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
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 1, 2018 Acts of Assembly $330,827,537 $66,315,447 $397,142,984
2016-2018 2018 Chapter 1, 2018 Acts of Assembly $350,373,444 $75,709,447 $426,082,891
2018-2020 2019 Chaper 2, 2018-2020 $370,958,279 $75,785,975 $446,744,254
2018-2020 2019 Base Budget $349,491,728 $75,709,447 $425,201,175
2018-2020 2019 Governor's Amendments $15,748,952 ($4,923,472) $10,825,480
2018-2020 2019 General Assembly Adjustments $5,717,599 $5,000,000 $10,717,599
2018-2020 2020 Chaper 2, 2018-2020 $392,706,703 $66,985,975 $459,692,678
2018-2020 2020 Base Budget $349,491,728 $75,709,447 $425,201,175
2018-2020 2020 Governor's Amendments $20,148,664 ($8,723,472) $11,425,192
2018-2020 2020 General Assembly Adjustments $23,066,311 $0 $23,066,311
Positions Budget Summary
Biennium Fiscal Year Source GF NGF Total
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 1, 2018 Acts of Assembly 0.00 0.00 0.00
2016-2018 2018 Chapter 1, 2018 Acts of Assembly 0.00 0.00 0.00
2018-2020 2019 Chaper 2, 2018-2020 0.00 0.00 0.00
2018-2020 2019 Base Budget 0.00 0.00 0.00
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 Chaper 2, 2018-2020 0.00 0.00 0.00
2018-2020 2020 Base Budget 0.00 0.00 0.00
2018-2020 2020 Governor's Amendments 0.00 0.00 0.00
2018-2020 2020 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 475 Y. of Chapter 836, 2017 Acts of Assembly.
 
  FY FY
General Fund $2,833,407 $2,833,407
•
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 ($16,653,864) ($24,980,796)
•
Increase Trust Fund appropriation Decision Package
  Adjusts appropriation from the Behavioral Health Trust Fund to properly reflect the amount of funds anticipated to be available in FY 2019 from the sale of Northern Virginia Training Center. A portion of the anticipated proceeds was appropriated in FY 2018. This adjustment accounts for the remaining balance. The remaining $3.9 million in FY 2019 will be used to develop services for individuals with complex medical needs and multiple diagnoses.
 
  FY FY
Nongeneral Fund ($4,750,000) ($8,550,000)
•
Complete implementation of Same Day Access (STEP-VA) Decision Package
  Provides funds for the staffing costs at Community Services Boards of complying with same-day access legislation passed in the 2017 session. State law requires that all CSBs offer same-day access to behavioral health assessment services by July 1, 2019. Funding for 18 CSBs is currently in the 2018 base budget. The funds in this amendment will provide the same support to the remaining 22 CSBs.
 
  FY FY
General Fund $5,900,000 $5,900,000
•
Provide funds for primary care screening and monitoring Decision Package
  Provides funds to implement primary care screening services at all 40 CSBs in Virginia, as required by Section 37.2-500 and 37.2-601. Beginning July 1, 2019, all CSBs are responsible for outpatient clinic primary care screening and monitoring of key health indicators and health risk. Funds are phased in the first year.
 
  FY FY
General Fund $3,720,000 $7,440,000
•
Provide funding to support medication assisted treatment provided by community services boards for individuals with opioid use disorders. Decision Package
  Replaces federal grant funding for medication assisted treatment for individuals with substance use disorders.
 
  FY FY
General Fund $5,000,000 $5,000,000
•
Provide community discharge funds for census management at state facilities Decision Package
  Provides funding to transition individuals currently on the extraordinary barriers to discharge list at state mental health facilities into the community. These funds are phased in the first year.
 
  FY FY
General Fund $2,300,000 $4,600,000
•
Increase funding for state rental assistance program Decision Package
  Provides rental subsidies for 343 individuals with developmental disabilities to live in their own housing with appropriate supports. The Settlement Agreement with the federal Department of Justice requires the Commonwealth to establish and implement a plan to address access to independent housing options. As a result of this requirement, the Commonwealth has established a goal of providing rental assistance to 847 individuals. Current funding has allowed for 504 individuals to receive rental assistance. This request would provide funding to support the remaining 343.
 
  FY FY
General Fund $1,558,836 $4,147,833
•
Expand crisis program for individuals with developmental disabilities Decision Package
  Provides funding for staffing for a children's crisis therapeutic home and an adult transition home located in northern Virginia acquired pursuant to Chapter 780, the 2016 Appropriation Act, which provided one-time funds from the Behavioral Health and Developmental Services Trust Fund for the development of services in the region for those with intensive behavioral or medical needs. The settlement agreement with the federal Department of Justice mandates the development of a crisis infrastructure to support the target population.
 
  FY FY
General Fund $2,381,250 $3,175,000
•
Transfer Local Inpatient Purchase of Service funds to Community Services Boards Decision Package
  Transfers LIPOS (local inpatient purchase of service) funds to agency 790 (Grants to Localities). There is an additional amendment that moves LIPOS funds from the agency's central office to agency 790. In total these transfers will result in all LIPOS funds being appropriated in one agency code, improving transparency and eliminating the need for administrative transfers.
 
  FY FY
General Fund $2,500,000 $2,500,000
•
Support growth in the Early Intervention Program - Part C caseload Decision Package
  Funds projected growth in the Early Intervention - Part C caseload. As a participant in the Part C program, the Commonwealth is required to make early intervention services eligible to all eligible children from birth through two years old with developmental delays and disabilities.
 
  FY FY
General Fund $1,807,518 $2,779,610
•
Expand supportive housing for adults with serious mental illness Decision Package
  Expands supportive housing options for up to 200 individuals. Priority will be given to those individuals currently residing in state facilities that have been determined ready for discharge, but are in need of housing in order to be placed in the community.
 
  FY FY
General Fund $1,525,605 $3,051,210
•
Transfer Local Inpatient Purchase of Service funds to Community Services Boards Decision Package
  This sum zero transfer will move LIPOS funds to agency 790 (Grants to Localities). There is an additional transfer to move LIPOS funds from the mental health treatment centers to 790. In total these transfers will result in all LIPOS funds being appropriated in one agency code, improving transparency and eliminating the need for administrative transfer.
 
  FY FY
General Fund $2,250,000 $2,250,000
•
Provide supportive housing for pregnant and parenting women Decision Package
  Provides permanent supportive housing funds for up to 75 pregnant or parenting women with substance abuse disorders. Funds are phased in over the biennium.
 
  FY FY
General Fund $826,200 $1,652,400
•
Transfer permanent supportive housing administrative funds to Central Office Decision Package
  Moves funding from agency 790 (Grants to Localities) to agency 720 (Central Office) for the oversight of the permanent supportive housing program. This sum zero transfer has no fiscal impact.
 
  FY FY
General Fund ($200,000) ($200,000)
•
Realign funding within DBHDS Decision Package
  Transfers funding for two grant-funded administrative positions from agency 790 (Grants to Localities) to the agency's Central Office (720). This sum zero nongeneral fund transfer has no fiscal impact.
 
  FY FY
Nongeneral Fund ($173,472) ($173,472)
•
STEP-VA Outpatient Services General Assembly Adjustment
  This amendment adds $15.0 million the second year from the general fund to begin phasing in a statewide expansion of outpatient services at Community Services Boards and Behavioral Health Authorities. Chapters 607 and 683 of the 2017 Acts of Assembly expanded the core of services to be provided by community services boards and behavioral health authorities to include outpatient services for individuals with mental health or substance use disorders, outpatient mental health and substance abuse services, effective July 1, 2021.
 
  FY FY
General Fund $0 $15,000,000
•
Supplant General Fund for Opioid Overdose Reversal Project with Federal Funds General Assembly Adjustment
  This amendment supplants $5.0 million from the general fund the first year with new federal grant funding from the State Targeted Response to the Opioid Crisis Grant, which was created by the 21st Century Cures Act, passed by Congress in December 2016. Language requires the Department of Behavioral Health and Developmental Services to ensure that a portion of the funding be used for non-narcotic drug treatment regiments for individuals who are: (i) on probation; (ii) in an institution, prison, or jail; or (iii) not able for clinical or other reasons to participate in buprenorphine or methadone based drug treatment regimens
 
  FY FY
General Fund ($5,000,000) $0
Nongeneral Fund $5,000,000 $0
•
Restore Medicaid Savings from Expanded Federal Participation in CSB Services General Assembly Adjustment
  This amendment restores $5.6 million to the general fund the first year for mental health and substance abuse treatment services delivered through the Community Services Boards. The introduced budget assumed three quarters of savings from the CSBs that would occur if health care coverage in the Medicaid program were enhanced to serve newly eligible individuals with incomes up to 138% of the federal poverty level pursuant to the Patient Protection and Affordable Care Act. This amendment assumes that only two quarters of savings from the existing Medicaid program will accrue to the state due to Medicaid transformation beginning on January 1, 2019 instead of October 1, 2018. These savings would accrue since the federal matching rate is higher for individuals in the newly eligible population than in the current Medicaid program (93.5% in fiscal year 2019 compared to 50% for the current Medicaid population). Companion amendments in Item 303 and Item 390 restore savings from expanded Medicaid coverage for individuals served in other Medicaid programs and inmate hospitalization payments by the Department of Corrections.
 
  FY FY
General Fund $5,551,288 $0
•
Discharge Planning at Local Jails General Assembly Adjustment
  This amendment provides funds for Community Services Boards to provide discharge planning services at two jails with a high percentage of inmates with serious mental illness. Discharge planning includes linking inmates with serious mental illness to community providers for treatment and housing and other needed services as they transition from jails to the community.
 
  FY FY
General Fund $1,600,000 $1,600,000
•
Develop crisis services in unserved rural communities General Assembly Adjustment
  This amendment provides funds to establish an additional six assessment centers in unserved rural communities.
 
  FY FY
General Fund $900,000 $1,800,000
•
Telemental Health Pilot Program General Assembly Adjustment
  This amendment provides funds to establish the Appalachian Telemental Health Initiative, a telemental health pilot program to increase the availability of telemental health services in emergency settings in Southwest Virginia.
 
  FY FY
General Fund $1,100,000 $1,100,000
•
STEP-VA Detoxification Services General Assembly Adjustment
  This amendment adds $2.0 million the second year from the general fund to begin phasing in a statewide expansion of detoxification services at Community Services Boards and Behavioral Health Authorities. Chapters 607 and 683 of the 2017 Acts of Assembly expanded the core of services to be provided by community services boards and behavioral health authorities to include detoxification services for individuals with mental health or substance use disorders, effective July 1, 2021.
 
  FY FY
General Fund $0 $2,000,000
•
Fund Intercept Two Diversion Programs General Assembly Adjustment
  This amendment provides $708,663 from the general fund each year to establish a diversion program in up to three rural communities modeled after the Sequential Intercept Model which focuses on diverting individuals with serious mental illness from incarceration. This amendment specifically directs the establishment of an Intercept 2 diversion program in up to three rural communities.
 
  FY FY
General Fund $708,663 $708,663
•
Crisis Intervention Training (CIT) Programs in Rural Communities General Assembly Adjustment
  This amendment provides funds to establish Crisis Intervention Training programs in six rural communities.
 
  FY FY
General Fund $657,648 $657,648
•
Best Buddies Virginia General Assembly Adjustment
  The amendment provides funds to support Best Buddies, which is a non-profit organization established as part of a volunteer movement that creates opportunities for one-to-one friendships, integrated employment, and leadership development for people with intellectual and developmental disabilities.
 
  FY FY
General Fund $200,000 $200,000


p3_bullets - Official Enacted Budget - 06-02-2025 07:57:39