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Receive an overview of changes impacting Solano County Behavioral Health related to new mandates and statewide directives for the delivery of services
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Published Notice Required? Yes ___ No _X_
Public Hearing Required? Yes ___ No _X_
DEPARTMENTAL RECOMMENDATION:
The Department of Health and Human Services recommends that the Board of Supervisors receive an overview of changes impacting Solano County Behavioral Health related to new mandates and statewide directives for the delivery of services.
SUMMARY:
The State of California initiated a plan for policy changes to redesign the state mental health and substance use system, collectively known as the behavioral health system. As part of this effort, the Department of Health Care Services (DHCS) entered into updated federal waivers in how services are reimbursed and initiated the California Advancing and Innovating Medi-Cal (CalAIM) to shift the Medi-Cal program including population-based initiatives focused on children, foster youth, and those who are unhoused or justice-involved. Concurrently, various new laws have emerged in alignment with these changes. Proposition 1, which was passed by voters in March 2024, makes substantial changes to the existing Mental Health Services Act (MHSA). Additional new laws that will have significant impacts on Behavioral Health include the Care Act and the Lanterman-Petris-Short (LPS) Act, which govern the involuntary detention, treatment, and conservatorship of people with behavioral health conditions; and both Acts expand eligibility and increase requirements of treatment for new populations. These and many other directives have created significant workload implications for counties, specifically to behavioral health departments, with little to no funding accompanying these mandates.
FINANCIAL IMPACT:
Solano County and the Behavioral Health Division have new mandates that are either unfunded, partially funded, or initially funded but have ...
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