To: Board of Supervisors
From: Family & Human Services Committee
Report Title: Report from Health Services Behavioral Health Division on Behavioral Health Board
☐Recommendation of the County Administrator ☒ Recommendation of Board Committee
RECOMMENDATIONS:
ACCEPT a report from the Behavioral Health Division of the Health Services Department regarding the formation and status of the Contra Costa Behavioral Health Board as recommended by the Family and Human Services Committee.
FISCAL IMPACT:
There is no fiscal impact for this action.
BACKGROUND:
The Family and Human Services Committee accepted and approved a presentation on Proposition 1 and SB326 at the November 11, 2025 Family and Human Services Committee (FHS). The presentation detailed the formation of an integrated Behavioral Health Board effective January 1, 2025.
Recommendations of the Family and Human Services Committee regarding the new board were approved by the Board of Supervisors on December 17, 2024.
Proposition 1, passed as a ballot measure in April 2024, included a bond measure for capital facilities (Assembly Bill 531) and legislation mandating the transformation of the public behavioral health system (Senate Bill 328) inclusive of an integrated Behavioral Health Board effective January 1, 2025.
Contra Costa Behavioral Health Services made recommendations on April 14, 2025 to the Family and Human Services committee for appointments of 15 Behavioral Health Board members.
These recommendations were approved by Family and Human Services and forwarded to the Contra Costa Board of Supervisors, which approved of the 15 appointments in May 2025.
The Chair and Vice Chair of the Family and Human Services committee also recommended to the Board of Supervisors the addition of two Alternate seats: Alternate to the BOS member serving on the Behavioral Health Board and Alternate to the At Large member. This increased the total number of members from 15 to 17, with two serving as Alternates.
The Behavioral Health Board conducted an orientation session for new members on May 16, 2025.
The Board’s By-Laws were presented to Family and Human Services on October 13, 2025 and approved by the Board of Supervisors on November 18, 2025.
The Chair and Vice Chair of the Board were elected on February 4, 2026
The Board has met monthly since May of 2025 but two of the monthly meetings did not have the requisite number of members in attendance so quorum not met.
The District 3 Family Seat was vacated on December 9, 2025 and a new member appointed on February 10, 2026
The Alternate At Large seat has been vacated with no new member appointed.
At the April 13, 2026 Family and Human Services Meeting, the Committee accepted the attached report and directed staff to forward the report to the Board of Supervisors for their information.
CONSEQUENCE OF NEGATIVE ACTION:
This report will not be received.