Proposition 1 – An Overview
行为健康转型
命题 1 是什么
Proposition 1 was passed by California voters in March 2024. The two-bill package, Senate Bill (SB) 326 (Eggman, Chapter 790, Statutes of 2023) and Assembly Bill (AB) 531 (Irwin, Chapter 789, Statutes of 2023), proposed statewide efforts to reform and expand California’s behavioral health system, and was put on the ballot by the California State Legislature and the Governor. DHCS refers to the implementation of these changes as Behavioral Health Transformation. Proposition 1 consists of two parts: The Behavioral Health Services Act and the Behavioral Health Bond.
什么是行为健康服务法？
《行为健康服务法》取代了 2004 年的《精神健康服务法》。 它改革行为健康护理资金，优先为最需要精神健康服务的人群提供服务，同时增加物质使用障碍 (SUD) 的治疗、扩大住房干预措施并增加行为健康劳动力。 它还增强了州和地方各级的监督、透明度和问责制。 此外，《行为健康服务法案》通过促进公平和减少有行为健康需求的个人之间的差异，创造了确保公平获得医疗服务的机会。 它是命题1的一部分。
什么是行为健康债券？
行为健康债券授权发行 64 亿美元债券，用于资助行为健康治疗床位、支持性住房、社区场所以及为有行为健康需求的退伍军人提供住房资金：
- $ 4.4 billion of these funds will be administered by DHCS for grants to public and private entities for behavioral health treatment and residential settings.
- $ 1.5 billion of the $4.4 billion will be awarded only to counties, cities, and tribal entities, with $30 million set aside for tribes.
- 剩余的 19.72 亿美元将由加州住房和社区发展部（HCD）管理，为面临无家可归风险或正在经历无家可归和行为健康挑战的个人提供永久性支持性住房。 其中，10.65亿美元将用于退伍军人。 所有这些努力都将利用有效的现有计划，包括行为健康连续基础设施计划（BHCIP）、Project Homekey 和退伍军人住房和无家可归者预防计划（VHHP）。
- 这是命题1的另一部分。
提案 1 如何改变《精神健康服务法》 ？
Proposition 1 increases the state’s capacity to provide behavioral health care and housing for vulnerable populations living with the most significant mental health needs and adds the allowance for care for individuals with only a SUD. It also reforms the funding allocations, expanding access and increasing the types of support available to all Californians — working to ensure people can get the help and support they need, when they need it, and in their own community.
Counties now have a robust array of tools to help Californians in need, including new housing interventions. We continue to champion a “do whatever it takes” approach through Full Service Partnership programs and behavioral health services and supports, including early intervention with resources dedicated to reaching Californians age 25 and younger so behavioral health challenges are addressed before they worsen.
这些变化通过支持社区定义的实践作为减少健康差距的关键策略，促进了文化响应服务。 各县必须展示他们如何战略性地投资早期干预并推进行为健康创新。
全州资源将支持：
- 以人群为基础的预防规划，
- 劳动力投资旨在扩大具有文化能力的行为健康劳动力队伍。
- 这些资金将在头五年内用于投资 24 亿美元用于劳动力培训。
- 监督和监测以提高透明度。
- $ 20 million annually to support a new Innovation Partnership Fund directed by the Behavioral Health Services Oversight and Accountability Commission (BHSOAC).
How does Proposition 1 address Californians’ key behavioral health challenges?
提案 1 将：
- 改善全州范围内行为健康服务的可及性，重点关注高需求和脆弱人群，同时减少健康差距。
- 增加行为健康治疗设施基础设施。
- 为行为健康需求最严重的加州人扩大住房服务和基础设施。
- 通过扩大行为健康劳动力来增加投资。
- 扩大对早期干预服务的投资，重点关注儿童和青少年。
- 加强州和地方各级的监督和问责以及对公众的透明度。
提案 1 将如何影响无家可归者的住房？
Housing is an essential component of behavioral health treatment, recovery, and stability. As part of the Behavioral Health Services Act, 30 percent of each county’s Behavioral Health Services Act funding allocation must be used for housing interventions for Californians with the most significant behavioral health needs, who are also homeless or at risk of homelessness. Half of that amount is prioritized for individuals and families experiencing long-term homelessness. The Behavioral Health Services Act provides ongoing revenue for counties to assist those with severe behavioral health needs with housing and provides a path to long-term recovery, including ongoing capital to build more housing options. Additionally, more than 11,150 new behavioral health treatment beds and supportive housing units will be funded for people experiencing or at risk of homelessness and who have behavioral health needs, with a dedicated housing investment to serve veterans.
提案 1 与其他行为健康举措有何关联？
The state is committed to ensuring Californians receive the mental health and SUD services they need. The new reforms under Proposition 1 build upon existing efforts through California Advancing and Innovating Medi-Cal (CalAIM), Children and Youth Behavioral Health Initiative (CYBHI), Behavioral Health Community-Based Organized Networks of Equitable Care and Treatment Demonstration (BH-CONNECT), Behavioral Health Continuum Infrastructure Program (BHCIP), Community Assistance, Recovery, and Empowerment (CARE) Act, Senate Bill 43, and Behavioral Health Bridge Housing to enhance equitable access to behavioral health care across these four domains:
- 针对相同的优先人群。
- 投资循证实践。
- 提供新的住房和住宅治疗选择。
- 包括对行为健康劳动力的资助。
提案 1 的资金可以用来强迫人们接受非自愿治疗吗？
否。提案 1 并未对管理非自愿承诺的标准和程序的兰特曼-佩特里斯-肖特 (LPS) 法案做出任何改变。
提案 1 是否会提高税收？
不，行为健康服务法案的资金与精神健康服务法案的资金相同——对每年超过 100 万美元的个人收入征收 1% 的所得税。
提案 1 是否会削减针对严重精神疾病患者的服务资金？
No. The Behavioral Health Services Act prioritizes funding for services and supports for people with the most severe mental health and SUD conditions. The state has invested substantially in California’s behavioral health care continuum in recent years to expand access. This recent reform to the Mental Health Services Act accelerates those efforts. Proposition 1 expands access and increases the types of support available to all Californians – working to ensure people can get the help and support they need, when they need it, and in their community.
提案 1 是否将控制权从县转移到州？
州政府继续与各县携手合作，确保它们迅速正确地实施行为健康护理系统的创新工具和现代化改造，以便更好地为需要护理、支持、服务和治疗的加州人提供服务。 各县现在拥有一套强大的工具来帮助有需要的加州人并为他们提供所需的行为健康护理。
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