Legislation Details

File #: 26-363    Name: BHSA Exhibit J-18 & Exhibit K
Type: General Agenda Item Status: Health Department - Consent
File created: 4/13/2026 In control: Board of Supervisors
On agenda: 5/19/2026 Final action:
Title: a. Approve the incorporation of Exhibits J through J-18: Behavioral Health Services Act Eligibility and Compliance Requirements and Exhibit K: Individual Service Level Compliance Requirements as standard exhibits into the Behavioral Health Bureau’s standard agreement templates for use in contracted service agreements as applicable; and b. Authorize the Director of Health Services or designee to make modifications to these exhibits as necessary to comply with future requirements issued by the California Department of Health Care Services (DHCS), subject to review and approval by County Counsel.
Attachments: 1. Board Report, 2. Exhibit J through J-18: BHSA Eligibility and Compliance Requirements, 3. Exhibit K: ISL Compliance Requirements
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Title
a. Approve the incorporation of Exhibits J through J-18: Behavioral Health Services Act Eligibility and Compliance Requirements and Exhibit K: Individual Service Level Compliance Requirements as standard exhibits into the Behavioral Health Bureau’s standard agreement templates for use in contracted service agreements as applicable; and

b. Authorize the Director of Health Services or designee to make modifications to these exhibits as necessary to comply with future requirements issued by the California Department of Health Care Services (DHCS), subject to review and approval by County Counsel.

Report

RECOMMENDATION:

It is recommended that the County of Monterey Board of Supervisors:

a. Approve the incorporation of Exhibits J through J-18: Behavioral Health Services Act Eligibility and Compliance Requirements and Exhibit K: Individual Service Level Compliance Requirements as standard exhibits into the Behavioral Health Bureau’s standard agreement templates for use in contracted service agreements as applicable; and

b. Authorize the Director of Health Services or designee to make modifications to these exhibits as necessary to comply with future requirements issued by the California Department of Health Care Services (DHCS), subject to review and approval by County Counsel.

SUMMARY:

The Behavioral Health Services Act (BHSA), enacted pursuant to Proposition 1 (March 2024), establishes new reporting mandates applicable to county behavioral health programs. In response, the County of Monterey Health Department’s Behavioral Health Bureau is seeking Board approval to incorporate Exhibit J through Exhibit J-18 as standard exhibits into the County’s approved Standard Agreement and other approved Behavioral Health agreements.

These exhibits address multiple funding categories under BHSA and are not intended to be applied in their entirety. Rather, specific exhibits will be incorporated selectively based on the contracted services being provided and...

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