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
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 1283, 2020 Acts of Assembly $70,014,613 $44,782,822 $114,797,435
2018-2020 2020 Chapter 1283, 2020 Acts of Assembly $80,317,330 $58,029,829 $138,347,159
2020-2022 2021 Chapter 552, 2021 Acts of Assembly, Special Session I $109,721,284 $62,061,346 $171,782,630
2020-2022 2021 Previous Legislative Appropriation $116,540,991 $62,061,346 $178,602,337
2020-2022 2021 Governor's Amendments ($6,819,707) $0 ($6,819,707)
2020-2022 2021 General Assembly Adjustments $0 $0 $0
2020-2022 2022 Chapter 552, 2021 Acts of Assembly, Special Session I $135,030,522 $46,155,145 $181,185,667
2020-2022 2022 Previous Legislative Appropriation $124,648,403 $45,420,417 $170,068,820
2020-2022 2022 Governor's Amendments $8,238,859 $734,728 $8,973,587
2020-2022 2022 General Assembly Adjustments $2,143,260 $0 $2,143,260
Positions Budget Summary
Biennium Fiscal Year Source GF NGF Total
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 1283, 2020 Acts of Assembly 399.75 31.25 431.00
2018-2020 2020 Chapter 1283, 2020 Acts of Assembly 451.50 31.25 482.75
2020-2022 2021 Chapter 552, 2021 Acts of Assembly, Special Session I 475.50 31.75 507.25
2020-2022 2021 Previous Legislative Appropriation 474.50 31.75 506.25
2020-2022 2021 Governor's Amendments 1.00 0.00 1.00
2020-2022 2021 General Assembly Adjustments 0.00 0.00 0.00
2020-2022 2022 Chapter 552, 2021 Acts of Assembly, Special Session I 482.50 31.75 514.25
2020-2022 2022 Previous Legislative Appropriation 474.50 31.75 506.25
2020-2022 2022 Governor's Amendments 12.00 0.00 12.00
2020-2022 2022 General Assembly Adjustments (4.00) 0.00 (4.00)
Operating Budget Addenda (in order of greatest impact)
•
Move reductions to agency budget Decision Package
  Moves the reductions included in Item 482.20 of the 2020 Special Session Appropriation Act from Central Appropriations to the agency budget.
 
  FY FY
General Fund ($7,100,910) ($7,931,239)
•
Transfer Local Inpatient Purchase of Service (LIPOS) funding to Central Office Decision Package
  Transfers local inpatient purchase of service (LIPOS) funds from the Community Services Boards to the central office in order to centralize LIPOS contracts and increase oversight and transparency.
 
  FY FY
General Fund $0 $8,774,784
•
Create diversion and discharge pilots for individuals with dementia Decision Package
  Provides funds to support contracts for the diversion and discharge of individuals from state mental health facilities and a pilot mobile crisis program for those who have a primary diagnosis of dementia. Additionally, language requires a multi-agency work group to determine system capacity and needs.
 
  FY FY
General Fund $0 $3,547,000
Positions 0.00 6.00
•
Increase funding for discharge assistance plans Decision Package
  Increases the availability of discharge planning funding for those individuals moving from state-operated mental health facilities to community placements.
 
  FY FY
General Fund $0 $2,500,000
•
Transfer Funding for REVIVE! from the Department of Behavioral Health and Developmental Services to the Virginia Department of Health Decision Package
  Transfers funds for the purchase and distribution of naloxone to the Virginia Department of Health. This zero sum transfer has no fiscal impact and eliminates the need for an administrative transfer.
 
  FY FY
General Fund $0 ($1,300,000)
•
Provide assessments for new waiver population Decision Package
  Provides funds for the administration of support needs assessments for individuals served by the Intellectual Disability and Developmental Disability Medicaid waivers to ensure they are receiving appropriate treatment and services. This assessment is required by the federal Centers for Medicare & Medicaid Services.CHAR(13) + CHAR(10)CHAR(13) + CHAR(10)
 
  FY FY
General Fund $0 $199,094
Nongeneral Fund $0 $597,281
•
Fund additional administrative costs of Marcus Alert legislation Decision Package
  Provides additional funds for the administrative costs of implementing the Marcus Alert legislation. These funds will be used to maintain the crisis hotline, evaluate current crisis system capacity in localities, and contract for a public advertising campaign.
 
  FY FY
General Fund $80,000 $691,612
•
Restore administrative funds for STEP-VA Decision Package
  Restores funds associated with central office costs for the implementation of STEP-VA.
 
  FY FY
General Fund $0 $726,807
Positions 0.00 5.00
•
Ensure the integrity of information technology security systems Decision Package
  Provides funding to modify and improve the capabilities of the Department of Behavioral Health and Developmental Services' systemwide information technology and security programs.
 
  FY FY
General Fund $0 $549,788
Nongeneral Fund $0 $137,447
•
Transfer funding from training centers to provide community supports for individuals not covered by Medicaid Decision Package
  Transfers funding from training centers to central office for the costs of community supports for individuals transferring out of state-operated training centers to the community who are not eligible for Medicaid services.
 
  FY FY
General Fund $140,000 $140,000
•
HB 5043 / SB 5038: Staffing Costs for Mental Health Awareness Alert System (2020 Special Session General Assembly Action - 320 #2c) Decision Package
  This amendment provides $61,203 the first year and $122,405 the second year from the general fund to the Department of Behavioral Health and Developmental Services for one staff to oversee implementation of a mental health awareness response system pursuant to House Bill 5043 and Senate Bill 5038 of the 2020 Special Session I.
 
  FY FY
General Fund $61,203 $122,405
Positions 1.00 1.00
•
Train workforce to support Behavioral Health Enhancement Decision Package
  Provides funds to support the administrative costs of an enhanced behavioral health care system.
 
  FY FY
General Fund $0 $129,253
•
Expand services for young adults with disabilities through the Jewish Foundation for Group Homes Decision Package
  Restores funding for the department to contract with the Jewish Foundation for Group Homes to expand the Transitioning Youth program, which is a one-year program that assists young adults with developmental disability in transitioning from school to community living.
 
  FY FY
General Fund $0 $89,355
•
Allot restored amounts (2020 Special Session General Assembly Action - Item 482.20) Decision Package
  Allots $13,612,194 in FY 2021 and $18,224,388 in FY 2022 for amounts originally unalloted in Item 321.10 of Chapter 1289 (2020) and subsequently restored via 2020 Special Session General Assembly action in Item 482.20.
•
Amend licensed providers annual inspection requirement Decision Package
  Eliminates the requirement that the licensing office undertake a minimum number of unannounced licensing inspections during a state of emergency. This language is necessary to minimize risk of exposure to infectious disease for licensing staff, providers, and clients.
•
Amend regulations pertaining to children's residential services Decision Package
  Provides emergency regulatory authority to the State Board of Department of Behavioral Health and Developmental Services for regulations related to providers impacted by the federal Family First Prevention Services Act. Language requires that any regulatory change be budget neutral.
•
Expand usage of Crisis Intervention Teams (CIT) training funds Decision Package
  Amends language to allow funds currently earmarked for law enforcement training in rural localities to be used to address additional CIT programs and programs at CIT assessment sites. The localities currently served by these funds have adequate training funds remaining from the previous year's distribution. Language requires that priority be given to rural localities in the distribution of these funds.
•
Provide options for children's acute inpatient care Decision Package
  Amends language to allow funds provided for children's local inpatient purchase of service to also be used for discharge and step-down services. This will allow for better management of census issues at the Commonwealth Center for Children and Adolescents.
•
Remove training center reporting requirements Decision Package
  Eliminates reporting requirements related to the closure of state training centers. There are no additional training centers to be closed, and therefore the reports are no longer necessary.
•
Technical Amendment: Set Out Commonwealth Autism Passthrough Grant (2020 Special Session General Assembly Action - 320 #1c) Decision Package
  This amendment sets out in language the long-standing passthrough grant that the Department of Behavioral Health and Developmental Services has been providing to Commonwealth Autism Services since fiscal year 2010. This technical language change ensures the department complies with state procurement rules.
•
Transfer funds between administrative programs Decision Package
  Transfers funds between general administration and licensing programs within the central office to properly align funds and eliminate the need for an administrative transfer. This is a zero sum transfer.
•
Restore Funding for Pilot Programs for State Facility Census Reduction General Assembly Adjustment
  This amendment provides $3.8 million the second year from the general fund to fully restore funding for alternative inpatient options to state behavioral health hospital care through the establishment of two-year pilot projects to reduce census pressures on state hospitals. A total of $7.5 million each year was approved in the 2020 Regular Session, but the funding was unallotted in April, 2020 due to the revenue impact from the Coronavirus Pandemic. Half the funding was restored in Chapter 56, 2020 Special Session I, Virginia Acts of Assembly and this amendment restores the remaining amount in the second year. The amendment also clarifies that pilot projects could also include the option to build community capacity for patients on the Extraordinary Barriers List in order to relieve census pressure.
 
  FY FY
General Fund $0 $3,750,000
•
Level Fund Discharge Assistance Funds General Assembly Adjustment
  This amendment level funds discharge assistance plans at current levels of $35.5 million each year. Funds for this purpose were increased by $7.5 million the first year and $10.0 million the second year from the general fund in Chapter 56, 2020 Special Session I Virginia Acts of Assembly. In addition, almost $3.8 million each year was provided to the Department of Behavioral Health and Developmental Services for additional programs to reduce census at the state behavioral health hospitals.
 
  FY FY
General Fund $0 ($2,500,000)
•
Supportive Decision-Making Agreements General Assembly Adjustment
  This amendment provides $300,000 the second year from the general fund and 1.0 position to implement the provisions of House Bill 2230, 2021 Special Session I. The bill directs the Department of Behavioral Health and Developmental Services to develop and implement a program to educate individuals with intellectual and developmental disabilities, their families, and others regarding the availability of supported decision-making agreements, the process to enter into a supported decision-making agreements, and the rights and responsibilities of parties to a supported decision-making agreements. The department is also required to development of model supported decision-making agreements, and other related information for individuals who enter into supported decision-making agreements. The bill directs the department to collect data regarding the utilization of supported decision-making agreements and report such information, together with recommendations to enhance the utilization of supported decision-making agreements, annually to the Governor and the General Assembly by November 1.
 
  FY FY
General Fund $0 $300,000
Positions 0.00 1.00
•
Funding for Accredited Recovery Residences General Assembly Adjustment
  This amendment provides $250,000 from the general fund the second year in additional support to recovery residences organizations and clarifies that from the passthrough grant to the Virginia Association of Recovery Residencies the association must ensure that members that are accredited by the Council on Accreditation of Peer Recovery Support Services (CAPRSS) receive a portion of the funding.
 
  FY FY
General Fund $0 $250,000
•
Transportation for Individuals from State Hospitals General Assembly Adjustment
  This amendment provides $150,000 the second year from the general fund to provide for the transportation costs of patients discharged from state hospitals that were admitted under a Temporary Detention Order (TDO). Oftentimes individuals under a TDO are transported to a state facility that is hours away from the individual's home location and therefore upon discharge may have difficulty getting transportation back to their home location. These funds were included in Chapter 1289, 2020 Virginia Acts of Assembly, but subsequently unallotted in April due to the COVID-19 pandemic and eliminated in Chapter 56. 2020 Special Session I Virginia Acts of Assembly.
 
  FY FY
General Fund $0 $150,000
•
Adverse Childhood Experiences Initiative General Assembly Adjustment
  This amendment restores $143,260 from the general fund the second year to expand the Adverse Childhood Experiences (ACE) initiative. It supports a full-time Central Office position to: (i) provide oversight over 100 ACE Interface Master Trainers across the Commonwealth; (ii) plan and develop additional ACE Interface Master Trainer Cohorts in their region; and (iii) plan and facilitate monthly learning community meetings for each training cohort; etc. These funds were included in Chapter 1289, 2020 Virginia Acts of Assembly, but subsequently unallotted in April due to the COVID-19 pandemic and eliminated in Chapter 56, 2020 Special Session I Virginia Acts of Assembly.
 
  FY FY
General Fund $0 $143,260
•
Appalachian Center for Hope Drug Treatment Program General Assembly Adjustment
  This amendment adds $50,000 the second year from the general fund to the Appalachian Center for Hope to be used for (i) planning and start-up costs such as purchase of office supplies and equipment, (ii) insurance coverage for use of the leased premises, (ii) payment of incidental costs associated with non-profit incorporation and 501(c)(3) status, and (iv) modification of office space donated to meet the organization's needs as they transition to the leased building site.
 
  FY FY
General Fund $0 $50,000
•
Clarify Use of LIPOS Funding General Assembly Adjustment
  This amendment adds language clarifying the use of funding transferred from Item 322 Grants to Localities to Item 321 in the Department of Behavioral Health and Developmental Services central office. The move of the funds is intended to make it easier for Community Services Boards and a Behavioral Health Authority to access the funding more efficiently and to reallocate unspent dollars in an expeditious manner.
•
Continuation of Temporary Detention Order Evaluator Workgroup General Assembly Adjustment
  This amendment directs the Department of Behavioral Health and Developmental Services to continue the Temporary Detention Order Evaluator Workgroup established pursuant to Chapters 918 and 919 of the 2020 Acts of Assembly. The workgroup shall report its implementation plan to the Governor, and Chairs of the House Health, Welfare, and Institutions Committee, the Senate Education and Health Committee, and the Joint Subcommittee to Study Mental Health Services in the Commonwealth in the 21st Century by December 1, 2021.
•
Correct Position Level General Assembly Adjustment
  This amendment reduces the position level for the Department of Behavioral Health and Developmental Services for five positions that were added with the funding for administrative costs of STEP-VA. This funding is a restoration of funding previously approved in Chapter 1289, 2020 Virginia Acts of Assembly. However, the funding for these positions was eliminated in Chapter 56, 2020 Special Session I Virginia Acts of Assembly, but the position level was not reduced. Therefore, this amendment corrects the position level for the agency.
 
  FY FY
Positions 0.00 (5.00)
•
Develop Options for Virginia Treatment Center for Children General Assembly Adjustment
  This amendment directs the Department of Behavioral Health and Developmental Services to work with the Virginia Treatment Center for Children (VTCC) to examine and develop strategies that better utilize VTCC in assisting with relief on the census pressures on the Commonwealth Center for Children and Adolescents (CCCA).
•
Early Psychosis Intervention and Coordinated Specialty Care General Assembly Adjustment
  This amendment adds language requiring the Department of Behavioral Health and Developmental Services to report on efforts to provide early psychosis intervention and coordinated specialty care for children, adolescents and young adults by November 15, 2021.
•
Extension of Conditional Licenses General Assembly Adjustment
  This amendment modifies the extension allowed on conditional licenses for providers licensed by the Department of Behavioral Health and Developmental Services. A conditional license is granted to a provider who has successfully completed the application process but has not yet admitted individuals for service. It is time limited and can only be renewed one time for a total of twelve months. Due to the COVID-19 pandemic conditional licenses could be extended beyond 12 months, until December 31, 2020. This amendment allows an extension for up to six months past the duration of the Governor's emergency declaration.
•
Modify Requirements for Drug Court Use of Long Acting Injectable Drug Treatment General Assembly Adjustment
  This amendment eliminates language requiring the use of non-narcotic, long-acting injectable prescription drug treatment regimens used for drug treatment court programs. Instead, it requires the use of appropriate long-acting injectable prescription drug treatment regimens.
•
Modify Workgroup Analysis of Dementia Services General Assembly Adjustment
  This amendment modifies language in the introduced budget related to the creation of and reporting by a workgroup to make recommendations on dementia services to divert and discharge individuals from state behavioral health hospitals.
•
Preserving Historic Records at Central State Hospital General Assembly Adjustment
  This amendment directs the Department of Behavioral Health and Developmental Services to preserve historic microfiche records at Central State Hospital and work with interested partners to digitize such records to be added to the Central State Hospital Digital Library and Archives Project.
•
Workgroup on Developmental Disability Waiver Waiting List and Provider Rates General Assembly Adjustment
  This amendment establishes a workgroup to review specific issues with Medicaid Developmental Disability waiver rates and also requires development of a plan for the eliminating the waiting list for DD waiver services.
•
Workgroup to Evaluate Sharing of Behavioral Health Patient Records General Assembly Adjustment
  This amendment directs the Department of Behavioral Health and Developmental Services to establish a workgroup to review the current processes and barriers to sharing relevant patient information between community hospitals and Community Services Boards for shared patients subject to an Emergency Custody Order and under evaluation for a Temporary Detention Order.


p3_bullets - Official Enacted Budget - 06-07-2025 13:46:07