To: Board of Supervisors
From: Dr. Grant Colfax, Health Services Director
Report Title: Grant Application to the State Department of Health Care Services for the Behavioral Health Continuum Infrastructure Program.
☒Recommendation of the County Administrator ☐ Recommendation of Board Committee
RECOMMENDATIONS:
ADOPT Resolution approving and authorizing the Health Services Director, or designee, to submit an application for grant funding in an amount not to exceed $35,000,000, made available by the California Department of Health Care Services (DHCS) through the Behavioral Health Continuum Infrastructure Program (BHCIP), Round 2 Unmet Needs Program, for the construction of two (2) social rehabilitation facilities in West Contra Costa County to provide mental health services to Medi-Cal eligible clients with serious behavioral health conditions.
FISCAL IMPACT:
If awarded, County will receive funds from the State of DHCS for BHCIP through their administrator, Advocates for Human Potential, for the construction of public behavioral health facilities. County will be responsible for 10% match of the awarded amount less contingencies. County-owned real property and sunk costs may be used as a match. The County purchased the proposed site at 2523 El Portal in San Pablo for in November 2023. It is anticipated that the equity from this property and costs associated with design will cover the match amount in its entirety. If awarded, County agrees to maintain the use of the property for a period of thirty (30) years for BHCIP funded project, which will be secured through a declaration of restrictions recorded against the portion of the property to be used by the project.
BACKGROUND:
In March of 2024, California voters approved Proposition 1, a two-bill package amending the Mental Health Services Act (Senate Bill 326) and the Behavioral Health Bond Infrastructure Act of 2024 (Assembly Bill 531) to develop and expand an array of community behavioral health treatment and residential facilities through a competitive grant program administered by DHCS with up to $4.4 billion dollars available statewide. In order to develop priorities for the facilities to be developed, Contra Costa Behavioral Health Services has conducted a qualitative and quantitative needs assessment with community stakeholders. This needs assessment identified an additional need for crisis and longer-term residential treatment programs, both secure and voluntary, for adults with serious mental illness, many of whom have a co-occurring substance use disorder and/or are involved with the criminal justice system.
Applications for both purchase of real estate and development and/or remodel costs require site control of the property, including a deed or executed purchase agreement, as well as preliminary plans (e.g., schematic design); reasonable project budget and timeline with identified development team (i.e., contractor, architect, engineer, etc.); proposed facility types with plan for licensure and certification; and commitment from CCH-BH to fund Medi-Cal services at the location.
Contra Costa Behavioral Health Services intends to submit one application to fund a project for the development of two (2) social rehabilitation facilities at 2523 El Portal in San Pablo. The anticipated total value of all grant applications is anticipated not to exceed $35,000,000. If awarded, services will be funded through Medi-Cal reimbursements and Mental Health Realignment funds. The Division and its contracted provider will be responsible for ongoing maintenance of the property, with specifics finalized in coordination with County Public Works.
The County is not obligated to accept funds from any award that is made. Contra Costa Behavioral Health Services will return to the Board of Supervisors for acceptance of the award and any terms and conditions required by the award.
CONSEQUENCE OF NEGATIVE ACTION:
County will not be eligible to receive funds to invest in BHCIP for Medi-Cal eligible behavioral health clients.
THE BOARD OF SUPERVISORS OF CONTRA COSTA COUNTY, CALIFORNIA
and for Special Districts, Agencies and Authorities Governed by the Board
body
IN THE MATTER OF
A RESOLUTION OF THE BOARD OF SUPERVISORS OF Contra Costa County, a political subdivision of the State of California AUTHORIZING APPLICATION TO AND PARTICIPATION IN THE BEHAVIORAL HEALTH CONTINUUM INFRASTRUCTURE PROGRAM (“BHCIP”)
WHEREAS:
A. The California Department of Health Care Services, through its contractor Advocates for Human Potential, Inc., (“Department”) has issued a Request for Applications, dated May 30, 2025 (“RFA”), for the Bond BHCIP Round 2 (2025) Unmet Needs Program (“Program”). The Department has issued the RFA for Program grant funds pursuant to California Welfare and Institutions Code sections 5965-5967.01 (“Behavioral Health Infrastructure Bond Act of 2024”).
B. Contra Costa County, a political subdivision of the State of California (“Applicant”), desires to apply for Program grant funds and has submitted an application for Program grant funds (“Application”) to the Department for review and consideration.
C. The Department is authorized to administer BHCIP pursuant to the Behavioral Health Infrastructure Bond Act of 2024. Program funding allocations are subject to the terms and Bond and conditions of the RFA, the Application, Program Funding Agreement (“Program Funding Agreement”), and all other legal requirements of the Program.
NOW, THEREFORE, BE IT RESOLVED
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1. Applicant is hereby authorized and directed to submit an Application to the Department in response to the RFA, and to apply for Program grant funds in a total amount not to exceed $ 35,000,000.
2. If the Application is approved, Applicant is hereby authorized and directed to enter into, execute, and deliver a Program Funding Agreement for the total award amount, and all other documents required or deemed necessary or appropriate to secure the Program grant funds from the Department and to participate in the Program, and all amendments thereto (collectively, the “Program Documents”).
3. Applicant acknowledges and agrees that it shall be subject to the terms and conditions specified in the Program Funding Agreement. Any and all activities, expenditures, information, and timelines represented in the Application are enforceable through the Program Funding Agreement. Funds are to be used for the allowable expenditures and activities identified in the Program Funding Agreement.
4. Dr. Grant Colfax, Health Director, or designee, Dr. Suzanne Tavano, is authorized to execute the Application and the Program Documents on behalf of Applicant for participation in the Program.