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2016 Session

Budget Amendments - HB30 (Floor Approved)

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Plan for Geropsychiatric Services

Item 319 #2h

Item 319 #2h

First Year - FY2017 Second Year - FY2018
Health and Human Resources
Mental Health Treatment Centers FY2017 $450,000 FY2018 $0 GF

Language
Page 285, line 44, strike "$234,305,479" and insert "$234,755,479".

Page 286, after line 29, insert:

"D.  Out of this appropriation $450,000 the first year from the general fund shall be provided to develop a comprehensive plan for the publicly funded geropsychiatric system of care in Virginia.  The plan shall address the appropriate array of community services and state geropsychiatric facility services upon which Virginia's behavioral health system should be modeled.  The plan shall address national best practices, relevant requirements of the Centers for Medicare and Medicaid Services, the Americans with Disabilities Act, and the Olmstead Decision, and the need for the state to serve as the provider of last resort and forensic services.  The plan shall include an assessment of: (i) individuals residing in or utilizing state facility geropsychiatric programs, in order to determine ongoing treatment and support needs, as well as the ability of treatment options to meet those treatment needs in less restrictive, more integrated community settings;  (ii) current and historical admission and discharge trends by locality; (iii) current provider networks in each region, including nursing homes, assisted living facilities, dementia units, and other residential options; and (iv) community based services provided by Community Services Boards and private providers, and Programs for the All-inclusive Care of the Elderly (PACE); and (v) models of care in other states that demonstrate best practices, integrated service delivery, and appropriate hospital services.  The plan shall be provided to the Governor and the Chairmen of the House Appropriations and Senate Finance Committees and the Joint Subcommittee to Study Mental Health Services in the Twenty-First Century by November 10, 2016."



Explanation

(This amendment adds $450,000 the first year from the general fund and language directing the Department of Behavioral Health and Developmental Services to develop a comprehensive plan for the publicly funded geropsychiatric system of care in Virginia and sets out requirements for the plan, including an assessment of the needs of individuals residing in state geropsychiatric facilities, as well as community capacity to meet their treatment needs. The plan shall be presented to the Governor and the Chairmen of the House Appropriations and Senate Finance Committees as well as the Chairman of the Joint Subcommittee to Study Mental Health Services in the Twenty-First Century by November 10, 2016. A companion amendment eliminates funding and development of a plan to close Catawba Hospital.)