Authority: Title 16.1, Article 18, and Title 37.2, Chapters 2, 3, 4, 5, 6 and 7, and Title 2.2, Chapters 26 and 53 Code of Virginia; P.L. 102-119, Federal Code.

A. Out of this appropriation, $5,200,000 the first year and $5,200,000 the second year from the general fund shall be used for Developmental Disability Health Support Networks in regions served, or previously served, by Southside Virginia Training Center, Central Virginia Training Center, Northern Virginia Training Center, and Southwestern Virginia Training Center.

B. Out of this appropriation, $565,000 the first year and $565,000 the second year from the general fund shall be used to provide community-based services to individuals transitioning from state training centers to community settings who are not eligible for Medicaid.

C.1. Out of this appropriation, $11,448,000 the first year and $16,448,000 the second year from the general fund shall be used to address census issues at state facilities by providing community-based services for those individuals determined clinically ready for discharge or for the diversion of admissions to state facilities by purchasing acute inpatient or community-based psychiatric services.

2. Out of this appropriation, $2,500,000 the first year and $2,500,000 the second year from the general fund is provided for the development or acquisition of clinically appropriate housing options to provide comprehensive community-based care for individuals in state hospitals who have complex and resource-intensive needs who have been clinically determined able to move from a hospital to a more integrated setting. In addition, $250,000 the second year from the general fund is provided for a community support team to assist housing providers in addressing the complex needs of residents who have been discharged from state facilities or individuals who are at risk of institutionalization.

3. The Department of Behavioral Health and Developmental Services shall establish and facilitate a workgroup to review and make recommendations on the allocation and use of discharge assistance funding, including recommendations for creating the services and housing needed for individuals leaving state hospitals. The Department shall submit its recommendation to the Governor and the Chairmen of the House Appropriations and Senate Finance Committees by November 1, 2020.

D. Out of this appropriation, $4,500,000 the first year and $4,500,000 the second year from the general fund shall be provided to the Department of Behavioral Health and Developmental Services to provide alternative transportation for adults and children under a temporary detention order. The department shall structure the contract to phase in the program over a three-year period such that in year three the contract will result in the provision of services statewide. The department shall report to the Governor and Chairmen of the House Appropriations and Senate Finance Committees on the effectiveness and outcomes of the program funding by October 1 of each year.

E. Out of this appropriation, $5,454,388 the first year and $5,454,388 the second year from the general fund shall be provided to the Department of Behavioral Health and Developmental Services to contract with the Virginia Mental Health Access Program to develop integrated mental health services for children.

F. Out of this appropriation, $1,600,000 the first year and $1,600,000 the second year from the general fund shall be used to purchase and distribute additional REVIVE! kits and associated doses of naloxone used to treat emergency cases of opioid overdose or suspected opioid overdose.

G. Out of this appropriation, $6,300,000 in the first year and $8,400,000 the second year from the general fund shall be used for additional capacity for children's acute inpatient care. The Department of Behavioral Health and Developmental Services shall pursue options for alternative private settings for inpatient care for children who would otherwise be admitted to the Commonwealth Center for Children and Adolescents. If alternative options are not identified by September 1, 2020, the Department is authorized to open up to 20 new beds and at an existing state facility. No later than ten days prior to expending funds for this purpose, the Commissioner, Department of Behavioral Health and Developmental Services, shall notify the Governor and the Chairmen of the House Appropriations and Senate Finance Committees.

H. Out of this appropriation, $3,000,000 the first year from the Behavioral Health and Developmental Services Trust Fund is provided for mobile dentistry, one-time crisis services, and the costs of necessary renovations to Hiram Davis Medical Center.