Mental Health Services Act

The passing of Proposition 63 provided the first opportunity in many years to expand county mental health programs for all populations: children, transition-age youth, adults, older adults, families, and especially, the un-served and under-served. It was also designed to provide a wide range of prevention, early intervention, and treatment services, including the necessary infrastructure, technology, and enhancement of the mental health workforce to effectively support the system. There are five fundamental guiding principles outlined in the Mental Health Services Act (MHSA) regulations:

The MHSA requires that each county mental health program shall prepare and submit a three-year plan which shall be updated at least annually and adopted by the county Board of Supervisors. The MHSA Three Year Program and Expenditure Plan is a comprehensive document that summarizes the Community Planning Process, communicates recommendations that will be inclusive of new program requests, deletion of programs, consolidation and/or enhancements of programs, and fiscal changes.

In accordance with MHSA regulations, County Behavioral Health Departments are required to submit a program and expenditure plan (program description and budget) and update it on an annual basis, based on the estimates provided by the State and in accordance with established stakeholder engagement and planning requirements.

For more information about Butte County Full Service Partnership programming, which is the largest funded MHSA Program, please visit Full Service Partnership Program.

Introduction to MHSA

This video serves to provide the viewer with a basic introduction to the Mental Health Services Act, also known as MHSA. The viewers will learn about how the Act came to be, it's guiding principles, it's funding characteristics and how Butte County implements the Act on a local level.

MHSA Steering Committee

The MHSA Steering Committee explores opportunities to support the inclusion of the community voice and vision into Butte County’s projects that are funded through the MHSA. This Committee will provide insight and have meaningful involvement in infusing the MHSA guiding principles into all aspects of project development and program oversight. If you would like more information about the Steering Committee, be sure to sign up for our email list above.

Butte County Behavioral Health is seeking stakeholders from agencies, community members, and consumers/family members to be a part of the MHSA Steering Committee.

Butte County MHSA Program and Expenditure Plans

Annual MHSA Revenue and Expenditure Reports

Counties are required to report every year on the MHSA revenues they receive, the expenditures they make on MHSA programs (including other funding sources, such as Medi-Cal Federal Financial Participation, Realignment funds, and other funding sources), and the end-of-year MHSA funds left over. See the California Code of Regulations (CCR) Title 9, Section 3510.

View Annual Revenue and Expenditure Reports.


If you would like to provide comments, community or stakeholder input on the MHSA, or have any questions, please contact:

Samuel Casale
Mental Health Services Act Coordinator
3217 Cohasset Road
Chico, CA 95973
Phone: 530-891-2810
Email Samuel Casale