Regular-Health & Human Services # 34.
Board of Supervisors
- Meeting Date:
- 04/29/2025
- Brief Title
- MHSA Innovation Plan
From:
Joan Planell, Interim Director, Health and Human Services
Staff Contact:
Tony Kildare, Interim Behavioral Health Director, Health and Human Services, x2929
Supervisorial District Impact:
Countywide
Subject
Receive presentation and approve Mental Health Services Act (MHSA) Innovation Plan. (No general fund impact) (Planell) (Est. time: 10 min)
Recommended Action
Receive presentation and approve MHSA Innovation Plan.
Strategic Plan Goal(s)
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Thriving Residents |
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Collaborative Community |
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Operational Excellence |
Reason for Recommended Action/Background
Counties currently receive Mental Health Services Act (MHSA) funding under the regulations of Proposition 63 which follows the following distribution: 76% for Community Services and Supports (CSS), 19% for Prevention & Early Intervention (PEI) and 5% for Innovation (INN). Counties can make transfers out of CSS to Capital Facilities and Technological Needs (CFTN) and Workforce Education and Training (WET). Transfers between other components is not permitted. All MHSA funds may be subject to reversion if not spent within a designated timeframe.
Without an approved Innovation Plan, the county has approximately $473,000 in innovation funds that are subject to reversion on July 1, 2025. With the upcoming start of the Behavioral Health Services Act (BHSA, Proposition 1) on July 1, 2026, there are additional considerations. Under BHSA, there is no specific allocation for innovation, and any existing innovation funds, that are not included in an implemented Innovation Plan, are subject to reversion on July 1, 2026. HHSA is presenting an Innovation Plan for approval that will prevent the reversion of these INN funds.
The proposed Innovation Plan is to opt-in to CalMHSA’s Semi-Statewide Electronic Health Record (EHR) Implementation Plan. CalMHSA’s approved Innovation plan does the following:
Without an approved Innovation Plan, the county has approximately $473,000 in innovation funds that are subject to reversion on July 1, 2025. With the upcoming start of the Behavioral Health Services Act (BHSA, Proposition 1) on July 1, 2026, there are additional considerations. Under BHSA, there is no specific allocation for innovation, and any existing innovation funds, that are not included in an implemented Innovation Plan, are subject to reversion on July 1, 2026. HHSA is presenting an Innovation Plan for approval that will prevent the reversion of these INN funds.
The proposed Innovation Plan is to opt-in to CalMHSA’s Semi-Statewide Electronic Health Record (EHR) Implementation Plan. CalMHSA’s approved Innovation plan does the following:
- Develops a lean and human centered EHR platform
- Reimagines clinical workflow to reduce documentation burden
- Facilitates cross-county learning by standardizing data collection and outcomes comparisons to identify best practices
- Forms a greater economy of scale to reduce administrative burden.
The expected outcomes of this Innovation Plan include:
- Increased direct client services by reducing documentation/administrative time
- Decreased burnout=greater workforce retention=better client service/outcomes
- Increased data collection and reporting to make data driven decisions
On March 18, 2025, HHSA published the draft Innovation Plan for the 30-day public comment period. The public hearing was held during the Local Behavioral Health Board (LBHB) meeting on April 16, 2025. The Local Behavioral Health Board held a vote in conditional support of the proposed Innovation Plan. The Innovation Plan will be considered for approval at the next Commission for Behavioral Health’s meeting (formerly Mental Health Oversight and Accountability Commission- MHSOAC) on May 22, 2025. The available MHSA Innovation funds are not available for expenditure until an Innovation Plan is approved by the Commission for Behavioral Health and the County Board of Supervisors.
Collaborations (including Board advisory groups and external partner agencies)
Local Behavioral Health Board
Fiscal Impact
No Fiscal Impact
Fiscal Impact (Expenditure)
- Total cost of recommended action:
- $
- Amount budgeted for expenditure:
- $
- Additional expenditure authority needed:
- $
- On-going commitment (annual cost):
- $
Source of Funds for this Expenditure
- General Fund
- $0
Attachments
- Att. A. Yolo MHSA Innovation Plan
- Att. B. Presentation
- Att. C. Correspondence from the Local Behavioral Health Board
- Att. D. Correspondence from NAMI
Form Review
| Inbox | Reviewed By | Date |
|---|---|---|
| Tony Kildare | Tony Kildare | 04/21/2025 11:33 AM |
| Yen Nguyen | Yen Nguyen | 04/21/2025 12:32 PM |
- Form Started By:
- Jonathan Bartlett
- Started On:
- 04/10/2025 01:08 PM
- Final Approval Date:
- 04/21/2025