Title
Health and Human Services Agency, Mental Health Division, recommending the Board consider the following:
1) Receive a presentation regarding changes to the Mental Health Services Act and plan requirements; and
2) Until a new plan is presented and approved by the Board, authorize the continuation of the County's Mental Health Services Act (MHSA) programs as identified in the approved Fiscal Year 2011/12 MHSA Plan Update, to include:
a) Funding the existing PIP programs immediately, and allow new/expanded Children's Programs to apply for funds through the RFP/RFQ process once the Fiscal Year 2012/13 MHSA Plan is approved.
b) Reserve funding for other Children's PEI programs (FY 2011/12 Incredible Years "IY" and School Linkages programs) until the Fiscal Year 2012/13 MHSA Plan is approved.
c) Expend no additional funds to implement the current Innovation Plan, proceed with the planning process in Fiscal Year 2012/13 and establish new plan(s) for implementation in Fiscal Year 2013/14. (Est. Time: 15 min.)
FUNDING: State Mental Health Services Act Funds.
Body
Fiscal Impact/Change to Net County Cost
There is no Net County Cost associated with the presentation. Funding for MHSA programs continues under the previously approved Fiscal Year (FY) 2011/12 Plan Update.
Background
The Mental Health Services Act (MHSA), also known as Proposition 63, was approved by voters in November of 2004 and enacted into law January 1, 2005. The MHSA imposed a one percent (1%) tax on individuals with an adjusted annual income over $1,000,000. This funding stream is dedicated to transforming the public mental health system and seeks to reduce the long-term adverse impact of untreated serious mental illness. The MHSA is made of the following five components:
- Community Services and Supports (CSS)
- Prevention and Early Intervention (PEI)
- Capital Facilities and Technology (CFTN)
- Workforce Education and Training (WET)
- Innovation (INN).
On March 24, 2011, the Governor signed Assembly Bill (AB) 100 which resulted in key changes to the MHSA funding distribution process and deleted the authority of the California Department of Mental Health (DMH) and the Mental Health Services Oversight and Accountability Commission (MHSOAC) to review and approve plans. On June 27, 2012, AB 1467 was approved and with the exception of the Innovation component, transferred the authority to review and approve the MHSA plan to the County Board of Supervisors.
In addition, the legislation continues to require a community planning process that will keep the public informed and obtain input on the development of the proposed plan. In accordance with AB 1467, the MHSA plan is considered approved when adopted by the Board of Supervisors.
Currently, the Mental Health Division is in the process of holding community meetings to discuss revisions to the approved FY 2011/12 MHSA plan. The Mental Health Division anticipates completing the community planning process and returning to the Board for final adoption of the FY 2012/13 MHSA plan in December 2012.
Reason for Recommendation
Approval of this recommendation will allow the Mental Health Division to continue funding the programs approved in the FY 2011/12 MHSA plan until a new plan is approved by your Board.
Action(s) to be taken following Board approval
HHSA Mental Health Division will continue to adhere to and receive funding to operate the MHSA programs as authorized in the FY 2011/12 MHSA plan.
Contact
Daniel Nielson, MPA, Director