Grants to Localities [790]
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
2010-2012 2011 Chapter 2, 2012 Acts of Assembly $230,150,268 $62,139,242 $292,289,510
2010-2012 2012 Chapter 2, 2012 Acts of Assembly $268,950,268 $62,174,242 $331,124,510
2012-2014 2013 Chapter 1, 2014 Acts of Assembly $285,397,318 $62,224,242 $347,621,560
2012-2014 2014 Chapter 1, 2014 Acts of Assembly $269,347,318 $62,274,242 $331,621,560
2014-2016 2015 Chapter 732, 2016 Acts of Assembly $287,332,709 $61,679,447 $349,012,156
2014-2016 2016 Chapter 732, 2016 Acts of Assembly $318,035,746 $62,429,447 $380,465,193
2016-2018 2017 Chapter 780, 2016 Appropriation Act $331,127,537 $66,315,447 $397,442,984
2016-2018 2017 Base Budget $317,076,689 $61,679,447 $378,756,136
2016-2018 2017 Governor's Amendments ($1,615,875) $0 ($1,615,875)
2016-2018 2017 General Assembly Adjustments $15,666,723 $4,636,000 $20,302,723
2016-2018 2018 Chapter 780, 2016 Appropriation Act $335,447,077 $62,159,447 $397,606,524
2016-2018 2018 Base Budget $317,076,689 $61,679,447 $378,756,136
2016-2018 2018 Governor's Amendments ($13,625,282) $0 ($13,625,282)
2016-2018 2018 General Assembly Adjustments $31,995,670 $480,000 $32,475,670
Positions Budget Summary
Biennium Fiscal Year Source GF NGF Total
2010-2012 2011 Chapter 2, 2012 Acts of Assembly 0.00 0.00 0.00
2010-2012 2012 Chapter 2, 2012 Acts of Assembly 0.00 0.00 0.00
2012-2014 2013 Chapter 1, 2014 Acts of Assembly 0.00 0.00 0.00
2012-2014 2014 Chapter 1, 2014 Acts of Assembly 0.00 0.00 0.00
2014-2016 2015 Chapter 732, 2016 Acts of Assembly 0.00 0.00 0.00
2014-2016 2016 Chapter 732, 2016 Acts of Assembly 0.00 0.00 0.00
2016-2018 2017 Chapter 780, 2016 Appropriation Act 0.00 0.00 0.00
2016-2018 2017 Base Budget 0.00 0.00 0.00
2016-2018 2017 Governor's Amendments 0.00 0.00 0.00
2016-2018 2017 General Assembly Adjustments 0.00 0.00 0.00
2016-2018 2018 Chapter 780, 2016 Appropriation Act 0.00 0.00 0.00
2016-2018 2018 Base Budget 0.00 0.00 0.00
2016-2018 2018 Governor's Amendments 0.00 0.00 0.00
2016-2018 2018 General Assembly Adjustments 0.00 0.00 0.00
Operating Budget Addenda (in order of greatest impact)
•
Adjust appropriation for the centrally funded two percent salary increase for state supported local employees Base Budget Adjustment
  Adjusts appropriation for the two percent salary increase for state supported local employees budgeted in Central Appropriations, Item 467.R. of Chapter 665, 2015 Acts of Assembly.
 
  FY FY
General Fund $2,757,487 $2,757,487
•
Transfer funds for Health Support Networks to Central Office Base Budget Adjustment
  Moves funds that were originally appropriated in agency 790 (Community Services Boards) to the agency 720 (Central Office). The transfer of these funds in FY 2015 and FY 2016 was done administratively. This zero sum adjustment will permanently move the funds to the agency where they will be spent.
 
  FY FY
General Fund ($2,600,000) ($2,600,000)
•
Adjust appropriation to account for reduction taken from improper agency code Base Budget Adjustment
  Corrects an erroneous reduction in the agency's central office budget. The general assembly rejected one of the governor's amendments to increase housing supplements for individuals in the DOJ settlement population. However, the funds were mistakenly taken from agency 720, when they had been appropriated to agency 790. This adjustment will correct the mistake and eliminate the need to transfer the funds administratively.
 
  FY FY
General Fund ($675,000) ($675,000)
•
Transfer funds for the Independent Reviewer Base Budget Adjustment
  Moves funds from agency 790 (Grants to Localities) to agency 720 (Central Office) that are associated with the budget for the independent reviewer of the state's compliance with the Department of Justice settlement agreement. The funds being transferred are funds that were added to the incorrect agency, as the remainder of the independent reviewer's budget is appropriated in 720.
 
  FY FY
General Fund ($49,000) ($49,000)
•
Account for savings from federal participation in substance abuse and mental health services Decision Package
  Reflects savings associated with providing federally reimbursable substance abuse and mental health services.
 
  FY FY
General Fund ($12,143,442) ($29,144,262)
•
Expand crisis stabilization programs consistent with requirements Decision Package
  Funds crisis stabilization programs required by the settlement agreement with the federal Department of Justice (DOJ). This amendment includes funds to build two, eight-bed therapeutic homes, in addition to funds for mobile crisis services, respite services for children, and crisis coordinators in each region. Funds are included for three crisis specialists to work in state mental health facilities to reduce unnecessary institutionalization. The Independent Reviewer charged with monitoring the state's compliance with the agreement has noted that the state continues to be noncompliant in this area, particularly as it applies to children.
 
  FY FY
General Fund $4,330,000 $5,327,000
•
Expand rental assistance programs for the intellectually and developmentally disabled Decision Package
  Provides funds for 300 rental vouchers, and funding for two positions to manage the rental subsidy program. This request will phase in the new rental subsidies by adding 150 in FY 2017, and an additional 150 in FY 2018.
 
  FY FY
General Fund $1,875,000 $3,750,000
•
Support transitional housing continuum for forensic patients Decision Package
  Provides funds to establish one therapeutic group home and one intensive community residential treatment program in the Eastern State Hospital catchment area. In addition, discharge assistance planning funds (DAP) are provided to address extraordinary barriers to discharge so that individuals who are ready for placement in the community have the supports necessary to succeed outside of a state hospital. This amendment also includes funds for one position to monitor, evaluate, and prioritize individuals waiting for transfer to a state facility from local jails.
 
  FY FY
General Fund $1,536,119 $3,016,492
•
Address increasing caseload in the Early Intervention – Part C program Decision Package
  Provides funds for anticipated caseload growth in the Early Intervention Part - C program. The average growth over the last four years was 4.9 percent. The federal Individuals with Disabilities Education Act requires that the state must identify and enroll all eligible children. These funds are supplemented by federal and local funds.
 
  FY FY
General Fund $1,716,961 $2,512,001
•
Increase diversion options for persons with mental illness who are involved in the criminal justice system by creating a magistrate’s post-booking diversion pilot Decision Package
  Provides funds for up to three additional post-booking diversion programs. These programs enhance identification, diversion, and connection of persons with mental illness or co-occurring substance abuse disorders involved in the criminal justice system by providing pre-trial mental health and substance abuse services.
 
  FY FY
General Fund $600,000 $600,000
•
Provide transitional funding for individuals leaving the training center Decision Package
  Provides support for transitional needs for an estimated 180 individuals leaving the training centers during the biennium. There is currently no base funding dedicated to this need. All transitional needs have been supported through carryforward requests in FY 2015 and FY 2016. The requested funding will support needs that are not covered by Medicaid, including assistive technology, home and vehicle modifications, and specialized durable medical equipment.
 
  FY FY
General Fund $636,000 $480,000
•
Provide on-going funds for Rental Choice VA subsidy program. Decision Package
  Provides on-going funds for the Rental Choice VA program established pursuant to the settlement agreement with the federal Department of Justice. The individuals being served by this program currently have no stable fund source for the subsidies being provided, as the program was originally funded with a one-time $800,000 appropriation. If on-going funds are not appropriated, they will lose their subsidy and will likely end up in a more expensive, congregate setting.
 
  FY FY
General Fund $400,000 $400,000
•
Restore Funding for Community Services Boards General Assembly Adjustment
  This amendment restores $12.1 million the first year and $29.1 million the second year from the general fund for services provided through Community Services Boards that was reduced in the introduced budget as part of the proposal to expand Medicaid pursuant to the Patient Protection and Affordable Care Act. A companion amendment in Item 306 eliminates Medicaid expansion.
 
  FY FY
General Fund $12,143,442 $29,144,262
•
Permanent Supportive Housing General Assembly Adjustment
  This amendment adds $2.1 million the first year and $2.1 million the second year from the general fund to increase support for permanent supportive housing and provide support to 150 additional individuals. Permanent supportive housing provides rental assistance and in-home clinical services and support staff to assist individuals with mental illness in maintaining stability in the community. The goal of the program is to assist in keeping individuals with mental illness out of jail, hospitals and prevents homelessness. A reporting requirement is also included.
 
  FY FY
General Fund $2,142,900 $2,142,900
•
Appropriate Funds-Behavioral Health & Developmental Svs. Trust Fund General Assembly Adjustment
  This amendment adds language and appropriates up to $4.0 million the first year from the Behavioral Health and Developmental Services Trust Fund for one-time expenses related to developing housing options and specialized services, and making capital improvements to enhance and expand services for individuals with intellectual and developmental disabilities. A minimum of 60 percent of the funding will be used to build community capacity in Northern Virginia and the remaining funding will be used to build community capacity for individuals who are transitioning to the community from Southwestern Virginia Training Center (SWVTC). Language specifies that projects addressing SWVTC are to be located in Virginia within 100 miles of the facility. Also, the agency is required to give preference to projects involving existing Virginia providers to expand capacity. Language also requires the agency to report on expenditures from the Trust Fund by December 1, 2016 to the Chairmen of the House Appropriations and Senate Finance Committees. Language references Item 312 which requires that Trust Fund dollars are subject to appropriation by the General Assembly.
 
  FY FY
Nongeneral Fund $4,000,000 $0
•
Expand Programs of Assertive Community Treatment General Assembly Adjustment
  This amendment provides $2.0 million from the general fund each year to fund two additional Programs for Assertive Community Treatment (PACT). These programs focus on individuals with serious mental illness at-risk of being frequent utilizers of hospitals, homeless shelters and jails. PACT teams are self-contained interdisciplinary teams of clinical staff that provide intensive treatment in the community to promote stability for individuals that typically do not access the mental health system.
 
  FY FY
General Fund $2,000,000 $2,000,000
•
Reprogram Funding for ICT, Transitional Housing & Post-booking Pilots General Assembly Adjustment
  This amendment eliminates funding and language for new initiatives to fund one intensive community residential treatment home, one transitional group home and three post-booking pilot programs. This funding of $1.4 million the first year and $2.2 million the second year from the general fund is reprogrammed to build on existing efforts to provide permanent supportive housing. A companion amendment provides funding for permanent supportive housing.
 
  FY FY
General Fund ($1,400,000) ($2,200,000)
•
Child Psychiatry and Children's Crisis Response Services General Assembly Adjustment
  This amendment increases funding by $1.8 million from the general fund each year for child psychiatry and children's crisis response services. The need for these services exceeds current funding levels and these funds will be used to create new or expand existing community-based services.
 
  FY FY
General Fund $1,750,000 $1,750,000
•
Transition Services for Individuals in Training Centers General Assembly Adjustment
  This amendment replaces general funds with $636,000 the first year and $480,000 the second year from the Behavioral Health and Developmental Services Trust Fund for transition costs of individuals leaving state training centers to enter the community. Transition costs are one-time costs that are an appropriate use of one-time monies in the trust fund. One of the purposes of the trust fund pursuant to § 32.2-319 of the Code of Virginia and language set out in this act is to cover services for individuals who are transitioning from state training centers as these facilities are restructured.
 
  FY FY
General Fund ($636,000) ($480,000)
Nongeneral Fund $636,000 $480,000
•
Correct Base Funding for Prince William ARC General Assembly Adjustment
  This amendment corrects the base appropriation to reflect the removal of $250,000 each year for the The ARC of Prince William. In the 2015 Session, $250,000 was included in the budget for fiscal year 2016 for one-time uses related to the provision of residential services for individuals transitioning from the Northern Virginia Training Center into the community. The funding was intended to be one-time and while the introduced budget removed the language directing the payment, it did not remove the appropriation in the base budget.
 
  FY FY
General Fund ($250,000) ($250,000)
•
Technical Transfer Funds for Administrative Costs of Forensic Housing Programs General Assembly Adjustment
  This amendment transfers funds that were appropriated for the administrative costs of maintaining and monitoring the wait list of individuals transferring from jails to state mental health facilities. These costs were originally appropriated in Grants to Localities. This net zero amendment will move funds to the item from which they will be expended.
 
  FY FY
General Fund ($83,619) ($111,492)
•
Discharge Assistance Plan Funding General Assembly Adjustment
  This amendment modifies language in the introduced budget to accurately reflect the first year general fund amount for discharge assistance funding for individuals residing in state hospitals who have been determined clinically ready for discharge. In addition, it allocates a portion of the funding to individuals at Western State Hospital.
•
Report on Outpatient Mental Health Services for Youth General Assembly Adjustment
  This amendment adds a reporting requirement to existing funding for mental health outpatient services for youth and young adults. The report shall include information on the use and impact of these funds by December 1, 2016.


p3_bullets - Official Enacted Budget - 11-03-2025 00:45:50