Proposition 1 / BHSA - Funding Allocation Shifts:
BHSA provides no new funding for behavioral health services. It shifts how counties can spend these dollars. Sacramento County BHS is prioritizing preserving current programs and services, where possible.
Pre-Prop 1: MHSA
Post-Prop 1: BHSA
Housing (30%):
Children and families, youth, adults, and older adults living with SMI/SED and/or SUD who are experiencing or at risk of homelessness.
Includes rental subsidies, operating subsidies, shared and family housing, capital, and the non-federal share for certain transitional rent.
50% is prioritized for housing interventions for the chronically homeless with behavioral health challenges.
Behavioral Health Services and Supports (BHSS) (35%):
Outreach and engagement, workforce education and training, capital facilities, technological needs, and innovative pilots and projects.
51% of BHSS must be used for Early Intervention services to assist in the early signs of mental illness or substance misuse.
51% of BHSS Early Intervention services and supports must be for people 25 years and younger.
Full Service Partnership (FSP) (35%)
Mental health, supportive services, and substance use disorder treatment services.
Medication-Assisted Treatment (MAT).
Community-defined evidence practices (CDEP).
Assertive Community Treatment / Forensic Assertive Community Treatment, supported employment, & high fidelity wraparound are required.
Outpatient behavioral health services, either clinic or field based, necessary for on-going evaluation and stabilization of an enrolled individual.
On-going engagement services necessary to maintain enrolled individuals in their treatment plan inclusive of clinical and non-clinical services, including services to support maintaining housing.
*Counties will have the flexibility to move up to 7% of funding from one category to another to allow counties to address their different local needs and priorities.
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