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CMHDA Update for NAMI Leadership Institute: County Implementation of MHSA in the New Environment

CMHDA Update for NAMI Leadership Institute: County Implementation of MHSA in the New Environment. August 18, 2011. List of Major 2011-12 State Budget Actions of interest to Community Mental Health.

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CMHDA Update for NAMI Leadership Institute: County Implementation of MHSA in the New Environment

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  1. CMHDA Update for NAMI Leadership Institute:County Implementation of MHSA in the New Environment August 18, 2011

  2. List of Major 2011-12 State Budget Actions of interest to Community Mental Health • Per AB 100, $862 million in MHSA being used instead of SGF for Medi-Cal and Special Education Students. Also removed “state approval” of MHSA plans, streamlined fund distributions to counties, and decreased state admin. expenditures. • Per AB 118, “Realignment 2011” specifies the programs and account structure. AB 109 specifies public safety realignment. • The AB 3632 mandate on county MH is now permanently repealed. • Medi-Cal functions are being transferred to DHCS.

  3. What Has Changed for MHSA STAYED THE SAME CHANGES • State administers the Mental Health Services Fund (MHSF), issues regs. • County MHSA plans must include local stakeholder process, 30-day review, approval by local MH Board • MHSA statute and regulations still in effect • $861 million loss in 2011-12 • DMH/OAC does not approve plans • MHSA state admin. cap is now 3.5% • Funds distributed monthly as deposits are made into the MHS Fund

  4. 2011 Public Safety Realignment • Funding Source (~$5.5 billion/year) • 1.0625% of existing sales tax revenue • Continuously appropriated to counties • Account Structure for FY 2011-12 at state and county levels • Eight accounts, nine subaccounts • One account is a “Mental Health Account” • Intent language that new allocation formulas to be developed for 2012-13, forward.

  5. Realignment Funding for Mental Health • Since AB 100 is providing MHSF in 2011-12, Medi-Cal Specialty Mental Health not realigned until 2012-13. • Only the funding source for 1991 community mental health realignment is changing. Funds will be deposited monthly. The 2011-12 amount is 5.9% higher than would be anticipated without the 2011 Public Safety Realignment.

  6. AB 109 Criminal Justice Realignment • Effective October 1, 2011. • Statewide $354.3 million available in FY 2011-12 for “Local custody” of non-non-non offenderss, as well as “Post-release community supervision” for adults paroled out of state prison. • Each count has a Community Corrections Partnership (CCP) to recommend to the Board of Supervisors an implementation plan. • Led by Chief Probation Officer. • CCP must include the county mental health director • Meetings are subject to the Brown Act’s posting and open meeting requirements.

  7. Other Health/Social Services Reductions that will affect MH Consumers • More Medi-Cal co-pays on doctor and ER visits, and prescriptions. Soft cap on doctor visits. Provider rate cuts to doctors, pharmacies, hospitals. • Eliminate Adult Day Health Care. • SSI/SSP grants are now at federal minimum levels. • Reductions to IHSS totaling $486 million

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