Behavioral Health Services Act (Proposition 1), CARE Court, & SB 43 Dr. Natalie Bolin, DSW, LCSW
Behavioral Health Director, HHSA
Prop 1: BHSA Reform& Bond BCHIP Funding
Bond Behavioral Health Community Infrastructure Project (BHCIP) Bond BHCIP Round 1 ONE TIME FUNDS
July 17, 2024, Bond BHCIP Round 1 Launch Ready Request for Application (RFA)released Round 1 application deadline December 13, 2024
Round 1 Launch Ready awards announced May 2025
Bond BHCIP Round 2 Unmet Needs
Releases May 2025
BHSA Bond BCHIP Round 1
Applicants may include counties, cities, tribal entities, non-profits, and for-profits whose projects reflect state priorities and align with facility types.
Projects must be launch ready with predevelopment design, planning, site control and budgeting details Eligible project types include behavioral health and substance use disorder facilities and service sites and that include some transitional residential opportunities Services at facilities must be sustainable by the BH Branch for 30 years
Bond BCHIP: Eligible Facility Types
Specialized Behavioral Health Treatment Sites
Tulare County Bond BHCIP Round 1 Planning
Current Tulare County BCHIP Projects
Additional Projects
Current BH Housing Spectrum
Transitional Living Center (TLC): Augmented Board & Care, 24/7 Case Management, (53 beds) Community Living Center (CLC): Semi-permanent supported transitional housing, Case Management during business hours (28 beds) Crossroads: Transitional Age Youth (18-24): Supported Transitional Room and Board Housing (20 Beds) Co-Occurring Disorder Residential Program: Transitional Room and Board Housing, (23 Beds) (Services Contracted to CVRS) East Tulare Avenue Cottages (ETAC): Permanent Supportive Housing, 11 Shared Apartments (22 beds) Tulare Apartments: Permanent Supportive Housing (8 Shared Apartments, 16 Beds) Porterville Apartments: Permanent Supportive Housing (10 shared Apartments, 20 Beds) Casa De Robles: Transitional Age Youth (18-24), Permanent Supportive Housing (13 Beds, Expanding to 25) No Place Like Home Beds (113 Beds), sites throughout Tulare County Upcoming: Casa Grande augmented Board & Care (80+ beds); proposed: Eden House (5 Beds), S+L (5 Beds)
Proposition 63, also known as the Mental Health Services Act (MHSA) Passed by California voters November 2004 Went into effect January 2005 MHSA is funded by 1% tax surcharge on personal income over $1million per year Prop 1: BHSA Reform
BHSA County Allocations
MHSA vs BHSA Funding
BHSA Funding Allocations
BHSA Project Timeline
CARE Court
BHSA Reform & Infrastructure Bond, along with BHBH funds, is aimed at helping those in our community that are most acutely mentally ill with co-occurring substance use disorders that often struggle with homelessness. Care Court is an additional service type that will be implemented in December 2024
Care Court Implementation Efforts
Additional Policy Impacts to BH Services and Facilities: Senate Bill 43
SB 43 Impacts
Conclusion
As the behavioral health landscape changes according to legislation, policy updates, and the needs of our community, the Tulare County HHSA Behavioral Branch continues to develop strategy to optimize all eligible funding streams and policy reformation. Our duty to serve our most vulnerable community members suffering from serious mental illness includes building specialized facilities, services, and residential sites to ensure all individuals are connected to appropriate levels of care and available housing options throughout Tulare County.
Questions?
Additional Information:
Website: https://tchhsa.org/eng/mental-health/
Access to BH Services: 1-866-732-4114
Tulare County Crisis Services: 1-800-320-1616
National Crisis Hotline: 988