DATE: June 16, 2026
TO: Board of Supervisors
SUBMITTED BY: Susan L. Holt, Director, Department of Behavioral Health
SUBJECT: Fresno County Behavioral Health Services Act Integrated Plan 2026-2029
RECOMMENDED ACTION(S):
TITLE
1. Approve and authorize the Chairman to execute the Fresno County Behavioral Health Services Act Integrated Plan 2026-2029, which will be submitted to the California Department of Health Care Services and the California Behavioral Health Services Oversight and Accountability Commission; and
2. Approve and authorize the Department of Behavioral Health Director, or designee, to revise the Integrated Plan 2026-2029 when required by the California Department of Health Care Services, without substantive changes to budget or programming, and provide a summary of all changes subsequently to the Board.
REPORT
Approval of the recommended actions will allow the Department of Behavioral Health to adopt a new three-year plan necessary to render services funded through the Behavioral Health Services Act (BHSA) and to submit the Fresno County BHSA Integrated Plan 2026-2029 to the California Department of Health Care Services (DHCS) and the California Behavioral Health Services Oversight and Accountability Commission (CBH) by June 30, 2026. The BHSA Three-Year Plan is required per Welfare & Institutions Code (W&IC) section 5963, which describes the requirements for the three-year program and expenditure plan, whereby the County outlines the programs and services provided within the public behavioral health system. The programs and services are provided to persons served needing behavioral health services, their family members and target populations throughout the County, with no increase to Net County Cost. This item is countywide.
ALTERNATIVE ACTION(S):
Your Board may choose not to approve the BHSA Integrated Plan; however, this action would prevent the County from having any spending authority related to its BHSA funds in FY 2026-27 and all BHSA...
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