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(a) (1) Each integrated plan shall be developed with local stakeholders, including, but not limited to, all of the following:
(A) Eligible adults and older adults, as defined in Section 5892.
(B) Families of eligible children and youth, eligible adults, and eligible older adults, as defined in Section 5892.
(C) Youths or youth mental health or substance use disorder organizations.
(D) Providers of mental health services and substance use disorder treatment services.
(E) Public safety partners, including county juvenile justice agencies.
(F) Local education agencies.
(G) Higher education partners.
(H) Early childhood organizations.
(I) Local public health jurisdictions.
(J) County social services and child welfare agencies.
(K) Labor representative organizations.
(L) Veterans.
(M) Representatives from veterans organizations.
(N) Health care organizations, including hospitals.
(O) Health care service plans, including Medi-Cal managed care plans as defined in subdivision (j) of Section 14184.101.
(P) Disability insurers.
(Q) Tribal and Indian Health Program designees established for Medi-Cal Tribal consultation purposes.
(R) The five most populous cities in counties with a population greater than 200,000.
(S) Area agencies on aging.
(T) Independent living centers.
(U) Continuums of care, including representatives from the homeless service provider community.
(V) Regional centers.
(W) Emergency medical services.
(X) Community-based organizations serving culturally and linguistically diverse constituents.
(2) (A) (i) A county shall demonstrate a partnership with constituents and stakeholders throughout the process that includes meaningful stakeholder involvement on mental health and substance use disorder policy, program planning, and implementation, monitoring, workforce, quality improvement, health equity, evaluation, and budget allocations.
(ii) Stakeholders shall include sufficient participation of individuals representing diverse viewpoints, including, but not limited to, representatives from youth from historically marginalized communities, representatives from organizations specializing in working with underserved racially and ethnically diverse communities, representatives from LGBTQ+ communities, victims of domestic violence and sexual abuse, and people with lived experience of homelessness.
(iii) A county may provide supports, including, but not limited to, training and technical assistance, to ensure stakeholders, including peers and families, receive sufficient information and data to meaningfully participate in the development of integrated plans and annual updates.
(B) A draft plan and update shall be prepared and circulated for review and comment for at least 30 days to representatives of stakeholder interest and any interested party who has requested a copy of the draft plan.
(b) (1) The behavioral health board established pursuant to Section 5604 shall conduct a public hearing on the draft integrated plan and annual updates at the close of the 30-day comment period required by subdivision (a).
(2) Each adopted integrated plan and update shall include substantive written recommendations for revisions.
(3) The adopted integrated plan or update shall summarize and analyze the recommended revisions.
(4) The behavioral health board shall review the adopted integrated plan or update and make recommendations to the local mental health agency, local substance use disorder agency, or local behavioral health agency, as applicable, for revisions.
(5) The local mental health agency, local substance use disorder agency, or local behavioral health agency, as applicable, shall provide an annual report of written explanations to the local governing body and the department for substantive recommendations made by the local behavioral health board that are not included in the final integrated plan or update.
(6) A county may provide training to ensure stakeholders receive sufficient information and data to meaningfully participate in the development of integrated plans and annual updates.
(c) (1) A county shall prepare annual updates to its integrated plan and may prepare intermittent updates.
(2) In preparing annual and intermittent updates:
(A) A county is not required to comply with the stakeholder process described in subdivisions (a) and (b).
(B) A county shall post on its internet website all updates to its integrated plan and a summary and justification of the changes made by the updates for a 30-day comment period prior to the effective date of the updates.
(d) For purposes of this section, “substantive recommendations made by the local behavioral health board” means a recommendation that is brought before the board and approved by a majority vote of the membership present at a public hearing of the local behavioral health board that has established a quorum.
(e) This section shall become operative on January 1, 2025, if amendments to the Mental Health Services Act are approved by the voters at the March 5, 2024, statewide primary election.