To: Board of Supervisors
From: DHHS: Behavioral Health
Agenda Section: Departmental
Vote Requirement: Majority
SUBJECT:
title
Behavioral Health Services Act (BHSA) Integrated Plan and Budget for Fiscal Years 2026-2029
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RECOMMENDATION(S):
Recommendation
That the Board of Supervisors:
1. Receive and file a presentation by the Department of Health and Human Services- Behavioral Health (DHHS-BH) regarding the Behavioral Health Services Act Integrated Plan and Budget for Fiscal Years 2026-2029; and
2. Adopt the attached Behavioral Health Services Act Integrated Plan and budget for Fiscal Years 2026-2029; and
3. Authorize the County Board of Supervisor Chair to sign the Behavioral Health Services Act Integrated Plan Board of Supervisor Certification form; and
4. Authorization for the County Behavioral Health Director, or designee, to submit and make corrections, clarifications and technical changes necessary to the Behavioral Health Services Act Integrated Plan for Fiscal Years 2026-2029 directly to DHCS, provided that the changes do not result in additional material costs to the county, which are subject to County Counsel and Board of Supervisors approval.
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STRATEGIC PLAN:
This action supports the following areas of your Board's Strategic Plan.
Area of Focus: Safe & Healthy Communities
Strategic Plan Category: 1002- Remove barriers to quality healthcare
DISCUSSION:
Proposition 63 was passed by the California voters in November 2004 and enacted into law on Jan. 1, 2005. In March 2024, with the passing of Proposition 1 legislation which includes Senate Bill 326, the Mental Health Services Act (MHSA) was reformed into the Behavioral Health Services Act (BHSA). This legislation places a 1% tax on individuals with a personal income above $1 million and restructures how counties can utilize these dollars effective July 1, 2026.
The attached BHSA 2026-2029 Integrated Plan has been developed with the participation of community members, in acco...
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