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Los Angeles County City Council
Meeting Agendas & Matters

RECORDING FOR THE ENTIRE MEETING.

Realizing California’s Vision for an Integrated Behavioral Health System in Los Angeles County Recommendation as submitted by Supervisor Hahn: Direct the Chief Executive Office (CEO) to: Hire a consultant to work with CEO, Department of Mental Health (DMH) and Department of Public Health-Substance Abuse Prevention and Control unit (DPH-SAPC) to establish and lead an implementation team and develop a plan and timeline to transition DPH-SAPC to DMH. The consultant should develop the plan no later than March 1, 2027. The transition should occur at the beginning of a new Fiscal Year, and no later than July 1, 2028. The plan should include recommendations to CEO as to whether one or more components of DPH-SAPC’s current prevention efforts should remain in DPH. Devise an implementation plan that reflects and is responsive to operational considerations regarding personnel, budget, contracts, and the County’s annual budget process. To facilitate budgetary transition and transparent financial reporting, the transition plan should consider all factors necessary in order to successfully transition DPH-SAPC to DMH; and Develop an internal and external strategy to ensure effective and optimal change management with minimal disruption to DPH’s remaining bureaus and offices as well as Mental Health Plan (MHP) and Drug Medi-Cal - Organized Delivery System DMC-ODS (DMC-ODS) members’ experiences. This strategy must account for required notice to and engagement with labor partners based on any foreseeable effects of the implementation plan on impacted employees; and Identify all relevant staffing, administrative items, and all DPH-SAPC related funding from various sources and categorize them as DMC-ODS services or prevention-related services funded by other sources. Delegate to the Director of the DMH (or her designee) the authority to execute documents that relate to behavioral health integration with the State of California on behalf of the County, including, without limitation, the single integrated Department of Health Care Services-County contract currently set for January 1, 2027 implementation, as well as authority over the elements within the contract, with approval as to form by County Counsel and notice to the Board and CEO; and Direct the CEO, in consultation with DMH and DPH, to report back to the Board in 180-days with a status of the aforementioned directives, and provide quarterly written reports thereafter, until integration is substantially completed, with ongoing status updates, including, but not be limited to, any feedback or impacts related to the transition, e.g.: administrative capacities and effect on remaining bureaus and offices. Direct the Department of Mental Health to be renamed as the Behavioral Health Department (BHD) and update the organizational structure, mission, vision, and values statements that incorporate substance use disorder services accordingly.

Call to Order, Los Angeles County Land Acknowledgement. The County of Los Angeles recognizes that we occupy land originally and still inhabited and cared for by the Tongva (TONG+VUH), Tataviam (TAH+TAA+VEE+UM), Serrano (SUH+RAA+NOH), Kizh (KEECH), and Chumash (CHEW+MOSH) Peoples. We honor and pay respect to their elders and descendants, past, present, and emerging, as they continue their stewardship of these lands and waters. We acknowledge that settler colonization resulted in land seizure, disease, subjugation, slavery, relocation, broken promises, genocide, and multigenerational trauma. This acknowledgment demonstrates our responsibility and commitment to truth, healing, and reconciliation and to elevating the stories, culture, and community of the original inhabitants of Los Angeles County. We are grateful to have the opportunity to live and work on these ancestral lands. We are dedicated to growing and sustaining relationships with Native peoples and local tribal governments, including in no particular order the: · Fernandeño (FUR+NAN+DAY+EN+YO) Tataviam (TAH+TAA+VEE+UM) Band of Mission Indians · · Gabrielino (GAB+REE+UH+LEE+NOH) Tongva (TONG+VUH) Indians of California Tribal Council · Gabrieleno (GAB+REE+UH+LAY+NOH) Tongva (TONG+VUH) San Gabriel Band of Mission Indians · · Gabrieleño (GAB+REE+UH+LAY+EN+YO) Band of Mission Indians, Kizh (KEECH) Nation · · · · · · Yuhaaviatam (yu+HAH+vee+ah+tahm) of San Manuel Nation · San Fernando Band of Mission Indians · Coastal Band of Chumash (CHEW+MOSH) Nation · Gabrielino (GAB+REE+UH+LEE+NOH) Tongva (TONG+VUH) Nation · Gabrielino (GAB+REE+UH+LEE+NOH) Tongva (TONG+VUH) Tribe To learn more the First Peoples of Los Angeles County, please visit the Los Angeles City/County Native American Indian Commission website at lanaic.lacounty.gov. Roll Call.

Recommendation: Approve the Los Angeles County Historical Landmarks and Records Commission’s meeting schedule for Calendar Year 2027: • January 22 • April 23 • July 23 • October 22

Consideration of the Launch, Administration, and Review Process for LACAHSA’s Public Complaint Form.

Approval of the LACAHSA COC Calendar Year 2027 Regular Committee Meeting Schedule.

Presentation, Discussion, and Action on HSH Measure A Spending Plan FY 2027-28, including Key Context regarding Measure A: Revenue Projections; Measure A Data; and Los Angeles County Affordable Housing Solutions Agency (LACAHSA) and Los Angeles Community Development Authority (LACDA) Spending Plans. Presenters: · Sarah Mahin, Director, County of Los Angeles Department of Homeless Services and Housing · Lori Ann Farrell, Chief Executive Officer, LACAHSA · Emilio Salas, Director, LACDA · Strategic Improvement + Accountability Subcommittee Co-Chairs: · Lourdes Castro Ramirez, President and CEO, the Housing Authority of the City of Los Angeles and · Jose Osuna, Director of External Affairs, Brilliant Corners

Approval of the September 17, 2026 LTRHA Regular Meeting Minutes.

Youth Engagement Committee Update and Discussion regarding the YC Survey.

Opportunity for members of the public to provide comments to the Commission on item(s) not on the agenda, that are of interest and within the subject matter jurisdiction of the Commission.

General Updates by Tiara Summers, Executive Director · Youth Commission (YC) Stipend Updates · YC Overview of Work · YC 2027 Calendar Review

Discussion regarding the YC’s 2026 District Listening Sessions.

Breakout Session - Discussion on the YC’s 2027 Youth/Community Engagement Events (District Listening Sessions).

Discussion on potential topics for the YC’s 2027 Roundtable Discussions.

Recess.

Commissioner discussion of matters not posted on the agenda, to be considered, and placed on the agenda at a future meeting of the Commission.

Closing Remarks and Adjournment.

Discussion and approval of three or more potential areas of focus that will lead the work of the Youth Commission.

Leadership Report.

Call to Order, Roll Call and Land Acknowledgment.

Opportunity for members of the public to provide comments to the Commission on any item(s) on the agenda.

Welcome and Opening Remarks by LTRHA Co-Chairs • Celina Alvarez, LTRHA Co-Chair; Executive Director, Housing Works; and • Sarah Dusseault, LTRHA Co-Chair; of the Former Blue-Ribbon Commission on Homelessness

Review and approval of 2027 meeting calendar.

Matters not on the posted agenda, to be presented and (if requested) referred to staff or placed on the agenda for action at a future meeting of the Los Angeles County Leadership Table for Regional Homeless Alignment (LTRHA), or matters requiring immediate action because of an emergency situation or where the need to take immediate action came to the attention of LTRHA subsequent to the posting of the LTRHA subsequent to the posting of the agenda.

LTRHA and Community Updates.

Opportunity for members of the public to address the Los Angeles County Leadership Table for Regional Homeless Alignment (LTRHA) on items of interest that are within the subject matter jurisdiction of LTRHA and on the following items that are on the agenda for this meeting.

RECORDING LINK FOR THE ENTIRE MEETING.

THE LOS ANGELES COUNTY BUSINESS LICENSE COMMISSION MEETING SCHEDULED FOR WEDNESDAY, NOVEMBER 4, 2026, HAS BEEN CANCELLED. THE NEXT MEETING IS SCHEDULED FOR WEDNESDAY, NOVEMBER 11, 2026.

Call to Order, Land Acknowledgement, and Roll Call.

Closing Remarks and Adjournment for the November 2, 2026, meeting of the Los Angeles County Leadership Table for Regional Homeless Alignment. · Celina Alvarez; and · Sarah Dusseault

Presentation on this work and how SBC can support it and ensure pregnant people know the services they are entitled to Janet Hughes

AUDIO LINK FOR ENTIRE MEETING.

Presentation of the 2026-27 Commission Nomination Slate and Election of Officers (Vote). Election Chair: Commissioner Khushuma Cooper