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: Amendment to the San Mateo County Mental Health Services Act Annual Update for FY 2024-25
RECOMMENDATION:
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Adopt a resolution authorizing the approval of an amendment to the San Mateo County Mental Health Services Act Annual Update for FY 2024-25 and submission to the State Mental Health Services Oversight and Accountability Commission 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 has provided dedicated state funds to expand and transform behavioral health services. Since 2006, MHSA expenditures have been approved by this Board as part of the larger County Health budget. State legislation requires that a MHSA Three-Year Program and Expenditure Plan, subsequent MHSA Annual Updates and any proposed amendments be approved by this Board.
On September 12, 2023, this Board approved the MHSA Three-Year Plan for FY 2023-26 and the Annual Update for FY 2023-24.
On June 11, 2024, this Board approved the subsequent MHSA Annual Updates for FY 2024-25.
On November 7, 2024, the Behavioral Health Commission (BHC) held a public hearing, closed a 30-day public comment, and voted to submit the proposed amendment to this Board for approval.
DISCUSSION:
The MHSA Three-Year Plan for FY 2023-26 included several priority strategies and plans to spend down one-time revenue increases due to delayed tax filings, as well as a projected and unprecedented annual adjustment to the MHSA revenue. A one-time spend plan included "big-ticket" items such as 1) housing developments; 2) capital facilities expenditures; 3) technology needs; and 4) system transformation projects.
The MHSA Annual Update for FY 2024-25 proposed to c...
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