BHSA Plan open for public comment Feb 27–Mar 30, 2026. Share feedback through the electronic surveys below.
In 2004, California voters passed the Mental Health Services Act (MHSA) to improve mental health care across the state. Funded by a 1% tax on personal income over $1 million, MHSA helped expand services for people with serious mental health needs and supported prevention, early intervention, and system improvements.
In 2024, voters approved the Behavioral Health Services Act (BHSA), which replaces MHSA. BHSA is California’s updated framework for planning and funding behavioral health services.
- Prioritize services for people with the most significant mental health needs
- Adds treatment for substance use disorders (SUD)
- Expands housing and supportive services
- Improves transparency and accountability
- Promotes equity and reduces disparities in care
These changes help ensure that people in San Bernardino County and across California, especially those with the most urgent behavioral health needs, can access the right care, at the right time, in the right place.
| BHSA Priorities *NEW* | MHSA Priorities |
|---|---|
| Housing Interventions | Community Program Planning (CPP) |
| Full Service Partnerships | Prevention and Early Intervention (PEI) |
| Behavioral Health Services and Supports | Community Services and Supports (CSS) |
| Innovation | |
| Workforce Education and Training (WET) | |
| Capital Facilities and Technology Needs |
Community Program Planning (CPP)
All community members, consumers, family members, service providers, advocates, and partner organizations. Your lived experience has power. The people who build behavioral health programs need to understand what life looks like for you — what’s working, what’s not, and what could help make it better. Data can show numbers, but only you can show what those numbers mean. Every story adds another piece to the picture of what recovery and community strength really look like.
Each Integrated Plan shall be developed with local Stakeholders, including, but not limited to, all of the following:
| Eligible adults and older adults | Families of eligible children and youth, eligible adults, and eligible older adults | Youths or youth mental health or substance use disorder organizations | Providers of mental health services and substance use disorder treatment services | Public safety partners, including juvenile justice agencies | Local education agencies |
| Higher education partners | Early childhood organizations | Local public health jurisdictions | County social services and child welfare agencies | Local representative organizations | Veterans |
| Representative from Veterans organizations | Health care organizations, including hospitals | Health care service plans, including Medi-Cal managed plans | Disability insurers | Tribal and Indian Health Program designees | The five most populous cities in counties with a population greater than 200,000 |
| Area agencies on aging | Independent living centers | Continuums of care, including representatives from the homeless service provider community | Regional centers | Emergency medical services | Community-based organizations serving culturally and linguistically diverse constituents |
*Bold indicates a newly added stakeholder group under BHSA.
You may submit comments during the 30-day public comment period, which runs from February 27 through March 30.
Public comments may be provided in the following ways:
- Complete the Electronic Survey:
- Complete a Stakeholder Comment Form:
- Stakeholder Comment Form–English
- Stakeholder Comment Form–Spanish
- Submit the complete form by:
- Email: MHSA@dbh.sbcounty.gov
- Mail: Mental Health Services Act Administration, 1950 S. Sunwest Lane, Suite 200, San Bernardino, CA 92415
- Attend a BHSA Community Information and Feedback Session
- Call the MHSA/BHSA Administration Office at (909) 252-4021
Housing Interventions = 30%
50% must be used to support the housing needs of individuals who are chronically homeless, with a focus on those in encampments.
Up to 25% may be used for capital development projects.
Housing Interventions funding allows counties to develop an ongoing behavioral health housing program to increase access to permanent supportive housing for people meeting BHSA eligibility who are chronically homeless, experiencing homelessness, or are at risk of homelessness.
Housing Priorities:
- Reduce homelessness among BHSA-eligible individuals experiencing homelessness with a behavioral health condition.
- Provide individuals with permanent supportive housing
- Provide flexibility for counties to respond to local conditions and needs, and to innovate.
- Provide individuals receiving Housing Interventions access to clinical and supportive behavioral health services.
Full Service Partnerships (FSP) = 35%
Full Service Partnership (FSP) programs offer individualized, recovery‑focused care for people with significant behavioral health needs. Using a “whatever it takes” approach, multidisciplinary teams work with individuals and their natural supports to help them succeed.
FSPs are required to make the following services available:
- Mental health and supportive services
- Substance use disorder (SUD) services, including ASAM screening and medication‑assisted treatment (MAT) or referral
- Assertive Community Treatment (ACT) and Forensic ACT (FACT)
- Intensive Case Management (ICM)
- Supported Employment using the IPS model
- High Fidelity Wraparound (HFW)
- Field‑based SUD engagement
- Outpatient evaluation and stabilization services
- Ongoing engagement and service planning, including peer support, transportation, and housing support
FSP programs follow a standardized model of care and adjust service levels based on each person’s needs.
Behavioral Health Services and Supports (BHSS) = 35%
BHSS Categories:
- Children’s, Adult, and Older Adult Systems of Care
- Outreach and Engagement
- Workforce Education and Training
- Capital Facilities and Technological Needs
- Early Intervention Programs
- Innovative Behavioral Health Pilots and Projects
Early Intervention Focus:
- At least 51% of BHSS funds must support Early Intervention programs, and 51% of that must serve individuals age 25 and under.
- Counties are required to fund Early Intervention programs, which identify and address behavioral health concerns early—before they become more serious.
County Early Intervention priorities:
- Addressing childhood trauma
- Early detection and treatment for psychosis and mood disorders
- Outreach to early childhood (0–5), out‑of‑school youth, and secondary school youth
- Partnerships with community organizations, colleges, and SUD programs
- Culturally responsive, linguistically appropriate services
- Supports for older adults’ behavioral health needs
- Services for young children (0–5), including infant and early childhood mental health consultation
- Strategies that promote equity and reduce disparities
- Support for individuals at high risk of crisis
Past Plans and Reports
FY 25/26 MHSA Annual Plan Update
FY 24/25 MHSA Annual Plan Update
Fiscal Year 2022-23
Fiscal Year 2021-22
County BOS Approval Fiscal Year 2021-22
COVID-19 Response 2020
Fiscal Year 2019-20
County BOS Approval Fiscal Year 2019-20
Fiscal Year 2019-20 Amendment
Fiscal Year 2018-19
County BOS Approval Fiscal Year 2018-19
Fiscal Years 2023-2024 through 2025-2026
County BOS Approved Plan (June 2023)
Fiscal Years 2020-2021 through 2022-2023
Approved Plan (June 2020)
County BOS Approval Fiscal Years 2020-21 through 2022-2023
Fiscal Years 2017-18 through 2019-20
Approved Plan (July 2017)
County BOS Approval Fiscal Years 2017-18 through 2019-20
PIVOT Project Innovation Plan 2025
Peer Housing Project Innovation Plan 2025
Innovation Plan 2023
Innovation Plan 2019
Innovation Plan 2019 Combined Attachments
2018 InnROADs Project Plan
Multi-County FSP Innovation Project Final Report FY 24/25
InnROADS Final Project Report FY 24/25
RBEST Innovation Project Final Report – Executive Summary 2021
RBEST Innovation Project Final Report 2021 – Full Report
The STAY Innovation Project Final Report