California Association of Local Behavioral Health Boards & Commissions
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        • Foster Children and Youth
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      • Co-Occurring >
        • Dementia
        • Developmental Disabilities
        • Substance Use Disorder
        • TBI
      • Courts
      • Crisis Care Continuum
      • Cultural Issues
      • Disaster Recovery/Readiness
    • News/Issues E - P >
      • Employment
      • Homeless / Housing >
        • ARF Issue Brief ADA version
      • Hospitals
      • Jails & Prisons
      • Laura's Law
      • Law Enforcement
      • LGBTQ >
        • LGBTQ+ Definitions and Acronyms
      • LPS Act
      • Navigator Programs
      • Parity
      • Patients' Rights
      • Peer Supports
      • Psychiatric Advance Directives
    • News/Issues Q - Z >
      • Stigma
      • Seniors
      • Substance Use Disorder (SUD)
      • Suicide
      • Veterans
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      • Youth Issues (Ages 16-25)
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Behavioral Health Services Act "BHSA"


For Local Boards & Commissions

Board/Commission's Role
  • Best Practices Handbook, Page 15
​
Funding Components
  • 15 Minute Module (Check your understanding)
  • ​Summary (Page 18 of Best Practices Handbook)

Community Planning
  • 15 Minute Module (Check your understanding)
  • ​Presentations
    • CALBHB/C (PDF) (PowerPoint)
    • DHCS (PDF)
  • Stakeholder Involvement Requirements: (2 Pages)
  • Cultural Requirements
  • Listening Sessions
  • Tools (PDF) (Google Doc)(Word) DHCS Listing​


​Implementation Timeline

March 31, 2026
1st Integrated Plan DRAFT Due
​
(for FY 26-29)

JUNE 30, 2026
1st Integrated Plan Due
​
(for FY 26-29)

JULY 1, 2026
Performance Contracts w/ BHSA requirements 
​               and
Evidence-based and community-defined evidence practices lists established. (DHCS, in consultation with stakeholders, will create a biennial list of evidence-based and community-defined evidence practices, operative on July 1, 2026.)
JUNE 30, 2027
First Annual Update (for FY 27-28) to the Integrated Plan due. Each county’s board of supervisors must approve the annual update prior to the start of fiscal year or years it covers
EARLY 2028
County Behavioral Health Outcomes, Accountability and Transparency Report due. Each county and Medi-Cal behavioral health delivery system must submit the first County Behavioral Health Outcomes, Accountability,
and Transparency Report to DHCS annually.

State Agency Updates

Sign up to receive updates on implementation at the Department of Health Care Services (DHCS) website.
Understanding The Behavioral Health Services Act: Myths vs. Reality (HTML) (Google Doc) (PDF)

CalHHS Presentation April 9, 2025
  • BH CONNECT Budget & Timeline, See Slide #94
  • Evidence-Based Practices
    • Slides 17 and 19 provide timelines and requirements for Evidence Based Practices
    • Slide 27 provides essential features of Assertive Community Treatment (ACT)
​​Behavioral Health Transformation DHCS PowerPoint (October 2024)
BHSA: Housing Supports Primer (July 2024)​ ​
Mental Health for ALL: California’s Behavioral Health Transformation Webinar and Slides, (June 2024)

Proposition 1 Summary (CALBHB/C):  ​PDF      Google Doc​

Archive

Info & Analysis

April 19, 2024: BHCIP Unmet Needs (CA Department of Health Care Services) Recording    PowerPoint Slides    Themes Report

October 5, 2023: Summary of Proposition 1  PDF  Doc

September 2023:  BH Modernization Presentation (CA HHS, CHD, CalVet)

September 11, 2023: AB 531 Amended in Senate

September 8, 2023:  SB 326 Amended in Assembly

September 7, 2023: MHSOAC SB 326 Support Letter

September 5, 2023: MHSOAC Update on the Proposed BHSA Youtube
​
September 5, 2023 (& August 15): SB 326 Amended in CA Assembly
  • BH Board/Commission Substantive Updates (5604, 5604.1, 5604.2) 
  1. Youth Requirement: 5604. (2)(B)(i) Fifty percent of the board membership shall be consumers, or the parents, spouses, siblings, or adult children of consumers, who are receiving or have received behavioral health services. One of these members shall be an individual who is 25 years of age or younger.  (ii) At least 20 percent of the total membership shall be consumers, and at least 20 percent shall be families of consumers.
  2. LEA Requirement: 5604. (2)(D) (i) At least one member of the board shall be an employee of a local education agency.
    (ii) To comply with clause (i), a county shall notify its county office of education about vacancies on the board.
  3. "Mental" is changed to "Behavioral", and advising regarding "substance use disorder" is added within the duties.


​August 21, 2023: LAO BHSA Updated Analyses

​August 16, 2023: DHCS Recording and Slides
​

August 10 2023: LAO Analysis includes: While there is uncertainty in what the impact of the proposal will be on children and youth services statewide, there is even more uncertainty at the county-by-county level. This reflects the significant variation among counties in how children and youth mental health services are delivered (for example, FSP versus non-FSP settings) and the extent to which counties would choose to prioritize using MHSA revenue on children and youth mental health services without an explicit funding requirement. Moreover, under the proposal, the definition of children and youth does not include the majority of transition-age youth. This population, in particular, could see reduced MHSA funding for services even if a children and youth funding requirement were established.

July 2023: LAO Analysis includes: "We find that the proposal likely will result in counties spending less on a number of current programs funded through MHSA, potentially reducing outpatient services, crisis response, prevention services, and outreach. We find that the administration’s justification for the proposal is incomplete and we provide several questions for the Legislature to ask the administration to assess whether the proposal is warranted. For example, can the administration provide evidence that the proposal is likely to result in better behavioral health outcomes for the population as a whole?

July 2023: California Coalition for Mental Health (CCMH): ​"​CCMH Urges the State to Maintain Critical Mental Health Services"

June 2023: Governor's Proposal to Modernize California's Behavioral Health System PowerPoint Presentation by HHS and DHCS 

​





​

​

Hearings & Forums

September 22, 2023: CA HHS Webinar on SB 326 and AB 531 - CA's BH System Reform Package
  • Webinar Recording
  • Presentation Slides

September 5, 2023, 2 pm - 4 pm
The Mental Health Services Oversight & Accountability Commission (MHSOAC) will hear an update on The Governor's Modernization Proposal (Senate Bill 326 (Eggman)

August 24, 2023, 1:50 pm
​Agenda Item - MHSOAC Meeting: Senate Bill 326 (Eggman) relating to modernization of the Mental Health Services Act; presented by Stephanie Welch, CA HHS Deputy Secretary

August 22, 2023, Beginning at 9 am
  1. Joint Hearing on BHSA (Informational Hearing), Assembly Health Committee & Housing and Community Development Committees 
  2. SB 326 Health Committee Hearing -Follows Joint Hearing

​August 16, 2023, 1:30 pm:
Senate Health Committee

Behavioral Health Services Act (BHSA) Informational Hearing

August 2023 Public Forums (August 1 - 14 Various Locations):  The CA Behavioral Health Planning Council is holding BHSA Listening Sessions. Input will inform the recommendations the Council provides to DHCS, the Legislature, and the Governor’s Administration. Virtual participation was scheduled only for August 1st.  
Public Forum Summary & August 16th Letter of Concern
​

Articles

Los Angeles Times, 9/11/23

CSAC
, 8/25/23

CSAC, 8/17/23

CalMatters, 8/17/23
California counties map by behavioral health region, showing 58 counties plus Berkeley and Tri-Cities. (Sutter and Yuba Counties are one jurisdiction). Southern Region in Green, Los Angeles Region in Turquoise, Central Region in Orange, Bay Area Region in Yellow and Superior Region in Blue
​CA counties map by behavioral health region, showing 58 counties plus Berkeley and Tri-Cities. (Sutter and Yuba Counties are one jurisdiction). View map.
The california association of local behavioral* health boards & commissions (cALBHB/C) supports the work of california's 59 local behavioral health boards and commissions by providing resources, training, Technical Assistance. 

Local boards are responsible** for reviewing public behavioral health needs, services, facilities and special problems, and serve in an advisory capacity to local governing bodies and local behavioral health directors. 
​


​*"Behavioral" Refers to Mental Health as well as Alcohol and Drugs.
**CA Welfare & Institutions Code (WIC) 5604

Donations are welcome. CALBHB/C is a nonprofit organization.