHILDREN 'S18 MENTAL HEALTH PROGRAMS CONSTITUTES CRITICAL GOVERNMENT19 SERVICES.20 (2) A S USED IN THIS SECTION, UNLESS THE CONTEXT OTHERWISE21 REQUIRES:22 (a) "C HILDREN'S MENTAL HEALTH PROGRAM " MEANS AN23 EVIDENCE-BASED, TWO-GENERATION, AND HOME-BASED PREVENTION AND24 EARLY INTERVENTION PROGRAM FOR FAMILIES WITH CHILDREN FROM25 PRENATAL TO SIX YEARS OF AGE WHO ARE EXPERIENCING CHRONIC STRESS26 AND TRAUMA. A CHILDREN'S MENTAL HEALTH PROGRAM MUST BE PROVEN27 HB22-1369 -3- TO SIGNIFICANTLY IMPROVE CHILD EMOTIONAL AND BEHAVIORAL HEALTH ,1 CHILD LANGUAGE DEVELOPMENT , AND CAREGIVER MENTAL HEALTH , AS2 WELL AS DECREASE CHILD ABUSE AND NEGLECT , RESULTING IN3 LONG-TERM POSITIVE OUTCOMES FOR CHILDREN AND FAMILIES .4 (b) "E NTITY" MEANS A COLORADO-BASED NONPROFIT5 ORGANIZATION.6 (3) (a) O N OR BEFORE NOVEMBER 1, 2022, THE DEPARTMENT7 SHALL CONTRACT WITH A COLORADO-BASED NONPROFIT ENTITY TO8 PROVIDE CHILDREN'S MENTAL HEALTH PROGRAMS . THE ENTITY MUST9 HAVE PREVIOUS AND CURRENT EXPERIENCE SERVING THE TARGET10 DEMOGRAPHIC USING A CURRICULUM THAT :11 (I) I NCLUDES COMPONENTS THAT PROVIDE FOR INTERVENING WITH12 FAMILIES WITH YOUNG CHILDREN WHO ARE EXPERIENCING CHRONIC13 STRESS AND TRAUMA. THE CURRICULUM MUST CONNECT THE FAMILIES TO14 NEEDED SERVICES THROUGH INTENSIVE CARE COORDINATION WHILE ALSO15 PROVIDING PSYCHOTHERAPY FOR THE CHILD AND PARENT OR GUARDIAN .16 (II) H AS BEEN PREVIOUSLY IMPLEMENTED WITH SUCCESS BY17 PROVIDERS IN COLORADO.18 (b) T HE ENTITY WITH WHICH THE DEPARTMENT CONTRACTS SHALL :19 (I) P ERFORM COMMUNITY IMPLEMENTATION READINESS20 ASSESSMENTS AND PROVIDE TRAINING , COACHING, AND MONITORING FOR21 THE IMPLEMENTATION OF CHILDREN 'S MENTAL HEALTH PROGRAMS ;22 (II) P ROVIDE ONGOING QUALITY ASSESSMENTS AND IMPROVEMENT23 RECOMMENDATIONS TO ENSURE HIGH -QUALITY IMPLEMENTATION AND24 SUSTAINABILITY OF CHILDREN'S MENTAL HEALTH PROGRAMS ;25 (III) P ROVIDE THE DEPARTMENT WITH SITE -SPECIFIC AND26 STATEWIDE PROCESS AND OUTCOME EVALUATIONS OF CHILDREN 'S MENTAL27 HB22-1369 -4- HEALTH PROGRAMS; AND1 (IV) A NNUALLY PREPARE AND SUBMIT TO THE DEPARTMENT AN2 EVALUATION OF THE OUTCOMES OF ALL OF THE CHILDREN 'S MENTAL3 HEALTH PROGRAMS IMPLEMENTED .4 (4) (a) F OR THE 2022-23 STATE FISCAL YEAR, THE GENERAL5 ASSEMBLY SHALL APPROPRIATE TWO MILLION DOLLARS TO THE6 DEPARTMENT FOR THE PURPOSES OF IMPLEMENTING THIS SECTION FROM7 THE ECONOMIC RECOVERY AND RELIEF CASH FUND CREATED IN SECTION8 24-75-228. THE DEPARTMENT IS AUTHORIZED TO EXPEND UP TO FIVE9 PERCENT TO PAY THE COSTS INCURRED IN IMPLEMENTING THIS SECTION ,10 INCLUDING THE COSTS INCURRED IN CONTRACTING WITH A NONPROFIT11 ENTITY.12 (b) M ONEY SPENT PURSUANT TO THIS SUBSECTION (4) MUST13 CONFORM WITH THE ALLOWABLE PURPOSES SET FORTH IN THE FEDERAL14 "A MERICAN RESCUE PLAN ACT OF 2021", PUB.L. 117-2, AS AMENDED.15 T HE DEPARTMENT SHALL EITHER SPEND OR OBLIGATE SUCH16 APPROPRIATION PRIOR TO DECEMBER 30, 2024, AND EXPEND THE17 APPROPRIATION ON OR BEFORE DECEMBER 31, 2026.18 (c) T HIS SUBSECTION (4) IS REPEALED, EFFECTIVE SEPTEMBER 1,19 2027.20 (5) T HE DEPARTMENT AND THE CONTRACTED ENTITY SHALL21 COMPLY WITH THE COMPLIANCE , REPORTING, RECORD-KEEPING, AND22 PROGRAM EVALUATION REQUIREMENTS ESTABLISHED BY THE OFFICE OF23 STATE PLANNING AND BUDGETING AND THE STATE CONTROLLER IN24 ACCORDANCE WITH SECTION 24-75-226 (5).25 SECTION 2. Safety clause. The general assembly hereby finds,26 HB22-1369 -5- determines, and declares that this act is necessary for the immediate1 preservation of the public peace, health, or safety.2 HB22-1369 -6-