Department of Behavioral Health and Developmental Services [720]
Secretarial Area: Health and Human Resources
Operating Budget Summary
This table shows the Governor's proposed budget for the next two years and the agency's official budget for the previous six years.
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Biennium Fiscal Year Source GF NGF Total
2008-2010 2009 Chapter 872, 2010 Acts of Assembly $29,311,041 $15,857,712 $45,168,753
2008-2010 2010 Chapter 872, 2010 Acts of Assembly $26,544,818 $16,073,067 $42,617,885
2010-2012 2011 Chapter 2, 2012 Acts of Assembly $27,206,176 $17,623,486 $44,829,662
2010-2012 2012 Chapter 2, 2012 Acts of Assembly $29,155,444 $16,860,486 $46,015,930
2012-2014 2013 Chapter 1, 2014 Acts of Assembly $38,542,721 $29,130,629 $67,673,350
2012-2014 2014 Chapter 1, 2014 Acts of Assembly $37,307,401 $25,856,333 $63,163,734
2014-2016 2015 Chapter 665, 2015 Acts of Assembly $46,609,895 $27,566,203 $74,176,098
2014-2016 2015 Previous Legislative Appropriation $43,620,856 $30,523,792 $74,144,648
2014-2016 2015 Governor's Amendments $2,989,039 ($2,957,589) $31,450
2014-2016 2015 General Assembly Adjustments $0 $0 $0
2014-2016 2016 Chapter 665, 2015 Acts of Assembly $50,078,008 $28,199,077 $78,277,085
2014-2016 2016 Previous Legislative Appropriation $46,514,255 $28,281,035 $74,795,290
2014-2016 2016 Governor's Amendments $3,838,753 ($81,958) $3,756,795
2014-2016 2016 General Assembly Adjustments ($275,000) $0 ($275,000)
Positions Budget Summary
Biennium Fiscal Year Source GF NGF Total
2008-2010 2009 Chapter 872, 2010 Acts of Assembly 228.85 9.40 238.25
2008-2010 2010 Chapter 872, 2010 Acts of Assembly 195.85 10.40 206.25
2010-2012 2011 Chapter 2, 2012 Acts of Assembly 184.85 10.40 195.25
2010-2012 2012 Chapter 2, 2012 Acts of Assembly 197.85 10.40 208.25
2012-2014 2013 Chapter 1, 2014 Acts of Assembly 208.85 13.40 222.25
2012-2014 2014 Chapter 1, 2014 Acts of Assembly 214.85 11.40 226.25
2014-2016 2015 Chapter 665, 2015 Acts of Assembly 224.85 13.40 238.25
2014-2016 2015 Previous Legislative Appropriation 224.85 13.40 238.25
2014-2016 2015 Governor's Amendments 0.00 0.00 0.00
2014-2016 2015 General Assembly Adjustments 0.00 0.00 0.00
2014-2016 2016 Chapter 665, 2015 Acts of Assembly 225.85 13.40 239.25
2014-2016 2016 Previous Legislative Appropriation 224.85 13.40 238.25
2014-2016 2016 Governor's Amendments 1.00 0.00 1.00
2014-2016 2016 General Assembly Adjustments 0.00 0.00 0.00
Operating Budget Addenda (in order of greatest impact)
•
Replace lost Medicare incentive payments with general fund support Decision Package
  Replaces lost Medicare incentive payments associated with implementation of Electronic Health Records (EHR) at state facilities with general fund dollars. Chapter 2 included $2.9 million in FY 2015 and $0.8 million in FY 2015 in Medicare incentive payments for the development of the EHR system at state-operated mental health and intellectual disability facilities. After questioning and review with the federal Centers for Medicaid and Medicare Services, the decision was made to decertify medical surgical units within these facilities. Southwest Virginia Mental Health Institute’s unit was decertified on July 1, 2014, and the units at Eastern State Hospital and Western State Hospital were decertified on September 30, 2014. The decertification of those units will result in a reduced incentive payment.
 
  FY FY
General Fund $2,957,589 $808,846
Nongeneral Fund ($2,957,589) ($808,846)
•
Fund additional local inpatient bed purchases to address increased admissions to state hospital Decision Package
  Provides $950,000 in additional support for local inpatient purchase of service (LIPOS). This amendment also includes $1.2 million to contract for additional inpatient psychiatric beds for children and adolescents. Changes in mental health law have put additional pressure on state facilities to accommodate individuals coming in under temporary detention orders. These funds will assist in diverting individuals to private facilities when appropriate.
 
  FY FY
General Fund $0 $2,150,000
•
Develop and implement a consolidated waiver IT system Decision Package
  Provides funding to create a new and consolidated system for managing the intellectual and developmental disability waivers. The system will include wait list and waiver enrollment management as well as incorporate a citizen portal that will allow individuals to view waiver eligibility options, apply for waivers online, and identify licensed service providers.
 
  FY FY
General Fund $0 $453,888
Nongeneral Fund $0 $453,888
•
Transfer Mental Health first aid training funds from Grants to Localities to Central Office Decision Package
  Transfers the appropriation for mental health first aid training from agency 790 (Grants to Localities) to agency 720 (Central Office). This technical adjustment is a zero sum transaction. A companion amendment is included in agency 790.
 
  FY FY
General Fund $0 $600,000
•
Move Chapter 2 savings from Central Appropriations to agency budgets Decision Package
  Moves FY 2016 savings included in Item 471 of Chapter 2, 2014 Acts of Assembly, Special Session I, from Central Appropriations to applicable agency budgets. These amounts are not a part of the additional savings assumed in Chapter 3, 2014 Acts of Assembly, Special Session I (HB 5010).
 
  FY FY
General Fund $0 ($476,806)
•
Increase funds dedicated to Quality Service Reviews in support of DOJ requirement Decision Package
  Increases funding for quality service reviews required by the settlement agreement with the United States Department of Justice (DOJ). The amount previously included was an estimate of necessary funds to contract for the provision of reviews. The addition of this funding brings the total general fund support for Quality Service Reviews to $591,000.
 
  FY FY
General Fund $0 $91,000
Nongeneral Fund $0 $273,000
•
Provide community supports for individuals in Training Centers not covered by Medicaid Decision Package
  Provides funding to address the needs of individuals not covered by Medicaid currently residing in state operated training centers to transition into the community as needed.
 
  FY FY
General Fund $31,450 $125,801
•
Provide funding for a central office position to implement and develop community-based mental health programs Decision Package
  Provides funds for one position in the central office to assist in coordination and management of CIT Training Centers, Program Assertive Community Treatment (PACT) Teams and Emerging Adult Programs. The general assembly provided a significant influx of program dollars in this biennial budget, but the agency does not have sufficient resources to properly manage the growing community mental health program.
 
  FY FY
General Fund $0 $86,024
Positions 0.00 1.00
•
Adjust date for the Part C reporting requirement found in Chapter 3 Decision Package
  Adjusts reporting date related to early intervention services to coincide with the availability of information from localities. This language only amendment has no fiscal impact.
•
Adjust date for the Sexually Violent Predator (SVP) study requirement found in Chapter 3 Decision Package
  Adjusts the annual reporting date for the six year forecast of incarcerated individuals slated to meet the criteria for evaluation as sexually violent predators from October 1 to November 15. This language only amendment has no fiscal impact.
•
Correct fund source supporting the Support Intensity Scale (SIS) program Decision Package
  Adjusts the fund source for funds appropriated for Support Intensity Scale (SIS) program funding. This technical amendment has no fiscal impact, as it moves $1,076,250 from special funds (0200) to federal funds (1000) in program 499, Administrative and Support Services, service area 49933, Program Development and Coordination.
•
Expand the use of VPBA bond authorization to support community housing development Decision Package
  Modifies language from Item C-103.05 A.5, Chapter 781, 2009 Acts of Assembly that will allow the $4.7 million in remaining bond proceeds to be used to subsidize the costs associated with the construction, rehabilitation, and/or acquisition of single-family or multi-family rental housing that is dedicated to individuals with an intellectual or developmental disability (I/DD). Language will also allow entities other than Community Service Board’s (CSBs) or local governmental entities to hold title to the community housing.
•
Eliminate Rental Subsidies in Proposed Waiver Redesign General Assembly Adjustment
  This amendment eliminates $675,000 from the general fund in the second year associated with the proposed redesign of the Day Support Waiver to include funding for rental subsidies. The General Assembly's Medicaid reform efforts have been focused on redesigning the comprehensive Intellectual Disability and Developmental Disability waivers to address the needs of the most disabled individuals including those transitioning from training centers to the community and those at imminent risk of institutional care. A companion amendment in Item 301 directs the Departments of Medical Assistance Services and Behavioral Health and Developmental Services to report on plans to redesign the comprehensive waiver programs.
 
  FY FY
General Fund $0 ($675,000)
•
Compensation for Victims of Sterilization General Assembly Adjustment
  This amendment provides $400,000 from the general fund in fiscal year 2016 to reimburse individuals who were victims of forced sterilization. The amendment provides for a reimbursement of $25,000 per individual.
 
  FY FY
General Fund $0 $400,000


p3_bullets - Official Enacted Budget - 01-24-2026 19:13:11