Transcript Document

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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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permanently repealed.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.
What Has Changed for MHSA
STAYED THE SAME
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
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CHANGES
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$861 million loss in 201112
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
2011 Public Safety Realignment
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Funding Source (~$5.5 billion/year)
 1.0625%
of existing sales tax revenue
 Continuously appropriated to counties
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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.
Realignment Funding for Mental Health
2011-12
EPSDT
2012-13
(Forward)
0 (AB 100) $629 million
Medi-Cal MH Managed 0 (AB 100) $183.7
Care
 Since AB 100 is providing MHSF in 2011-12, million
Medi-Cal
Specialty Mental Health not realigned until 2012-13.
1991
Community MH
$1.083
$1.119
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Only the funding source for 1991
community mental
Realignment
billion
billionhealth
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.
AB 109 Criminal Justice Realignment
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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.
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Other Health/Social Services Reductions
that will affect MH Consumers
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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