As the cooler temperatures set in and we transition from summer to fall, new transitions are happening within the Sacramento County Department of Health Services. The County is preparing for the rollout of the Behavioral Health Services Act (BHSA), a major shift in how behavioral health programs are structured, overseen and funded which will take effect on July 2026.
In 2024, California voters passed Proposition 1, replacing the Mental Health Services Act (MHSA) with the BHSA. This shift brings significant changes to how behavioral health services are planned, delivered and funded. While BHSA introduces structural changes, it does not increase funding; instead, it reorganizes how funds are allocated and prioritized. Changes include:
- Streamlining services to reduce duplication and build a more connected and effective system of care
- Directing resources to those with the most significant mental health and substance use challenges
- Defining specific outcomes and reporting on progress
Over the past few months, the County launched a two-phase Community Planning Process where residents can share their thoughts on what’s working in the current system and where improvements are needed. These conversations will inform the Integrated Plan and ensure it reflects the voices and experiences of the people it’s meant to serve. Phase one is wrapping up with a community survey, which closes on Oct. 6. Residents are encouraged to share their input.
Another change that comes with BHSA is the creation of the Sacramento County Behavioral Health Commission. The commission advises the County Board of Supervisors and Department of Health Services on behavioral health policy, programs and services. It also provides a forum for community members to share input and stay engaged in local behavioral health planning. The Behavioral Health Commission holds a hybrid virtual/in-person meeting on the 4th Wednesday of each month from 6 p.m. - 8 p.m. The in-person location is 7001-A East Parkway, Conference Room 1 in Sacramento. To learn more about BHSA, the commission or take the survey visit the BHSA website.