To: Board of Supervisors
From: DHHS: Behavioral Health
Agenda Section: Consent
Vote Requirement: 4/5th
SUBJECT:title
Subrecipient Agreement with Sierra Health Foundation: Center for Health Program Management Regarding Implementation of Proposition 36 Behavioral Health Requirements Within Humboldt County in an Amount Not to Exceed $430,582.16 for the Period of March 1, 2026 Through March 31, 2028 and Supplemental Budget in the Amount of $179,255 for Department of Health and Human Services (DHHS) - Substance Use Disorder (SUD) Budget (1180425) (4/5 Vote Required)end
RECOMMENDATION(S):Recommendation
That the Board of Supervisors:
1. Waive the requirements of the Humboldt County Nuclear-Free Ordinance with regard to the attached subrecipient agreement with Sierra Health Foundation: Center for Health Program Management; and
2. Approve, and authorize the DHHS- Behavioral Health Director, or a designee thereof, to execute, the attached subrecipient agreement with Sierra Health Foundation: Center for Health Program Management regarding implementation of Proposition 36 behavioral health requirements within Humboldt County in an amount not to exceed $430,582.16 for the period of March 1, 2026 through March 31, 2028; and
3. Authorize the DHHSs - Behavioral Health Director, or a designee thereof, to execute any and all subsequent amendments to, and other agreements, certifications, attestations, reports, writings and documents directly associated with, the attached subrecipient agreement with Sierra Health Foundation: Center for Health Program Management, after review and approval by County Counsel, Risk Management and the County Administrative Office; and
4. Approve the attached fiscal year (FY) 2026-27 supplemental budget in the amount of $179,255 for DHHS - SUD budget (1180425) (4/5 Vote Required); and
5. Direct the Clerk of the Board to provide the DHHS - Contract Unit with one fully executed, certified electronic copy of the Board order related to this item.
Body
STRATEGIC PLAN:
The recommended actions support the following areas of the Board of Supervisors’ Strategic Plan:
Area of Focus: Safe & Healthy Communities
Strategic Plan Category: 1001 -Support and sustain partnerships between public safety and partner agencies to enhance public safety in our communities
DISCUSSION:
On Nov. 5, 2024, California voters approved Proposition 36 which modifies provisions of Proposition 47 (2014) to increase accountability for certain drug and theft crimes. A central pillar of Proposition 36 is the creation of a "treatment-mandated felony," a new legal process allowing prosecutors to charge individuals with a felony for drug possession if they have two or more prior drug-related convictions. Individuals charged under this statutory framework will be offered the opportunity to complete court-ordered behavioral health treatment. Successful completion of a treatment program will result in the dismissal of the charges, prioritizing a health-based resolution over incarceration for eligible participants.
The California State Legislature included a one-time allocation of funding in California Assembly Bill 102 in order to support the statewide implementation of Proposition 36 behavioral health requirements. Such funding will allow counties to establish the necessary infrastructure to conduct behavioral health assessments, coordinate with the courts and deliver mandated behavioral health treatment services. Sierra Health Foundation: Center for Health Program Management has contracted with the California Department of Health Care Services to administer the funding made available to counties through California Assembly Bill 102.
The attached subrecipient agreement with Sierra Health Foundation: Center for Health Program Management will allow the Humboldt County DHHS - Behavioral Health to receive up to $430,582.16 for the purpose of implementing Proposition 36 behavioral health requirements in Humboldt County for the period of March 1, 2026 through March 31, 2028. It should be noted that the attached subrecipient agreement with Sierra Health Foundation: Center for Health Program Management comes to your Board after the start date thereof due to inadvertent delays that occurred during the contract development process.
Accordingly, DHHS - Behavioral Health recommends that the Board approve, and authorize the DHHS - Behavioral Health Director, or a designee thereof, to execute, the attached subrecipient agreement with Sierra Health Foundation: Center for Health Program Management regarding implementation of Proposition 36 behavioral health requirements in Humboldt County for the period of March 1, 2026 through March 31, 2028. It is also recommended that your Board authorize the DHHS - Behavioral Health Director, or a designee thereof, to execute any and all subsequent amendments to, and other agreements, certifications, attestations, reports, writings and documents directly associated with, the attached subrecipient agreement with Sierra Health Foundation: Center for Health Program Management, after review and approval by County Counsel, Risk Management and the County Administrative Office, in order to avoid any unnecessary delays in the implementation of Proposition 36 Behavioral Health requirements in Humboldt County.
SOURCE OF FUNDING:
Behavioral Health Fund (1180-425)
FINANCIAL IMPACT:
|
Expenditures (1180-425) |
FY 26-27 Adopted |
FY 27-28 Projected* |
|
Budgeted Expenses |
$111,935 |
$139,392.16 |
|
Additional Requested |
$179,255 |
|
|
Total Expenditures |
$291,190.00 |
$139,392.16 |
|
Funding Sources (1180-425) |
FY 26-27 Adopted |
FY 27-28 Projected* |
|
Fees/other |
$291,190 |
$139,392.16 |
|
Total Funding Sources |
$291,190 |
$139,392.16 |
*Projected amounts are estimates and are subject to change.
As noted above, the attached subrecipient agreement with Sierra Health Foundation: Center for Health Program Management will allow DHHS - Behavioral Health to receive up to $430,582.16 that will be used to support implementation of Proposition 36 behavioral health requirements in Humboldt County for the period of March 1, 2026, through March 31, 2028. The attached supplemental budget for DHHS - SUD budget (1180425) in the amount of $179,255 for FY 2026-27 will increase appropriations for the anticipated annual subrecipient contract amount and lower the anticipated use of Alcohol & Other Drugs (1180) fund balance.
STAFFING IMPACT:
Approval of the subrecipient agreement with the Sierra Health Foundation: Center for Health Program Management will not impact current staffing levels.
OTHER AGENCY INVOLVEMENT:
California Department of Health Care Services
ALTERNATIVES TO STAFF RECOMMENDATIONS:
Your Board may choose not to approve the attached subrecipient agreement with Sierra Health Foundation: Center for Health Program Management regarding implementation of Proposition 36 behavioral health requirements in Humboldt County. However, this alternative is not recommended since it will not allow for the receipt of additional funding needed to implement mandated behavioral health requirements in Humboldt County.
ATTACHMENTS:
1. Subrecipient Agreement with Sierra Health Foundation: Center for Health Program Management
2. Supplemental Budget DHHS - SUD (1180425)
PREVIOUS ACTION/REFERRAL:
Meeting of: None
File No.: None