BOS-2026-40 : Adopt Resolution rescinding Resolution No. BOS-2024-45, and delegating authority to the County Executive, or designee, to negotiate, execute, amend, or terminate agreements for behavioral health subacute and community residential treatment services in an amount not to exceed $52,265,309 per fiscal year for period July 1, 2025 through June 30, 2027, following approval by County Counsel as to form and legality, and approval by the Office of the County Executive. Delegation of authority shall expire on June 30, 2027. (LA)

County of Santa Clara Santa Clara Valley Health & Hospital System Behavioral Health Services Department 128074 DATE: April 14, 2026 TO: Board of Supervisors FROM: Sherri Terao, Director, Behavioral Health Services SUBJECT: Amendment to Behavioral Health Subacute and Community Residential Treatment Services RECOMMENDED ACTION Adopt Resolution rescinding Resolution No. BOS-2024-45, and delegating authority to the County Executive, or designee, to negotiate, execute, amend, or terminate agreements for behavioral health subacute and community residential treatment services in an amount not to exceed $52,265,309 per fiscal year for period July 1, 2025 through June 30, 2027, following approval by County Counsel as to form and legality, and approval by the Office of the County Executive. Delegation of authority shall expire on June 30, 2027. (LA) FISCAL IMPLICATIONS The requested $6,265,309 increase to the Delegation of Authority (DOA) is necessary due to rising rates for subacute and community residential treatment services and an increase in service levels and need for these types of beds. The $6,265,309 increase in expenditures has been approved as part of Behavioral Health Services...

RESOLUTION NO. ------- RESOLUTION OF THE BOARD OF SUPERVISORS OF THE COUNTY OF SANTA CLARA RESCINDING RESOLUTION NO. BOS-2024-45 AND DELEGATING AUTHORITY RELATING TO BEHAVIORAL HEALTH SUBACUTE AND COMMUNITY RESIDENTIAL TREATMENT SERVICES FOR THE BEHAVIORAL HEAL TH SERVICES DEPARTMENT WHEREAS, the Behavioral Health Services Department (BHSD) serves as the administrator for the County's Mental Health Plan (MHP) and is obligated to provide or arrange for behavioral health services for beneficiaries under the Short-Doyle Act (SD) and Behavioral Health Services Act; WHEREAS, BHSD is required by state and federal law to build a care delivery system that ensures the availability of behavioral health services to meet timely access and network adequacy standards for beneficiaries; WHEREAS, BHSD has conducted extensive fiscal and operational planning for the implementation of payment reform including engagement with County-contracted providers; WHEREAS, in February 2022, the Board of Supervisors declared mental health and substance use as a public health crisis in Santa Clara County; WHEREAS, the Board of Supervisors committed to the County to expanding investments it has already made in...