Today s Agenda. Morning. Afternoon

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1 Today s Agenda Morning Background and Introductions State and Local Policy Updates Break Lessons Learned from the Teen Health Care Pipeline Program in South Los Angeles Break The Full Restoration of Adult Dental Benefits and How it Impacts Women and Children Lunch!!! Breakout Sessions Report Backs Resources and Updates Next Steps and Closing Afternoon

2 Key Issues Primary Strategies Who we are Why we exist CA Pan-Ethnic Health Network CPEHN is a multicultural health policy organization focused on improving the health of communities of color in California. Founded in 1992 by leaders of racial and ethnic groups to provide a unified voice on health issues for communities of color. Access to care Health disparities Determinants of health Culturally appropriate health systems Policy and Advocacy Data and Research Community Engagement

3 Oral health and mental health have been historically marginalized from the health care conversation Workforce Quality Access Integration

4 Health Integration Forum State and Local Policy Updates February 2018 Keep three things in mind..

5 Mental Health Policy Updates AB470: Mental Health Equity Act Proposition 64: Adult Use of Marijuana Act

6 The Mental Health Equity Act aims to address gaps in mental health data collection Establishes a statewide performance and outcome system for adults receiving specialty receiving mental health services Previously, there was no requirement in state law (only "medically necessary" requirement) Approximately 4% of adult Californians are diagnosed with serious mental illness Passed in 2017 Currently in the implementation phase Include plan specific reporting: utilization, timely access, language access, and quality

7 The Mental Health Equity Act has important implications for quality improvement in mental health service delivery Provides data now! Opportunity to reduce disparities Improve outcomes Ensure adults access to services

8 Thinking ahead. opportunities to influence the implementation of the Mental Health Equity Act Reactions? Thoughts? Comments What lessons learned can oral advocates share with mental health advocates about data collection and quality improvement?

9 Mental Health Policy Updates AB470: Mental Health Equity Act Proposition 64: Adult Use of Marijuana Act

10 The Adult Use of Marijuana Act will have an enormous impact on state revenue Sale of Cannabis from licensed retail outlets is legal as January 1, 2018 Expected to bring in at least $50 million in tax revenue next year Businesses must have state license and local approval Los Angeles City Council recently passed a package of regulations There are two potential opportunities to bring to advocates, stakeholders, and partners

11 Revenue will be allocated to a wide range of issues After the government takes a piece of that cash, the money will be spread around, including: $3 million/year for five years to the CA Highway Patrol to establish DUI protocols $10 million/year until 2028 to a CA public university for legalization-related research $10 million in 2018 to areas disproportionately affected by criminalization. The figure will grow by $10 million a year Of any remaining funds, 60 percent will go toward drug education, treatment, and prevention for youth

12 Los Angeles City Council s Social Equity Program aims to prioritize communities that have been affected by the war on drugs City of Los Angeles Cannabis Social Equity Program Different levels of assistance to eligible applicants: Tier 1: Low-income and prior California Cannabis Conviction Tier 2: Low-income and minimum of five years cumulative residency in Disproportionately Impacted Area Tier 3: Applicants who provide capital, leased space, etc. to persons who meet Tier 1 or Tier 2 criteria Maximum assistance going to poor people convicted of marijuana crimes Help applying for city licenses, fee waivers, training employees and finding vacant city properties to rent at free or reduced rates Help people expunge old convictions for marijuana crimes

13 Thinking ahead. What experiences have you had with the implementation of Prop 64 in Los Angeles? Reactions? Thoughts? Comments? Are you interested in learning more about this topic?

14 Resources City of Los Angeles Cannabis Social Equity Program City of Los Angeles Cannabis Social Equity Program Department of Cannabis Regulation City of Los Angeles 221 N. Figueroa St, Suite 1245 Los Angeles, CA (213)

15 Oral Health Policy Updates Proposition 56: Tobacco Tax (Local Oral Health Plans) Full Restoration of Adult Dental Benefits

16 Proposition 56 provides an ongoing revenue source to the State Oral Health Program $30 million annually to CA Dept. of Public Health for the State Oral Health Program Local oral health plans created to expand capacity at the local level to educate, prevent, and provide linkages to treatment programs, including a focus on dental disease caused by the use of cigarettes and other tobacco products Program activities may include: education, disease prevention, linkage to treatment, case management and surveillance Funding is not competitive Grant applications submitted in Fall 2017 Grant terms: January 1, 2018 to June 30, 2022

17 The development and implementation of Local Oral Health Plans is a complex and localized process

18 LOHPs: Key Principles of Success In this together, and need each other to be successful Oral health program efforts are strongest when there are excellent local connections Size matters Support for programs include multiple funding streams Local oral health programs personnel differ by education, training, skills and abilities We must strengthen local program capacity Ad Hoc Group on Local Oral Health Programs for the, Association of State and Territorial Dental Directors Best Practices Committee, 2011

19 Local Oral Health Plans present opportunities to engage and educate communities in local oral health work

20 Thinking ahead. What do you already know Los Angeles County s Local Oral Health Plan? What lessons learned can mental health advocates share with oral health advocates about local planning and community engagement? Thoughts? Comments?

21 Resources Los Angeles County Department of Public Health s Oral Health Program 3530 Wilshire Blvd. Suite 800 Los Angeles, CA Phone: (213) Fax: (213) oralhealth@ph.lacounty.gov

22 Resources California Oral Health Network (COHN) Seeks to include engaged, diverse stakeholders from multiple sectors and populations Transform public policy to prioritize oral health equity through community engagement and activism Maximize connectivity and partner engagement through a focused and resourced Network Shift public perception, knowledge, and engagement on oral health equity Upcoming 2018 Convenings Fresno, February 15 Oakland- February 22 San Diego- March 6 Los Angeles, March 12 Sacramento, March 20

23 Oral Health Policy Updates Proposition 56: Tobacco Tax Full Restoration of Adult Dental Benefits

24 Full Restoration of Adult Dental Benefits Beginning January 1, 2018, adults in Medi-Cal have fully restored benefits through Denti-Cal This includes all pregnant women, regardless of immigration status, who are eligible for full-scope Medi-Cal or pregnancyrelated Medi-Cal with full dental benefits. We'll soon learn more from Maternal and Child Health Access!

25 Thinking ahead. How have you been educating the community about these fully restored dental benefits? How can mental health advocates support oral health advocates with education and outreach?

26 Resources Medi-Cal Dental LA Stakeholders Meeting Friday, February 16 10am - 12:30pm Maternal and Child Health Access 1111 W. 6 th St., 4th Floor Los Angeles, CA 90017

27 Break!

28 Today s Agenda Morning Background and Introductions State and Local Policy Updates Break Lessons Learned from the Teen Health Care Pipeline Program in South Los Angeles Break The Full Restoration of Adult Dental Benefits and How it Impacts Women and Children Afternoon Lunch!!! Small Group Discussions and Networking Report Backs Resources and Updates Next Steps and Closing