To: County of Sonoma Board of Supervisors
Department or Agency Name(s): Department of Health Services
Staff Name and Phone Number: Nolan Sullivan, 707-565-4774, Jan Cobaleda-Kegler, 707-565-5157
Vote Requirement: Majority
Supervisorial District(s): Countywide
Title:
Title
Authorized Signatory Bond Behavioral Health Continuum Infrastructure Program Round-1 Grant Award Resolution
End
Recommended Action:
Recommended action
Adopt a Resolution to replace Resolution 25-0091 authorizing the change in Authorized Signatory from the Interim Director, Jennifer Solito, to the current Director of Health Services, Nolan Sullivan, for the execution the California Department of Health Care Services’ Behavioral Health Continuum Infrastructure Program Round 1 (BHCIP 2024) Launch Ready Program Application and Program Documents for the construction of four Mental Health Rehabilitation Centers and one Adult Residential Substance Use Disorder Treatment Facility.
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Executive Summary:
On February 4, 2025, the Board adopted Resolution 25-0091 authorizing the Department of Health Services (DHS) Interim Director, Jennifer Solito, to execute the California Department of Health Care Services’ Behavioral Health Continuum Infrastructure Program Round 1 (BHCIP 2024) Launch Ready Program Application and Program Documents for the construction of four Mental Health Rehabilitation Centers and one Adult Residential Substance Use Disorder Treatment Facility. DHS has been selected as an awardee and requests a resolution that updates the Authorized Signatory to the current DHS Director, Nolan Sullivan.
Discussion:
In March 2024, California voters passed Proposition 1, a two-bill package including the Behavioral Health Services Act (BHSA) (Senate Bill 326 <https://legiscan.com/CA/text/SB326/id/2834153>) and the Behavioral Health Infrastructure Bond Act of 2024 (BHIBA) (Assembly Bill 531 <https://legiscan.com/CA/text/AB531/id/2841750>). 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 Californians experiencing mental health conditions and substance use disorders. The California Department of Health Care Services (DHCS) was authorized to award up to $4.4 billion in BHIBA funds for BHCIP competitive grants. In addition, DHCS will enact changes resulting from Proposition 1 through the Behavioral Health Transformation (BHT) project, which aims to modernize the behavioral health delivery system, improve accountability, increase transparency, and expand capacity of behavioral health care facilities for California residents.
Up to $3.3 billion is available for Bond BHCIP Round 1: Launch Ready, to construct, acquire, and/or rehabilitate real estate assets to expand the continuum of behavioral health treatment and service resources for Californians. Of that amount, $1.47 billion is designated for cities and counties; another $30 million is designated for tribal entities. The remaining $1.8 billion is available to all eligible entities, including cities, counties, and tribal entities. Bond BHCIP Round 1: Launch Ready funds are not intended to preserve existing service capacity. Bond BHCIP Round 1: Launch Ready grantees must commit to serving Medi-Cal beneficiaries.
On December 13, 2024, DHS applied for Bond BHCIP Round 1: Launch Ready grant funds in an amount not to exceed $67,702,227.50 to construct four Mental Health Rehabilitation Centers with 16 beds each and one Adult Residential Substance Use Disorder (SUD) Treatment Facility with at least 20 beds at 1430 Neotomas Drive, Santa Rosa, CA, a county-owned property. DHS is thrilled to share this proposal was selected for a full award.
The campus at 1430 Neotomas Drive will provide appropriate level of care treatment to our most vulnerable individuals struggling with severe mental illness, those under a Lanterman-Petris-Short (LPS) conservatorship. Currently, Sonoma County supports approximately 200 conservatees. Of these 200 conservatees, 58% are sent to Mental Health Rehabilitation Centers out of county for treatment in time-limited, long-term, locked care. 42% remain in-county, where they reside in Board & Care facilities and placements that support their recovery. Our conservatees compete with the conservatees of all the other California counties for the beds in these specialized settings. This opportunity will be an immense support to our conservatees in this county.
DHS will also construct an adult residential SUD treatment facility on the campus with detox services. Co-locating detox services, SUD residential services, and the four Mental Health Rehabilitation Centers on one campus will provide multiple levels of care on the continuum, with a focus on residential treatment facilities. This campus will also help Sonoma County prepare for the implementation of SB 43, which broadens the definition of grave disability under the LPS Act to include those unable to care for their basic needs due to a severe substance use disorder or co-occurring mental health disorder, and those who are unable to provide for their personal safety or necessary medical care.
On February 4, 2025, the Board adopted Resolution 25-0091 authorizing the Department of Health Services (DHS) Interim Director, Jennifer Solito, as the Authorized Signatory for the application. On May 13, 2025, DHS was notified that the proposal was selected as a conditional awardee. DHS is requesting a Resolution designating the current DHS Director as an Authorized Signatory, replacing Resolution 25-0091.
Strategic Plan:
This item directly supports the County’s Five-year Strategic Plan and is aligned with the following pillar, goal, and objective.
Pillar: Healthy and Safe Communities
Goal: Goal 1: Expand integrated system of care to address gaps in services to the County’s most vulnerable.
Objective: Objective 3: Create a “no wrong door” approach where clients who need services across multiple departments and programs are able to access the array of services needed regardless of where they enter the system.
Racial Equity:
Was this item identified as an opportunity to apply the Racial Equity Toolkit?
No
Prior Board Actions:
On February 4, 2025, the Board adopted a Resolution to replace Resolution 24-0519 authorizing the Director of Health Services, or designee, to apply to the California Department of Health Care Services’ Behavioral Health Continuum Infrastructure Program Round 1 (BHCIP 2024) Launch Ready Program Request for Applications, increasing the application amount by $10,202,227.50 for a new not-to-exceed amount of $67,702,227.50 for the construction of four Mental Health Rehabilitation Centers and one Adult Residential Substance Use Disorder Treatment Facility.
On December 10, 2024, the Board approved a resolution authorizing the Director of Health Services, or designee, to apply to the California Department of Health Care Services in response to the Behavioral Health Continuum Infrastructure Program Round 1 (BHCIP 2024) Launch Ready Program Request for Applications in a total amount not to exceed $57,500,000 for the construction of four Mental Health Rehabilitation Centers and one Adult Residential Substance Use Disorder Treatment Facility.
Fiscal Summary
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Narrative Explanation of Staffing Impacts (If Required):
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Attachments:
Attachment 1 - Revised Resolution
Attachment 2 - Resolution 25-0091
Related Items “On File” with the Clerk of the Board:
None