To: Board of Supervisors
From: DHHS: Behavioral Health
Agenda Section: Consent
SUBJECT:
title
Mental Health Services Act Annual Update for Fiscal Year 2022-2023
end
RECOMMENDATION(S):
Recommendation
That the Board of Supervisors:
1. Adopt the attached Mental Health Services Act Annual Update for Fiscal Year 2022-2023
2. Direct the Clerk of the Board to return one certified copy of the Board report to the Department of Health and Human Services - Contract Unit.
Body
SOURCE OF FUNDING:
Behavioral Health Fund (1170)
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 2022-23 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 June 23, 2022.
The process for obtaining stakeholder input for the attached MHSA Annual Update utilized two methods. First, following the process used in prior Annual Updates, 10 stakeholder meetings were held, including groups representing five regions of Humboldt County. Input and comments were accepted through the MHSA email address, the MHSA voicemail, and written on Demographic Questionnaire e-forms used 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 was posted to the County of Humboldt’s website on
May 25, 2022, and it should be adopted by the Board of Supervisors 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 Prevention and Early Intervention 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 MHSA Annual Update includes worksheets which set forth the estimated MHSA funding of $14,218,764 that will be received by the County of Humboldt for fiscal year 2022-2023. 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 and Welfare and Institutions Code. Revenue estimates are based on recommendations by State Department of Health Care Services and California Behavioral Health Directors Association. Estimated 2022-2023 fiscal year expenditures in the amount of $10,757,668 are based on calculations included in proposed budgets for DHHS - Behavioral Health Administration budget unit 1170-424 and DHHS - Mental Health Services Act budget unit 1170-477. Adoption of the attached MHSA Annual Update will not impact the Humboldt County General Fund.
STRATEGIC FRAMEWORK:
This action supports your Board’s 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 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 2022-2023.
PREVIOUS ACTION/REFERRAL:
Board Order No.: C-26; C-25; C-23; C-9; C-17
Meeting of: 06/23/15; 07/31/18; 06/25/19; 10/27/20; 08/10/2021
File No.: 15-699; 18-972; 19-870; 20-1376; 21-1031