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San Joaquin County outlines BEWell behavioral health campus plan, seeks Prop 1 and other funds
Summary
Health Care Services presented a BEWell campus update: phase 1 would add 175 treatment beds (estimated cost $240 million); county has secured $65.5 million, seeks $137.5 million Prop 1 grant, and may use opioid settlement funds as a backstop; grant awards due May 2025.
Director Valentine provided an update on the BEWell behavioral health campus, saying phase 1 would add about 175 treatment beds across inpatient, locked and outpatient units and that a phase 2 would add about 250 transitional and supportive housing beds if the county secures additional funding.
The update matters because the county is proposing a major expansion of local behavioral health capacity and has already identified multiple funding sources. The county has estimated phase 1 at roughly $240 million; Behavioral Health Services and Health Care Services have secured $65.5 million and have a pending $20–21 million request with the Sutter Health Foundation. The Board of Supervisors authorized county staff to apply for $137.5 million in Proposition 1 Launch Ready grant funds for the project. Director Valentine said the county expects Prop 1 award announcements in May 2025.
Director Valentine said Behavioral Health Services is proposing to include an additional $8 million in its next Mental Health Services Act plan (MHSA) for spending in fiscal 2026–27, subject to Board approval. She said county administrative staff have identified about $80 million in opioid settlement capital-outlay funds that could be used as a last resort if the Prop 1 grant is not awarded. Director Valentine also reported outreach from Health Net and the Hilton Foundation expressing interest in potential support; county staff plan follow-up meetings to explore those options.
Valentine said the county has submitted a specific plan and project description to the Community Development Department and is working through minor edits; if all goes as planned, the project approval through CDD would occur no later than the end of February. Feasibility work — including traffic and road studies and the CEQA process — has already started, she said.
Next steps listed in the update include pursuing the Prop 1 grant award in May 2025, completing CDD approvals in the months that follow, and finalizing grant negotiations with philanthropic and health-plan partners. Valentine closed by saying the project is “moving as planned so far.”
