To: Board of Supervisors
From: DHHS: Mental Health
Agenda Section: Consent
SUBJECT:
title
Mental Health Services Act Annual Update for Fiscal Year 2018-2019 and Supplemental Budget (4/5 Vote Required)
end
RECOMMENDATION(S):
Recommendation
That the Board of Supervisors:
1. Adopt the attached Mental Health Services Act Annual Update for fiscal year 2018-19 and;
2. Adopt supplemental budget for appropriation and transfer of revenues from Mental Health Services Act Trust Fund 3441000. (4/5 vote required)
Body
SOURCE OF FUNDING:
Mental Health Fund
DISCUSSION:
Proposition 63 was passed by the California voters in November 2004 and enacted into law on Jan. 1, 2005. Now known as the Mental Health Services Act (MHSA), this legislation places a 1% tax on individuals with a personal income above $1 million.
The attached annual update for fiscal year 2018-19 has been developed with the participation of stakeholders, in accordance with the Community Planning Process (CPP) set forth in Section 5848 of the California Welfare and Institutions Code and Section 3300 of Title 9 of the California Code of Regulations. The draft MHSA Annual Update was circulated to representatives of stakeholder interests and any interested party for 30 days in preparation for the public hearing held by the Humboldt County Behavioral Health Board on May 9, 2019.
The process for obtaining stakeholder input for the attached MHSA Annual Update utilized the same methods that were used for prior MHSA planning updates. Nine stakeholder meetings were held, including groups representing five regions of Humboldt County and four meetings with other community stakeholder groups. Input and comments were sent to the MHSA email address, left on the MHSA voicemail or written on forms at the stakeholder meetings.
The CPP for the attached MHSA Annual Update had two components: MHSA education, and collecting input from stakeholders. MHSA education included the following areas of planning: mental health policy, program planning, implementation, monitoring, quality improvement, evaluation, and budget allocations. Such education also included the MHSA core concepts of community collaboration, cultural competence, client wellness, recovery and resilience and an integrated service experience for clients and their families.
The attached MHSA Annual Update includes the 3-Year Prevention and Early Intervention (PEI) Evaluation and Annual Innovation Project Reports. The PEI Evaluation Reports include programs such as the Hope Center, Suicide Prevention, Stigma and Discrimination Reduction, TAY Advocacy and Peer Support, Parent Partners, Local Implementation Agreements, School Climate Curriculum Plants/MTSS, and the Making Relatives Program. The Innovation Project Report included in the MHSA Annual Update is Rapid Re-housing which includes two components: Rapid Re-housing and Mobile Intervention Services Team. These reports are required to be submitted to the Mental Health Services Oversight and Accountability Commission by June 30, 2019 pursuant to the amended PEI Regulations that became effective on July 1, 2018.
The attached MHSA Annual Update was posted to the County of Humboldt’s website on April 8, 2019, and the Board of Supervisors should adopt the plan within 90 days of such posting. Once the attached MHSA Annual Update has been adopted by the Board of Supervisors, it will then be sent to the California Department of Health Care Services and the Mental Health Services Oversight and Accountability Commission.
FINANCIAL IMPACT:
Pursuant to California Welfare and Institutions Code Section 5892, MHSA component funding is distributed to counties on a monthly basis based on actual tax receipt collections. Each county is responsible for ensuring that 20% of the funds distributed from the Mental Health Services Fund is allocated for PEI programs. In addition, counties are required to utilize 5% of such funding for Innovative programs and the balance of such funding must be allocated for Community Service and Support (CSS) programs. Transfers of CSS funds for capital facilities and technological and human resource needs are limited to 20% of the average amount of funds allocated to a county for the previous 5 years.
The attached MHSA Annual Update includes worksheets which set forth the estimated MHSA funding that will be received by the County of Humboldt for FY 2018-19. The total estimated revenue and expenditures is $6,924,899. Estimated expenditures are based on calculations included in approved FY 2018-19 budgets for DHHS - Mental Health Administration budget unit 1170-424 and DHHS - Mental Health Services Act budget unit 1170-477.
Allocation of the MHSA funding reflected in these worksheets is consistent with the applicable requirements set forth in the above-referenced provisions of the California Welfare and Institutions Code. Revenue estimates are based on recommendations by State Department of Health Care Services and California Behavioral Health Directors Association. Adoption of the attached MHSA Annual Update will not impact the Humboldt County General Fund.
MHSA County fiscal accountability certification of the Annual Update is a required element of the Plan submission. In accordance with this certification requirement, DHHS - Mental Health requests Board approval of expenditure and transfer appropriations from the Mental Health Services Act Trust Fund 3441000 through adoption of the attached supplemental budget for FY 2018-19.
STRATEGIC FRAMEWORK:
The recommended actions support the Board of Supervisors’ Strategic Framework by creating opportunities for improved safety and health, protecting vulnerable populations, providing community appropriate levels of service and supporting the self-reliance of citizens.
OTHER AGENCY INVOLVEMENT:
California Department of Health Care Services
Mental Health Services Oversight and Accountability Commission
ALTERNATIVES TO STAFF RECOMMENDATIONS:
The Board could choose not to adopt the attached MHSA Annual Update. However, this alternative is not recommended since it would result in non-compliance with Section 5847 of the California Welfare and Institutions Code
ATTACHMENTS:
1. Mental Health Services Act Annual Update for Fiscal Year 2018-2019
2. Mental Health Services Act Trust Fund 3441000 Supplemental Budget
PREVIOUS ACTION/REFERRAL:
Board Order No.: C-26; C-25
Meeting of: 06/23/15; 07/31/18
File No.: 19-870