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$705,000 the first year and $565,000$705,000 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$25,222,784 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$3,342,194 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$300,000 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 to address census issues at state facilities by providing community-based services for children and adolescents determined clinically ready for discharge or for the diversion of admissions of children and adolescents to state facilities by purchasing acute inpatient services, step-down services, or community-based services as an alternative to inpatient care.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.

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.

I. The Department of Behavioral Health and Developmental Services is authorized to accept unsolicited proposals from private providers to establish a pilot project for the purpose of acquiring clinically appropriate housing options for individuals on the Extraordinary Barriers List or to prevent unnecessary hospitalizations for appropriate individuals to address census issues at state facilities.

J. Out of this appropriation, $150,000 the first year and $150,000 the second year shall be provided for transportation costs from state behavioral health facilities to their homes after being discharged from such facility as a result from an admission under a Temporary Detention Order.

K. The Department of Behavioral Health and Developmental Services shall post its annual federal State Targeted Response Report and State Opioid Response (SOR) Report on its website no later than December 31 of each year. The report will describe the amount of any grants received from the Substance Abuse and Mental Health Services Administration as part of any State Opioid Response grant funding, and shall provide information on how the funds are distributed among programs, the number of individuals served if available, and any available outcome-based data specific to treatment engagement and impact on access.

L. Out of this appropriation, $89,396 the first year and $35,818 the second year from the general fund shall be provided to the Department of Behavioral Health and Developmental Services to contract with the Jewish Foundation for Group Homes to expand the Transitioning Youth program for individuals with developmental disability who are aging out and exiting the school system in Loudoun County.

M. Out of this appropriation, $250,000 the first year and $250,000 the second year is provided to make grants to members of the Virginia Association of Recovery Residences for recovery support services.

N.1. Out of this appropriation, $3,547,000 the second year from the general fund shall be used to support the diversion and discharge of individuals with a diagnosis of dementia. Priority shall be given to those individuals who would otherwise be served by state facilities.

2. Of the amounts in N.1., $2,820,000 shall be used to establish contracts to support the diversion and discharge into private settings of individuals with a diagnosis of dementia.

3. Of the amounts in N.1., $727,000 shall be used for a pilot mobile crisis program targeted for individuals with a diagnosis of dementia.

4. The Secretary of Health and Human Resources shall convene a workgroup including the Department of Behavioral Health and Developmental Services, the Department of Social Services, the Department of Aging and Rehabilitative Services, providers, and other stakeholders, to identify existing services and make recommendations for the development, evaluation, implementation, and scaling-up of evidence-based and evidence-informed services for persons living with dementia in order to improve quality and availability of care and reduce preventable hospitalizations. The workgroup shall report to the Governor and the Chairmen of the House Appropriations and Senate Finance and Appropriations Committee by November 1, 2021.