On October 27, 2009, the Board of Supervisors approved the Department of Behavioral Health's membership in the CalMHSA Joint Powers Authority (JPA). CalMHSA is authorized by its JPA to jointly develop and fund mental health services including the provision of administrative services. The participating counties of the JPA authorize CalMHSA to contract on their behalf for purchase of State hospital beds, and to make payment to the State for such usage consistent with the provisions of the CalMHSA Participation Agreement and the MOU entered into by CalMHSA and DSH on July 1, 2014. As directed by participating counties, CalMHSA will continue to collectively work in achieving efficiencies as a single administrative body engaging in a single negotiation of terms and rates for bed utilization, monitoring billing to assure accuracy and fiscal stability, establishing quality assurance standards and procedures, review of shared financial analysis, and exploring opportunities and alternatives. The Department recommends amending the MOU with CalMHSA and DSH for the procurement of State hospital beds. The amendment extends the term through June 30, 2021. This is a non-financial MOU. All other terms remain the same. (Behavioral Health)