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: Agreement with the State of California Department Health Care Services for the County Performance Contract for Behavioral Health Services
RECOMMENDATION:
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Adopt a resolution authorizing an agreement and/or subsequent amendments with the State of California Department of Health Care Services for the County Performance Contract for behavioral health services, for the term of July 1, 2026 through June 30, 2029, for a zero-dollar ($0) amount, and authorizing and directing the Chief of San Mateo County Health to execute the agreement on behalf of the County.
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BACKGROUND:
California has undertaken historic efforts to re-envision the State's publicly funded mental health and substance use disorder (SUD) services, with a special focus on county-administered specialty mental health and SUD services. In March 2024, voters approved Proposition 1, the Behavioral Health Services Act (BHSA), to reform the Mental Health Services Act and fund needed behavioral health facility infrastructure and services. The efforts to implement Proposition 1 are referred to as Behavioral Health Transformation (BHT).
The primary goals of BHT are to improve access to care, increase accountability and transparency for publicly funded, county-administered behavioral health services, and expand the capacity of behavioral health care facilities across California. Under BHT, county reporting will be uniform to allow for comprehensive and transparent reporting of the BHSA funding in relation to all public local, state, and federal behavioral health funding.
DISCUSSION:
The State of California Department of Health Care Services (DHCS) administers county-delivered behavioral health services through the BHSA, Lanterman-Petris-Short Act, Projects for Assi...
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