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Commission discusses "Institute of Sustainable Finance" concept; public raises procurement and conflict concerns

Mental Health Services Oversight and Accountability Commission Budget and Fiscal Advisory Committee · February 19, 2026
AI-Generated Content: All content on this page was generated by AI to highlight key points from the meeting. For complete details and context, we recommend watching the full video. so we can fix them.

Summary

Commissioners introduced a concept for an Institute of Sustainable Finance (ISF) to explore long-term financing tools for county behavioral health; public commenters urged guardrails, transparency and raised an allegation that individuals tied to private venture interests are promoting the idea.

The Budget and Fiscal Advisory Committee discussed a concept for an Institute of Sustainable Finance (ISF) intended to analyze funding volatility, model return on investment for behavioral health, and design pilot blended-finance or bond-based approaches to expand long-term funding.

Chair Al Rowlett and Commissioner Steve Carnivale framed the discussion as an early concept rather than a formal proposal: any proposal would need to be developed and then vetted through the commission's committee process (Program Advisory Committee and Client/Family/Community inclusion committee, then BFA, then full commission) before any funding or procurement would be considered. "Again, this is a concept,"…

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