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File #: 22-552    Version: 1 Name:
Type: Resolution Status: Passed
File created: 6/15/2022 Departments: HEALTH
On agenda: 7/12/2022 Final action: 7/12/2022
Title: Adopt a resolution authorizing the approval and submission of the San Mateo County Mental Health Services Act Annual Update FY 2022-23 to the State Mental Health Services Oversight and Accountability Commission and the Department of Health Care Services.
Attachments: 1. 20220712_r_MHSA FY 22-23 Annual Update, 2. 20220712_att_MHSA FY 22-23 Annual Update
Special Notice / Hearing: None__
Vote Required: Majority

To: Honorable Board of Supervisors
From: Louise F. Rogers, Chief, San Mateo County Health
Scott Gilman, Director, Behavioral Health, and Recovery Services
Subject: San Mateo County Mental Health Services Act Annual Update FY 2022-23

RECOMMENDATION:
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Adopt a resolution authorizing the approval and submission of the San Mateo County Mental Health Services Act Annual Update FY 2022-23 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 resources and expenditures have been approved by the Board as part of the larger County Health budget. State legislation requires that the MHSA Annual Updates be approved by the County's Board of Supervisors. The Behavioral Health Commission (BHC) (formerly known as the Mental Health and Substance Abuse Recovery Commission) held a public hearing and voted to close a 30-day public comment on April 6, 2022 and is recommending approval of the MHSA Annual Update FY 2022-23 by this Board.
On August 4, 2020, this Board approved the MHSA Three-Year Program and Expenditure Plan FY 2020-23 and Annual Update FY 2020-21. The subsequent Annual Update for FY 2021-22 was approved by this Board on September 14, 2021.

DISCUSSION:
The MHSA Annual Update is intended to describe any changes to the programs and expenditures plans as was submitted in the respective MHSA Three-Year Plan.
The previous MHSA Annual Update included several strategies to increase services targeting unmet need due to unanticipated revenue increases. The increases are due to the COVID-19 pandemic. Examples of these efforts include a $6.9 million One-Time Spend Plan, $10 million allocation to the...

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