CHAPTER
4. Substance Use Disorder Treatment for Youth
11759.
This act shall be known, and may be cited, as the Youth Substance Use Disorder Treatment and Recovery Program Act of 2019.11759.1.
On or before January 1, 2021, the department, in collaboration with counties and providers of substance use disorder services, shall establish regulations regarding community-based nonresidential and residential treatment and recovery programs to intervene and treat the problems of alcohol and drug use among youth under 21 years of age.11759.2.
The department, in collaboration with counties and providers of substance use disorder services, shall establish through regulation criteria for participation, programmatic requirements, treatment standards, and terms and conditions for funding. The criteria shall also include consideration of indicators of drug and alcohol use among youth.11759.3.
(a) The Legislature finds and declares that substance use manifests differently in youth than adults, and that to be effective, youth treatment must be developmentally appropriate, tailored to address the unique psychosocial needs of youth, and distinct from programs designed to treat addiction in adults.(b) Regulations promulgated under this chapter shall define and describe a comprehensive, evidence-based continuum of care to identify, treat, and support recovery from substance misuse for youth under 21 years of age. The continuum of care shall include, but need not be limited to, the following health care services:
(1) Screening and assessment for substance use and cooccurring mental health conditions.
(2) Collaborative treatment planning between health professionals, youth, and their families, as appropriate.
(3) Outpatient substance use therapies, including substance use education, individual counseling, group counseling, and family therapy.
(4) Intensive outpatient programs.
(5) Partial hospitalization.
(6) Medications for addiction treatment when clinically indicated and offered in combination with counseling and case management.
(7) Residential treatment and detoxification.
(8) Treatment for cooccurring mental health conditions.
(9) Case management that strengthens linkages to other health, wellness, social, and supportive services.
(10) Recovery services and supports for both youth and their families, so youth have access to continuing care outside a treatment environment and family needs are addressed.
(c) The department shall consider encouraging the programs and services offered under the youth continuum of care to:
(1) Provide prevention strategies and early intervention opportunities.
(2) Provide care that is culturally and gender competent and trauma-informed.
(3) Provide nonstigmatizing care in a variety of environments including schools, homes, and other community-based locations.
(4) Prioritize family engagement.
(5) Support academic and work performance.
(6) Be delivered by professionals with expertise in treating substance use disorders in adolescents and young adults.
(7) Address cooccurring mental health conditions.
11759.4.
Nothing in this chapter shall preclude regional approaches to service delivery by counties, including the utilization of community-based nonresidential and residential programs.11759.5.
Notwithstanding the rulemaking provisions of the Administrative Procedure Act (Chapter 3.5 (commencing with Section 11340) of Part 1 of Division 3 of Title 2 of the Government Code), the department may implement and administer this chapter through all-county information notices or similar written instructions until regulations are adopted.11759.6.
(a) The department, in collaboration with the counties and providers of substance use disorder services, shall report to the Legislature, during budget hearings, regarding the status of the implementation of this chapter.(b) (1) Beginning January 1, 2022, and each year thereafter, the department shall report to the Legislature, and publish on its internet website, the utilization data relevant to services to youth under 21 years of age.
(2) The report required pursuant to this subdivision shall include, but not be limited to, all of the following:
(A) The number of unique Medi-Cal enrollees served.
(B) The number of unique Medi-Cal enrollees screened for substance use disorders.
(C) The number of assessments of youth for substance use disorders.
(D) The number of individual counseling services for youth with substance use disorders.
(E) The number of collateral services for youth with substance use disorders.
(F) The number of family therapy services for youth with substance use disorders.
(G) The number of
group sessions for youth with substance use disorders.
(H) The number of intensive outpatient service sessions, meaning sessions lasting 6 to 19 hours, inclusive, provided to youth with substance use disorders.
(I) The number of partial hospitalization sessions, meaning sessions lasting 20 hours or more, provided to youth with substance use disorders.
(J) The number of medication-assisted treatment services to youth with substance use disorders.
(K) The number of case management services provided to youth with substance use disorders.
(L) The number of parent or caregiver support services.
(M) The number of residential service episodes for youth with substance use disorders.
(N) The number of youth provided with inpatient services for treatment of detoxification or withdrawal.
(c) A report to be submitted pursuant to this section shall be submitted in compliance with Section 9795 of the Government Code.
11759.7.
(a) For the purposes of implementing this chapter, the department may seek funding from federal financial participation for all services covered by Medi-Cal, or from foundations or other nongovernmental sources.(b) It is the intent of the Legislature that no more than 4 percent of funds made available to the department pursuant to subdivision (a) be expended for purposes of developing regulations, standards, and procedures to implement this chapter.
(c) Each county that administers this chapter shall continue to use current behavioral health funding sources as applicable, including, but not limited to,
the Behavioral Health Subaccount of the Local Revenue Fund 2011 and Drug Medi-Cal funds, including federal financial participation, to fund substance use disorder treatment services for Medi-Cal beneficiaries under 21 years of age who access services under this chapter.