2022 Session

Budget Amendments - SB30 (Member Request)

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Chief Patron: Dunnavant
Restructure Commonwealth Center for Children and Adolescents (language only)

Item 317 #1s

Item 317 #1s

Health and Human Resources
Mental Health Treatment Centers


Page 363, after line 18, insert:

"F. The Department of Behavioral Health and Developmental shall restructure the Commonwealth Center for Children and Adolescents (CCCA) and develop a plan for closure of CCCA in the next twenty four months, and shall initiate the process for restructuring pursuant to § 37.2-316 Code of Virginia.  The department shall continue to build out the community-based services for children with the funding provided for this purpose and utilizing Project BRAVO services and implementing partnership strategies to divert children to the new mental health hospital at Children's Hospital for the King's Daughters and the Virginia Treatment Center for Children at Virginia Commonwealth University."


(This amendment directs the Department of Behavioral Health and Developmental to restructure the Commonwealth Center for Children and Adolescents (CCCA) by developing private hospital an community capacity to address the mental health needs of children. CCCA has a physical capacity of 48 state beds for children and adolescents. In September of 2020 due to a COVID-19 outbreak, there was a significant reduction in staff due to resignations such that only a limited number of beds could be safely staffed. For the past two years, the CCCA census has never achieved even half of its physical capacity, is currently at 10 children and has been as low as seven children. In addition, CCCA was found to not be certified to bill Medicaid as a hospital because it is not accredited, therefore only using state general fund dollars to sustain. Despite two years of recruiting, CCCA has not been able to hire sufficient staff. Less than 15 states in the country operate a state mental health hospital for children, and nearly 98 percent of Virginia’s children are insured, making a state hospital unnecessary to receive care. There is a 42 bed hospital for children at VCU (VTCC) and CHKD is planning to open a 60 bed hospital for children in 2022 that can be used as alternatives to state placement. Further investments in CCCA divert from the community mental health build out for children that is desperately needed to bring the Commonwealth to the top tier of mental health and support children’s mental health.)