Special Notice / Hearing: None__
Vote Required: Majority
To: Honorable Board of Supervisors
From: Louise F. Rogers, Chief, San Mateo County Health
Jei Africa, Director, Behavioral Health and Recovery Services
Subject: Agreement with Ernst & Young, LLP for Behavioral Health Services Act Project Management and Implementation Technical Assistance Services
RECOMMENDATION:
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Adopt a resolution to execute an agreement with Ernst & Young, LLP to provide Behavioral Health Services Act (BHSA) project management and implementation technical assistance services for the term of January 1, 2025 through June 30, 2026, in an amount not to exceed $1,600,000.
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BACKGROUND:
California Proposition 1 (Prop 1) intends to expand supportive housing and treatment facilities, improve accountability, and increase transparency of behavioral health care systems across California. The statewide initiative will impose new funding allocations to the Mental Health Services Act (MHSA) "millionaire's tax", increasing the amount available for housing interventions and reducing the amount available for behavioral health services and supports. In addition, Prop 1 expands the community engagement, program and expenditure planning, monitoring, and outcome and fiscal reporting requirements associated with the MHSA millionaire's tax to all Behavioral Health and Recovery Services (BHRS) revenue sources. Implementation of Prop 1 requires BHRS to make considerable administrative and organizational changes. Finally, Prop 1 includes new funding for both BHSA transition planning and ongoing administrative costs.
DISCUSSION:
In August 2024, BHRS released a Request for Proposals (RFP) to support the division with these organizational and administrative changes, as well as meet other recent statewide initiatives and mandates such as CalAIM, Senate Bill 43, and Care Court. The RFP consisted of four service areas:
1) Project Management & Communication
2) Organizational Capa...
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