Strategic Planning Session


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  Regular-Health & Human Services   # 8.       
Community Health  
Meeting Date: 01/18/2022  
Brief Title:    MHSA Funding Process & Annual Update
From: Karen Larsen, Director, Health and Human Services Agency
Staff Contact: Brian Vaughn, Community Health Branch Director, Health and Human Services Agency, x8771

Subject
Receive presentation from the Health and Human Services Agency's Community Health Branch Staff on the Mental Health Services Act (MHSA) Fiscal Year 2021-2022 Mid-Year Update. (No general fund impact) (Larsen)
Recommended Action
  1. Receive presentation from the Health and Human Services Agency's Community Health Branch Staff on the Mental Health Services Act (MHSA) Fiscal Year 2021-2022 Mid-Year Update; and
     
  2. Receive feedback regarding implementation of the MHSA Fiscal Year 2021-2022 Mid-Year Spend Plan and Fiscal 2022-2023 Annual Update process.
Strategic Plan Goal(s)
Thriving Residents
Safe Communities
Reason for Recommended Action/Background
During the Yolo County Health and Human Services Agency’s (HHSA) Mental Health Services Act (MHSA) mid-year budget review, approximately $19.8 million in unexpected revenue and unallocated fund balance was identified for the remainder of the current three-year MHSA planning cycle ending in June 2023. In order to begin allocating these funds, MHSA staff began engaging community stakeholders through the Community Engagement Work Group (CEWG) and the Local Mental Health Board meetings in September 2021 to seek their input on where to prioritize investments in-line with the priorities set out in the current MHSA Three-Year Program & Expenditure Plan 2020-2023.

As a result of these conversations with community stakeholders and county leadership, HHSA has developed a mid-year spend plan for $8.6 million of the $19.8 million in fund balance for critical mental health programs and services that are ready for immediate implementation or expansion. For the remaining $11.2 in fund balance, HHSA is proposing that these funds be allocated through the regular MSHA Annual Update process starting in February 2022 thru June 2022.

HHSA provided a preliminary update to the BOS Ad Hoc Budget committee in November 2021, as the MHSA Mid-Year Spend Plan developed, and is seeking additional feedback from the full Yolo County Board of Supervisors.

Background
The Mental Health Services Act, passed in 2004 as Proposition 63, provides for a 1% tax on personal incomes over $1 million. This revenue is divided by formula and distributed directly to counties to expand and transform the mental health system while meeting the needs of unserved or underserved consumers. Per MHSA regulations, county MHSA funds must be spent in the following manner across five core components :
  • 76% on Community Services and Supports (CSS) for programs to address adults with severe mental illness and children and youth with serious emotional disturbance. Of this 76% in CSS funding, 51% must be spent on Full-Service Partnership programs that provide full wrap-around services for high-need clients
  • 19% on Prevention and Early Intervention (PEI) services of which 51% must be allocated to services for individuals under 25 years old
  • 5% on Innovation projects that introduce a new practice or approach
  • Workforce Education and Training (WET)
  • Capital Facilities and Technology (CFTN)
Community Program Planning (CPP) Process
On a triennial basis, each county is required to engage the public in a planning process and submit a program and expenditure plan to the State for use of MHSA funds, followed by two annual updates to the plan. This process requires each county to solicit input from local stakeholders across multiple sectors to: (1) identify community issues related to mental illness resulting from lack of community services and supports, including any issues identified during the implementation of the MHSA services, (2) analyze the mental health needs in the community, and (3) identify and re-evaluate priorities and strategies to meet those mental health needs.

HHSA utilizes this feedback to draft each MHSA Three-Year plan and their subsequent Annual Updates. HHSA is required to engage in a local review process prior to submitting each Three-Year plan and Annual Update for approval. The local review process requires HHSA to publish each plan and update for a 30-day public review period and to seek feedback from the Local Mental Health Board prior to obtaining final approval from the County Board of Supervisors. Per regulation, HHSA must follow the priorities set out in each Three-Year plan to guide funding and program decisions throughout the entire three-year cycle.
 
HHSA staff is currently preparing to begin development of the second Annual Update for Fiscal Year 2022-2023. This process will begin in February 2022 and last thru June 2022. This will be the final Annual Update of the current three-year MHSA planning cycle.
Collaborations (including Board advisory groups and external partner agencies)
A broad array of community partners participate in the MHSA plan development.

Fiscal Impact
No Fiscal Impact
Fiscal Impact (Expenditure)
Total cost of recommended action:    $   0
Amount budgeted for expenditure:    $   0
Additional expenditure authority needed:    $   0
On-going commitment (annual cost):    $  
Source of Funds for this Expenditure
$0
Attachments
Att. A. Presentation

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Form Review
Inbox Reviewed By Date
Madison York Brian Vaughn 01/07/2022 09:19 AM
Madison York Brian Vaughn 01/11/2022 11:13 AM
Madison York Madison York 01/12/2022 07:44 AM
Form Started By: Brian Vaughn Started On: 01/05/2022 03:39 PM
Final Approval Date: 01/12/2022

    

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