Mental Health Treatment Centers [792]
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 $237,107,171 $100,108,517 $337,215,688
2008-2010 2010 Chapter 872, 2010 Acts of Assembly $227,401,068 $95,108,517 $322,509,585
2010-2012 2011 Chapter 2, 2012 Acts of Assembly $227,224,336 $95,188,367 $322,412,703
2010-2012 2012 Chapter 2, 2012 Acts of Assembly $216,530,118 $95,582,567 $312,112,685
2012-2014 2013 Chapter 1, 2014 Acts of Assembly $206,390,290 $95,800,495 $302,190,785
2012-2014 2014 Chapter 1, 2014 Acts of Assembly $204,941,706 $95,800,495 $300,742,201
2014-2016 2015 Chapter 665, 2015 Acts of Assembly $250,498,607 $90,796,948 $341,295,555
2014-2016 2015 Previous Legislative Appropriation $246,716,972 $90,796,948 $337,513,920
2014-2016 2015 Governor's Amendments $3,781,635 $0 $3,781,635
2014-2016 2015 General Assembly Adjustments $0 $0 $0
2014-2016 2016 Chapter 665, 2015 Acts of Assembly $259,711,672 $76,227,744 $335,939,416
2014-2016 2016 Previous Legislative Appropriation $248,190,731 $90,818,443 $339,009,174
2014-2016 2016 Governor's Amendments $11,239,047 ($14,590,699) ($3,351,652)
2014-2016 2016 General Assembly Adjustments $281,894 $0 $281,894
Positions Budget Summary
Biennium Fiscal Year Source GF NGF Total
2008-2010 2009 Chapter 872, 2010 Acts of Assembly 3,888.00 756.00 4,644.00
2008-2010 2010 Chapter 872, 2010 Acts of Assembly 3,776.00 757.00 4,533.00
2010-2012 2011 Chapter 2, 2012 Acts of Assembly 3,786.00 757.00 4,543.00
2010-2012 2012 Chapter 2, 2012 Acts of Assembly 3,759.00 765.00 4,524.00
2012-2014 2013 Chapter 1, 2014 Acts of Assembly 3,759.00 765.00 4,524.00
2012-2014 2014 Chapter 1, 2014 Acts of Assembly 3,759.00 765.00 4,524.00
2014-2016 2015 Chapter 665, 2015 Acts of Assembly 4,197.00 665.00 4,862.00
2014-2016 2015 Previous Legislative Appropriation 4,197.00 665.00 4,862.00
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 4,216.00 665.00 4,881.00
2014-2016 2016 Previous Legislative Appropriation 4,197.00 665.00 4,862.00
2014-2016 2016 Governor's Amendments 14.00 0.00 14.00
2014-2016 2016 General Assembly Adjustments 5.00 0.00 5.00
Operating Budget Addenda (in order of greatest impact)
•
Transfer Hiram Davis from Mental Health Hospitals to Training Centers Decision Package
  Transfers the appropriation and positions for Hiram Davis Medical Center from agency 792 (Mental Health Facilities) to agency 793 (Intellectual Disabilities Training Centers). Hiram Davis is a medical facility which has geriatrics, skilled nursing and medical/surgical beds. This zero sum transfer has no fiscal impact.
 
  FY FY
General Fund $0 ($500,000)
Nongeneral Fund $0 ($14,590,699)
•
Address lost revenue associated with the reclassification of Piedmont Geriatric and Catawba hospitals Decision Package
  Increases the appropriation for Piedmont and Catawba state facilities to reflect a change in enrollment from hospitals to nursing homes for the purposes of Medicaid reimbursement to comply with federal requirements. In March of 2014, the federal Inspector General for Health and Human Services released a report indicating these two hospitals were not in compliance with federal Medicaid rules. This change reflects the savings from lower Medicaid reimbursement, mainly due to the loss of eligibility for disproportionate share hospital funding. This increase is partially offset by a reduction in Medicaid reimbursement in the state facility line item in the Department of Medical Assistance Services.
 
  FY FY
General Fund $3,781,635 $9,075,925
•
Address growing special hospitalization costs at state facilities Decision Package
  Provides additional funds for special hospitalization costs for individuals residing at state facilities. The agency has seen growth of over ten percent in the annual cost of providing acute medical care outside of state institutions.
 
  FY FY
General Fund $0 $1,940,330
•
Provide additional staff at Western State Hospital Decision Package
  Provides funding at Western State Hospital for eight additional patient care positions. Changes in mental health law have increased both admissions and the acuity of individuals being admitted to the facility. These funds are necessary to ensure quality patient care and safety.
 
  FY FY
General Fund $0 $454,532
Positions 0.00 8.00
•
Support increased direct care staffing at Commonwealth Center for Children and Adolescents Decision Package
  Provides funding for six additional direct service associated at the Commonwealth Center for Children and Adolescents. The facility has seen in increase in admissions following changes in mental health law. These additional positions are needed to provide patient care and transport to outside appointments.
 
  FY FY
General Fund $0 $268,260
Positions 0.00 6.00
•
Commonwealth Center for Children and Adolescents Staff General Assembly Adjustment
  This amendment provides five positions and $281,894 from the general fund the second year to increase the direct care staffing at the Commonwealth Center for Children and Adolescents. The introduced budget included funding for six positions. This amendment provides five more for a total of eleven to improve staffing at the facility that has seen a dramatic increase in admissions as a result of recent mental health reforms.
 
  FY FY
General Fund $0 $281,894
Positions 0.00 5.00


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