Mental Health Services Act (MHSA)
The Mental Health Services Act, also known as MHSA, was a state law passed in 2004 designed to expand California's behavioral health system to better serve people living with serious mental health conditions, and loved ones who support them. Passage of the Behavioral Health Services Act (BHSA) in March 2024 will further transform care, with full implementation requirements effective July 1, 2026.
To learn more about the MHSA:
- MHSA Overview (Department of Health Care Services)
- MHSA’s Five Components (Department of Health Care Services)
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Notice of Initiation of 30-Day Public Review and Comment Period
RE: Mental Health Services Act Fiscal Year (FY) 2025-26 Annual Update
San Diego County is holding a 30-day public review and comment period for the Mental Health Services Act (MHSA) FY 2025-26 Annual Update (MHSA Annual Update). The review period begins April 1, 2025, and ends May 1, 2025, at the Behavioral Health Advisory Board (BHAB) meeting where final public comments will be heard. The MHSA Annual Update will go before the San Diego County Board of Supervisors on June 3, 2025, subject to change, for review and approval, as required by the Behavioral Health Services Oversight & Accountability Commission (BHSOAC), previously know as the Mental Health Services Oversight & Accountability Commission (MHSOAC). This year’s MHSA Annual Update is unique in that it is the final report that will be submitted to the State before counties across California transition to the new Behavioral Health Services Act (BHSA) that begins on July 1, 2026.
The FY 2025-26 MHSA Annual Update includes budgeted expenditures, and the number of individuals served for each service component. It also summarizes programmatic accomplishments in FY 2023-24, and budgetary changes from the MHSA Three Year Plan for FYs 2023-26. The MHSA service components include Community Services and Supports, Prevention and Early Intervention, Workforce Education and Training, Innovation, and Capital Facilities/Technological Needs.
Please review the MHSA Annual Update and send your comments, suggestions, and/or questions to either the MHSA voice message line, the email address below, or use the Public Comment link below:
2025 Mental Health Services Act 30-Day Public Comment Form
Mental Health Services Act Comment/Question Line:
Phone: 619-584-5063 / Toll-Free: 888-977-6763
Email: MHSProp63.HHSA@sdcounty.ca.gov
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Additional Information and Past Documents
Local MHSA Issue Resolution Process
For issues or concerns regarding the MHSA Plan or its implementation, please submit via voicemail or email to:
Phone: 619-584-5063
Toll Free: 888-977-6763
Email: MHSProp63.HHSA@sdcounty.ca.gov
All issues received will be forwarded to Consumer and Family Liaisons:
Consumer Center for Health Education & Advocacy (CCHEA)
110 S Euclid Ave., San Diego, CA 92114
Phone: 877-534-2524
Read the County of San Diego MHSA Issue Resolution Process to learn more.
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