Agenda

Return

C. 43

To:	Board of Supervisors
From:	David Twa, County Administrator
Date:	March 20, 2018

Contra

Costa

County

Subject:

REFERRAL TO FAMILY & HUMAN SERVICES COMMITTEE OF MENTAL HEALTH SERVICES ACT/PROPOSITION 63 FUNDING

APPROVE	OTHER
RECOMMENDATION OF CNTY ADMINISTRATOR	RECOMMENDATION OF BOARD COMMITTEE

Action of Board On: 03/20/2018

APPROVED AS RECOMMENDED

OTHER

Clerks Notes:

VOTE OF SUPERVISORS

AYE:

John Gioia, District I Supervisor
Candace Andersen, District II Supervisor
Diane Burgis, District III Supervisor
Karen Mitchoff, District IV Supervisor
Federal D. Glover, District V Supervisor

Contact:	Enid Mendoza (925) 335-1039
cc:	Enid Mendoza, Senior Deputy County Administrator Anna Roth, Director of Health Services

I hereby certify that this is a true and correct copy of an action taken and entered on the minutes of the Board of Supervisors on the date shown.
ATTESTED: March 20, 2018
,

BY:	, Deputy

RECOMMENDATION(S):

REFER the issue of Contra Costa County Mental Health Services Act/Proposition 63 Funding to the Family and Human Services Committee.

FISCAL IMPACT:

Not applicable.

BACKGROUND:

A recent state audit appears to indicate that California counties are not spending money from a special tax on millionaires that should be spent on mental health programs. The audit found that county mental health programs had not spent $231 million from the tax that should have been returned to the state by the end of the 2015-16 budget year.

BACKGROUND: (CONT'D)

Approved by California voters in November 2004, Proposition 63 imposes a 1% tax on incomes in excess of $1 million and directs those collections to the provision of mental health services. The Mental Health Services Act (MHSA) has expanded mental health care programs for children, transition age youth, adults, and older adults. Services are client and family driven and include culturally and linguistically appropriate approaches to address the needs of underserved populations. They must include prevention and early intervention as well as innovative approaches to increasing access, improving outcomes and promoting integrated service delivery. The MHSA added Section 5891 to the Welfare & Institutions Code, which reads in part, “The funding established pursuant to this Act shall be utilized to expand mental health services. These funds shall not be used to supplant existing state or county funds utilized to provide mental health services”.

The first yearly MHSA Program and Expenditure Plan for Community Services and Supports was approved by the Board of Supervisors and submitted to the State Department of Mental Health on December 22, 2005. The Prevention and Early Intervention component was added in 2009, and the remaining components of Innovation, Workforce Education and Training, and Capital Facilities/Information Technology were added in FY 2010-11. Each subsequent year an annual update was approved, which included program refinements, program changes when indicated, and the development of new programs identified by a local stakeholder-driven community program planning process. Contra Costa integrated the five components into the MHSA Three Year Program and Expenditure Plan for FYs 2014-17, and provided an annual plan update in FY 2015-16 and 2016-17.

The MHSA Three Year Program and Expenditure Plan for FYs 2017-20 was approved and published in June 2017.

It is timely and in the public interest to refer this issue to the Family and Human Services Committee.