Special Notice / Hearing: None__
Vote Required: Majority
To: Honorable Board of Supervisors
From: Colleen Chawla, Chief, San Mateo County Health
Jei Africa, Director, Behavioral Health and Recovery Services
Subject: San Mateo County Behavioral Health Services Act Three-Year Integrated Plan for FY 2026-27 through FY 2028-29
RECOMMENDATION:
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Adopt a resolution authorizing the approval and submission of the San Mateo County Behavioral Health Services Act Three-Year Integrated Plan for FY 2026-27 through FY 2028-29 to the California Department of Health Care Services and authorize the Chief of San Mateo County Health or designee(s) to make non-substantive revisions to the Integrated Plan without additional approval from the Board of Supervisors.
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BACKGROUND:
In March 2024, California voters approved Proposition 1 (Prop. 1), which transforms county behavioral health through the creation of new statewide goals, prioritization of permanent supportive housing, and utilization of evidence-based practices for the most vulnerable populations experiencing serious mental health and/or substance use disorder (SUD) challenges. Prop 1 has two main components: (1) Senate Bill 326, which changes the Mental Health Services Act (MHSA) into the Behavioral Health Services Act (BHSA), and (2) Assembly Bill 531, which authorizes bond funding for capital development of behavioral health housing and treatment beds.
BHSA requires that 30% of funding be allocated to Housing Interventions (HI), 35% to Full Service Partnerships (FSP), and 35% to Behavioral Health Services and Supports (BHSS). Additionally, 50% of HI funds must be used for people experiencing chronic homelessness, and at least 51% of BHSS funds must be used for Early Intervention programs.
Under BHSA, Counties are no longer authorized to use local BHSA funding for Prevention programs previously funded under MHSA. Prevention activities will instead be administered and funded through new...
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