To: Board of Supervisors
From: Dr. Ori Tzvieli, Interim Health Services Director
Report Title: Mental Health Services Act Program and Expenditure Plan - Fiscal Years 2024-26; Annual Update to the 2023-26 Three-Year Plan
?Recommendation of the County Administrator ? Recommendation of Board Committee
RECOMMENDATIONS:
ACCEPT the recommendation of the Behavioral Health Services Director to adopt the Mental Health Services Act Fiscal Year 2025-26 Annual Update to the Three-Year Plan;
APPROVE the Psychiatric Advance Directives (PADs) Multi-County Collaborative, Mental Health Services Act Funded Project, Fiscal Year 2024-2029, and the Program Improvements for Valued Outpatient Treatment (PIVOT) Innovation Project; and
AUTHORIZE and DIRECT the Chair of the Board of Supervisors to send a letter to that effect to the Department of Health Care Services (DHCS) and the Behavioral Health Services Oversight and Accountability Commission (BHSOAC) to inform of their approval of the adoption of this Plan Update and attached Innovation Projects.
FISCAL IMPACT:
Adoption of the Mental Health Services Act (MHSA) Fiscal Year (FY) 2025-26 Annual Update to the Three-Year Plan assures continued MHSA funding in the amount of $84,501,000.
BACKGROUND:
Proposition 63 was passed by California voters in the November 2004 election. Now known as the Mental Health Services Act (MHSA), the legislation provides public mental health funding by imposing an additional one percent tax on individual taxable income in excess of one million dollars. There are a total of five MHSA components which have been enacted out over time by the State with the goal of creating a better program of mental health services and supports in California's public mental health systems. There are multiple programs operated within each component. This is a state mandated program under Welfare & Institutions Code.
In March 2024, California voters approved Proposition 1, which introduces significant changes to the MHSA an...
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