File #: 22-620    Name: Board Referral No. 20222.11 MHSA Reserve Funds Expenditure Plan & Oversight
Type: General Agenda Item Status: Received
File created: 6/14/2022 In control: Board of Supervisors
On agenda: 6/21/2022 Final action:
Title: Receive an updated response to Board Referral No. 2022.11 requesting a comprehensive presentation from the Monterey County Health Department's Behavioral Health Bureau on the current uses of Mental Health Services Act (MHSA) funds, an expenditure plan to utilize reserve funds in the amount of $55,380,337, and that an annual update be brought to the Board of Supervisors on expenditures and effectiveness of MHSA funded services and strategies.
Attachments: 1. Board Report, 2. Exhibit A.1 MHSA History, Allocations and Uses, 3. Exhibit A.2 - MHSA Charts and Tables, 4. Exhibit B.1 - MHSA Draft Annual Update, 5. Exhibit B.2 - Draft Annual Update Appendix I_Needs Assessment, 6. Exhibit B.3 - Draft Annual Update Appendix II_CSS Program Updates, 7. Exhibit B.4 - Draft Annual Update Appendix III_ PEI Program Updates, 8. Exhibit B.5 - Draft Annual Update Appendix IV_INN Program Updates, 9. Exhibit B.6 - Draft Annual Update Appendix V_ WET Training Summary, 10. Exhibit C - Monterey County Reversion Notice from Department of Health Care Services, 11. Exhibit D - Board Referral No. 2022.11, 12. Exhibit E - Preliminary Analysis Report, 13. Exhibit F - MHSA Outcomes and Effectiveness, 14. Completed Board Order Item No. 27
Title
Receive an updated response to Board Referral No. 2022.11 requesting a comprehensive presentation from the Monterey County Health Department's Behavioral Health Bureau on the current uses of Mental Health Services Act (MHSA) funds, an expenditure plan to utilize reserve funds in the amount of $55,380,337, and that an annual update be brought to the Board of Supervisors on expenditures and effectiveness of MHSA funded services and strategies.
Report
RECOMMENDATION:
It is recommended that the Board of Supervisors:
Receive an updated response to Board Referral No. 2022.11 requesting a comprehensive presentation from the Monterey County Health Department's Behavioral Health Bureau on the current uses of Mental Health Services Act (MHSA) funds, an expenditure plan to utilize reserve funds in the amount of $55,380,337, and that an annual update be brought to the Board of Supervisors on expenditures and effectiveness of MHSA funded services and strategies.

SUMMARY/DISCUSSION:
Board Referral 2022.11 assigned on March 1, 2022, submitted by Supervisor Luis Alejo, directed the Monterey County Health Department's Behavioral Health Bureau (BHB) to provide a comprehensive report and presentation on the current uses of Mental Health Services Act (MHSA) funds to provide services to eligible County residents and to identify other potential uses of the current reserve amount of over $55 million. The referral also requests that the BHB explores possible uses of the reserve to avoid another reversion of funds to the State given that in Fiscal Year (FY) 2018-19 the BHB reverted MHSA Innovation funds. Lastly, the referral requests an annual report to the Board of Supervisors (BOS) on expenditures and the effectiveness of all MHSA funded programs.

As noted in Board Referral 2022.11, the BHB has been providing regular updates to the Budget Committee (BC) since the October 24, 2019, meeting. At that meeting, the BC received a report and a detailed presentation which include...

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