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LAO finds BCHIP grants built infrastructure but unevenly targeted; DHCS readies $4.4 billion bond rollout
Summary
The BCHIP program built behavioral health facilities statewide but awarded grants unevenly by region and favored ready‑to‑build projects, the Legislative Analyst’s Office told Assembly members on March 4.
The Behavioral Health Continuum Infrastructure Program (BCHIP) has produced hundreds of projects statewide but, according to the Legislative Analyst’s Office, its prior grant rounds were unevenly targeted and favored launch‑ready projects — trends that could repeat unless the state adjusts the bond rollout.
Ryan Miller of the LAO presented an assessment of BCHIP’s $1.7 billion in awards (2022–2023) and of how Proposition 1’s $4.4 billion bond will be folded into the program. Miller said over half of BCHIP projects were estimated to serve at least 80 percent Medi‑Cal enrollees — a strength — but that award patterns did not consistently track regional need. He said some regions that LAO’s methodology projected would receive more awards did not, and that the Southern San Joaquin Valley (Fresno, Inyo, Kern, Kings, Tulare) received no awards for some adult inpatient…
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