DATE:
March 25, 2026
26
TO:
Board of Supervisors
SUBJECT
Title
RECEIVE UPDATE AND PRESENTATION FROM THE AD HOC SUBCOMMITTEE ON SOCIAL SAFETY NET AND BEHAVIORAL HEALTH SYSTEMS TRANSFORMATION (DISTRICTS: ALL)
Body
OVERVIEW
On August 26, 2025 (24), the San Diego County Board of Supervisors established the Ad Hoc Subcommittee on Social Safety Net and Behavioral Health Systems Transformation (Ad Hoc Subcommittee) and directed it to advise the Board on two priority areas: developing a coordinated Countywide response to anticipated federal changes to public benefits eligibility systems, and guiding the multi-year transformation of Behavioral Health Services (BHS) into a standalone organizational structure.
Since its establishment, the Ad Hoc Subcommittee has remained actively engaged, with staff from respective Board offices meeting with County of San Diego (County) staff to provide strategic guidance, monitor progress, and ensure alignment with the Board's direction. This consistent engagement has enabled early identification of enterprise-wide focus areas, support for operational readiness planning, and coordinated development of assessments related to both federal public benefits changes and BHS structural transformation.
To prepare for this work, County staff executed a contract with Precision Health Strategies on January 15, 2026, securing specialized expertise to conduct an in-depth assessment of the operational, fiscal, and equity impacts of H.R. 1 on the County and inform strategies to prepare for potential changes to Medi-Cal, CalFresh, and other social safety net eligibility systems. This collaboration has provided critical technical capacity to evaluate federal requirements, model potential impacts on County service delivery, and support the development of a coordinated Countywide response. This work was presented at the Ad Hoc Subcommittee meeting on February 11, 2026.
Today's item requests that the Board receive an update from the Ad Hoc S...
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