County of Monterey - File #: PAR 22-015

• File #: PAR 22-015
• Name: MHSA Reserve Funds Expenditure Plan and Oversight
• Type: Preliminary Analysis Report
• Status: Agenda Ready
• File created: 3/14/2022
• In control: Board of Supervisors
• On agenda: 3/22/2022
• Title: Receive a preliminary analysis report in response to Board Referral No. 2022.11 seeking the Monterey County Health Department's Behavioral Health Bureau to provide a comprehensive presentation on how the Mental Health Services Act funding is being used in Monterey County and what other potential eligible services could be provided under the act and to devise an updated expenditure plan to utilize the reserve funds of $55,380,337 towards providing critical needed services to eligible residents. The referral also request that the Board of Supervisors receive an annual report on the expenditures and effectiveness of all its programs.

Date	Action By	Action	Result
3/22/2022	Board of Supervisors	received	Pass

Title
Receive a preliminary analysis report in response to Board Referral No. 2022.11 seeking the Monterey County Health Department's Behavioral Health Bureau to provide a comprehensive presentation on how the Mental Health Services Act funding is being used in Monterey County and what other potential eligible services could be provided under the act and to devise an updated expenditure plan to utilize the reserve funds of $55,380,337 towards providing critical needed services to eligible residents. The referral also request that the Board of Supervisors receive an annual report on the expenditures and effectiveness of all its programs.
Report
RECOMMENDATION:
It is recommended that the Board of Supervisors:
a. Receive a preliminary analysis report in response to Board Referral No. 2022.11 and:
1) Direct that staff proceed with completion of referral based on description in this report; or,
2) Direct that staff:
i. Proceed with completion of referral based on modifications by the Board; or,
ii. Return to Board with a more comprehensive analysis of referral and anticipated effort for completion; or,
iii. Rescind referral.
b. Provide further direction, as appropriate.

PRELIMINARY ANALYSIS:
Referral Summary & Background:
Board Referral 2022.11 assigned on March 1, 2022, submitted by Supervisor Luis Alejo, directs the Monterey County Health Department's Behavioral Health Bureau (BHB) to provide a comprehensive report and presentation of how the Mental Health Services Act (MHSA) funds are currently being utilized to provide services to residents of Monterey County as well as identify possible uses of the current reserve amount of over $55 million (Attachment A). The referral also requests that the BHB explores possible uses of the reserve in order to avoid reversal of these funds to the State given that BHB has previously reverted MHSA funds. Lastly, the referral requests that the BHB provide an annual report to the Monterey County Board of Supervisors (BOS) on ...