2020 Session

Budget Amendments - HB30 (Conference Report)

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Pilot Programs to Reduce State Hospital Census Pressures

Item 320 #5c

Item 320 #5c

First Year - FY2021 Second Year - FY2022
Health and Human Resources
Department of Behavioral Health and Developmental Services FY2021 $7,500,000 FY2022 $7,500,000 GF

Page 330, line 4, strike "$125,033,700" and insert "$132,533,700".
Page 330, line 4, strike "$112,643,261" and insert "$120,143,261".

Page 334, after line 22, insert:

"AA.1. Out of this appropriation, $7,500,000 the first year and $7,500,000 the second year from the general fund is provided for the Department of Behavioral Health and Developmental Services (DBHDS) to pursue alternative inpatient options to state behavioral health hospital care through the establishment of two-year pilot projects that will reduce census pressures on state hospitals. Proposals shall be evaluated on: (i) the expected impact on state hospital bed use, including the impact on the extraordinary barrier list; (ii) the speed by which the project can become operational; (iii) the start-up and ongoing costs of the project; (iv) the sustainability of the project without the use of ongoing general funds; (v) the alignment between the project target population and the population currently being admitted to state hospitals; and (vi) the applicant's history of success in meeting the needs of the target population.  No project shall be allocated more than $2.5 million each year. Projects may include public-private partnerships, to include contracts with private entities. The department shall give preference to projects that serve individuals who would otherwise be admitted to a state hospital operated by DBHDS, that can be rapidly implemented, and provide the best long-term outcomes for patients. Consideration may be given to regional projects addressing comprehensive psychiatric emergency services, complex medical and neuro-developmental needs of children and adolescents receiving inpatient behavioral health services, and addressing complex medical needs of adults receiving inpatient behavioral health services.  Any unexpended balance in this appropriation on June 30, 2021, shall be reappropriated for this purpose in the next fiscal year to fund project costs.

2. The department shall report quarterly on projects awarded with details on each project and its projected impact on the state behavioral health hospital census.  The report shall be submitted to the Chairs of House Appropriations and Senate Finance and Appropriations Committees no later than 30 days after each quarter ends.

3.  Nothwithstanding any other provision of law, the contracts DBHDS enters into pursuant to paragraph AA.1. shall be exempt from competition as otherwise required by the Virginia Public Procurement Act (§§ 2.2-4300 through 2.2-4377, Code of Virginia)."


(This amendment provides $7.5 million from the general fund each year to fund various pilot programs in the Commonwealth to help address census pressures on state psychiatric hospitals.)