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 Mental Health Services Act Annual Update FY 2025-2026
RECOMMENDATION:
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Adopt a resolution authorizing the approval and submission of the San Mateo County Mental Health Services Act Annual Update for Fiscal Year 2025-2026 to the State Commission for Behavioral Health and the Department of Health Care Services.
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BACKGROUND:
In 2004, California voters passed Proposition 63, known as the Mental Health Services Act (MHSA), which made additional state funds available to expand and transform behavioral health services. Since 2006, MHSA resources and expenditures have been approved by this Board as part of the larger County Health budget. State legislation requires that the MHSA Three-Year Program and Expenditure Plan and subsequent Annual Updates be approved by the County's Board of Supervisors.
On September 12, 2023, this Board approved the MHSA Three-Year Program and Expenditure Plan FY 2023-24 through FY 2025-26 and Annual Update FY 2023-24. Subsequently, this Board approved the MHSA Annual Update for FY 2024-25 on June 11, 2024.
On April 2, 2025, the Behavioral Health Commission held a public hearing and voted to close a 30-day public comment on the MHSA Annual Update FY 2025-26. Behavioral Health and Recovery Services (BHRS) is now recommending approval of the update by this Board of Supervisors.
DISCUSSION:
The MHSA Annual Update is intended to describe any changes to the programs and expenditure plans to the MHSA Three-Year Plan, previously approved by this Board, and report on annual program outcomes.
The MHSA Three-Year Plan included several priority strategies and plans to spend down the unanticipated one-time revenue increase due to delayed tax filings and a projected and unprecedented...
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