Proposition 1 – An Overview
行為健康轉變
什麼是提案 1
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.
什麼是行為健康服務法？
行為健康服務法案取代了 2004 年的心理健康服務法案。 它改革行為健康護理資金，以優先為有最重要心理健康需求的人提供服務，同時增加藥物使用障礙（SUD）的治療，擴大住房干預，並增加行為健康勞動力。 它還增強了州和地方層級的監督，透明度和責任。 此外，《行為健康服務法案》通過促進公平和減少有行為健康需求的個人的差距，創建了通過促進公平的醫療服務的途徑來確保公平獲得照護。 這是提案 1 的一部分。
什麼是行為健康關係？
行為健康債券授權 64 億美元的債券，用於為行為健康治療床、支持住房、社區場地以及為有行為健康需求的退伍軍人住房資金：
- 美元 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.
- 美元 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.
- 剩餘的 1.972 億美元將由加州房屋和社區發展部（HCD）管理，以支持存在無家可歸和行為健康挑戰的風險或遇到無家可歸和行為健康挑戰的人士的永久支持住房。 在這筆金額中，1.065 億美元將用於退伍軍人。 所有這些努力都將利用有效的現有計劃，包括行為健康持續基礎設施計劃（BHCIP），Homekey 項目和退伍軍人住房和無家可歸預防計劃（VHHP）。
- 這是提案 1 的另一部分。
提案 1 如何改變心理健康服務法案？
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.
這些改變通過支持社區定義的實踐作為減少健康差異的關鍵策略，以促進文化響應的服務。 各縣必須展示他們如何策略性投資於早期干預並促進行為健康創新。
全州資源將支持：
- 以人口為基礎的預防程序，
- 勞動力投資，以擴大文化能力的行為健康勞動力。
- 在前五年，這些資金將用於投資 2.4 億美元的勞動力培訓。
- 監督和監控以提高透明度。
- 美元 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 將：
- 改善全州對行為健康服務的訪問性，專注於具有高需求和弱點的人，同時減少健康差異。
- 增加行為健康治療設施基礎設施。
- 為具有最重要行為健康需求的加利福尼亞人擴展住房服務和基礎設施。
- 通過擴大行為健康勞動力來增加投資。
- 擴大早期干預服務的投資，專注於兒童和青少年。
- 加強州和地方層面的監督和責任，以及對公眾的透明度。
提案 1 將如何影響面臨無家可歸人士的住房？
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 如何與其他行為健康計劃相關？
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:
- 針對相同的優先級群體。
- 投資以證據為基礎的實踐。
- 提供新的住房和住宅治療選項。
- 包括為行為健康勞動力提供的資金。
提案 1 的資金可以用來迫使人們進行非自願治療嗎？
不提案 1 對《燈籠曼-彼得里斯-短（LPS）法案》沒有更改，該法案規管非自願承諾的標準和程序。
提案 1 會增加稅嗎？
不，行為健康服務法案的資金與心理健康服務法案資助保持相同 —— 每年超過 100 萬美元的個人收入徵收 1％ 的所得稅。
提案 1 是否削減為嚴重精神疾病患者提供服務的資金？
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 是否將控制從縣轉移到州？
該州繼續與各縣攜手合作，以確保他們快速正確地對行為健康護理系統實施創新工具和現代化，以更好地為需要護理，支持，服務和治療的加利福尼亞人提供更好的服務。 現在各縣擁有一套強大的工具可用，可以幫助有需要的加利福尼亞人，並為他們提供他們所需的行為健康護理。
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