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File #: 25-0166    Version: 1
Type: Agenda Item Status: Department Matters
File created: 1/9/2025 In control: Board of Supervisors
On agenda: 5/20/2025 Final action:
Title: Health and Human Services Agency (HHSA) recommending the Board: 1) Receive a presentation to review El Dorado County’s Mental Health Services Act (MHSA) Fiscal Year (FY) 2025-26 Annual Update; and 2) Discuss the MHSA Annual Update FY 2025-26 revisions required by the Board, prior to the June 17, 2025, request for adoption of the MHSA Annual Update, which is intended to become effective July 1, 2025. FUNDING: 52% MHSA funds, 36% Federal/State Medi-Cal, 6% Realignment, 4% State Behavioral Health Bridge Housing Grant, 1% Federal Block Grants, 1% Miscellaneous/Fee-for-Service.
Attachments: 1. A - Draft FY 25-26 MHSA Annual Update, 2. B - Presentation
Related files: 24-0084, 24-0832, 24-0466, 23-0591, 23-0933
Date Ver.Action ByActionResultAction DetailsMeeting DetailsVideo
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Title
Health and Human Services Agency (HHSA) recommending the Board:
1) Receive a presentation to review El Dorado County’s Mental Health Services Act (MHSA) Fiscal Year (FY) 2025-26 Annual Update; and
2) Discuss the MHSA Annual Update FY 2025-26 revisions required by the Board, prior to the June 17, 2025, request for adoption of the MHSA Annual Update, which is intended to become effective July 1, 2025.

FUNDING: 52% MHSA funds, 36% Federal/State Medi-Cal, 6% Realignment, 4% State Behavioral Health Bridge Housing Grant, 1% Federal Block Grants, 1% Miscellaneous/Fee-for-Service.
Body
DISCUSSION / BACKGROUND:
In 2004, California voters passed Proposition 63, the MHSA. MHSA imposes a one percent tax on personal income in excess of $1,000,000. The funds from the tax are distributed to California counties and are intended to transform the Mental Health System into one that is consumer and family driven, recovery-oriented, accessible, culturally competent, and a system that offers services appropriate for the population that is served.

MHSA requires counties to prepare a three-year program and expenditure plan, known as the MHSA Three-Year Program and Expenditure Plan with subsequent Annual Updates to the Plan. The MHSA Plans and Annual Updates are to be developed with input from local stakeholders, including adults and older adults with severe mental illness; families of children, adults and older adults with mental illness; providers of services; law enforcement agencies; educational agencies; social services agencies; veterans and representatives from veteran organizations; providers of substance use disorder services; and health care organizations. This public planning process is utilized to provide an opportunity for stakeholders and interested parties to discuss mental health policy, program planning, implementation, monitoring, quality improvement, evaluation, and budget allocations.

The draft FY 2025-26 Update was publicly posted for a 30-day review and ...

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