File #: 20-308    Name: MHSA FY 2019-20 Annual Update Mid-Year Adjustment
Type: General Agenda Item Status: Passed - Health Department
File created: 4/17/2020 In control: Board of Supervisors
On agenda: 4/28/2020 Final action: 4/28/2020
Title: Adopt the Monterey County Mental Health Services Act Fiscal Year 2019-20 Annual Update Mid-Year Adjustment.
Attachments: 1. Board Report, 2. MHSA FY 2019-20 Annual Update Mid-Year Adj, 3. Item No. 29 Completed Board Order

Title

Adopt the Monterey County Mental Health Services Act Fiscal Year 2019-20 Annual Update Mid-Year Adjustment.

Report

RECOMMENDATION:

It is recommended that the Board of Supervisors:

Adopt the Monterey County Mental Health Services Act Fiscal Year 2019-20 Annual Update Mid-Year Adjustment.

 

SUMMARY:

The Mental Health Services Act (“MHSA”), also known as Proposition 63, requires each county to develop a Three-Year Program and Expenditure Plan (“MHSA Plan”). The current MHSA FY18-20 Plan for Monterey County was adopted by the Board of Supervisors (“Board”) on November 7, 2017. In the second and third fiscal years of the MHSA Plan period, counties are required to prepare Annual Updates to their adopted MHSA Plan.  The purpose of these Annual Updates is to make necessary modifications to budget and/or program information as may be required. When any need for subsequent modifications to the previously approved Annual Update is identified, a similar document referred to as a Mid-Year Adjustment is required.  After a 30-day public comment period, followed by a Public Hearing conducted by the Monterey County Behavioral Health Commission (“Commission”), these documents are finalized for adoption by the Board of Supervisors, and forwarded to the State Department of Health Care Services and the Mental Health Services Oversight and Accountability Commission.  

 

DISCUSSION:

This MHSA FY 2019-20 Annual Update Mid-Year Adjustment (“Mid-Year Adjustment”) conforms to the state-required process to modify the MHSA FY 2019-20 Annual Update, adopted on June 11, 2019 by the Board. This Mid-Year Adjustment reflects the transfer of unspent MHSA revenues to address the following: County and provider mental health workforce training, employee recruitment/retention incentives such as loan forgiveness, funding for capital projects, as well as designates a portion of the funds to the local Prudent Reserve. Counties are required to maintain a portion of MHSA revenues in reserve to lessen the impact of potential reductions in future allocations from the State.  These fund transfers will have no impact on current services and will avoid potential future reversion of unspent revenues back to the State. 

 

On February 27, 2020 the Commission conducted the required Public Hearing on the draft Mid-Year Adjustment.  There were no comments or recommendations received during the public comment period.  The Commission received comments from those attending the Public Hearing  and then voted to recommend adoption by the Board of Supervisors of the Mid-Year Adjustment.  The document has been finalized to include the Commission Meeting Minutes. 

 

This work supports the following Monterey County Health Department 2018-2022 strategic plan initiatives: 2. enhance community health and safety by emphasizing prevention; and 3. ensure access to culturally and linguistically appropriate, customer-friendly, quality health services. It also supports one or more of the ten essential public health services, specifically:  3. inform, educate, and empower people about health issues.

 

OTHER AGENCY INVOLVEMENT:

The Monterey County Behavioral Health Commission has reviewed the MHSA FY 2019-20 Annual Update Mid-Year Adjustment and has recommended adoption by the Board of Supervisors.

 

FINANCING:

There are no impacts on the County General Fund associated with this recommended action.

 

BOARD OF SUPERVISORS STRATEGIC INITIATIVES:

Check the related Board of Supervisors Strategic Initiatives:

Economic Development:

                     Through collaboration, strengthen economic development to ensure a diversified and healthy economy.

Administration:

                     Promote an organization that practices efficient and effective resource management and is recognized for responsiveness, strong customer orientation, accountability and transparency.

Health & Human Services:

                     Improve health and quality of life through County supported policies, programs, and services; promoting access to equitable opportunities for healthy choices and healthy environments in collaboration with communities.

Infrastructure:

                     Plan and develop a sustainable, physical infrastructure that improves the quality of life for County residents and supports economic development results.

Public Safety:

                     Create a safe environment for people to achieve their potential, leading businesses and communities to thrive and grow by reducing violent crimes as well as crimes in general.

 

Prepared by:  Jon Drake, Assistant Bureau Chief, 755-4357                     

 

Approved by:

 

_______________________Date:_________

Elsa Jimenez, Director of Health, 755-4526

 

Attachment:

Monterey County MHSA FY 2019-20 Annual Update Mid-Year Adjustment is on file with the Clerk of the Board.