File #: BC 23-002    Name: Mental Health Services Act (MHSA) Fund Balance.
Type: Budget Committee Status: Agenda Ready
File created: 1/10/2023 In control: Budget Committee
On agenda: 1/25/2023 Final action:
Title: Receive a report on the Mental Health Services Act (MHSA) fund balance.
Attachments: 1. BC Report, 2. Attachment A - Tables 1, 2, and 3
Title
Receive a report on the Mental Health Services Act (MHSA) fund balance.
Report
RECOMMENDATION:
It is recommended that the Budget Committee of the Board of Supervisors:
Receive a report on the Mental Health Services Act (MHSA) fund balance.

SUMMARY/DISCUSSION:
At the October 2019 Budget Committee (BC) meeting, the Monterey County Health Department's Behavioral Health Bureau (Bureau) presented an overview of Proposition 63, the Mental Health Services Act (MHSA), and the status of MHSA reserves. During the presentation, staff indicated that new developments affecting the MHSA fund balance would be presented to the Budget Committee during the January 2020 meeting. At this meeting, the Budget Committee requested quarterly reports on the MHSA fund balance. At the June 30, 2021, meeting, the BC moved this item from a quarterly to a semiannual report. This report serves as the most recent update on the fund balance, additional information regarding the MHSA, and potential impacts on the fund balance.

In addition to the quarterly/semiannual reports to BC, on March 1, 2022, the Board of Supervisors (BOS) submitted Referral No. 2022.11 requesting a comprehensive presentation from the Bureau on the current uses of MHSA funds, an expenditure plan to utilize reserve funds and annual updates to the BOS on expenditures and effectiveness of MHSA funded services and strategies. The comprehensive presentation was first brought to the BC at its April 25, 2022, meeting and subsequently to the BOS at its June 21, 2022, meeting with annual updates to be presented in the future, as requested by the BOS.

FY 2021-22 in review

The previous update on this item to BC was at the July 2022 meeting. During this meeting, the Bureau projected an estimated FY 2021-22 ending fund balance of $52,601,582. The Bureau also identified $8,330,759.32 under the Community Services and Supports (CSS) component at risk of reversion, if not spent by June 30, 2022. Pending review and approval of...

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