Integrated Plans for Prevention, Innovation, and System of Care Services. (

a) Each county mental health program shall prepare and submit a three-year program and expenditure plan, and annual updates, adopted by the county board of supervisors, to the Behavioral Health Services Oversight and Accountability Commission and the State Department of Health Care Services within days after adoption. (

b) The three-year program and expenditure plan shall be based on available unspent funds and estimated revenue allocations provided by the state and in accordance with established stakeholder engagement and planning requirements, as required in

Section 5848. The three-year program and expenditure plan and annual updates shall include all of the following:

(1) A program for prevention and early intervention in accordance with

Part 3.6 (commencing with

Section 5840).

(2) A program for services to children in accordance with

Part 4 (commencing with

Section 5850), to include a program pursuant to

Chapter 4 (commencing with

Section 18250) of Part of Division or provide substantial evidence that it is not feasible to establish a wraparound program in that county.

(3) A program for services to adults and seniors in accordance with

Part 3 (commencing with

Section 5800).

(4) A program for innovations in accordance with

Part 3.2 (commencing with

Section 5830).

(5) A program for technological needs and capital facilities needed to provide services pursuant to

Part 3 (commencing with

Section 5800),

Part 3.6 (commencing with

Section 5840), and

Part 4 (commencing with

Section 5850). All plans for proposed facilities with restrictive settings shall demonstrate that the needs of the people to be served cannot be met in a less restrictive or more integrated setting, such as permanent supportive housing.

(6) Identification of shortages in personnel to provide services pursuant to the above programs and the additional assistance needed from the education and training programs established pursuant to

Part 3.1 (commencing with

Section 5820).

(7) Establishment and maintenance of a prudent reserve to ensure the county program will continue to be able to serve children, adults, and seniors that it is currently serving pursuant to

Part 3 (commencing with

Section 5800), the Adult and Older Adult Mental Health System of Care Act,

Part 3.6 (commencing with

Section 5840), Prevention and Early Intervention Programs, and

Part 4 (commencing with

Section 5850), the Children’s Mental Health Services Act, during years in which revenues for the Behavioral Health Services Fund are below recent averages adjusted by changes in the state population and the California Consumer Price Index.

(8) Certification by the county behavioral health director, which ensures that the county has complied with all pertinent regulations, laws, and statutes of the Mental Health Services Act, including stakeholder participation and nonsupplantation requirements.

(9) Certification by the county behavioral health director and by the county auditor-controller that the county has complied with any fiscal accountability requirements as directed by the State Department of Health Care Services, and that all expenditures are consistent with the requirements of the Mental Health Services Act. (

c) The programs established pursuant to paragraphs (2) and (3) of subdivision (

b) shall include services to address the needs of transition age youth to years of age, inclusive. In implementing this subdivision, county mental health programs shall consider the needs of transition age foster youth. (

d) Each year, the State Department of Health Care Services shall inform the County Behavioral Health Directors Association of California and the Behavioral Health Services Oversight and Accountability Commission of the methodology used for revenue allocation to the counties. (

e) Each county mental health program shall prepare expenditure plans pursuant to

Part 3 (commencing with

Section 5800) for adults and seniors,

Part 3.2 (commencing with

Section 5830) for innovative programs,

Part 3.6 (commencing with

Section 5840) for prevention and early intervention programs, and

Part 4 (commencing with

Section 5850) for services for children, and updates to the plans developed pursuant to this section. Each expenditure update shall indicate the number of children, adults, and seniors to be served pursuant to

Part 3 (commencing with

Section 5800) and

Part 4 (commencing with

Section 5850) and the cost per person. The expenditure update shall include utilization of unspent funds allocated in the previous year and the proposed expenditure for the same purpose. (

f) A county mental health program shall include an allocation of funds from a reserve established pursuant to paragraph (7) of subdivision (

b) for services pursuant to paragraphs (2) and (3) of subdivision (

b) in years in which the allocation of funds for services pursuant to subdivision (

e) are not adequate to continue to serve the same number of individuals as the county had been serving in the previous fiscal year. (

g) The department shall post on its internet website the three-year program and expenditure plans submitted by every county pursuant to subdivision (

a) in a timely manner. (h)

(1) Notwithstanding subdivision (a), a county that is unable to complete and submit a three-year program and expenditure plan or annual update for the 2020–21 or 2021–22 fiscal years due to the COVID-19 Public Health Emergency may extend the effective timeframe of its currently approved three-year plan or annual update to include the 2020–21 and 2021–22 fiscal years. The county shall submit a three-year program and expenditure plan or annual update to the Behavioral Health Services Oversight and Accountability Commission and the State Department of Health Care Services by July 1, 2022.

(2) For purposes of this subdivision, “COVID-19 Public Health Emergency” means the federal Public Health Emergency declaration made pursuant to

Section 247d of Title of the United States Code on January 30, 2020, entitled “Determination that a Public Health Emergency Exists Nationwide as the Result of the Novel Coronavirus,” and any renewal of that declaration. (

i) Notwithstanding paragraph (7) of subdivision (

b) and subdivision (f), a county may, during the 2020–21 and 2021–22 fiscal years, use funds from its prudent reserve for prevention and early intervention programs created in accordance with

Part 3.6 (commencing with

Section 5840) and for services to persons with severe mental illnesses pursuant to

Part 4 (commencing with

Section 5850) for the children’s system of care and

Part 3 (commencing with

Section 5800) for the adult and older adult system of care. These services may include housing assistance, as defined in

Section 5892.5, to the target population specified in

Section 5600.3. (

j) Notwithstanding

Chapter 3.5 (commencing with

Section 11340) of Part of Division of Title of the Government Code, the department, without taking any further regulatory action, may implement, interpret, or make specific subdivisions (

h) and (

i) of this

section and subdivision (

i) of

Section by means of all-county letters or other similar instructions. (

k) If amendments to the Mental Health Services Act are approved by the voters at the March 5, 2024, statewide primary election, this

section shall become inoperative on July 1, 2026, and as of January 1, 2027, is repealed.