Proposition 1 Fact Sheet
Kev hloov pauv ntawm tus cwj pwm noj qab haus huv
This document represents the work of the California Department of Health Care Services in implementing Proposition 1, also known as “Behavioral Health Transformation,” a key component of Governor Newsom’s Mental Health for All Initiative. More information about the contributions of other agencies can be found via the California Department of Veterans Affairs and the California Department of Housing and Community Development (HCD).
Qhov teeb meem
Ntau tshaj 1.2 lab tus neeg laus hauv California nyob nrog mob hlwb loj, thiab 1 ntawm 13 tus menyuam yaus muaj kev ntxhov siab loj.[1]
Kev tsis txaus ntawm cov chaw kho mob tus cwj pwm ua rau muaj teeb meem loj zuj zus ntawm kev tsis muaj tsev nyob thiab raug kaw hauv cov neeg uas muaj kev puas siab puas ntsws.[4]
Cov Lus Qhia: Cov Lus Qhia 1
California is transforming its entire mental health and SUD system. Advancing this effort, California voters in March 2024 passed Proposition 1, which includes the Behavioral Health Services Act (Senate Bill (SB) 326 (Eggman, Chapter 790, Statutes of 2023), and the $6.4 billion Behavioral Health Bond (Assembly Bill (AB) 531(Irwin, Chapter 789, Statutes of 2023) to support Californians living with the most significant mental health and SUD needs. DHCS refers to the implementation of these changes as Behavioral Health Transformation.
Ntu 1: Txoj Cai Pabcuam Kev Noj Qab Haus Huv Tus Cwj Pwm
Txoj Cai Pabcuam Kev Noj Qab Haus Huv Tus Cwj Pwm hloov kho Txoj Cai Kev Pabcuam Kev Puas Siab Puas Ntsws ntawm 2004 los ntawm kev nce thiab nthuav kev nkag mus rau cov kev txhawb nqa muaj rau txhua tus neeg hauv California, ua kom cov neeg tuaj yeem tau txais kev pab lawv xav tau, thaum lawv xav tau, thiab hauv lawv lub zej zog.
Cov ntsiab lus tseem ceeb ntawm Txoj Cai Kev Noj Qab Haus Huv Tus Cwj Pwm:
- Kev hloov kho tus cwj pwm kev saib xyuas kev noj qab haus huv nyiaj txiag suav nrog kev kho mob, kev cuam tshuam hauv vaj tse, thiab kev txhawb nqa kev noj qab haus huv rau cov tib neeg uas muaj SUDs, thaum txuas ntxiv muab kev pabcuam tseem ceeb rau cov neeg uas xav tau kev noj qab haus huv tseem ceeb tshaj plaws.
- Expands services to promote prevention, early intervention, and treatment for California’s diverse population, with investments in innovative pilot programs.
- Tsom ntsoov rau qhov tshwm sim, kev lav ris, thiab kev ncaj ncees.
Cov neeg tseem ceeb:
Behavioral Health Services Act nyiaj pab thiab cov kev pab cuam yuav tsom rau cov neeg uas muaj ntau yam kev xav tau kev noj qab haus huv, suav nrog SUDs. Behavioral Health Transformation lees paub tias SUDs, kev mob hlwb, thiab kev tsis muaj tsev nyob muaj kev cuam tshuam thiab yuav tsum tau hais ua ke kom ua tiav cov txiaj ntsig zoo tshaj plaws.
The Behavioral Health Services Act also reaches priority populations who are disproportionately affected by mental health and SUD challenges and may have greater unmet needs. The Behavioral Health Services Act’s priority populations are:
Cov neeg laus tsim nyog uas yog:
- Tsis muaj tsev nyob ntev, ntsib kev tsis muaj tsev nyob, lossis muaj kev pheej hmoo ntawm kev tsis muaj tsev nyob
- Nyob rau hauv, los yog muaj kev pheej hmoo ntawm nyob rau hauv, txoj kev ncaj ncees
- Rov nkag lawv cov zej zog los ntawm tsev loj cuj lossis kaw
- Muaj kev pheej hmoo ntawm kev saib xyuas raws li Txoj Cai 1
- Muaj kev pheej hmoo ntawm institutionalization
Cov menyuam yaus thiab cov hluas uas tsim nyog yog:
- Tsis muaj tsev nyob ntev, ntsib kev tsis muaj tsev nyob, lossis muaj kev pheej hmoo ntawm kev tsis muaj tsev nyob
- Nyob rau hauv, los yog muaj kev pheej hmoo ntawm kev nyob rau hauv, lub juvenile kev ncaj ncees system
- Rov qab mus rau lub zej zog los ntawm qhov chaw kho hluas
- Hauv cov txheej txheem kev noj qab haus huv menyuam yaus raws li Txoj Cai 1
- Muaj kev pheej hmoo ntawm institutionalization
Behavioral Health Services Act Cov Nyiaj Pab Nyiaj:
The Behavioral Health Services Act modernizes funding to provide services to Californians with the most significant behavioral health needs.[5]
- 35% Kev Pabcuam Kev Noj Qab Haus Huv thiab Kev Txhawb Nqa: suav nrog kev cuam tshuam ntxov; kev nthuav qhia thiab kev koom tes; cov neeg ua haujlwm; kev kawm thiab kev cob qhia; peev chaw thiab kev xav tau kev siv tshuab; thiab cov pilots tshiab thiab tej yaam num.
- Feem ntau (51%) ntawm cov nyiaj no yuav tsum tau siv los cuam tshuam rau cov tsos mob thaum ntxov ntawm kev puas hlwb lossis SUDs.
- Feem ntau (51%) ntawm cov kev pabcuam thaum ntxov thiab kev txhawb nqa yuav tsum yog rau cov neeg muaj hnub nyoog 25 xyoos thiab qis dua.
- 35% Full-Service Partnerships: Comprehensive and intensive care for people at any age with the most complex needs (also known as the “whatever it takes” model).
- 30% Housing: Kev cuam tshuam los suav nrog cov nyiaj pab xauj tsev, nyiaj pab kev ua haujlwm, vaj tsev sib koom, tsev neeg vaj tsev rau cov menyuam yaus thiab cov tub ntxhais hluas tsim nyog, thiab tsis yog tsoomfwv feem ntawm qee cov nqi xauj tsev.
- Ib nrab ntawm cov nyiaj no (50%) yog qhov tseem ceeb rau kev pabcuam vaj tsev rau cov neeg tsis muaj tsev nyob.
- Txog li 25% tuaj yeem siv rau kev txhim kho peev.
- Qee qhov kev zam yuav muaj rau cov nroog me.
Lub nroog yuav muaj qhov hloov pauv hauv thaj chaw nyiaj txiag saum toj no kom txav mus txog 7% ntawm ib pawg mus rau lwm qhov, rau qhov siab tshaj plaws ntawm 14%. Qhov no tso cai rau cov nroog los daws lawv cov kev xav tau sib txawv hauv zos thiab qhov tseem ceeb raws li cov ntaub ntawv thiab cov tswv yim hauv zej zog.
SUD Kev Kho Mob:
Qhov kev xav tau ntawm SUD cov kev pabcuam tau nce thiab feem ntau cuam tshuam nrog kev mob hlwb. Kev nthuav dav kev tsim nyog suav nrog SUD pab daws cov kev xav tau uas tsis xav tau. Txoj Cai Kev Noj Qab Haus Huv Tus Cwj Pwm ua rau cov nroog tuaj yeem pab nyiaj rau cov kev pabcuam no ib leeg lossis ua ke nrog lwm lub xeev thiab tsoomfwv cov peev nyiaj los txhawb kev nthuav dav ntawm SUD cov kev pabcuam. Lub nroog yuav tsum siv cov ntaub ntawv kom tsim nyog faib nyiaj txiag ntawm kev mob hlwb thiab SUD cov kev kho mob nrog rau txheeb xyuas cov tswv yim los daws qhov tsis sib xws ntawm lawv.
Kev Tiv Thaiv Thaum Ntxov:
Txoj Cai Pabcuam Kev Noj Qab Haus Huv Tus Cwj Pwm tseem cuam tshuam rau txoj kev mob nkeeg. DHCS, hauv kev sab laj nrog Pawg Saib Xyuas Kev Noj Qab Haus Huv Kev Noj Qab Haus Huv thiab Kev Ua Haujlwm Saib Xyuas Kev Ua Txhaum Cai, cov nroog, thiab cov neeg muaj feem cuam tshuam, tab tom tsim ib daim ntawv teev cov pov thawj-raws li kev coj ua thiab kev coj ua pov thawj hauv zej zog rau cov kev pab cuam thaum ntxov. Cov nroog yuav tsum siv feem ntau (51%) ntawm cov kev pabcuam kev noj qab haus huv ntawm tus cwj pwm thiab txhawb cov nyiaj pabcuam rau kev pabcuam thaum ntxov los pab rau cov tsos mob thaum ntxov ntawm kev puas hlwb lossis kev siv yeeb tshuaj. Feem ntau ntawm cov kev pabcuam thiab kev txhawb nqa no yuav tsum ua haujlwm rau cov tib neeg hnub nyoog 25 xyoos thiab qis dua.
Health Equity:
Txoj Cai Tswj Kev Noj Qab Haus Huv Tus Cwj Pwm txhawb nqa cov kev pabcuam kev coj noj coj ua uas txhim kho kev noj qab haus huv thiab txo qis kev noj qab haus huv rau txhua tus:
- Txo cov silos rau kev npaj thiab muab kev pabcuam thiab teeb tsa cov ntsiab lus meej.
- Yuav tsum muaj cov ntaub ntawv stratified thiab cov tswv yim los txo cov kev noj qab haus huv tsis sib xws hauv kev npaj, kev pabcuam, thiab cov txiaj ntsig.
- Ua kom pom tseeb cov kev coj ua hauv zej zog raws li lub tswv yim tseem ceeb rau kev txo qis kev noj qab haus huv tsis sib xws thiab nce kev sawv cev hauv zej zog.
Kev lees paub:
Counties are required to submit draft and final integrated plans for Behavioral Health Services and Outcomes and Behavioral Health Outcomes, Accountability, and Transparency Reports. The plans and reports will include data through the lens of health equity to identify racial, ethnic, age, gender, and other demographic disparities and inform disparity reduction efforts.
| Kev xav tau | Draft and Final County Integrated Plan for Behavioral Health Services and Outcomes | County Behavioral Health Outcomes, Accountability, thiab Transparency Report |
|---|---|---|
| Kev xa ntawv zaus | Txhua peb xyoos | Txhua xyoo |
| Cov ntsiab lus | Yuav tsum suav nrog txhua lub nroog, xeev, thiab tsoomfwv cov nyiaj pabcuam kev noj qab haus huv thiab kev pabcuam, kev siv nyiaj txiag, kev sib raug zoo nrog cov hom phiaj thiab cov txiaj ntsig kev ntsuas, thiab cov tswv yim ua haujlwm. Yuav tsum tau qhia los ntawm cov neeg koom nrog cov tswv yim, cov pej xeem xav tau kev ntsuam xyuas, thiab kev sib koom tes hauv cheeb tsam kev noj qab haus huv. | Yuav tsum suav nrog kev siv nyiaj ntawm txhua lub nroog, xeev, thiab tsoomfwv cov nyiaj pabcuam kev noj qab haus huv, nyiaj tsis siv nyiaj, cov ntaub ntawv siv kev pabcuam thiab cov txiaj ntsig, nrog rau lub lens kev ncaj ncees, kev ntsuas kev ua haujlwm, thiab lwm yam ntaub ntawv. |
| DHCS lub luag haujlwm | DHCS yuav tsim cov txiaj ntsig kev ua tau zoo, hauv kev sab laj nrog cov nroog thiab cov neeg muaj feem. | DHCS tau tso cai los tsim cov phiaj xwm kho kom raug rau cov nroog uas tsis ua raws li qee qhov kev cai. |
The California Health & Human Services Agency and DHCS will convene the Behavioral Health Services Act Revenue Stability Workgroup to assess fluctuations in tax revenues generated by the Behavioral Health Services Act to support short- and long-term financial stability. The workgroup will recommend solutions to reduce revenue volatility and propose reserve levels needed for the sustainability of county programs and services.
Ntu 2: Kev Cuam Tshuam Txog Kev Noj Qab Haus Huv
Tus Cwj Pwm Saib Xyuas Kev Noj Qab Haus Huv muaj xws li $ 6.4 billion daim ntawv cog lus dav dav nrog ob ntu:
» $ 4.4 nphom rau cov chaw kho mob, ua qauv tom qab ua tiav Kev Noj Qab Haus Huv Kev Noj Qab Haus Huv Continuum Infrastructure Program (BHCIP). Cov nyiaj yuav raug siv los tsim:
- 6,800 lub txaj kho tus cwj pwm kev noj qab haus huv thiab 26,700 tus cwj pwm kev noj qab haus huv sab nrauv kho mob.
- $ 4.4 nphom hauv cov nyiaj pab rau cov chaw kho mob coj tus cwj pwm, nrog $ 1.5 nphom kom tau txais txiaj ntsig rau cov nroog thiab nroog, thiab $ 30 lab tso tseg rau cov neeg zej zog.
- $ 1.972 billion daim ntawv cog lus rau kev txhawb nqa vaj tsev, yuav tsum tau tswj hwm los ntawm HCD, ua qauv tom qab HomeKey. Cov nyiaj yuav raug nqis peev rau hauv vaj tse rau cov tib neeg uas tau nyiaj tsawg heev thiab cov teeb meem kev noj qab haus huv uas tab tom ntsib lossis muaj kev pheej hmoo ntawm kev tsis muaj tsev nyob.
- 4,350 lub tsev nyob ruaj khov, nrog rau 2,350 qhov chaw rau cov qub tub rog.
- $ 1.065 nphom hauv vaj tse kev nqis peev rau cov qub tub rog uas muaj los yog muaj kev pheej hmoo ntawm kev tsis muaj tsev nyob uas muaj kev xav tau kev noj qab haus huv. Cov nyiaj no yuav raug tswj hwm hauv kev koom tes nrog CalVet.
- $ 922 lab hauv kev nqis peev vaj tsev rau cov neeg muaj kev pheej hmoo ntawm kev tsis muaj tsev nyob uas muaj tus cwj pwm noj qab haus huv.
The remaining $2 billion is for permanent supportive housing, modeled after HomeKey, with half dedicated to veterans, and is administered by Business, Consumer Services and Housing Agency (BCSHA) and CalVet. Stakeholder and funding opportunities are there.
Stakeholder Engagement
DHCS yuav muab ntau lub sijhawm rau cov neeg koom nrog koom nrog, suav nrog kev sib tham rau pej xeem txhua hli, los sau cov lus qhia txog kev txhim kho txoj cai thiab kev taw qhia ntsig txog Kev Hloov Tus Cwj Pwm Kev Noj Qab Haus Huv.
- Kev mloog txhua hli yog qhib rau txhua tus.
- DHCS yuav tshuaj xyuas thiab txiav txim siab cov lus pom zoo uas tau txais thaum lub sijhawm cov kev sib tham no vim nws tsim txoj cai hloov pauv tus cwj pwm coj cwj pwm. Kev sib tham thiab cov ntaub ntawv sau npe yuav raug muab qhia rau ntawm Stakeholder Engagement webpage nrog rau cov ntaub ntawv kaw tseg ntawm cov kev sib tham dhau los.
Kev xav txog tus cwj pwm kev noj qab haus huv hloov pauv Milestones
Hauv qab no yog cov sijhawm ua haujlwm siab rau ntau qhov tseem ceeb ntawm DHCS. Kev hloov tshiab ntxiv ntawm ncua sij hawm thiab txoj cai yuav raug muab qhia thoob plaws hauv qhov project.
- Pib lub caij nplooj ntoos hlav 2024
- Kev koom tes nrog cov neeg koom nrog, suav nrog kev mloog rau pej xeem, yuav raug siv los ntawm txhua qhov tseem ceeb los qhia txog kev tsim txoj cai.
- Pib lub caij ntuj sov 2024
- Bond BHCIP: Round 1 Launch Npaj Thov rau Daim Ntawv Thov txog li $ 3.3 nphom hauv kev pab nyiaj yuav siv cov qauv BHCIP thiab HomeKey.
- Pib thaum ntxov 2025
- County Integrated Plan for Behavioral Health Services and Outcomes txoj cai thiab kev taw qhia yuav raug tso tawm nyob rau theem, pib nrog txoj cai thiab kev taw qhia rau kev npaj ua ke.
- Starting Spring 2026: County Draft Integrated Plans are submitted to DHCS with County Administrative Officer (CAO) Approval
- Lub caij ntuj sov 2026
- County Integrated Plans for Behavioral Health Services and Outcomes, fiscal transparency, and data reporting requirements go live in July 2026 (for the next three-year cycle).
Tsis tuaj yeem rov qab tau qhov URL uas tau teev tseg hauv Cov Khoom Txuas Cov Khoom. Yog xav tau kev pab ntxiv, hu rau koj tus thawj tswj hwm qhov chaw.
- Mental Health in California.
- Toward a New Understanding: The California Statewide Study of People Experiencing Homelessness.
CASPEH_Report_62023.pdf (ucsf.edu) - Substance Use in California.
2022 Edition — Substance Use in California – California Health Care Foundation (chcf.org) - Behavioral Health Transformation.
- Note: Counties will have flexibility to adjust the funding amounts in each area.
Behavioral Health Services Act Fact Sheet.