Proposition 1 Behavioral Health Services Act: How to Use Behavioral Health Services Act/Mental Health Service Act Funds for Housing
行为健康转型
In March 2024, voters passed Proposition 1, a transformation of California’s behavioral health system. The new law includes two parts: the Behavioral Health Services Act and a $6.4 billion Behavioral Health Bond for community infrastructure and housing with services.
本情况说明书提供了有关《行为健康服务法》/《精神健康服务法》所提供的住房资金和机会的基本信息。 更详细的提案 1 行为健康服务法案：住房支持入门（2024 年 7 月）现已发布。
1. Behavioral Health Services Act – Opportunities for Housing
The Behavioral Health Services Act modernizes the Mental Health Services Act, passed by voters in 2004, to address today’s behavioral health system and needs. These reforms expand services to include treatment for people with substance use disorders, prioritize care for individuals with the most serious mental illnesses, provide ongoing resources for housing interventions and workforce, and continue investments in prevention, early intervention, and innovative pilot programs. Housing is an essential component of behavioral health treatment, recovery, and stability. Beginning in 2026 under the Behavioral Health Services Act, 30 percent of each county’s funding allocation must be used for housing interventions for Californians with the most significant behavioral health needs who are homeless or at risk of homelessness. Half of that amount is prioritized for those experiencing chronic homelessness.
The Behavioral Health Services Act provides ongoing funding for counties to assist people with serious behavioral health needs with housing and provides a path to long-term recovery, including ongoing capital to build more housing options. Based on projections for Fiscal Year (FY) 2026-2027, the total statewide housing funding will be approximately $950 million annually, dependent upon tax revenues. In addition, to allow counties to address their different local needs and priorities, counties may transfer funding to increase this component up to an additional 14 percent – or decrease funding by up to 7 percent – by transferring funding between the two other Behavioral Health Services Act funding components (Full Service Partnerships and general behavioral health services and supports).
2. 适用人群
有资格获得《行为健康服务法》住房的人包括儿童、青少年、成年人和老年人。 《精神健康服务法案》唯一重大变化是增加了物质使用障碍患者。
3. 住房干预的类型
有资格获得《行为健康服务法》资助的住房干预措施范围广泛，有助于满足目标人群的各种需求，并有助于提供稳定的住房（与护理相协调），以改善健康结果。 住房干预措施可能包括：
- 租房补贴
- 经营补贴
- 共享住房（例如康复住房）
- 家庭住房
- Medi-Cal 过渡租金的非联邦份额（联邦批准后）
- 其他，由 DHCS 定义
- 基于项目的住房援助，包括主租赁
- 资本发展项目：各县最多可使用 30% 中的 25%（即总额的 7.5%）用于住房干预，以支持资本
4. 立即使用《精神健康服务法》资金购买住房
There is a high degree of flexibility in how counties can use Mental Health Services Act funds for housing and housing supports. Several parts of a county’s current 2023-2026 plan could include housing:
- 社区服务和支持（CSS）
- 全方位服务合作伙伴关系
- 通用系统开发（GSD）
- 外联与参与
- 住房援助
- 精神健康服务法住房计划
- 没有地方像家一样
- 预防和早期干预
- 创新基金
- 资本设施和技术需求
Based on the FY 2022-23 Annual Revenue and Expenditure Report, counties are currently expending $286,284,868 on housing and housing supports under the Mental Health Services Act. For more information and specific examples of how each component or program can be used for housing and housing supports, check out How Can Mental Health Services Act be Used to Support Homeless Individuals?
5. 持续资助/一次性资助
有许多一次性的国家资助项目可能已经为许多有资格享受《精神健康服务法》/《行为健康服务法》住房基金服务的个人提供服务。 这些计划包括：
- Homekey; Homelessness, Housing, Assistance, and Prevention; No Place Like Home Program; Veterans Housing and Homelessness Prevention Program; Veteran Support to Self-Reliance Program; Encampment Resolution Funding; Family Homelessness Challenge Grants; Transitional Housing and Supplemental Program; Housing Navigators Maintenance Program; Pet Assistance and Support Program; Housing and Disability Advocacy Program; Home Safe; Bringing Families Home; CalWORKs Housing Support Program; Project Roomkey; Community Care Expansion; Behavioral Health Bridge Housing (through counties and tribal entities); and the Housing and Homelessness Incentive Program (through Medi-Cal managed care plans).
6. 整合资金
鼓励当地受助者将《精神健康服务法》/《行为健康服务法》资金与其他资源结合起来，包括：
- Medi-Cal（通过 Medi-Cal 管理式医疗计划）
- Medi-Cal 住房相关社区支持，以及（如果获得联邦政府批准）过渡性租金和增强护理管理福利，以帮助个人获得住房支持和服务
- 郡县调整
- 联邦拨款
- CalVet 为县退伍军人服务人员提供心理健康补助金
- 提案 1 行为健康住房债券（20 亿美元用于提供住房和服务）
- 其他住房和无家可归者联邦、州和地方基金，例如公共住房管理局
- 来自慈善和私人来源的资金
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