File #: 24-0466    Version: 1
Type: Agenda Item Status: Department Matters
File created: 3/5/2024 In control: Board of Supervisors
On agenda: 4/23/2024 Final action: 4/23/2024
Title: Health and Human Services Agency (HHSA) recommending the Board: 1) Receive a presentation on El Dorado County’s Mental Health Services Act (MHSA) Fiscal Year (FY) 2024-25 Annual Update; and 2) Discuss the draft MHSA Annual Update FY 2024-25 and provide direction, if needed, in advance of a future Board request to adopt a finalized MHSA FY 2024-25 Annual Update. FUNDING: 72% MHSA funds, 21% Federal Medi-Cal, 2% Federal Block Grants, 1% Realignment/State General Fund, and 4% Miscellaneous/Fee-for-Service.
Attachments: 1. A - Draft FY 24-25 MHSA Annual Update, 2. B - Presentation
Related files: 24-0084, 23-0933, 23-0591, 22-1046, 17-0551, 18-0874, 19-0936, 20-0446, 21-0713, 22-0832
Title
Health and Human Services Agency (HHSA) recommending the Board:
1) Receive a presentation on El Dorado County’s Mental Health Services Act (MHSA) Fiscal Year (FY) 2024-25 Annual Update; and
2) Discuss the draft MHSA Annual Update FY 2024-25 and provide direction, if needed, in advance of a future Board request to adopt a finalized MHSA FY 2024-25 Annual Update.

FUNDING: 72% MHSA funds, 21% Federal Medi-Cal, 2% Federal Block Grants, 1% Realignment/State General Fund, and 4% 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 (or the “MHSA Plan”), and perform 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.

On June 20, 2023, the County’s most recent MHSA Plan, covering FY 2023-24 through FY 2025-26, was adopted by...

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