TO: Board of Supervisors
FROM: Jennifer Yasumoto, Director of Health and Human Services Agency
REPORT BY: Summer Isham, Contracts Supervisor
SUBJECT: Adoption of a Resolution Authorizing Application to and Participation in the Behavioral Health Continuum Infrastructure Program
RECOMMENDATION
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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 (BHCIP) Round 1 (2024) Launch Ready Program pursuant to the Behavioral Health Infrastructure Bond Act of 2024. (Fiscal Impact: $22 Million revenue; Health and Human Services Agency Fund; Budgeted; Mandatory).
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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 1: Launch Ready grant Request for Applications (RFA). Through this RFA, DHCS will award up to
$3.3 billion statewide. Eligible applicants for Bond BHCIP Round 1: Launch Ready 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 to repurpose the existing Re-Entry Facility into a Behavioral Health Treatment Campus. HHSA has worked with architects and Public Works Department over the past several months to re-envision and restructure the Re-Entry Facility 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.
The creation of a Behavioral Health Treatment Campus puts the unique design, features, and infrastructure of the Re-Entry Facility to its best possible alternative use resulting in relatively minor facility modifications. The Campus is also ideally situated adjacent to the new jail and nearby the main HHSA South Campus to support transitions to treatment and programmatic oversight.
HHSA seeks approval to apply to the BHCIP launch ready program for funding to remove the use restrictions by paying approximately $16 million to the State to be held for payment to the 2014 bond holders (bond defeasance), plus additional funding to repurpose the facility for a total amount approximating $22 million. 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 1 (2024) Launch Ready Program pursuant to the Behavioral Health Infrastructure Bond Act of 2024.
FISCAL & STRATEGIC PLAN IMPACT
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Is there a Fiscal Impact? |
Yes |
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Is it currently budgeted? |
Yes |
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Where is it budgeted? |
Health and Human Services Agency, Behavioral Health Division |
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Is it Mandatory or Discretionary? |
Discretionary |
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Is the general fund affected? |
No |
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Future fiscal impact: |
Dependent upon grant award; up to $22 million in revenue |
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Consequences if not approved: |
The County will not have the opportunity to receive this round of BHCIP grant funding. |
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.