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Los Angeles County Board of Supervisors’ Home Visiting Motion
On December 20, 2016, the LA County Board of Supervisors passed a motion for perinatal and early childhood home visiting programs in LA County. The motion was introduced by Supervisors Sheila Kuehl and Janice Hahn. The motion directs “the Los Angeles County Department of Public Health, in partnership with First 5 LA, the LA County Perinatal and Early Childhood Home Visitation Consortium, the Office of Child Protection, the Children’s Data Network, and the Departments of Health Services, Mental Health, Public Social Services, Children and Family Services, and Probation, to report back in 180 days with a plan to coordinate, enhance, expand, and advocate for high quality home visiting programs to serve more expectant and parenting families so that children are healthy, safe and ready to learn. Specifically, the plan shall:
- Assess how national models and best practices, including those with a single entry portal, may inform or be adapted to improve outcomes for LA County.
- Create a coordinated system for home visitation programs that includes a streamlined (and, if possible, electronic) referral pathway and outreach plan to ensure maximum program participation, especially in LA County’s highest risk communities. A single responsible department or organization may be identified to maintain the coordinated referral system.
- Identify gaps in services for high-risk populations based on review of effective national models, existing eligibility requirements, and cultural competencies. The plan should develop strategies to address these gaps.
- Increase access to voluntary home visitation for families at high risk of involvement with the child welfare system, consistent with the recommendations of the Los Angeles Blue Ribbon Commission on Child Protection.
- Collect, share and analyze a standardized and consistent set of outcome data leveraging the Consortium’s LA County Common Indicators pilot project.
- Include a framework to maximize resources by leveraging available funding, and, where possible, identify new and existing, but not maximized, revenue streams (through State and federal advocacy, and opportunities for local investments) to support home visiting expansion.”
On March 17, 2017 the Consortium co-hosted a roundtable meeting with home visitors and other maternal and child direct service providers from across LA County to gather feedback and recommendations to inform the response to the Board of Supervisors’ motion. The Executive Summary of the findings from that meeting is available here.
An interim Progress Report on the response to the home visiting motion, which incorporates the review and feedback of the Consortium, was submitted to the Board of Supervisors in June 2017. The text of the Progress Report is available here.
NEW: The second progress report was submitted to the Board of Supervisors in October 2017. The report includes details about pilot projects that have been initiated and commitments that have been made by County Departments and other agencies named in the motion. The text of the Progress Report is available here.
Current (2017-2018) California Legislation
AB-11 Child care: Early Head Start.(2017-2018) BILL WITHDRAWN
AB-244 Maternal mental health.(2017-2018) BILL WITHDRAWN
AB-992 CalWORKs: Baby Wellness and Family Support Home Visiting Program.(2017-2018) Anticipated to become a two-year bill.
AB-1164 Foster care placement: funding. (2017-2018) The bill language to establish the Emergency Child Care Bridge Fund for Foster Children was included in the State budget bill (SB 89 Human Services Budget Bill) approved by the Governor on June 27, 2017.
AB-1520 Lifting Children and Families Out of Poverty Act of 2017 (2017-2018) APPROVED BY GOVERNOR OCTOBER 2, 2017– Establishes the Lifting Children and Families Out of Poverty Task Force for the purpose of submitting a report to the Legislature and the executive branch administration of the State that recommends future comprehensive strategies to achieve the reduction of deep poverty among children and reduce the overall child poverty rate in the State.
Federal Legislation: MIECHV
UPDATE: The Consortium* supports the reauthorization of Federal MIECHV funding, which expired on September 30, 2017. The LA County Board of Supervisors also supports MIECHV reauthorization. Please see the Board of Supervisors’ motion affirming the County’s support for MIECHV, unanimously passed on May 23, 2017.
For information on MIECHV and advocacy resources related to MIECHV reauthorization, please visit the National Home Visiting Coalition’s website. For California-specific advocacy resources related to MIECHV reauthorization, please visit Children Now’s website.
Maternal, Infant, and Early Childhood Home Visitation (MIECHV) Program: “Maternal, Infant, and Early Childhood Home Visiting supports pregnant women and families and helps at-risk parents of children from birth to kindergarten entry tap the resources and hone the skills they need to raise children who are physically, socially and emotionally healthy and ready to learn. HRSA [Health Resources and Services Administration], in close partnership with the Administration for Children and Families (ACF), funds States, territories and tribal entities to develop and implement voluntary, evidence-based home visiting programs using models that are proven to improve child health and to be cost effective. These programs improve maternal and child health, prevent child abuse and neglect, encourage positive parenting, and promote child development and school readiness.” – Health Resources and Services Administration (HRSA) MIECHV page
Previous MIECHV legislation:
- Full text of the 2010 Patient Protection and Affordable Care Act (ACA) legislation (MIECHV Program provision is provided for in Title II, Subtitle L, Section 2951 – pages 216-225)
- Full text of the Protecting Access to Medicare Act of 2014 – H.R.4302 (MIECHV reauthorization provided for in Title II, Section 209)
- Full text of the Medicare Access and CHIP Reauthorization Act of 2015 – H.R.2 (MIECHV reauthorization provided for in Title II, Subtitle B, Section 218)
*The following Consortium members abstained from this position: LA County Departments of Public Health, Mental Health, and Health Services, LA Best Babies Network, and Miller Children’s & Women’s Hospital Long Beach.