Title
Adopt the County of Monterey Mental Health Services Act Fiscal Year 2025-26 Annual Update.
Report
RECOMMENDATION:
It is recommended that the Board of Supervisors:
Adopt the County of Monterey Mental Health Services Act Fiscal Year 2025-26 Annual Update.
SUMMARY:
The Mental Health Services Act (“MHSA”), formerly known as Proposition 63, requires each county to develop a Three-Year Program and Expenditure Plan (“MHSA Plan”). The current Three Year (FY2023-24 through FY 2025-26) MHSA Plan for Monterey County was adopted by the Board of Supervisors on June 27, 2023. In the second and third years of each MHSA Plan period, counties are required to prepare Annual Updates to their adopted MHSA Plan. The purpose of the Annual Update is to update budget information, and if needed, make changes to programs. Local stakeholder input and other data are used in the development of each draft MHSA Plan and Annual Update documents. After a public review and comment process, and Public Hearing conducted by the Behavioral Health Commission, the document is finalized for adoption by the Board of Supervisors before being forwarded to the State Department of Health Care Services and Mental Health Services Oversight and Accountability Commission.
DISCUSSION:
The MHSA FY 2025-26 Annual Update (“Annual Update”) has been informed by local stakeholder input gathered during the community program planning process. It reflects the identified priority needs and system improvements to serve residents with mental health challenges and their families, with an intentional focus on increased access for unserved and underserved cultural populations in Monterey County. The Annual Update also includes a Community Needs Assessment Report and FY 2024-25 data on the following MHSA components: Community Services & Supports, Prevention & Early Intervention, Innovation and Workforce Education & Training. The Annual Update includes the necessary fiscal adjustments to align the revenue and expenditure plan with the Health Department Behavioral Health Bureau’s Adopted Budget for FY 2025-26.
As required by MHSA regulations, the draft Annual Update was circulated and posted for a thirty-day public comment period beginning May 8, 2025, and concluding June 9, 2025. On My 29, 2025, the Monterey County Behavioral Health Commission (“Commission”) conducted a Public Hearing in-person at the City of Seaside City Hall, 440 Harcourt Avenue, Seaside, CA and via ZOOM on the draft Annual Update, which included a presentation. The Commission received comments from those attending the Public Hearing before voting to approve the MHSA FY 2025-26 Annual Update. No other public comments have been received during the 30-day public.
This work supports the following County of Monterey Health Department 2025-2028 Strategic Plan Goal(s): 2. Build Community Power and Partners’ Capacity to Increase Equity and Improve Health, 4. Deepen Organizational Effectiveness and Support Long-Term Sustainability. It also supports one or more of the ten essential public health services, specifically: 9. Evaluate effectiveness, accessibility, and quality of personal and population-based health services.
OTHER AGENCY INVOLVEMENT:
The MHSA FY 2025-26 Annual Update document has been reviewed and approved by the Monterey County Behavioral Health Commission and is recommended for 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: Shannon Castro, Management Analyst III, 279-3335
Approved by: Elsa Mendoza Jimenez, Director of Health Services, 755-4526
Attachment:
Board Report
MCBH Draft FY 25-26 MHSA Annual Update and Expenditure Report