TO: Board of Supervisors
FROM: Jennifer Yasumoto, Director of Health and Human Services Agency
REPORT BY: Summer Isham, Contracts Supervisor
SUBJECT: Resolution Authorizing Application to and Participation in the Behavioral Health Continuum Infrastructure Program Round 2: Unmet Needs Program
RECOMMENDATION
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Adopt a Resolution authorizing Director of Health and Human Services Agency to execute the formal application and program documents related to the Behavioral Health Continuum Infrastructure Program Round 2: Unmet Needs Program pursuant to the Behavioral Health Infrastructure Bond Act of 2024. (Fiscal Impact: $4,711,294 Revenue; Health and Human Services Agency Fund; Not Budgeted; Discretionary)
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BACKGROUND
Passed in March 2024, Proposition 1 is a two-bill package including the Behavioral Health Services Act (BHSA) (Senate Bill 326) and the Behavioral Health Infrastructure Bond Act of 2024 (BHIBA) (Assembly Bill 531). The BHIBA portion is a $6.38 billion general obligation bond to develop an array of behavioral health treatment, residential care settings, and supportive housing to help provide appropriate care facilities for individuals experiencing mental health and substance use disorders. Of the total amount, the California Department of Health Care Services (DHCS) will distribute up to $4.4 billion in bond funding for BHCIP competitive grants.
DHCS announced the release of its Bond Behavioral Health Continuum Infrastructure Program (BHCIP)
Round 2: Unmet Needs Request for Applications (RFA). Through this RFA, DHCS will award up to
$800 million statewide. Eligible applicants for Bond BHCIP Round 2: Unmet Needs grants include counties whose projects reflect the state’s priorities and serve the targeted population. DHCS is prioritizing regional models or collaborative partnerships, including public-private partnerships, aimed at constructing, renovating, and/or expanding community-based services, as well as projects using a campus-type model that collocate multiple levels of care on the continuum, with a focus on residential treatment facilities.
Health and Human Services Agency (HHSA) seeks approval to apply for grant funding for the tenancy improvements for the Behavioral Health Treatment Center. HHSA has worked with architects and Public Works Department over the past several months to re-envision and restructure the Behavioral Health Treatment Center to expand the County’s behavioral health treatment infrastructure, as follows:
1) Drug Medi-Cal Organized Delivery System (DMC-ODS) Residential Treatment and Withdrawal Management Programs - enables the County to relocate and expand capacity of these programs from their current location on the grounds of Napa State Hospital (NSH). The relocation preserves existing treatment beds at risk due to aging infrastructure of the buildings at NSH where the programs currently operate and creates additional treatment bed capacity, 48 treatment beds and 10 withdrawal management beds, responsive to Proposition 36 and a new category of “treatment-mandated felony” where individuals charged may be ordered into treatment instead of prison.
2) Mental Health Rehabilitation Center - enables the County to stand up a new Lanterman-Petris-Short (LPS) designated facility to meet state mandate SB 43 that expands the definition of grave disability to an entirely new population and provides for the treatment of those on an involuntary hold for severe substance use disorder, providing for up to 7 beds.
3) Sobering Center - enables the County to stand up a new Sobering Center diverting individuals from jail or the emergency department and providing for onsite pathways to treatment and recovery.
HHSA seeks approval to apply to the BHCIP Unmet Needs grant for $4,711,294 million dollars for tenancy improvements for the Behavioral Health Treatment Center. HHSA also seeks approval to authorize the Director of HHSA to execute the related BHCIP application and program documents.
Requested Action:
1. Adopt a Resolution to authorize Director of Health and Human Services Agency to execute the formal application and program documents related to the Behavioral Health Continuum Infrastructure Program Round 2: Unmet Needs Program pursuant to the Behavioral Health Infrastructure Bond Act of 2024.
FISCAL IMPACT
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Is there a Fiscal Impact? |
Yes |
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Is it currently budgeted? |
No |
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Is it Mandatory or Discretionary? |
Discretionary |
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Discretionary Justification: |
While applying for this grant is discretionary, the funding will support tenancy improvements for the Behavioral Health Treatment Center. |
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Is the general fund affected? |
No |
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Future fiscal impact: |
If HHSA is awarded the grant a budget adjustment will be brought to increase appropriations to fund the BHTC tenancy improvements. |
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Consequences if not approved: |
The County will not have the opportunity to receive this round of BHCIP grant funding to support the BHTC tenancy improvements. |
ENVIRONMENTAL IMPACT
ENVIRONMENTAL DETERMINATION: The proposed action is not subject to the California Environmental
Quality Act pursuant to State CEQA Guidelines section 15060(c)(2), as activities that will not result in a direct
or a reasonably foreseeable indirect physical change in the environment.