Special Notice / Hearing: None__
Vote Required: Majority
To: Honorable Board of Supervisors
From: Michael Callagy, County Executive
Subject: Board discussion regarding Horizon Treatment Services at 826 Mahler Road, Burlingame
RECOMMENDATION:
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Approve framework for granting Horizon Treatment Services control of the County-owned site at 826 Mahler Road, Burlingame for use as a Recovery Center providing safe, high-quality, integrated behavioral health treatment capacity for the community and direct staff to return with appropriate documents to effectuate such a transaction.
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BACKGROUND:
San Mateo County Behavioral Health and Recovery Services (BHRS) is required under state law to ensure access to a full range of substance use disorder services in the County, including early intervention, outpatient care, sobering services, withdrawal management, residential treatment, medications for addiction treatment, and care coordination for people who are eligible for Medi-Cal, Medicare, members of the Health Plan of San Mateo, and in some instances, individuals with private insurance.
In 2024, California voters approved Proposition 1, which authorized $6.4 billion in general obligation bonds to fund construction of behavioral health treatment facilities and supportive housing across California.
In May of 2025, a 14-bed sobering center in the County closed permanently, creating a significant gap in the local substance use continuum of care, particularly for people who need short-term stabilization and a pathway into ongoing care.
On May 30, 2025, the California Department of Health Care Services (DHCS) released a Request for Applications (RFA) for more than $800 million in Proposition 1 funds through the Bond Behavioral Health Continuum Infrastructure Program (BHCIP) Round 2: Unmet Needs program. BHCIP Round 2 funding will fund 66 infrastructure projects to support 130 mental health and/or substance use disorder facilities, creating 2,5...
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