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Approve the Mental Health Services Act Annual Update for FY2024/25 including a review of services rendered in FY2023/24
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Published Notice Required? Yes _____ No _X___
Public Hearing Required? Yes _____ No __X__
DEPARTMENTAL RECOMMENDATION:
The Department of Health and Social Services (H&SS) recommends that the Board of Supervisors approve the Mental Health Services Act (MHSA) Annual Update for FY2024/25 including a review of services rendered in FY2023/24.
SUMMARY:
In November 2004, California voters passed Proposition 63, which imposes a one percent income tax on personal income in excess of $1 million to provide funding to support county mental health programs through five funding streams: Prevention and Early Intervention (PEI), Community Services and Supports (CSS), Innovation (INN), Workforce Education and Training (WET), and Capital Facilities and Technological Needs (CF/TN). Using this funding, MHSA programs address a broad continuum of prevention, early intervention, and direct services, along with the necessary infrastructure, technology, and training elements to effectively support the mental health system. Counties administer MHSA programs and are required to create and implement, with the local community input, three-year integrated plans.
On September 12, 2023, the Board approved the MHSA Three-Year Plan FY2023-2026, which covers FY2023/24, FY2024/25, and FY2025/26. On May 23, 2025, the FY2024/25 Annual Update (Attachment A) was posted online for a mandatory 30-day public review and comment period, and a public hearing was held on June 17, 2025, in partnership with the local Behavioral Health Advisory Board.
In March 2024, voters approved Proposition 1, which makes significant revisions to the Mental Health Services Act and renamed the Mental Health Services Act (MHSA) to the Behavioral Health Services Act (BHSA). Proposition 1 stated objective is to improve access to behavioral health services and expand services to includ...
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