Proposition 1 (2024) Behavioral Health Services Act and Behavioral Health Infrastructure Bond Act

Back to Policy Issues
By
Rachael Serrao
Date Published
March 28, 2025

CSAC will continue its advocacy focus on Proposition 1 planning and implementation efforts through active participation on advisory workgroups with the Administration and stakeholders in the development of policies, guidance, and processes to implement this significant reform of the Mental Health Services Act in the best interests of all 58 counties. 

The state has made significant one-time investments in behavioral health housing, children’s behavioral health services, and the CalAIM initiative. However, behavioral health policy changes with significant ongoing impacts to counties are forthcoming under Proposition 1 as approved by the voters in March 2024. To successfully leverage investments and to make transformative change requires addressing the underlying county mental health plan funding shortfalls, and the expanding set of roles and responsibilities on county agencies continues to create challenges for successful progress.  

CSAC will advocate for policy guidance providing as much flexibility as possible to counties to meet each jurisdiction’s unique needs. CSAC advocated to secure the $85 million included in the 2024 Budget Act for county behavioral health administrative costs for initial planning efforts associated with the Behavioral Health Services Act (BHSA). CSAC will continue its advocacy efforts to ensure counties are adequately resourced to implement this complex, multi-year initiative. Further, CSAC will continue to actively engage on implementation efforts related to the $6.4 billion in bond funding authorized under the Behavioral Health Infrastructure Bond Act component of Proposition 1. CSAC will also continue its participation on the statutorily required BHSA Revenue Stability Workgroup to assess and recommend solutions to reduce the revenue volatility inherent in the BHSA. 

CSAC will also continue to advocate for behavioral health workforce assistance and adequate, sustained funding to match new responsibilities included in initiatives such as the CARE Act, the multi-year effort to develop a comprehensive statewide 988 system, and the resources to support the expansion of the Lanterman-Petris-Short Act required under SB 43 (Chapter 637, Statutes of 2023). 

Presentations

April 2024 CSAC Legislative Conference:


Resources


DHCS Publications:


Health Care Access and Information (HCAI) Publications:


Funding Opportunities

Webinars & Listening Sessions:

Upcoming

  • November Public Listening Session
    November 04, 2024 | Webinar
    Behavioral Health Services and Support
    Registration
  • October Public Listening Session
    October 30, 2024 | Webinar
    Full-Service Partnership
    Registration
  • CDPH Expert Advisory Panel Meeting #1 – POSTPONED TO DECEMBER 11
  • ​​CDPH Expert Advisory Panel Meeting #2
    December 11, 2024, 2 PM – 4:30 PM | Zoom
    Registration link and agenda coming soon

Past Recordings

Issue Brief: County Behavioral Health

Other Behavioral Health Transformation Resources: