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File #: 25-0991    Version: 1
Type: Agenda Item Status: Approved
File created: 5/19/2025 In control: Board of Supervisors
On agenda: 6/17/2025 Final action: 6/17/2025
Title: Health and Human Services Agency recommending the Board: 1) Adopt El Dorado County’s Mental Health Services Act (MHSA) Fiscal Year (FY) 2025-26 Annual Update to be effective July 1, 2025; and 2) Authorize the implementation of the FY 2025-26 projects within the Annual Update. 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 - FY 25-26 Mental Health Services Act (MHSA) Annual Update
Related files: 23-0591, 23-0933, 24-0084, 24-0466, 24-0832, 25-0166
Title
Health and Human Services Agency recommending the Board:
1) Adopt El Dorado County’s Mental Health Services Act (MHSA) Fiscal Year (FY) 2025-26 Annual Update to be effective July 1, 2025; and
2) Authorize the implementation of the FY 2025-26 projects within the Annual Update.

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:
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 public comment period on February 3, 2025. On March 19, 2025, following the 30-day period, the Behavioral Health Commission conducted a public hearing to receive any additional input from the community. Any substantive comments that were received about the draft Update during the 30-day comment period or the public hearing process were summarized and included in the final Update.

On May 20, 2025, HHSA’s Behavioral Health Division staff presented the MHSA Plan FY 2025-26 Annual Update to the Board and public for discussion and to receive final direction...

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