DATE:
May 19, 2026
33
TO:
Board of Supervisors
SUBJECT
Title
AUTHORIZE ACCEPTANCE OF BOND BEHAVIORAL HEALTH CONTINUUM INFRASTRUCTURE PROGRAM GRANT FUNDS, WAIVE BOARD POLICY B-29, AND AUTHORIZE UNSPENT BEHAVIORAL HEALTH IMPACT FUNDS FOR DEVELOPMENT OF THE BEHAVIORAL HEALTH WELLNESS CAMPUS (DISTRICTS: ALL)
Body
OVERVIEW
In March 2024, California voters passed Proposition 1 that includes the Behavioral Health Services Act and the Behavioral Health Infrastructure Bond Act of 2023. This legislation authorized $6.38 billion in general obligation bonds to expand behavioral health treatment, residential care settings, and housing to support people with mental health conditions and substance use disorders. As part of Proposition 1, in July 2024, the California Department of Health Care Services (DHCS) released a request for applications for the Bond Behavioral Health Continuum Infrastructure Program (Bond BHCIP) Round 1: Launch Ready grant program that provided $4.4 billion in competitive grant funds to counties, cities, tribal entities, and nonprofit and for-profit entities for behavioral health capital infrastructure. The County of San Diego (County) Behavioral Health Services (BHS) applied for Bond BHCIP Round 1 funds. On May 6, 2025, BHS received a notice of a grant award, totaling $29.8 million of funding, for the Substance Use Residential and Treatment Services facility and Children's Crisis Residential Care facility.
In June 2025, DHCS released a second request for applications for the Bond BHCIP Round 2: Unmet Needs grant program, providing $800 million in competitive grant funds. BHS applied for and in March 2026, received notice of a conditional grant award totaling $99.5 million of funding to develop and construct a Behavioral Health Wellness Campus (Wellness Campus) that will provide a full, integrated continuum of care, inclusive of crisis stabilization, substance use residential treatment, long-term care, peer-focused social rehabilitation, an...
Click here for full text