To: Board of Supervisors
From: Dr. Grant Colfax, Health Services Director
Report Title: Integrated Plan for Behavioral Health Services and Outcomes for Fiscal Years 2026-2029
?Recommendation of the County Administrator ? Recommendation of Board Committee
RECOMMENDATIONS:
ACCEPT the recommendation of the Behavioral Health Services Director to adopt the Integrated Plan for Behavioral Health Services and Outcomes for Fiscal Years 2026-29;
AUTHORIZE and DIRECT the Chair of the Board of Supervisors to sign the Integrated Plan certification that will be submitted to the Department of Health Care Services (DHCS) with the County's final Integrated Plan.
FISCAL IMPACT:
Approval of the Integrated Plan for submission to the State has no net fiscal impact and does not authorize the appropriation or expenditure of funds.
Counties will continue to receive Behavioral Health Services Act (BHSA) funding, formerly known as the Mental Health Services Act (MHSA), at anticipated levels. While BHSA component allocations have been revised to meet statutory compliance requirements, specifically Housing Programs (30%), Full-Service Partnerships (35%), and Behavioral Health Services and Supports (35%), this Board action does not change funding authority.
The Integrated Plan reflects the coordinated use of all Behavioral Health funding sources, including BHSA, Medi-Cal revenues, Substance Use Disorder funding, 1991 and 2011 Realignment, federal and state grants, and other applicable revenues.
Actual appropriations, budget adjustments, and expenditure authority will be incorporated through the County's annual budget adoption process and any subsequent Board-approved budget modifications.
BACKGROUND:
In 2024, Proposition 1 redesigned the Mental Health Services Act (MHSA) into the Behavioral Health Services Act (BHSA) and created funding for behavioral health treatment facilities. The new BHSA, which goes into effect July 1, 2026, is one of the cornerstones for Behavioral Health Trans...
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