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 1289, 2020 Acts of Assembly $116,540,991 $62,061,346 $178,602,337
2020-2022 2021 Base Budget $78,224,286 $43,576,658 $121,800,944
2020-2022 2021 Governor's Amendments $31,930,611 $18,594,688 $50,525,299
2020-2022 2021 General Assembly Adjustments $6,386,094 ($110,000) $6,276,094
2020-2022 2022 Chapter 1289, 2020 Acts of Assembly $124,648,403 $45,420,417 $170,068,820
2020-2022 2022 Base Budget $78,224,286 $43,576,658 $121,800,944
2020-2022 2022 Governor's Amendments $40,281,101 $1,953,759 $42,234,860
2020-2022 2022 General Assembly Adjustments $6,143,016 ($110,000) $6,033,016
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 1289, 2020 Acts of Assembly 474.50 31.75 506.25
2020-2022 2021 Base Budget 423.50 31.25 454.75
2020-2022 2021 Governor's Amendments 59.00 1.50 60.50
2020-2022 2021 General Assembly Adjustments (8.00) (1.00) (9.00)
2020-2022 2022 Chapter 1289, 2020 Acts of Assembly 474.50 31.75 506.25
2020-2022 2022 Base Budget 423.50 31.25 454.75
2020-2022 2022 Governor's Amendments 58.50 1.50 60.00
2020-2022 2022 General Assembly Adjustments (7.50) (1.00) (8.50)
Operating Budget Addenda (in order of greatest impact)
•
Adjust appropriation for centrally funded changes to agency information technology costs Base Budget Adjustment
  Adjusts appropriation for changes to information technology and telecommunications usage budgeted in Central Appropriations, Item 475 G. of Chapter 854, 2019 Acts of Assembly.
 
  FY FY
General Fund $2,305,163 $2,305,163
Nongeneral Fund $194,783 $194,783
•
Adjust appropriation for centrally funded 2.75 percent salary increase for state employees Base Budget Adjustment
  Adjusts appropriation for the 2.75 percent salary increase for state employees budgeted in Central Appropriations, Item 474 T. of Chapter 854, 2019 Acts of Assembly.
 
  FY FY
General Fund $761,029 $761,029
Nongeneral Fund $170,637 $170,637
•
Adjust appropriation for centrally funded 2.25 percent merit-based salary increase for state employees Base Budget Adjustment
  Adjusts appropriation for the 2.25 percent merit-based salary increase for state employees budgeted in Central Appropriations, Item 474 V. of Chapter 854, 2019 Acts of Assembly.
 
  FY FY
General Fund $537,050 $537,050
Nongeneral Fund $121,303 $121,303
•
Adjust appropriation for centrally funded changes to state health insurance premiums Base Budget Adjustment
  Adjusts appropriation for the employer’s share of health insurance premiums budgeted in Central Appropriations, Item 474 G. of Chapter 854, 2019 Acts of Assembly.
 
  FY FY
General Fund $262,094 $262,094
Nongeneral Fund $60,720 $60,720
•
Adjust appropriation for centrally funded changes to agency rental costs Base Budget Adjustment
  Adjusts appropriation for changes to agency rental costs at the seat of government budgeted in Central Appropriations, Item 475 J. of Chapter 854, 2019 Acts of Assembly.
 
  FY FY
General Fund $185,862 $185,862
Nongeneral Fund $661 $661
•
Adjust appropriation for centrally funded changes to Cardinal Financials System charges Base Budget Adjustment
  Adjusts appropriation for changes to Cardinal Financials System internal service fund charges budgeted in Central Appropriations, Item 475 L. of Chapter 854, 2019 Acts of Assembly.
 
  FY FY
General Fund $73,951 $73,951
Nongeneral Fund $23,922 $23,922
•
Adjust appropriation for centrally funded changes to Performance Budgeting System charges Base Budget Adjustment
  Adjusts appropriation for changes to Performance Budgeting System internal service fund charges budgeted in Central Appropriations, Item 475 M. of Chapter 854, 2019 Acts of Assembly.
 
  FY FY
General Fund ($19,136) ($19,136)
Nongeneral Fund ($31,735) ($31,735)
•
Adjust appropriation for centrally funded information technology auditors and security officers Base Budget Adjustment
  Adjusts appropriation for information technology auditors and information security officers budgeted in Central Appropriations, Item 475 K. of Chapter 854, 2019 Acts of Assembly.
 
  FY FY
General Fund $15,147 $15,147
Nongeneral Fund ($5,642) ($5,642)
•
Adjust appropriation for centrally funded retirement rate changes Base Budget Adjustment
  Adjusts appropriation for changes to contribution rates for state employee retirement plans budgeted in Central Appropriations, Item 474 H. of Chapter 854, 2019 Acts of Assembly.
 
  FY FY
General Fund $6,687 $6,687
Nongeneral Fund $1,498 $1,498
•
Adjust appropriation for centrally funded state employee other post-employment benefit rate changes Base Budget Adjustment
  Adjusts appropriation for changes to state employee other post-employment benefit rates budgeted in Central Appropriations, Item 474 K. of Chapter 854, 2019 Acts of Assembly.
 
  FY FY
General Fund ($6,689) ($6,689)
Nongeneral Fund ($1,496) ($1,496)
•
Adjust appropriation for centrally funded workers’ compensation premium changes Base Budget Adjustment
  Adjusts appropriation for workers’ compensation premiums budgeted in Central Appropriations, Item 474 R. of Chapter 854, 2019 Acts of Assembly.
 
  FY FY
General Fund $4,452 $4,452
•
Adjust appropriation for centrally funded internal service fund charges for the Personnel Management Information System Base Budget Adjustment
  Adjusts appropriation for Personnel Management Information System internal service fund charges budgeted in Central Appropriations, Item 475 O. of Chapter 854, 2019 Acts of Assembly.
 
  FY FY
General Fund $260 $260
Nongeneral Fund ($229) ($229)
•
Increase funding for statewide discharge assistance plans Decision Package
  Provides funds to address census issues at state facilities by increasing the availability of community-based services for individuals determined clinically ready for discharge. Of the amounts provided, $2.5 million in each year is available for the acquisition or development of clinically appropriate housing options.
 
  FY FY
General Fund $7,500,000 $12,500,000
•
Increase availability of inpatient services for children and adolescents Decision Package
  Provides funds for the provision of acute inpatient behavioral health services to children and adolescents. Language allows the agency to contract with private entities for these services, or if private services are found to be unavailable, to open additional beds at existing state facilities.
 
  FY FY
General Fund $6,300,000 $8,400,000
•
Increase efforts for quality assurance and risk management Decision Package
  Provides funds for additional administrative costs of complying with the DOJ settlement agreement. Included in this adjustment are funds for additional licensing staff, quality assurance staff, and supports intensity scale assessments for individuals receiving services through the Medicaid Developmental Disability waivers.
 
  FY FY
General Fund $4,133,819 $4,153,756
Nongeneral Fund $3,359,120 $1,359,120
Positions 28.00 28.00
•
Provide funds for administrative costs of STEP-VA Decision Package
  Provides funding for 12 positions to aid in the implementation and management of STEP-VA services. Additional funds are provided for training and certification for peer support services and for the development and maintenance of a statewide crisis hotline. Funding for the one-time costs of developing the crisis hotline comes from the Behavioral Health and Developmental Services Trust Fund.
 
  FY FY
General Fund $1,726,807 $2,222,908
Nongeneral Fund $5,000,000 $0
Positions 12.00 12.00
•
Provide additional funds for the Virginia Mental Health Access Program Decision Package
  Funds the complete statewide implementation of the Virginia Mental Health Access Program (VMAP), an integrated care program that increases access for children and adolescents to behavioral health services through enhanced pediatric training, psychiatric consultations, telehealth, and care navigation.
 
  FY FY
General Fund $4,224,388 $4,224,388
Positions 14.00 14.00
•
Appropriate nongeneral funds for electronic health records implementation. Decision Package
  Funds the remaining costs of electronic health records implementation with nongeneral funds balances. A corresponding amendment is included for additional funding in the Caboose bill. This amendment will eliminate the need for an administrative adjustment.
 
  FY FY
Nongeneral Fund $5,440,929 $0
•
Transfer discharge assistance funds to central office for statewide contract Decision Package
  Transfers funds from Grants to Localities to the Central Office for the purpose of a statewide contract for discharge planning for individuals leaving state behavioral health facilities. This is zero-sum transfer.
 
  FY FY
General Fund $1,798,000 $1,798,000
•
Update the data warehouse Decision Package
  Provides funds for changes to the data warehouse necessary for compliance with the reporting requirements of the settlement agreement with the federal Department of Justice.
 
  FY FY
General Fund $940,600 $1,249,000
Nongeneral Fund $1,200,000 $0
Positions 1.00 1.00
•
Appropriate funds from DBHDS Trust Fund Decision Package
  Appropriates additional funds anticipated to be deposited by the end of FY 2020 into the Behavioral Health and Developmental Services Trust Fund. Funds are designated for renovations to Hiram Davis Medical Center, mobile dentistry, and one-time crisis services.
 
  FY FY
Nongeneral Fund $3,000,000 $0
•
Train workforce in preparation for behavioral health redesign Decision Package
  Provides funding to train the behavioral health workforce for changes in the behavioral health delivery system. Funds are also provided for the costs of a workforce study.
 
  FY FY
General Fund $1,025,815 $1,215,315
Positions 3.50 3.00
•
Increase funding for SVP Conditional Release Decision Package
  Provides support for the cost of supervision services provided by the Department of Corrections for the increasing number of sexually violent predators conditionally released from the Virginia Center for Behavioral Rehabilitation.
 
  FY FY
General Fund $244,835 $481,387
•
Cancel contract with Institute of Law, Psychiatry, and Public Policy Decision Package
  Eliminates funding designated for the Institute of Law, Psychiatry, and Public Policy at the University of Virginia.
 
  FY FY
General Fund ($144,523) ($144,523)
Nongeneral Fund ($104,783) ($104,783)
•
Provide administrative support for the State Rental Assistance Program (SRAP) Decision Package
  Funds one housing coordinator position responsible for management of the state's rental assistance program for individuals with developmental disabilities.
 
  FY FY
General Fund $55,000 $55,000
Nongeneral Fund $55,000 $55,000
Positions 1.00 1.00
•
Review Disproportionate Share Hospital (DSH) incentive payments Decision Package
  Appropriates provider rate assessment and federal revenue to support a position that will review Disproportionate Share Hospital (DSH) incentive payments that will be used to encourage hospitals to accept temporary detention orders.
 
  FY FY
Nongeneral Fund $110,000 $110,000
Positions 1.00 1.00
•
Align DBHDS licensing with Medicaid behavioral health services Decision Package
  Permits the Department of Behavioral Health and Developmental Services to promulgate emergency regulations related to the licensing of services that are impacted by the enhancement of Medicaid behavioral health services included in the introduced budget.
•
Eliminate language for backfilling CSB Medicaid Expansion savings Decision Package
  Eliminates one-time language that requires the Department of Behavioral Health and Developmental Services to track and backfill shortfalls in funding to Community Services Boards as a result of savings assumed from Medicaid expansion.
•
Eliminate one-time language related to Central Virginia Training Center Decision Package
  Eliminates one-time language related to the closure of Central Virginia Training Center.
•
Pilot Programs to Reduce State Hospital Census Pressures General Assembly Adjustment
  This amendment provides $7.5 million from the general fund each year to fund various pilot programs in the Commonwealth to help address census pressures on state psychiatric hospitals.
 
  FY FY
General Fund $7,500,000 $7,500,000
•
Adjust Administrative Funding for STEP-VA General Assembly Adjustment
  This amendment reduces the amount of funding provided in the introduced budget for administration of STEP-VA. Funding for five positions remains in the budget.
 
  FY FY
General Fund ($1,000,000) ($1,000,000)
Positions (7.00) (7.00)
•
Reduce Training Funds for Behavioral Health Redesign General Assembly Adjustment
  This amendment reduces funding and positions provided in the introduced budget for training related activities of behavioral health redesign. Funding for a training coordinator position remains to coordinate training activities.
 
  FY FY
General Fund ($896,562) ($1,086,062)
Positions (2.50) (2.00)
•
Grants to Virginia Association of Recovery Residences Members General Assembly Adjustment
  This amendment provides $250,000 each year from the general fund to provide grants to members of the Virginia Association of Recovery Residences to promote services for substance use disorder.
 
  FY FY
General Fund $250,000 $250,000
•
Move Substance Use Disorder Funding for Drug Courts General Assembly Adjustment
  This amendment transfers $150,000 each year from the general fund from the appropriation of the Supreme Court that supports substance use disorder treatment utilizing non-narcotic, long-acting, injectable prescription drug treatment regimens used in conjunction with drug treatment court programs.
 
  FY FY
General Fund $150,000 $150,000
•
Transportation for Individuals from State Hospitals General Assembly Adjustment
  This amendment provides $150,000 each 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.
 
  FY FY
General Fund $150,000 $150,000
•
Adverse Childhood Experiences Initiative General Assembly Adjustment
  This amendment provides $143,260 each year from the general fund and 1.5 positions 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; (iii) plan and facilitate monthly learning community meetings for each training cohort; (iv) partner and integrate work with local Trauma Informed Community Networks (TICN) when they are available; (v) collect and report out data and stories related to training and community mobilization efforts; and (vi) strategically plan and evaluate the direction of the initiative.
 
  FY FY
General Fund $143,260 $143,260
Positions 1.50 1.50
•
Eliminate Position Related to TDO DSH Incentive Program General Assembly Adjustment
  This amendment eliminates a position provided for a proposed supplemental payment program to incentivize private hospitals to increase their Temporary Detention Order admissions.
 
  FY FY
Nongeneral Fund ($110,000) ($110,000)
Positions (1.00) (1.00)
•
Jewish Foundation for Group Homes Transitioning Youth Program General Assembly Adjustment
  This amendment adds funding and language 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. The program is expanding services into Loudoun County to serve disabled students who are currently not being supported through other programs during this transition period.
 
  FY FY
General Fund $89,396 $35,818
•
Amend language to temporarily adjust licensing requirements (Reconvened Amendment) General Assembly Adjustment
  Provides flexibility for provider licensing activities that have been affected by the COVID-19 pandemic and the resulting declared state of emergency. Because of limited ability to do onsite inspections, DBHDS will not be able to meet current Code and regulatory requirements.
•
Children's Acute Inpatient Care General Assembly Adjustment
  This amendment eliminates language in the introduced budget authorizing the Department of Behavioral Health and Developmental Services to establish up to 20 new child and adolescent beds at an existing state facility if options to provide children's acute inpatient care in the community are not identified by September 1, 2020.
•
Eastern State Hospital Transfer of Land to James City County General Assembly Adjustment
  This amendment alters language related to the transfer of land at Eastern State Hospital for a Colonial Behavioral Health facility, eliminating the requirement that it be a 25-bed facility serving the community, among other changes.
•
Partnership with CHKD General Assembly Adjustment
  This amendment directs the Department of Behavioral Health and Developmental Services to collaborate with the Children's Hospital of the King's Daughters (CHKD) to develop a memorandum of understanding for dedicating a portion of the future beds of a 60-bed mental health hospital at CHKD for use in providing treatment services to children or adolescents that may otherwise be sent to the Commonwealth Center for Children and Adolescents.
•
Partnership with Private Providers General Assembly Adjustment
  This amendment adds language to clarify that the Department of Behavioral Health and Developmental Services may partner with private providers to address the Extraordinary Barriers List at state hospitals.
•
Plan for Disposition of Vacant Properties General Assembly Adjustment
  This amendment directs the Department of Behavioral Health and Developmental Services in collaboration with the Department of General Services to develop a plan with cost estimates in order to prepare vacant properties for disposition.
•
Plan to Develop Additional CIT Assessment Centers General Assembly Adjustment
  This amendment directs the Department of Behavioral Health and Developmental Services develop a plan to convert Crisis Intervention Team Assessment Centers (CITACs) to 24-hour, seven-day operations and moving toward regional CITAC sites.
•
Report on Federal Opioid Funding General Assembly Adjustment
  This amendment requires the Department of Behavioral Health and Developmental Services to post its annual federal State Targeted Response Report and State Opioid Response (SOR) Report on its website no later than December 31 of each year and include certain information if available.
•
Review Sexually Violent Predator Program General Assembly Adjustment
  This amendment directs the Department of Behavioral Health and Developmental Services to conduct a review of the Commonwealth's Sexually Violent Predator Program to examine programmatic and community options that could reduce the number of individuals that are commited to the Virginia Center for Behavioral Health.
•
Sale of SWVTC Property General Assembly Adjustment
  This amendment adds language authorizing the sale of property where the former Southwestern Virginia Training Center was situated under certain circumstances.
•
Unallot spending increases in response to potential revenue shortfall (Reconvened Amendment) General Assembly Adjustment
  Creates a language item to require the unallotment of new discretionary spending amounts ($20,713,104 in FY2021 and $26,155,627 in FY2022).
•
Waiver Reporting Language General Assembly Adjustment
  This amendment modifies reporting requirements on developmental disability waiver slots.
Capital Project Requests (in order of largest to smallest)
•
Make infrastructure repairs to state facilities
  Provides funding for minor renovations to state facilities necessary to sustain operations, improve security, and increase operational efficiency.
 
  FY FY
Tax Supported Debt $26,870,000 $0
•
Address patient and staff safety issues at state facilities
  Provides funding for repairs and renovations at state facilities to ensure the safety of patients and staff and to comply with regulatory requirements.
 
  FY FY
Tax Supported Debt $13,600,000 $0
•
DBHDS - Phase Infrastructure Repairs
  This amendment provides for the first of two phases for infrastructure repairs.
 
  FY FY
Nongeneral Fund ($13,000,000) $0
•
DBHDS - Phase Safety Repairs
  This amendment provides for first of two phases for safety repairs.
 
  FY FY
Nongeneral Fund ($6,000,000) $0


p3_bullets - Official Enacted Budget - 06-07-2025 07:24:14