As 2024 comes to a close, we want to express our deepest gratitude for your partnership, advocacy, and collaboration. Together, we’ve made remarkable strides in transforming California’s health care system, advancing innovative programs, and ensuring that equitable, quality, and person-centered care reaches Californians who need it most.​​ 

今年是大胆行动的一年，从具有历史意义的 1 号提案的通过（该提案正在改变我们的行为健康护理系统），到加州推进和创新医疗保险（CalAIM）下的 "强化护理管理"（ECM）和 "社区支持 "的持续扩展。这些新服务超越了医疗需求，解决了影响健康的关键社会因素，如住房、食品安全和交通，并确保为我们的服务对象提供更全面的护理。​​ 

A key focus for DHCS this year has been on building new systems of care that reflect urgency, accountability, and innovation. Through the Behavioral Health Continuum Infrastructure Program (BHCIP), we are addressing long-standing gaps in behavioral health service treatment sites. The importance of funding and opening new behavioral health facilities and launching new bond-funded projects cannot be overstated. These new facilities, beds, and services are vital for meeting the needs of Californians facing mental health and substance use disorder challenges. Moving quickly and efficiently is not just a goal; it’s a necessity.​​ 

We also emphasized accountability across all initiatives to ensure resources are used effectively and outcomes improve. Whether through publishing quality ratings and imposing quality-related sanctions for Medi-Cal managed care plans (MCP) or implementing new initiatives like the Health Equity Roadmap, our focus remains on delivering quality care that is innovative, effective, and equitable.​​ 

Additionally, we completed a two-year public awareness campaign to educate diverse communities across the state about Medi-Cal enrollment and renewal, while highlighting the new and improved benefits and services available. This multi-faceted effort spanned across several counties, media markets, and formats to educate California’s historically hard-to-reach and underserved communities.​​ 

下面，我们将自豪地分享2024 年的十大亮点，展示我们今年共同取得的重要成就。这些里程碑不仅反映了合作的力量，也反映了我们为实现共同愿景而共同努力时所能产生的影响。​​ 

1. P​​ 职位 1/行为健康转型​​ 

California made history with the passage of Proposition 1, a landmark initiative that paves the way for a massive overhaul of California’s behavioral health system. The measure, championed by Governor Gavin Newsom, also allocates $4.4 billion in bond funding to DHCS to create new treatment beds and outpatient facilities. Together these investments will expand services for individuals with severe mental health and substance use disorders, including people experiencing homelessness, at risk of incarceration, and youth in foster care.​​ 

自该倡议于 2024 年 3 月通过以来，DHCS 针对这些新的债券资金启动了首次申请请求 (RFA)，即提案 1 BHCIP 债券第一轮：启动准备，提供高达 33 亿美元的竞争性赠款资金，用于扩展全州的关键基础设施。包括城市、县、部落实体和非营利组织在内的受资助者计划利用这些资金建造和修复设施，为社区提供急需的服务，反响十分热烈。健康与社会服务部还推出了《行为健康转型政策手册》模块，该模块完成后将为各县提供互动指导，以便根据公众反馈意见制定和实施综合行为健康计划。这些工作强调问责制和透明度，确保 1 号提案在护理方面带来可衡量的改善。这些举措与当地合作伙伴的重要贡献一起，为所有加州人建立一个更公平、更便捷、更有针对性的行为健康护理系统奠定了基础。​​ 

2. BHCIP 奠基及剪彩​​   

今年是扩大行为健康基础设施的里程碑，因为 DHCS 和当地合作伙伴庆祝了由BHCIP拨款资助的几个治疗设施的破土动工。最初的 BHCIP 项目得到了 2021 年授权的 17 亿美元资金的支持，解决了该州在提供精神健康和药物使用障碍治疗能力方面的关键差距。从莫德斯托和奥克兰到洛杉矶和因迪奥，这些设施正在破土动工，为加州人民服务。有了 1 号提案的资助，更多的设施将开始建设，从而扩大医疗服务的可及性，并为整个加州的行为健康服务奠定更坚实的基础。​​ 

3. 司法介入重返社会计划​​ 

California became the first state in the nation to implement a federally approved CalAIM Justice-Involved Reentry Initiative, providing essential Medi-Cal services to individuals in jails and correctional facilities during the 90 days before their release. This groundbreaking program aims to ensure smoother transitions back into the community while addressing significant health equity gaps. As of October 1, three counties—Inyo, Santa Clara, and Yuba—began delivering these services, with all counties required to implement the initiative by 2026. By focusing on preventive care and continuity of services, the program helps reduce recidivism and supports better health outcomes for justice-involved individuals.​​ 

4. BrightLife Kids 和 Soluna 应用发布​​ 

To address youth mental health needs, Governor Newsom called for virtual platforms to ensure young people and their caregivers could more easily access mental health supports. In response, DHCS introduced two innovative apps: BrightLife Kids for children ages 0–12 and Soluna for teens and young adults ages 13–25. These apps provide a vital new way for families to access professional mental health support, offering services in English, Spanish, and other Medi-Cal threshold languages. The apps deliver coaching and resources tailored to the needs of young people and their caregivers, empowering families with tools to navigate mental health challenges and improve overall well-being.​​ 

5. 加强护理管理（ECM）和社区支持​​ 

作为 CalAIM 的一部分，ECM和社区支持服务正在改变 Medi-Cal 为有复杂需求的成员提供护理的方式。通过解决影响健康的医疗和社会因素（如住房、交通和营养），这些福利和服务提供了一种以人为本的方法，从而改善了整体的健康状况。自 2022 年 1 月启动以来，已有 244,750 名会员领取了 ECM 福利，与 2023 年 4-6 月相比，2024 年 4-6 月（127,024 名会员）增加了 50%。此外，约有 23.95 万名会员获得了社区支持服务，比 2023 年 4-6 月增加了 120%。2024 年，DHCS 将这些服务扩展到更多的县，并将 ECM 资格扩展到两个新的重点人群：怀孕和产后的个人以及涉及司法的人员。​​ 

6.P​​ 提供获取和转变健康 (PATH) 能力以及基础设施、转型、扩展和发展 (CITED) 补助金​​ 

PATH-CITED计划向 133 个组织提供了 1.466 亿美元的资金，这是 Medi-Cal 服务系统的一个里程碑。这些补助金重点用于劳动力发展、技术和基础设施建设，使新的和现有的医疗服务提供者有能力兑现 CalAIM 的承诺，提供协调的、以人为本的医疗服务。迄今为止，DHCS 已向全州 300 多家机构提供了超过 3.9 亿美元的资金，增强了它们提供全人护理的能力。最后一轮资助将于 2025 年初启动，这再次表明加州致力于扩大基本医疗服务的可及性。​​ 

7. Medi-Cal MCP 质量评级​​ 

DHCS continues to hold MCPs accountable for performance. In 2024, DHCS published the third annual quality ratings for MCPs and, for the first time, county behavioral health plans. DHCS imposed monetary sanctions on underperforming MCPs while also offering support to help them improve performance. These measures built on the new MCP standardized contract, effective January 1, 2024, which set goals for plans to meet or exceed national quality standards and enhanced health equity requirements. The ratings and sanctions are part of DHCS’ Bold Goals 50×2025 initiative, which aims to improve health outcomes in areas such as child health, behavioral health integration, and preventive care.​​ 

8. 健康公平路线图倡议之旅​​ 

In partnership with the California Health Care Foundation, DHCS launched the Health Equity Roadmap to address health disparities among Medi-Cal members, particularly Black, Indigenous, and other communities of color. This initiative began with a statewide listening tour, during which DHCS experts heard directly from Medi-Cal members about their experiences and challenges with accessing care. The information gleaned during the listening tour will inform the design of a final Health Equity Roadmap, which will lay out specific, actionable items aimed at rooting out systemic racism and eliminating health inequities and disparities. By incorporating community feedback, the roadmap will prioritize culturally appropriate, patient-centered solutions, ultimately building a stronger, more inclusive health care system for all Californians.​​ 

9.T​​ 传统治疗师和自然助手​​ 

作为一个历史性的里程碑，加州医疗保险（Medi-Cal）现在涵盖了由传统治疗师和自然帮助者提供的以文化为中心的药物使用障碍治疗服务。这一具有里程碑意义的政策变化使加利福尼亚州成为仅有的四个为传统医疗保健做法提供医疗补助报销的州之一。美国印第安人和阿拉斯加原住民社区将受益于通过部落医疗诊所、城市印第安人组织和其他医疗服务提供者扩大的基于文化的医疗服务。这一变化标志着将传统习俗融入现代医疗体系的新篇章。​​ 

10. 行为健康社区公平护理和治疗组织网络（BH-CONNECT）​​ 

Last but not least, DHCS wrapped up the year with federal approval of the BH-CONNECT initiative, reinforcing California’s effort to build a stronger, community-focused network of behavioral health care. BH-CONNECT fills critical service gaps, provides transitional rent to stabilize those with severe mental health and substance use needs, strengthens access to evidence-based services, rewards counties for expanding care and improving outcomes, and invests $1.9 billion to grow the behavioral health workforce. These reforms are key pillars of the broader behavioral health transformation, ensuring more Californians receive the right care, in the right place, at the right time.​​ 

所有这些成就的取得，都是通过 DHCS 团队的奉献和辛勤工作才得以实现的——超过 4,000 名成员致力于为加州人民服务。 当我们回顾这些成就时，我们期待在 2025 年继续共同努力，为所有人打造一个健康的加利福尼亚。 感谢您的合作以及为改变生活所做出的持续承诺。​​