The Whipping Post Take on SB County Board of Supervisors

COUNTY TO BLOW ANOTHER MILLION ON 'MENTAL HEALTH' SOFTWARE! ARE THEY CRAZY?

Your Board of Supervisors continues to fund a digital money pit while actual mental health crises rage outside the boardroom windows. Next up: AI therapists that can't be fired!

6/4/2026 · Inspired by Consider recommendations regarding Amendment No. 2 to the Participation Agreement with California Mental Health Services Authority (CalMHSA) for Semi-Statewide Enterprise Health Record (EHR) Program Services for Fiscal Years (FYs) 2022-2029, as follows: a) Approve, ratify, and authorize the Chair to execute an Amendment No. 2 to the Participation Agreement with CalMHSA for the Semi-Statewide EHR Program (Contract No. 1766-EHR-2022-SB) to increase user subscriptions for the core EHR package, high-availability access, and disaster recovery components; add required American Medical Association (AMA) license rights to use healthcare industry standard medical coding; update the 3% escalator fee amount starting Fiscal Year (FY) 2026-2027; add new Artificial Intelligence (AI) note-taking and compliance components; move funds from Contingency Funds to Committed Funds in the amount of $436,920.00 for the increased user subscriptions, effective on November 1, 2024; move funds from Contingency Funds to Committed Funds in the amount of $142,300.00 for the AMA license rights, effective on January 1, 2025; move funds from Contingency Funds to Committed Funds in the amount of $250,212.00 for an update to the 3% escalator fee, effective on July 1, 2026; move funds from Contingency Funds to Committed Funds in the amount of $174,018.00 for the new components; add $200,000.00 to the Contingency Funds for future purchases and orders; add an order form template for future orders of products and services, resulting in an increase to the contract amount by $200,000.00 for a revised total maximum contract amount not to exceed $7,629,192.00 and no change to the contract term of upon execution of the contract through March 18, 2029; b) Delegate to the Director of the Department of Behavioral Wellness or designee the authority to utilize Contingency Funds for the purchase of additional components, modules, implementations, users related to the EHR program and execute Order Forms for such purchases, all without altering the maximum contract amount and without requiring the Board of Supervisors’ approval of an amendment of the Agreement, subject to the concurrences of Executive IT Council, Auditor-Controller, Risk Management, and County Counsel and the Board of Supervisors’ ability to rescind this delegated authority at any time; and c) Determine that the above-recommended actions are not projects that are subject to environmental review under the California Environmental Quality Act (CEQA), pursuant to CEQA Guidelines section 15378(b)(4) and (b)(5), finding that the actions are a governmental funding mechanism and/or administrative or fiscal activity that will not result in direct or indirect physical changes in the environment. via SB County Board of Supervisors

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SB County Board of Supervisors · The Whipping Post · NO.321 · PANEL 2/6 · SB-3UT

It appears the Santa Barbara County Board of Supervisors, in their infinite wisdom and bottomless taxpayer-funded coffers, are set to 'approve, ratify, and authorize' yet another financial black hole. This time, it's for 'Amendment No. 2' to a 'Participation Agreement with CalMHSA' for some 'Semi-Statewide Enterprise Health Record (EHR) Program Services.' Translation: they’re pouring more good money after bad into a digital health records system that probably makes more sense on paper than it will in practice.

The item, which reads like a ransom note drafted by a committee of overly caffeinated bureaucratic acronym-slingers, details increasing user subscriptions (because everyone needs a digital paper trail for their thoughts!), adding 'AMA license rights' (so the software can finally understand what a headache is), and, naturally, an update to the '3% escalator fee' starting in 2026. Because, as we all know, governmental spending only ever escalates. But wait, there's more! They're also adding 'new Artificial Intelligence (AI) note-taking and compliance components.' Soon, your county will have AI diagnosing existential dread and writing its own progress notes, all while avoiding pesky human privacy concerns.

Here’s the Whipping Post Take that the daily rags like the SB County Board of Supervisors' agenda item won't spell out: this isn't about mental health; it's about control and contractors. The initial agreement was just the foot in the door. Now, with an additional nearly $1 million siphoned from 'Contingency Funds' (the county's personal slush fund), and a total contract amount swelling to over $7.6 million, this 'EHR Program' looks less like a medical solution and more like a permanent revenue stream for its developers. And who benefits? Certainly not the taxpayers or the mentally ill who need actual, human care, not another software update.

They even threw in a nice little kicker, delegating authority to the Director of the Department of Behavioral Wellness to buy even more modules without bothering the Supervisors. Because nothing says 'fiscal responsibility' like giving a blank check with a wink and a nod. And lest you worry about any environmental impact from all this code-slinging, fear not! It’s 'not subject to environmental review' because it’s just an 'administrative or fiscal activity.' Just money evaporating into the digital ether, completely harmless to Mother Earth, and apparently, to the county's balance sheet.

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