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
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 732, 2016 Acts of Assembly $46,609,895 $27,566,203 $74,176,098
2014-2016 2016 Chapter 732, 2016 Acts of Assembly $50,478,008 $28,199,077 $78,677,085
2016-2018 2017 Chapter 1, 2018 Acts of Assembly $55,086,308 $33,519,772 $88,606,080
2016-2018 2018 Chapter 1, 2018 Acts of Assembly $58,842,823 $33,842,691 $92,685,514
2018-2020 2019 Chapter 854, 2019 Acts of Assembly $70,014,613 $44,782,822 $114,797,435
2018-2020 2019 Previous Legislative Appropriation $70,014,613 $43,875,046 $113,889,659
2018-2020 2019 Governor's Amendments $1,600,000 $907,776 $2,507,776
2018-2020 2019 General Assembly Adjustments ($1,600,000) $0 ($1,600,000)
2018-2020 2020 Chapter 854, 2019 Acts of Assembly $78,224,286 $43,576,658 $121,800,944
2018-2020 2020 Previous Legislative Appropriation $75,163,757 $42,425,046 $117,588,803
2018-2020 2020 Governor's Amendments $3,150,029 $1,151,612 $4,301,641
2018-2020 2020 General Assembly Adjustments ($89,500) $0 ($89,500)
Positions Budget Summary
Biennium Fiscal Year Source GF NGF Total
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 732, 2016 Acts of Assembly 224.85 13.40 238.25
2014-2016 2016 Chapter 732, 2016 Acts of Assembly 225.85 13.40 239.25
2016-2018 2017 Chapter 1, 2018 Acts of Assembly 393.60 29.40 423.00
2016-2018 2018 Chapter 1, 2018 Acts of Assembly 391.75 29.25 421.00
2018-2020 2019 Chapter 854, 2019 Acts of Assembly 399.75 31.25 431.00
2018-2020 2019 Previous Legislative Appropriation 399.75 31.25 431.00
2018-2020 2019 Governor's Amendments 0.00 0.00 0.00
2018-2020 2019 General Assembly Adjustments 0.00 0.00 0.00
2018-2020 2020 Chapter 854, 2019 Acts of Assembly 423.50 31.25 454.75
2018-2020 2020 Previous Legislative Appropriation 422.50 31.25 453.75
2018-2020 2020 Governor's Amendments 1.00 0.00 1.00
2018-2020 2020 General Assembly Adjustments 0.00 0.00 0.00
Operating Budget Addenda (in order of greatest impact)
•
Purchase additional naloxone kits Decision Package
  Provides funds for the purchase and distribution of additional REVIVE! kits and naloxone spray used for the reversal of opioid overdose.
 
  FY FY
General Fund $1,600,000 $1,600,000
•
Increase federal fund appropriation for the Waiver Management System Decision Package
  Provides additional federal fund appropriation authority for the continued implementation of the Waiver Management System (WaMS) project. The WaMS project is an automated system that consolidates many waiver processing functions such as waiver service preauthorization, enrollment management, and waitlist management, into one system.
 
  FY FY
Nongeneral Fund $907,776 $907,776
•
Provide funds for children's mental health access program Decision Package
  Provides funds to contract with the Virginia Mental Health Access Program to develop integrated mental health services for children.
 
  FY FY
General Fund $0 $1,230,000
•
Provide necessary resources for SIS assessments for new waiver population Decision Package
  Provides funding for the first-time assessments of the individuals who will receive services through the 1,067 new ID/DD Medicaid waiver slots scheduled to become available in the second year. The cost of the assessments for the slots added in the first year was covered using year-end balances.
 
  FY FY
General Fund $0 $81,279
Nongeneral Fund $0 $243,836
•
Expand services for adults with disabilities in Loudoun County Decision Package
  Provides funds to contract with the Jewish Foundation for Group Homes to expand services for young adults with disabilities in Loudoun County.
 
  FY FY
General Fund $0 $89,500
•
Restore victims of eugenical sterilization compensation base appropriation Decision Package
  Provides funds and authorization for the payment of claims made by those deemed eligible for compensation as a result of their involuntary sterilization pursuant to the Virginia Eugenical Sterilization Act who were living as of February 1, 2015.
 
  FY FY
General Fund $0 $75,000
•
Support juvenile competency restoration services to address the increasing number of court orders in Virginia Decision Package
  Funds one additional juvenile competency restoration counselor in the city of Richmond to address waitlists for restoration services.
 
  FY FY
General Fund $0 $74,250
Positions 0.00 1.00
•
Eliminate special fund cap in the first year Decision Package
  Eliminates the cap on special fund balances the first year to account for multi-year special fund obligations such as capital projects.
•
Monitor impact of Medicaid expansion on Community Services Boards Decision Package
  Requires the Department of Behavioral Health and Developmental Services (DBHDS), in consultation with the Department of Medical Assistance Services, to monitor the impact of Medicaid expansion on the Community Services Boards. If the amount of new revenue generated as a result of expansion is at least ten percent less than the savings assumed in the Act, the Commissioner of DBHDS may allocate up to $7.0 million in nongeneral funds to replace lost revenue.
•
Realign administrative funds within the central office Decision Package
  Realigns funding within the agency's central office to eliminate the need for administrative transfers. This amendment has no fiscal impact.
•
Remove First Year Funding for Naloxone Kits General Assembly Adjustment
  This amendment eliminates $1.6 million the first year from the general fund provided for the purchase of Naloxone kits. Funding of $1.6 million the second year remains for this purpose.)
 
  FY FY
General Fund ($1,600,000) $0
•
Eliminate Earmark for Jewish Foundation for Group Homes General Assembly Adjustment
  This amendment removes funding contained in the introduced budget for the Jewish Foundation for Group Homes.
 
  FY FY
General Fund $0 ($89,500)
•
Amend Plan to Examine TDO Admissions and Right Size the State Behavioral Health Hospital System (Executive Amendment) General Assembly Adjustment
  This language amendment clarifies that separate reports will be issued on the impact of Temporary Detention Order (TDO) admissions on state hospitals and a plan to “right size” the state hospital system to be issued by October 15, 2019, and November 1, 20
•
DBHDS - Behavioral Health Services Realignment General Assembly Adjustment
  This amendment adds language authorizing the promulgation of licensing regulations by the Department of Behavioral Health and Developmental Services, upon approval of the 2020 General Assembly, to support the realignment of behavioral health services to ensure the licensing system supports evidence-based, trauma-information, prevention-focused and cost-effective services for individuals served across the lifespan. These actions will support those being undertaken to realign behavioral health services funded through the Virginia Medicaid program and contained in a companion amendment in Item 303. This is a recommendation of the Joint Subcommittee Studying Mental Health Services in the Commonwealth in the 21st Century.
•
DD Waiver Individualized Supports Budget Program General Assembly Adjustment
  This amendment adds language prohibiting the Departments of Behavioral Health and Developmental Services and Medical Assistance Services from implementing an individualized supports budget process for the three Medicaid waivers related to providing developmental disability (DD) services without explicit authorization from the General Assembly. This is a fundamental shift in current public policy regarding how DD Waiver participant plans of service are calculated, authorized and funded.
•
Future Priority for Falls Church Residents for the Miller House General Assembly Adjustment
  This amendment directs the Department of Behavioral Health and Developmental Services to work with the Fairfax-Falls Church Community Services Board and the provider of the Miller House to give priority to residents of Falls Church, that have received a developmental disability waiver slot, when openings in the group home become available in the future. In addition, the department is directed to work with the Community Services Board and the City of Falls Church to explore options for allocating Falls Church residents a waiver slot when future openings are available in the Miller House.
•
Lease of Land at Eastern State Hospital for Hope Family Village Project General Assembly Adjustment
  This amendment directs that 25 acres of land at Eastern State Hospital be set aside and leased to Hope Family Village Corporation for one dollar for the development of a village of residence and common areas to create a culture of self-care and neighborly support for families and their loved ones impacted by serious mental illness.
•
Regional Mental Health Coordination in Northern Virginia General Assembly Adjustment
  This amendment re-creates a public and private collaborative process in Northern Virginia that existed in the last decade to better and more comprehensively address needs within the region, share responsibility for meeting those needs, and strive to have individuals with mental health needs have those needs met in ways and programs that best meet their needs in cost effective ways. The Department of Behavioral Health and Developmental Services is required to report on the workgroup by November 30, 2019.
•
Report on PACT Funding and Cost Effectiveness General Assembly Adjustment
  This amendment adds language directing the Department of Behavioral Health and Developmental Services to report on the funding and cost effectiveness of the PACT program by November 1, 2019.
•
Reporting and Data on Community Services Board Revenue Impacts General Assembly Adjustment
  This amendment modifies language in the introduced budget which allows the Department of Behavioral Health and Developmental Services to provide funding from special fund balances at the end of the fiscal year to CSBs in circumstances where a CSB's additional fiscal year 2019 Medicaid reimbursements do not reach at least 90 percent of the general fund reductions assumed in Chapter 2 for fiscal year 2019. Language allows that assistance to be provided prior to the end of the fiscal year so that the provision of critical services is not disrupted. The amendment also clarifies that assistance may be provided to an individual CSB rather than requiring that Medicaid reimbursements to all CSBs fall short of general fund reductions before assistance may be provided. The amendment requires the department to report to the Secretary of Finance and the Chairmen of the House Appropriations and Senate Finance Committees on how the expected general fund savings compare to actual Medicaid payments for fiscal year 2019 so that the expected general fund savings in fiscal year 2020 may be adjusted in amendments to the biennial budget during the 2020 Session of the General Assembly, if necessary.
•
Reporting on Agency Organization General Assembly Adjustment
  This amendment requires the Department of Behavioral Health and Developmental Services to annually report on the agency's organization and operations and any changes that occurred during the year. The agency will make this report available on its website by August 15 of each year. This information will assist in providing public information regarding changes in the agency's organization and operations.
•
Review of Public-Private Partnerships for CVTC and Crisis System General Assembly Adjustment
  This amendment directs the Department of Behavioral Health and Developmental Services to update the Special Joint Subcommittee to Consult on the Plan to Close State Training Centers no later than June 30, 2019 on Public-Private Partnerships for Central Virginia Training Center, including any proposals received under the Public-Private Education Facilities and Infrastructure Act to the Joint Subcommittee. The Department of Behavioral Health and Developmental Services is also directed to provide data to the Joint Subcommittee regarding all remaining residents of the Central Virginia Training Center that provides insight into the needs of those individuals that remain, along with information regarding the entire Developmental Disability crisis system in the Commonwealth in order for the joint subcommittee to evaluate the sufficiency of the overall crisis system for individuals with developmental disabilities.
•
Workgroup and Plan for Relieving Census Pressure and Right Sizing the State Behavioral Health Hospital System General Assembly Adjustment
  This amendment directs the Department of Behavioral Health and Developmental Services (DBHDS) to establish a workgroup, which shall include the Virginia Hospital and Healthcare Association and other stakeholders to examine the impact of Temporary Detention Order admissions on the state behavioral health hospitals and develop options and an action plan to relieve census pressure. The action plan must also take into account the need to take short-term actions to relieve the census pressure on state behavioral health hospitals in order to develop a plan for the right sizing of the system. In addition, the amendment directs DBHDS to develop a proposal for Central State Hospital that fits within a 'right sized' system.


p3_bullets - Official Enacted Budget - 11-02-2025 09:17:07