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2020 Session

Budget Bill - HB29 (Enrolled)

Department of Behavioral Health and Developmental Services

Item 311

Item 311

First Year - FY2019Second Year - FY2020
Central Office Managed Community and Individual Health Services (44400)$12,960,077$19,030,992
Individual and Developmental Disability Services (44401)FY2019 $4,810,077FY2020 $5,800,992
Mental Health Services (44402)FY2019 $8,150,000FY2020 $11,630,000
Substance Abuse Services (44403)FY2019 $0FY2020 $1,600,000
Fund Sources:  
GeneralFY2019 $12,960,077FY2020 $19,030,992

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, $3,900,000 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. Out of this appropriation, $2,900,000 the first year and $2,900,000 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 at private facilities.


D. Out of this appropriation, $1,750,000 the first year and $1,750,000 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.


E. Out of this appropriation, $2,500,000 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 on the disbursement of the funds to the Governor and Chairmen of the House Appropriations and Senate Finance Committees no later than November 1, 2018. Annually, thereafter on October 1, 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.


F. Out of this appropriation, $1,230,000 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.


G. Out of this appropriation, $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.


H. Upon passage of this Act, the Department of Behavioral Health and Developmental Services shall establish a workgroup, including stakeholders as deemed necessary by the Department, to examine and identify possible alternative treatment services and sites for minors that otherwise would be placed at the Commonwealth Center for Children and Adolescents (CCCA). The work group shall also examine underlying systemic issues that are contributing to the increase in admissions and projected admissions at CCCA and identify potential strategies and recommendations for reducing admissions to CCCA. The membership of the work group shall include representatives from the Department of Medical Assistance Services, the Department of Juvenile Justice, the Office of Children's Services, the Virginia Association of Community Services Boards, the Virginia Hospital and Healthcare Association, VOICES, the Virginia Coalition of Private Provider Associations, the Virginia Network of Private Providers, and other relevant stakeholders. The work group will submit its findings to the Governor and the Chairmen of the House Appropriations and Senate Finance Committees by June 15, 2020.