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
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 Chapter 1283, 2020 Acts of Assembly $371,417,537 $93,800,000 $465,217,537
2018-2020 2020 Chapter 1283, 2020 Acts of Assembly $412,918,309 $92,500,000 $505,418,309
2020-2022 2021 Chapter 552, 2021 Acts of Assembly, Special Session I $419,913,787 $93,800,000 $513,713,787
2020-2022 2021 Previous Legislative Appropriation $446,517,960 $93,800,000 $540,317,960
2020-2022 2021 Governor's Amendments ($26,604,173) $0 ($26,604,173)
2020-2022 2021 General Assembly Adjustments $0 $0 $0
2020-2022 2022 Chapter 552, 2021 Acts of Assembly, Special Session I $466,815,857 $90,000,000 $556,815,857
2020-2022 2022 Previous Legislative Appropriation $472,590,641 $90,000,000 $562,590,641
2020-2022 2022 Governor's Amendments ($7,875,584) $0 ($7,875,584)
2020-2022 2022 General Assembly Adjustments $2,100,800 $0 $2,100,800
Positions Budget Summary
Biennium Fiscal Year Source GF NGF Total
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 Chapter 1283, 2020 Acts of Assembly 0.00 0.00 0.00
2018-2020 2020 Chapter 1283, 2020 Acts of Assembly 0.00 0.00 0.00
2020-2022 2021 Chapter 552, 2021 Acts of Assembly, Special Session I 0.00 0.00 0.00
2020-2022 2021 Previous Legislative Appropriation 0.00 0.00 0.00
2020-2022 2021 Governor's Amendments 0.00 0.00 0.00
2020-2022 2021 General Assembly Adjustments 0.00 0.00 0.00
2020-2022 2022 Chapter 552, 2021 Acts of Assembly, Special Session I 0.00 0.00 0.00
2020-2022 2022 Previous Legislative Appropriation 0.00 0.00 0.00
2020-2022 2022 Governor's Amendments 0.00 0.00 0.00
2020-2022 2022 General Assembly Adjustments 0.00 0.00 0.00
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 ($26,604,173) ($2,100,800)
•
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)
•
HB 5043 / SB 5038: Grants to Establish Mental Health Alert Systems and Community Care Teams (2020 Special Session General Assembly Action - 322 #2c) Decision Package
  This amendment provides $3.0 million general fund the second year to fund grants to establish a mental health awareness response and community understanding services alert system programs and community care teams in each of the Department of Behavioral Health and Developmental Services' five regions pursuant to House Bill 5043 and Senate Bill 5038.
 
  FY FY
General Fund $0 $3,000,000
•
Allot restored amounts (2020 Special Session General Assembly Action - Item 482.20) Decision Package
  Allots $3,000,000 in FY 2021 and $47,151,414 in FY 2022 for amounts originally unalloted in Item 322.10 of Chapter 1289 (2020) and subsequently restored via 2020 Special Session General Assembly action in Item 482.20.
•
Restore Language on Delaying STEP-VA (2020 Special Session General Assembly Action - 322 #1c) Decision Package
  This amendment restores language that was inadvertently stricken in the introduced budget which eliminates the requirement that Community Services Boards or Behavioral Health Authority provide STEP-VA services beyond those that are funded in Chapter 854, 2019 Acts of Assembly, unless an appropriation is available and an allotment of funds is made. The budget passed in March provided additional funding outpatient services, peer support services, expanded crisis services and military and veterans mental health services through STEP-VA, and when funding was unallotted in April due to the pandemic language was added eliminating the requirement to proceed with implementation of these services. The introduced budget eliminates funding for these additional services through STEP-VA. While companion amendments restore funding for STEP-VA in Item 482.20, this language is included in case of unforeseen future revenue and spending adjustments.
•
Forensic Discharge Planning in Jails General Assembly Adjustment
  This amendment restores $2.1 million the second year from the general fund to expand forensic discharge planning services at three additional jails with a high percentage of inmates with serious mental illness. The General Assembly provided $1.6 million from the general fund in fiscal year 2020 for discharge planning services at two local jails. 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. 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 $2,100,800
•
Chesapeake Regional Healthcare Psychiatric Beds General Assembly Adjustment
  This amendment directs the Department of Behavioral Health and Developmental Services to collaborate with the Chesapeake Regional Healthcare to develop a memorandum of understanding for dedicating a portion of the future beds of a 20-bed psychiatric unit at the hospital for use in providing treatment services to individuals who may otherwise be admitted to state behavioral health hospitals.
•
Modify Requirements for Medication Assisted Treatment General Assembly Adjustment
  This amendment modifies language related to medication assisted treatment for individuals who are addicted to opioids. Language changes (i) clarify that this pertains to funding received by Community Services Boards or a Behavioral Health Authority, (ii) clarify that the funding is used for appropriate long-acting, injectable prescription drug treatment regimens, and (iii) directs that the funding for medication assisted treatment also be prioritized for individuals that are not covered by insurance.


p3_bullets - Official Enacted Budget - 11-11-2026 20:45:22