CA SB749

Requires the Mental Health Services Oversight and Accountability Commission to create a comprehensive tracking program for county spending on mental and behavioral health programs, including funding sources, utilization, and outcome data.

Establishes seven major service categories for tracking: emergency services, inpatient care, intensive outpatient services, basic social supports, general outpatient services, community wellness supports, and outreach and education.

Mandates counties report expenditures, unspent funding, and program-level outcomes to the commission on a timeline determined by the commission.

Requires the commission to submit a progress report by January 1, 2023, and report county spending results by January 1, 2024, and annually thereafter, with results published on the commission's public website.

Authorizes the commission to implement requirements through all-county letters before final regulations are adopted; implementation is contingent on legislative appropriation.