Agenda Item AGENDA STAFF REPORT ASR Control 25-000549
MEETING DATE:	08/26/25
legal entity taking action:	Board of Supervisors
board of supervisors district(s):	All Districts
SUBMITTING Agency/Department:	Health Care Agency (Approved)
Department contact person(s):	Veronica Kelley (714) 834-7024
	Ian Kemmer (714) 834-2160

Subject: Amendment No. 1 for Stakeholder Planning and Engagement Professional Services

ceo CONCUR

County Counsel Review

Clerk of the Board

Concur

Approved Agreement to Form

Consent Calendar

3 Votes Board Majority

Budgeted: Yes

Current Year Cost: $176,471

Annual Cost: FY 2026-27 $123,529

Staffing Impact:

# of Positions:

Sole Source: No

Current Fiscal Year Revenue: N/A

Funding Source: State: 100% (Mental Health Services Act)	County Audit in last 3 years: No
Levine Act Review Completed: Yes

Prior Board Action: N/A

RECOMMENDED ACTION(S):

Approve Amendment No. 1 to the Contract with Tracy Lacey Consulting, for provision of Behavioral Health Services Act Stakeholder Planning and Engagement Professional Services, to increase the amount not to exceed by $300,000, for a revised total amount not to exceed $700,000, for the term through January 31, 2027.

Authorize the County Procurement Officer or Deputized designee to execute Amendment No. 1 to the Contract with Tracy Lacey Consulting, as referenced in the Recommended Action above.

SUMMARY:

Approval of Amendment No. 1 to the Contract with Tracy Lacey Consulting will allow the Health Care Agency to continue providing County of Orange residents with effective Behavioral Health Services Act-funded programs that focus on an integrated service experience for clients and their families.

BACKGROUND INFORMATION:

The Mental Health Services Act (MHSA) was passed by California voters in November 2004 and went into effect in January 2005. In March of 2024, Proposition 1 was approved by California voters, updating the MHSA to the Behavioral Health Services Act (BHSA). County of Orange (County) BHSA is responsible for the oversight and implementation of the BHSA and ensures the County's compliance with state requirements. The BHSA Office keeps the County’s Health Care Agency (HCA) up to date on all things related to the BHSA policies and legislation; ensures updates and new legislation are shared with related programs and are reflected in the Behavioral Health Integrated Plan; coordinates and oversees ongoing stakeholder engagement meetings; assists with synthesizing stakeholder input and identifying appropriate recommendations; and organizes, coordinates, and monitors the County’s development of the Three-Year Behavioral Health Integrated Plan and Annual Updates.

Proposition 1 created a $6.38 billion general obligation bond to fund capital for the development of behavioral health treatment and residential facilities and reformed the MHSA, updating the framework for the County’s Behavioral Health System. Under the new legislation, Community Program Planning (CPP) continues to be a requirement and is significantly expanded.

On June 28, 2024, HCA released a Request for Proposal (RFP) on the County’s online bidding system to solicit proposals from qualified respondents to provide MHSA Professional Services. The RFP consisted of five disciplines:

•	Behavioral Health Finance Professional Services
•	Communication and Writing Professional Services
•	Stakeholder Planning and Engagement Professional Services
•	Research and Evaluation Professional Services
•	Project Implementation Professional Services

Tracy Lacey Consulting (Tracy Lacey) is one of four contractors that were awarded contracts for BHSA Stakeholder Planning and Engagement Services. Tracy Lacey is the only contractor in this category of services whose role is to serve as lead consultant/project manager.

On February 10, 2025, HCA executed the contract with Tracy Lacey, under Deputy Purchasing Agent (DPA) designated approval, for BHSA Stakeholder Planning and Engagement Services for the term of February 10, 2025, through January 31, 2027, renewable for three additional one-year terms. Per County’s Contract Policy Manual §3.3-102, contracts with an annual value exceeding $200,000 require Board approval, in accordance with Government Code Section 25502.5. All contracts awarded for BHSA Stakeholder Planning and Engagement Services did not exceed $200,000 annual value and did not require Board approval at the time of execution.

The proposed Amendment No. 1 is to increase the total Contract’s not to exceed amount by $300,000 and expand the scope of work to include guidance in implementing a model designed to sustain stakeholder engagement throughout every phase of the transition and implementation of BHSA.

Scope of Services

Under this contract Tracy Lacey acts as the lead consultant in guiding the County and others in developing and implementing the state-mandated, CPP process that is used to assess the current capacity of BHS, prioritize the populations to be served and recommend strategies to provide effective BHSA-funded programs that are culturally competent, client and family driven, wellness, recovery and resilience-focused, and provide an integrated service experience for clients and their families. Additionally, Tracy Lacey advises on data collection needs related to the CPP process, synthesizes the input and recommendations garnered through the CPP process to inform the implementation of an integrated, responsive system of care within the BHSA framework, and informs the completion of the Behavioral Health Integrated plan which will replace the MHSA 3-year plan.

In addition, to the expanded CCP process as a result of changing policy guidance, with this Amendment, Tracy Lacey will also provide technical assistance and support the County BHS to implement an updated, evidence-based CPP model that supports interdisciplinary collaboration to sustain and enhance stakeholder engagement beyond this initial planning phase. This evidence-based model brings together diverse sectors and community voices to create inclusive, data-driven strategies, strengthen cross-system partnerships, and embeds community responsiveness into every phase of planning and implementation.

Performance Outcomes:

•	Recruit and consult with representatives from diverse communities to develop effective outreach strategies to engage diverse communities and other identified populations in the CPP process.
•	Map out the Behavioral Health System of Care which will include gaps in services and the populations served: those with substance use disorders, homeless, and at-risk of homelessness, those involved with or at-risk of justice system involvement, children and youth involved in or at risk of child welfare involvement, and individuals at-risk of or under conservatorship.
•	Document the CPP process, changes to the System of Care, and services under BHSA.

The Orange County Preference Policy is not applicable to this Contract.

This Contract does not include subcontractors or pass through to other providers. See Attachment B for Contract Summary Form.

The Contractor's performance has been confirmed as satisfactory. HCA has verified there are no concerns that must be addressed with respect to Contractor's ownership/name, litigation status or conflicts with County interests.

HCA requests that the Board Approve Amendment No. 1 with Tracey Lacey for the provision of BHSA Stakeholder Planning and Engagement Services, as referenced in the Recommended Action.

FINANCIAL IMPACT:

Appropriations for this Contract are included in Budget Control 042 FY 2025-26 Budget and will be included in the budgeting process for future years.

The Contract includes provisions allowing HCA to terminate the Contract, reduce the level of services, and/or renegotiate the levels of services provided, as necessary.

STAFFING IMPACT:

N/A

ATTACHMENT(S):

Attachment A - Amendment No. 1 to Contract MA-042-25010948 with Tracy Lacey
Attachment B – Contract Summary Form