To: County of Sonoma Board of Supervisors
Department or Agency Name(s): Department of Health Services
Staff Name and Phone Number: Jennifer Solito, 707-565-4774
Vote Requirement: Majority
Supervisorial District(s): Countywide
Title:
Title
Bond Behavioral Health Continuum Infrastructure Program Round-1 Grant Application Resolution Update
End
Recommended Action:
Recommended action
Adopt 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.
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Executive Summary:
On December 10, 2024, the County of Sonoma Board of Supervisors approved Resolution 24-0519 (Attachment 1) 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. After final submission on the Resolution to the Board of Supervisors, but prior to the application deadline of December 13, 2024, increased project costs were identified.
On December 13, 2024, the Department of Health Services (DHS) submitted an application for Bond BHCIP Round 1: Launch Ready grant funds in an amount not to exceed $67,702,227.50 which included needed contingency expenses. DHS requests a resolution, which would replace Resolution 24-0519, to increase the authorized application not to exceed amount by $10,202,227.50 for a new not to exceed total of $67,702,227.50.
Discussion:
In March 2024, California voters passed Proposition 1, 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 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 10, 2024, the County of Sonoma Board of Supervisors approved Resolution 24-0519 (Attachment 1) 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. On December 12, 2024, one day prior to the application due date, additional project costs were determined to be required for the project and needed to be added into the application. The $57.5M did not include contingencies. It only reflected the “total development cost” which accounts for acquiring, planning, permitting, insuring, constructing, licensing, and opening services at the completed facility. Contingencies are part of any construction budget and this oversight needed to be rectified.
On December 13, 2024, DHS submitted an application for Bond BHCIP Round 1: Launch Ready grant funds in an amount not to exceed $67,702,227.50. DHS included approved Resolution 24-0519 along with a comment that a modification to the Resolution was pending Board review and approval. DHS requests approval of a new resolution to replace Resolution 24-0519. The new resolution would increase the authorized application total amount not to exceed by $10,200,000 for a new total of $67,702,227.50.
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 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 Fiscal Impacts:
Updated amount resolution allowing staff to submit the application does not result in a fiscal impact. Should the grant be awarded staff will return with grant acceptance which will result in fiscal impacts in the form of delivering the grant obligations.
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Narrative Explanation of Staffing Impacts (If Required):
None
Attachments:
Attachment 1 - Original Resolution 24-0519
Attachment 2 - New Resolution
Related Items “On File” with the Clerk of the Board:
None