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Health and Human Services Agency (HHSA) recommending the Board:
1) Adopt El Dorado County’s Behavioral Health Services Act (BHSA) Fiscal Year (FY) 2026/27 through 2028/29 Integrated Plan (IP) (Attachment A);
2) Authorize the implementation of the FY 2026/27 through 2028/29 projects included within the IP;
3) Authorize the HHSA Director, or Chief Assistant Director, to approve revisions to the adopted BHSA IP when directed by the California Department of Health Care Services; and
4) Approve and authorize the Chair to sign and complete the Board of Supervisors Certification (Attachment B), signifying the Board’s review and approval of the BHSA IP and certifying to County compliance with ensuring timely access to Medi-Cal managed care services for beneficiaries, pursuant to Welfare and Institutions Code Section 14197.
FUNDING: 32% Medi-Cal Federal Financial Participation, 25% BHSA funding, 16% Realignment, 14% Opioid Settlement Funds, 4% State General Fund, 2% Federal grants, 7% other various sources.
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DISCUSSION / BACKGROUND:
In 2004, California voters passed Proposition 63, the Mental Health Service Act (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 have been 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.
In March 2024, California voters approved Proposition 1, enacting Senate Bill (SB) 326 known as the BHSA, replacing MHSA and modernizing county behavioral health planning, funding allocations, and outcome reporting. The BHSA restructures how the State of California allocates behavioral health funding and operationalizes planning requirements with an increased statewide emphasis on individuals with the most significant behavioral health needs, including individuals experien...
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