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Mental Health Services Act


In 2004, California voters approved Proposition 63 and the MHSA was enacted in 2005 by placing a one percent tax on personal income above $1 million. It 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, most especially, the unserved 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 support it. However, the economy took a severe downturn soon after Proposition 63 passed, and instead of experiencing a growth in the continuum of services, in many cases service levels could only be sustained since Proposition 63 money was often the only stable source of funds. Proposition 63 began as approximately 10% of the entire public mental health budget; it now comprises approximately 24%.



Current Meetings

Video: Orange County Three Year Program and Expenditure Plan Overview FY 2023-24 through FY 2025-26


"The County shall adopt the following standards in planning, implementing, and evaluating the programs and/or services provided with Mental Health Services Act (MHSA) funds. The planning, implementation and evaluation process includes, but is not limited to, the Community Program Planning Process...and the manner in which the County delivers services and evaluates services delivery."


What's New

                 FINAL VERSION



MHSA Components


 Community Services & Supports (CSS)  Community Services & Supports  Prevention and Early Intervention (PEI)  Prevention and Early Intervention
Workforce Education and Training Behavioral Health Training Services Capital Facilities and Technology Capital Facilities and Technology
MHSA Housing MHSA Housing Innovation Innovation

At A GlanceNew

In early November 2004, California voters passed Proposition 63, the Mental Health Services Act, (MHSA) with 53.4% of the vote. Now, through the provisions of the MHSA, the challenges become the opportunities to fund a community mental health system that adequately meets the needs of children, adults, and older adults with serious mental illness and reduces the long-term adverse impact resulting from untreated serious mental illness.