Title
Receive a report on the Mental Health Services Act (MHSA) fund balance.
Report
RECOMMENDATION:
It is recommended that the Budget Committee of the Board of Supervisors:
Receive a report on the Mental Health Services Act (MHSA) fund balance.
SUMMARY/DISCUSSION:
At the October 2019 Budget Committee (BC) meeting, the Monterey County Health Department's Behavioral Health Bureau (Bureau) presented an overview of Proposition 63, the Mental Health Services Act (MHSA), and the status of MHSA reserves. During the presentation staff indicated that new developments affecting the MHSA fund balance would be presented to the Budget Committee, which occurred during the January 2020 meeting. At this meeting, it was requested that the department provide quarterly reports on the MHSA fund balance. This report serves to provide the Budget Committee an update on the fund balance, additional information regarding the MHSA, and potential impacts on the fund balance.
The Bureau provided the previous update at the November 2020 BC meeting. The MHSA fund balance reported at the time was $47,476,300. This was the estimated June 30, 2020 balance. Year-to-date, MHSA revenues total $16,984,425 of which $9,557,274 are a true-up by the State for FY 2018-19 revenues. Year-to-date MHSA expenditures total $8,866,923. The result is an estimated increase to the MHSA fund balance of approximately $8,866,925 to $55,593,801. Based on current trends and the $9,557,275 true-up, final FY21 MHSA revenues are expected to come in at or slightly above budgeted amounts of $25,800,000. Expenditures are trending below budgeted amounts of $20,332,000 due to a lengthy contracting process for new and renewing services, and COVID-19 related delays.
MHSA-related flexibilities enacted by the Department of Health Care Services (DCHS) during the COVID-19 Public Health Emergency have remained in place. Some of these were covered at the July 2020 BC meeting and included extension of reversion dates from July ...
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