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
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 1, 2022 Acts of Assembly $109,721,284 $62,061,346 $171,782,630
2020-2022 2022 Chapter 1, 2022 Acts of Assembly $135,942,397 $46,155,145 $182,097,542
2022-2024 2023 Chapter 1, 2023 Acts of Assembly, Special Session 1 $172,867,695 $51,483,442 $224,351,137
2022-2024 2023 Previous Legislative Appropriation $172,867,695 $51,483,442 $224,351,137
2022-2024 2023 Governor's Amendments $0 $1,416,398 $1,416,398
2022-2024 2023 General Assembly Adjustments $0 ($1,416,398) ($1,416,398)
2022-2024 2024 Chapter 1, 2023 Acts of Assembly, Special Session 1 $261,228,102 $57,303,715 $318,531,817
2022-2024 2024 Previous Legislative Appropriation $162,178,102 $55,887,317 $218,065,419
2022-2024 2024 Governor's Amendments $122,108,991 $1,439,666 $123,548,657
2022-2024 2024 General Assembly Adjustments ($23,058,991) ($23,268) ($23,082,259)
Positions Budget Summary
Biennium Fiscal Year Source GF NGF Total
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 1, 2022 Acts of Assembly 475.50 31.75 507.25
2020-2022 2022 Chapter 1, 2022 Acts of Assembly 482.50 31.75 514.25
2022-2024 2023 Chapter 1, 2023 Acts of Assembly, Special Session 1 518.50 46.75 565.25
2022-2024 2023 Previous Legislative Appropriation 518.50 46.75 565.25
2022-2024 2023 Governor's Amendments 0.00 0.00 0.00
2022-2024 2023 General Assembly Adjustments 0.00 0.00 0.00
2022-2024 2024 Chapter 1, 2023 Acts of Assembly, Special Session 1 518.50 46.75 565.25
2022-2024 2024 Previous Legislative Appropriation 518.50 46.75 565.25
2022-2024 2024 Governor's Amendments 10.00 0.00 10.00
2022-2024 2024 General Assembly Adjustments (10.00) 0.00 (10.00)
Operating Budget Addenda (in order of greatest impact)
•
Increase funding for comprehensive crisis services system Decision Package
  Provides support for the continued expansion and modernization of the statewide crisis services system by investing in crisis receiving centers and crisis stabilization units. Funding is also provided for five additional administrative positions to support the continued growth of the crisis system.
 
  FY FY
General Fund $0 $58,345,204
Positions 0.00 5.00
•
Provide one-time funds for mobile crisis units Decision Package
  Provides one-time funds to contract with private providers to establish mobile crisis units in underserved areas.
 
  FY FY
General Fund $0 $20,000,000
•
Pursue hospital-based psychiatric emergency alternatives Decision Package
  Provides funds to pursue hospital-based psychiatric emergency alternatives and/or supplemental payment programs to redirect care to more appropriate settings.
 
  FY FY
General Fund $0 $20,000,000
•
Expand school-based mental health pilot Decision Package
  Expands funding for school-based mental health to allow licensed and non-licensed mental health professionals to work in schools through public or private partnerships to provide a variety of behavioral health services.
 
  FY FY
General Fund $0 $15,000,000
•
Expand housing opportunities for individuals with serious mental illness Decision Package
  Provides funds for supervised residential care for individuals with serious mental illness.
 
  FY FY
General Fund $0 $8,000,000
•
Provide additional funding for naloxone Decision Package
  Provides additional funds to increase the supply of naloxone available for distribution to community partners from amounts received in settlement of legal claims against opioid manufacturers and distributors.
 
  FY FY
Nongeneral Fund $1,416,398 $1,416,398
•
Transfer electronic health records funding to facilities Decision Package
  Transfers funding from agency's central office to state-operated facilities to assist with infrastructure requirements for implementation of electronic health records. This zero-sum transfer has no fiscal impact.
 
  FY FY
General Fund $0 ($1,023,050)
•
Support Off-Duty Officer program Decision Package
  Provides funds for contracts with local law enforcement agencies that agree to utilize off-duty officers to transport and/or maintain custody of an individual awaiting admission to a mental health facility or for whom a bed has not yet been identified.
 
  FY FY
General Fund $0 $1,000,000
•
Sustain waiver management system interoperability and software upgrades Decision Package
  Provides funding to maintain the Medicaid Waiver Management System (WaMS), including upgrades that will keep the system relevant and efficiently utilized, and to support interoperability with Community Services Boards. WaMS is a portal allowing authorized users to view waiver eligibility options, apply for waivers online, and identify licensed service providers.
 
  FY FY
General Fund $0 $350,000
•
Fund two cybersecurity positions Decision Package
  Provides funding to add two additional cybersecurity positions in the agency's central office. These additional positions will help support the IT security needs of the state-operated behavioral health and intellectual disability system, including state-operated facilities.
 
  FY FY
General Fund $0 $261,164
Positions 0.00 2.00
•
Support additional waiver slots with two additional positions Decision Package
  Provides one service authorization position and one provider development position in the second year to support 500 additional ID/DD Medicaid waiver slots.
 
  FY FY
General Fund $0 $162,878
Nongeneral Fund $0 $23,268
Positions 0.00 2.00
•
Provide funds for forensic data tracking and analysis Decision Package
  Provides funding for one position to track and gather data related to restoration of competency court orders in the forensic mental health system, both inpatient and outpatient.
 
  FY FY
General Fund $0 $97,795
Positions 0.00 1.00
•
Transfer developmental disability waiver rate responsibilities to the Department of Medical Assistance Services Decision Package
  Moves funds to the Department of Medical Assistance Services to support agency responsibilities associated with developmental disability waiver services that will be transferred effective July 1, 2023.
 
  FY FY
General Fund $0 ($85,000)
•
Add language to allow flexible use of mental health pilot program funds Decision Package
  Amends currently earmarked language for alternative inpatient treatment options to allocate $1.5 million for non-inpatient services for individuals at risk of discharge from a private inpatient setting into a state facility setting. Some individuals may not need continued hospitalization but a lack of community based transition services leaves them as likely candidates to admission to state facilities.
•
Amend language to allow dementia funds to be used for discharge and diversion of older adults Decision Package
  Expands language currently earmarked for services for individuals with dementia to allow funds to be expended on all older adults in order to have the greatest impact on state facility census.
•
Combine earmarks for alternative transportation and alternative custody Decision Package
  Combines funding and earmarks for alternative transportation and alternative custody to provide needed flexibility to target resources toward the specific needs of each community. The combination of these appropriations will ensure that the elements of the emerging system are compatible with one another and support continuous care of the population. The amended language also clarifies that alternative custody and transportation programs can be administered through contracts with private contractors, local law enforcement organizations, Community Services Boards, or other methods as necessary to implement the program.
•
Reverse Introduced Operating Budget Amendments (2023 Session HB 1400 Conference Action) General Assembly Adjustment
  This amendment reverses the operating budget amendments proposed in HB 1400 / SB 800 as introduced. The passage of the conference substitute to HB 1400 nullifies the introduced amendments. To reflect the General Assembly action, this amendment reverses the aggregate total of proposed introduced budget changes for this agency.
 
  FY FY
General Fund $0 ($122,108,991)
Nongeneral Fund ($1,416,398) ($1,439,666)
Positions 0.00 (10.00)
•
2023 Special Session I Amendments: Increase Funding for Comprehensive Crisis Services System General Assembly Adjustment
  Provides support for the continued expansion and modernization of the statewide crisis services system by investing in crisis receiving centers and crisis stabilization units
 
  FY FY
General Fund $0 $58,000,000
•
2023 Special Session I Amendments: Hospital-based Psychiatric Emergency Alternatives General Assembly Adjustment
  Provides funds to pursue hospital-based psychiatric emergency alternatives and/or supplemental payment programs to redirect care to more appropriate settings
 
  FY FY
General Fund $0 $10,000,000
•
2023 Special Session I Amendments: Mobile Crisis Teams General Assembly Adjustment
  provides one-time funds to contract with private providers to establish mobile crisis units in underserved areas
 
  FY FY
General Fund $0 $10,000,000
•
2023 Special Session I Amendments: School-based Mental Health Pilot General Assembly Adjustment
  Expands funding for school-based mental health to allow licensed and non-licensed mental health professionals to work in schools through public or private partnerships to provide a variety of behavioral health services
 
  FY FY
General Fund $0 $7,500,000
•
2023 Special Session I Amendments: Chesapeake Regional Hospital Psychiatric Services General Assembly Adjustment
  Funds for Chesapeake Regional Hospital for behavioral health services.
 
  FY FY
General Fund $0 $4,500,000
•
2023 Special Session I Amendments: Housing Opportunities for Individuals with Serious Mental Illness General Assembly Adjustment
  Funds for supervised residential care for individuals with serious mental illness.
 
  FY FY
General Fund $0 $4,000,000
•
2023 Special Session I Amendments: Virginia Mental Health Access Program General Assembly Adjustment
  Support for the continued implementation and management of the expansion of the Virginia Mental Health Access (VMAP) program to early childhood (ages zero to five). Funds would include the addition of regional early childhood specialists and new training of primary care providers. Funds will also allow VMAP to plan, implement, and manage expansion to pregnant and postpartum mothers. VMAP will train both the OB/GYNs and pediatric clinicians on screening and early recognition of Perinatal Mood and Anxiety Disorders.)
 
  FY FY
General Fund $0 $3,950,000
•
2023 Special Session I Amendments: Provide Additional Funding for Naloxone General Assembly Adjustment
 
 
  FY FY
Nongeneral Fund $0 $1,416,398
•
2023 Special Session I Amendments: Catawba Hospital Study General Assembly Adjustment
  Funds for DBHDS to study how Catawba Hospital can utilize public-private partnerships to manage a new residential treatment program, outpatient facility, and substance use disorder facility as part of the Catawba Hospital Transformation Plan to turn Catawba into a state-of-the-art treatment facility. DBHDS will also study how the localities surrounding Catawba may work together to ease the burden of transporting and taking custody of individuals under an ECO or TDO, as well as how the localities may use other funds for this purpose.
 
  FY FY
General Fund $0 $500,000
•
2023 Special Session I Amendments: Regional All Abilities Playground Facility General Assembly Adjustment
  Supports the completion of Phase 1 of Bennett's Village, a regional all abilities playground in Charlottesville.
 
  FY FY
General Fund $0 $250,000
•
2023 Special Session I Amendments: Specially Adapted Resources Clubs General Assembly Adjustment
  Supports Specially Adapted Resources Clubs (SPARC), which provide essential day programs for adults with profound disabilities at five locations in Northern Virginia. SPARC offers the same supportive structure and continued education that its participants enjoyed in school and provides a variety of educational services in the form of leisure learning that allows participants to work on life skills while socializing with a community of peers
 
  FY FY
General Fund $0 $250,000
•
2023 Special Session I Amendments: On Our Own General Assembly Adjustment
  Funds for On Our Own, a peer recovery center and supportive community that serves the community at no charge
 
  FY FY
General Fund $0 $100,000
•
2023 Special Session I Amendments: Hope Family Village General Assembly Adjustment
  None
Capital Project Requests (in order of largest to smallest)
•
Improve safety and security at Eastern State Hospital
  Provides funds for renovations at Eastern State Hospital in order to increase safety and security for patients, staff, and the community.
 
  FY FY
General Fund $16,900,000 $0
•
Install duress systems at mental health facilities - Phase 1
  Provides funds to begin the installation of duress systems at state-operated mental health facilities. Duress systems notify security, emergency responders, and other personnel with real-time alerts when an incident arises and improve patient and staff safety.
 
  FY FY
General Fund $4,000,000 $0
•
Reverse Introduced Capital Outlay Budget Amendments - Safety / Security, Eastern State Hospital (2023 Session HB 1400 Conference Action)
  This amendment reverses capital outlay budget amendment amounts proposed in HB 1400 / SB 800 as introduced. The passage of the conference substitute to HB 1400 nullifies the introduced amendments. To reflect the General Assembly action, this amendment reverses the proposed introduced budget changes for this agency and project.
 
  FY FY
General Fund ($16,900,000) $0
•
Reverse Introduced Capital Outlay Budget Amendments - Duress systems at mental health facilities (2023 Session HB 1400 Conference Action)
  This amendment reverses capital outlay budget amendment amounts proposed in HB 1400 / SB 800 as introduced. The passage of the conference substitute to HB 1400 nullifies the introduced amendments. To reflect the General Assembly action, this amendment reverses the proposed introduced budget changes for this agency and project.
 
  FY FY
General Fund ($4,000,000) $0


p3_bullets - Official Enacted Budget - 06-02-2025 07:36:02