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File #: 23-84    Version: 1 Name:
Type: Resolution Status: Passed
File created: 1/19/2023 Departments: HEALTH
On agenda: 2/14/2023 Final action: 2/14/2023
Title: Adopt a resolution authorizing the approval of an amendment to the San Mateo County Mental Health Services Act Annual Update for FY 2022-23 and submission to the State Mental Health Services Oversight and Accountability Commission and the Department of Health Care Services.
Attachments: 1. 20230214_r_DHCS, 2. 20230214_a_DHCS
Special Notice / Hearing: None__
Vote Required: Majority

To: Honorable Board of Supervisors

From: Louise F. Rogers, Chief, San Mateo County Health
Lisa Mancini, Interim Director, Behavioral Health and Recovery Services

Subject: Amendment to the San Mateo County Mental Health Services Act Annual Update for FY 2022-23

RECOMMENDATION:
title
Adopt a resolution authorizing the approval of an amendment to the San Mateo County Mental Health Services Act Annual Update for FY 2022-23 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 made additional State funds available to expand and transform behavioral health services. Since 2006, MHSA expenditures have been approved by the Board as part of the larger County Health budget. State legislation requires that an MHSA Three-Year Program and Expenditure Plan (Three-Year Plan), subsequent MHSA Annual Updates and any amendments be approved by this Board.
The Behavioral Health Commission held a public hearing and closed a 30-day public comment on December 7, 2022, on the proposed amendment to the MHSA Annual Update for FY 2022-23 and is recommending approval by this Board.
On August 4, 2020, this Board approved the MHSA Three-Year Plan for FY 2020-23 and the Annual Update for FY 2020-21. The subsequent MHSA Annual Updates for FY 2021-22 and FY 2022-23 were approved by this Board on September 14, 2021, and July 12, 2022, respectively.

DISCUSSION:
The MHSA Annual Update for FY 2022-23, approved by this Board, included strategies for $16.9 million in funding to development of supportive housing units within affordable housing developments under the Department of Housing and other one-time expenditures. Ongoing budget increases were primarily allocated to support Full Service Partnership (FSP) rate ...

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