Transcription
If there's one message to send the state, which, as was explained earlier in the presentation, really plays a key role in setting the policy and funding streams associated with behavioral health.
This slide, to me, really in one picture demonstrates the broader statewide challenge in behavioral health, which is when you try to change funding structures and funding streams, layer on program after program, make numerous additional changes in mechanisms and structures for treatment, all at the same time. This is all just since 2022, without opportunities for assessment and evaluation. A lot of these, without actual funding, or certainly adequate funding for implementation, and then keep layering them on over and over again on top of each other. You create extraordinary challenges for the actual delivery of service.
And each of these, in one way or the other, represents, uh, mandates and obligations imposed on counties across the state by the state government. It's worth pausing for a second. Some of these are very substantial shifts and changes, including complete reform of how payment is structured across the Bay Health Delivery Network, which affects each and every provider of these services.
Um, and now, uh, as you we'll get to later in this presentation, to see the shifts in major state funding streams, uh, layered on top of that, um, poses just extraordinary challenges, uh, for counties across the state and certainly for our county, which, um, as you'll see, has historically made different choices with flexible funding locally than what the state is now directing, uh, counties to.