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Mental Health Services Act (MHSA)

In November 2004, California voters passed Proposition 63, the Mental Health Services Act (MHSA). The MHSA provides for a 1% tax on taxable personal income over $1 million. MHSA tax revenues will be distributed to California counties through a contract with the California Department of Health Care Services (DCHS). The MHSA calls for a transformed behavioral health system where access is easier, services are more effective, out-of-home and institutional care are reduced, and stigma toward those with severe mental illness or serious emotional disturbance no longer exists. Through the provisions of the MHSA, California counties worked with stakeholders to create a comprehensive, state-of-the-art, culturally competent behavioral health services system that promotes recovery/wellness for adults and older adults with severe mental illness, and resiliency for children and youth with serious emotional disorders and their families.

Thank you to everyone who submitted comments during the required 30-day public period in review of the MHSA Draft Plans.  Please use the following links to access the Department's responses to the comments received and the actions that will take place.   All revisions to the Draft Plans appear in red.  
30-Day Public Comments and BHSD Response

To access the DRAFT Mental Health Services Act (MHSA) FY 2020 Annual Update to the FY18-20 Three Year Plan (Draft Plan Update), please use the following links:
                 FY20 State Fiscal Forms
To access the DRAFT Mental Health Services Act (MHSA) FY 2021 - FY 2023 Programs and Expenditure Plan (Draft Three Year Plan), please use the following links:
                  FY21-23 MHSA Three Year Plan (Revised)
                  FY21-23 MHSA State Fiscal Forms
                  Community Program Planning Process Evaluation (Palo Alto University)
The next planned event is the Board of Supervisors virtual meeting on June 2, 2020.  Use this link  for more information:
Current Timeline


To read the most up-to-date information regarding COVID-19, this is the link to the County of Santa Clara Public Health Department:

Please use the links below to access FY19 MHSA Annual Plan Documents:

Behavioral Health Services Department presents the approved and adopted FY18 - FY20 MHSA Program and Expenditure Plan. The Plan, which includes the Reversion Plan, was unanimously approved by the Santa Clara County Board of Supervisors on June 19, 2018 at their general meeting.  Please use the following links to access the adopted Three-Year Plan.

FY 16-17 MHSA Annual Update Adopted
FY17 MHSA Annual Update Presentations

MHSA Innovation

Please send all comments/questions to:​​

Evelyn Castillo Tirumalai, MPH
Mental Health Services Act (MHSA) Senior Manager​
Phone: 1 408-885-5785
Fax: (408) 885‐5789​


Last updated: 5/29/2020 4:53 PM