DATE: June 10, 2025
TO: Board of Supervisors
SUBMITTED BY: Susan L. Holt, Director, Department of Behavioral Health
SUBJECT: Fresno County Mental Health Services Act Annual Update 2025-2026
RECOMMENDED ACTION(S):
TITLE
Approve the Fresno County Mental Health Services Act Annual Update 2025-2026 and submit it to the California Department of Health Care Services and the California Mental Health Services Oversight and Accountability Commission.
REPORT
Approval of the recommended action will allow the Department of Behavioral Health to submit the Fresno County Mental Health Services Act (MHSA) Annual Update 2025-2026 to the California Department of Health Care Services (DHCS) and the California Mental Health Services Oversight and Accountability Commission (MHSOAC) by June 30, 2025. The MHSA Annual Update is required per Welfare & Institutions Code (W&IC), section 5847. The section describes the Annual Update process, whereby the County outlines the MHSA-funded programs and services according to community stakeholder input and the Community Program Planning Process (CPPP), per Title 9, California Code of Regulations (CCR), sections (??) 3300 and 3200.060. The programs and services are provided to behavioral health persons served, 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 MHSA Annual Update; however, this action would prevent the County from having any spending authority related to its MHSA funds in FY 2025-2026 and all MHSA-funded services would halt until an Annual Update is approved. This would result in failure to adhere to the required statutes. Additionally, non-approval may place some MHSA funds at risk of reversion to DHCS as the funds are subject to expenditure time limits. Further, if your Board recommends significant changes to the plan, the Department will be required to re-engage the community throug...
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