• |
|
|
Adjusts appropriation for the five percent salary increase for state employees budgeted in Central Appropriations, Item 477 X. of Chapter 552, 2021 Acts of Assembly, Special Session I. |
|
|
FY |
FY |
General Fund |
$1,799,068 |
$1,799,068 |
Nongeneral Fund |
$310,695 |
$310,695 |
|
• |
|
|
Adjusts appropriation for changes to information technology and telecommunications usage budgeted in Central Appropriations, Item 478 C. of Chapter 552, 2021 Acts of Assembly, Special Session I. |
|
|
FY |
FY |
General Fund |
($1,129,210) |
($1,129,210) |
Nongeneral Fund |
($117,337) |
($117,337) |
|
• |
|
|
Adjusts appropriation for changes to contribution rates for state employee retirement plans budgeted in Central Appropriations, Item 477 H. of Chapter 552, 2021 Acts of Assembly, Special Session I. |
|
|
FY |
FY |
General Fund |
$270,302 |
$270,302 |
Nongeneral Fund |
$46,679 |
$46,679 |
|
• |
|
|
Adjusts appropriation for the employer’s share of health insurance premiums budgeted in Central Appropriations, Item 477 G. of Chapter 552, 2021 Acts of Assembly, Special Session I. |
|
|
FY |
FY |
General Fund |
$162,628 |
$162,628 |
Nongeneral Fund |
$31,334 |
$31,334 |
|
• |
|
|
Adjusts appropriation for general liability premiums billed by the Department of the Treasury’s Division of Risk Management budgeted in Central Appropriations, Item 478 J. of Chapter 552, 2021 Acts of Assembly, Special Session I. |
|
|
FY |
FY |
General Fund |
$104,312 |
$104,312 |
|
• |
|
|
Adjusts appropriation for changes to Cardinal Human Capital Management System internal service fund charges budgeted in Central Appropriations, Item 478 G. of Chapter 552, 2021 Acts of Assembly, Special Session I. |
|
|
FY |
FY |
General Fund |
$75,839 |
$75,839 |
Nongeneral Fund |
$13,095 |
$13,095 |
|
• |
|
|
Adjusts appropriation for changes to Cardinal Financials System internal service fund charges budgeted in Central Appropriations, Item 478 F. of Chapter 552, 2021 Acts of Assembly, Special Session I. |
|
|
FY |
FY |
General Fund |
($46,592) |
($46,592) |
Nongeneral Fund |
$7,627 |
$7,627 |
|
• |
|
|
Adjusts appropriation for workers’ compensation premiums budgeted in Central Appropriations, Item 477 R. of Chapter 552, 2021 Acts of Assembly, Special Session I. |
|
|
FY |
FY |
General Fund |
$3,188 |
$3,188 |
Nongeneral Fund |
$1,101 |
$1,101 |
|
• |
|
|
Adjusts appropriation for changes to state employee other post-employment benefit rates budgeted in Central Appropriations, Item 477 K. of Chapter 552, 2021 Acts of Assembly, Special Session I. |
|
|
FY |
FY |
General Fund |
$2,873 |
$2,873 |
Nongeneral Fund |
$496 |
$496 |
|
• |
|
|
Adjusts appropriation for changes to Performance Budgeting system internal service fund charges budgeted in Central Appropriations, Item 478 H. of Chapter 552, 2021 Acts of Assembly, Special Session I. |
|
|
FY |
FY |
General Fund |
$1,459 |
$1,459 |
Nongeneral Fund |
$1,187 |
$1,187 |
|
• |
|
|
Adjusts appropriation for Personnel Management Information System internal service fund charges budgeted in Central Appropriations, Item 478 I. of Chapter 552, 2021 Acts of Assembly, Special Session I. |
|
|
FY |
FY |
General Fund |
($1,223) |
($1,223) |
Nongeneral Fund |
($518) |
($518) |
|
• |
|
|
Provides funds for the replacement of the Department of Behavioral Health and Developmental Services facility billing system. The upgraded system will interface with the electronic health records system and will manage patient registration, eligibility verification, utilization review, coding claims for reimbursement, and operational reporting at all DBHDS facilities. The one-time costs for the purchase of the system are funded with the agency's nongeneral fund balances. |
|
|
FY |
FY |
General Fund |
$1,479,724 |
$1,410,526 |
Nongeneral Fund |
$2,600,000 |
$5,200,000 |
Positions |
3.00 |
3.00 |
|
• |
|
|
Increases funding for discharge assistance planning services. Additionally, funds are included for a rate study and for the costs of moving tracking and monitoring of discharge assistance planning funds and Local Inpatient Purchase of Service funds to an internet-based solution. |
|
|
FY |
FY |
General Fund |
$3,670,000 |
$3,270,000 |
|
• |
|
|
Provides funds to expand the Virginia Mental Health Access Program to include training for early intervention and emergency departments and urgent care providers. |
|
|
FY |
FY |
General Fund |
$2,862,200 |
$2,862,200 |
|
• |
|
|
Provides funding for critical IT infrastructure to support STEP-VA implementation, Department of Justice compliance requirements, and continued modernization of data analytics capabilities. |
|
|
FY |
FY |
General Fund |
$2,018,170 |
$2,486,920 |
Positions |
5.00 |
5.00 |
|
• |
|
|
Provides additional funds to support the expansion of recovery support services provided by the Virginia Association of Recovery Residences. |
|
|
FY |
FY |
General Fund |
$2,200,000 |
$2,200,000 |
|
• |
|
|
Provides funds to support upgrades and additions to the facility electronic health records system including the integration of clinical peripheral devices, and additional staff to manage the program now that it is fully implemented. |
|
|
FY |
FY |
General Fund |
$2,927,660 |
$1,225,000 |
Positions |
4.00 |
4.00 |
|
• |
|
|
Provides nongeneral fund appropriation in expected payments to be made to the Program Gambling and Treatment Support Fund in order to support efforts to prevent gambling addiction. |
|
|
FY |
FY |
Nongeneral Fund |
$2,000,378 |
$2,000,378 |
|
• |
|
|
Funds remaining costs of implementing the existing contract for alternative transportation of individuals under a temporary detention order to ensure 24/7 coverage on a statewide basis. |
|
|
FY |
FY |
General Fund |
$1,929,216 |
$1,929,216 |
|
• |
|
|
Provides funds for 15 additional full-time staff within the Office of Licensing to meet the oversight requirements of the settlement agreement with the federal Department of Justice. |
|
|
FY |
FY |
General Fund |
$1,330,681 |
$1,330,681 |
Nongeneral Fund |
$433,560 |
$433,560 |
Positions |
15.00 |
15.00 |
|
• |
|
|
Requires the Department of Behavioral Health and Developmental Services to create a plan, including a draft of any necessary legislation, to increase alternative custody options for individuals under a temporary detention order who are awaiting transport to an inpatient bed. Funding is included in the second year to implement the program. |
|
|
FY |
FY |
General Fund |
$0 |
$3,359,416 |
|
• |
|
|
Provides funds for a contract with the Department of Corrections for the supervision and monitoring of sexually violent predators on conditional release. |
|
|
FY |
FY |
General Fund |
$1,342,444 |
$1,794,154 |
|
• |
|
|
Provides one-time funds for a contract with the Virginia Health Care Foundation to pay for the costs of supervisory hours needed for licensure for individuals seeking advanced degrees in social work or counseling. Additionally, funds are provided for the costs of certification for licensed social workers or counselors who wish to become eligible to provide supervision services to others seeking licensure. |
|
|
FY |
FY |
General Fund |
$3,012,750 |
$0 |
|
• |
|
|
Funds regional specialist positions to provide crisis and diversion services targeted to individuals with dementia who are at risk of institutionalization. |
|
|
FY |
FY |
General Fund |
$1,026,000 |
$1,026,000 |
Positions |
6.00 |
6.00 |
|
• |
|
|
Provides funds to support state oversight and coordination for an evidence-based prevention and youth media campaign and educational efforts related to marijuana legalization. Language provides for a contract with the Virginia Foundation for Healthy Youth to head the prevention campaign. |
|
|
FY |
FY |
General Fund |
$1,012,286 |
$1,012,286 |
Positions |
1.00 |
1.00 |
|
• |
|
|
Expands a pilot program to transport individuals discharged from state facilities to their home or community-based service placement. |
|
|
FY |
FY |
General Fund |
$1,000,000 |
$1,000,000 |
|
• |
|
|
Appropriates Crisis Call Center Funds for the operation and maintenance costs of the 988 Crisis Call Center. Funds for staffing the call center are appropriated in Grants to Localities. |
|
|
FY |
FY |
Nongeneral Fund |
$0 |
$1,671,214 |
|
• |
|
|
Provides funds to continue a pilot program for individuals with dementia who are at risk of institutionalization in a state facility. This program is funded in central accounts with federal American Rescue Plan Act funds in the first year. |
|
|
FY |
FY |
General Fund |
$0 |
$1,650,000 |
|
• |
|
|
Transfers funds and oversight to the central office of a contract currently managed by the Commonwealth Center for Children and Adolescents. This zero-sum transfer has no fiscal impact. |
|
|
FY |
FY |
General Fund |
$713,000 |
$713,000 |
|
• |
|
|
Provides funds for a comprehensive study of the state and local public behavioral healthcare system. Additional funds for implementing the study's recommendations are appropriated in the second year in Central Appropriations. |
|
|
FY |
FY |
General Fund |
$1,000,000 |
$0 |
|
• |
|
|
Provides funds for three clinical psychologists that will be tasked with completing evaluations of competency to stand trial, sanity at the time of the offense, pretrial psychosexual evaluations, and various not guilty by reason of insanity acquittee evaluations. |
|
|
FY |
FY |
General Fund |
$467,982 |
$460,782 |
Positions |
3.00 |
3.00 |
|
• |
|
|
Funds three central office positions to assist with critical consultation and coordination for state and private hospitals for individuals awaiting placement under an emergency custody order or temporary detention order. |
|
|
FY |
FY |
General Fund |
$360,882 |
$360,882 |
Positions |
3.00 |
3.00 |
|
• |
|
|
Provides funding for two administrative positions to manage the agency's growing crisis services system. |
|
|
FY |
FY |
General Fund |
$300,000 |
$300,000 |
Positions |
2.00 |
2.00 |
|
• |
|
|
Provides funding for two positions required for compliance with the federal Department of Justice settlement agreement. |
|
|
FY |
FY |
General Fund |
$263,382 |
$135,721 |
Nongeneral Fund |
$0 |
$132,661 |
Positions |
2.00 |
2.00 |
|
• |
|
|
Provides funding for one electronic health records (EHR) informatics manager who will serve as the subject matter expert for clinical processes and workflow, as well as ensure the EHR is fully integrated into facility operations. |
|
|
FY |
FY |
General Fund |
$192,611 |
$192,611 |
Positions |
1.00 |
1.00 |
|
• |
|
|
Provides funding for one additional clinical nurse reviewer in the mortality review office. |
|
|
FY |
FY |
General Fund |
$139,191 |
$139,191 |
Positions |
1.00 |
1.00 |
|
• |
|
|
Provides funds to improve security of agency applications, including the de-identification of sensitive data. |
|
|
FY |
FY |
General Fund |
$117,500 |
$117,500 |
|
• |
|
|
Provides funds for one position to increase the oversight and management of permanent supportive housing programs. |
|
|
FY |
FY |
General Fund |
$109,155 |
$109,155 |
Positions |
1.00 |
1.00 |
|
• |
|
|
Increases funding for tobacco retailer compliance checks through a contract with the Alcoholic Beverage Control Authority (ABC). Language also requires that the Department of Behavioral Health and Developmental Services and the ABC collaborate to develop a plan to increase the number of compliance checks statewide in order to reduce incidences of retailer violation. |
|
|
FY |
FY |
General Fund |
$101,970 |
$101,970 |
|
• |
|
|
Transfers administrative funding to the proper program area to align with anticipated expenditures. This zero-sum transfer has no fiscal impact. |
• |
|
|
Move funds between program areas in the central office to align appropriation with anticipated expenditure. The majority of this zero-sum transfer is moving funds into the licensing program from general administration. |
• |
|
|
Increases nongeneral fund position levels to account for restricted positions hired using supplemental grant funds the agency has received through the various federal COVID-19 related pieces of legislation. |
|
|
FY |
FY |
Positions |
15.00 |
15.00 |
|
• |
|
|
Moves funding and associated language between programs in the central office. This zero-sum transfer has no fiscal impact. |
• |
|
|
Transfers appropriation between programs in order to fund a Clinical Director position in the central office. This position will be responsible for, among other things, the Developmental Disability Health Support Network program. |
• |
|
|
This amendment reduces general funds in the introduced budget by $1.4 million each year for the Virginia Mental Health Access Program, increasing overall funding for the initiative to $6.9 million annually. This represents a 26 percent increase in funding for this program over the fiscal year 2022 appropriation. |
|
|
FY |
FY |
General Fund |
($1,431,100) |
($1,431,100) |
|
• |
|
|
This amendment provides $2.5 million from the general fund in fiscal year 2023 only to establish a crisis receiving center (CRC) in Prince William County. CRCs provide a more comprehensive response than crisis assessment centers or crisis stabilization units, because they operate on a 23/7 basis to avert behavioral health crises thus decreasing the role of law enforcement and reducing overreliance on institutional care including state hospitals. |
|
|
FY |
FY |
General Fund |
$2,500,000 |
$0 |
|
• |
|
|
This amendment provides $2.5 million the first year from the general fund for crisis response center services in northwest Virginia (Winchester). The crisis response center will be located at the Winchester Medical Center to provide a safe space necessary for oversight of patients having a mental health crisis while also keeping these patients out of the emergency department. |
|
|
FY |
FY |
General Fund |
$2,500,000 |
$0 |
|
• |
|
|
This amendment provides $2.5 million from the general fund each year for the Department of Behavioral Health and Developmental Services (DBHDS) and partners to provide technical assistance to school divisions seeking guidance on integrating mental health services, and to make grants to school divisions to contract for community-based mental health services for students from public or private community-based providers. These funds can enhance the current school-based mental health services by offering more flexible clinical capacity for service and programming needs that are beyond the scope of school-based personnel. The funds can also be used to continue new programs and interventions supported by federal recovery funds. The pilot programs will report back to DBHDS and the Behavioral Health Commission on the success factors for integrating behavioral health in education settings and identify funding recommendations and resources needed to continue these efforts. |
|
|
FY |
FY |
General Fund |
$2,500,000 |
$0 |
|
• |
|
|
This amendment provides $2.5 million from the general fund the first year for start-up costs to establish a crisis receiving center (CRC) in Southwest Virginia for people with serious mental illness. CRCs provide a more comprehensive response than crisis assessment centers or crisis stabilization units, because they operate on a 23/7 basis to avert behavioral health crises thus decreasing the role of law enforcement and reducing overreliance on institutional care including state hospitals. |
|
|
FY |
FY |
General Fund |
$2,500,000 |
$0 |
|
• |
|
|
This amendment adds $2.0 million from the general fund the first year to implement a program of alternative custody for individuals subject to a temporary detention order (TDO), who are awaiting transport to an inpatient bed. |
|
|
FY |
FY |
General Fund |
$2,000,000 |
$0 |
|
• |
|
|
This amendment reduces new funding contained in the introduced budget by $1.0 million each year, providing an increase of $1.2 million from the general fund each year for recovery residences. |
|
|
FY |
FY |
General Fund |
($1,000,000) |
($1,000,000) |
|
• |
|
|
This amendment eliminates 11 new positions added in the introduced budget. The positions include eight for the Division of Licensing, one Behavioral Health on-call administrator, one administrative position for crisis services and one for administering marijuana prevention efforts. The reduced appropriation and positions will be allocated to the appropriate items upon enrolling of the budget bill. |
|
|
FY |
FY |
General Fund |
($851,175) |
($851,175) |
Positions |
(11.00) |
(11.00) |
|
• |
|
|
This amendment eliminates $1.0 million the first year from the general fund for a study of the behavioral health system. |
|
|
FY |
FY |
General Fund |
($1,000,000) |
$0 |
|
• |
|
|
This amendment delays funding for a statewide marijuana and cannabis use prevention campaign until fiscal year 2024. The amendment strikes language providing a new position in the Department of Behavioral Health and Developmental Services central office to monitor and implement prevention strategies and programs. A companion amendment in this item eliminates the position and captures savings associated with its elimination. |
|
|
FY |
FY |
General Fund |
($900,000) |
$0 |
|
• |
|
|
This amendment provides $150,000 from the general fund the first year to digitize historic microfiche records of Central State Hospital to be added to the Central State Hospital Digital Library and Archives Project. |
|
|
FY |
FY |
General Fund |
$150,000 |
$0 |
|
• |
|
|
This amendment provides $50,000 the first year from the general fund for Restoration and Hope House to provide for housing and programs for nonviolent offenders looking to transition back into the community. |
|
|
FY |
FY |
General Fund |
$50,000 |
$0 |
|
• |
|
|
This amendment requires the Department of Behavioral Health and Developmental Services to continue to abide by the requirements of 2016 guidance, allowing experienced staff not meeting the new Certified Prescreener Clinicians requirements to continue to practice. |
• |
|
|
This amendment directs the Department of Behavioral Health and Developmental Services to enter into a contract for use of up to eight beds of a 20-bed acute, inpatient psychiatric unit at Chesapeake Regional Healthcare for state purposes to increase diversion from state mental health hospitals, after construction of the 20-bed unit is initiated. The contract will not be executed until an appropriation is provided by the General Assembly. |
• |
|
|
This amendment removes the carryforward language related to the settlement agreement with the United States Department of Justice pursuant to civil action no: 3:12cv059-JAG. Any balances at year end will be discretionary and subject to the Governor's authority for reappropriation of year end balances. In addition, the Department of Behavioral Health and Developmental Services is directed to report quarterly on its compliance with the provisions of the settlement agreement. |
• |
|
|
This amendment directs the Department of Behavioral Health and Developmental Services to, in any fiscal year that new developmental disability waiver slots are authorized, allocate such slots to the Community Services Boards and a Behavioral Health Authority by the first day of the fiscal year, so that the slots can be assigned to eligible individuals on the Priority One waiting list to access services as soon as possible. In fiscal year 2022 the department delayed the allocation of 890 waiver slots pending a review of individuals on the waiting list, which resulted in a nearly seven-month delay in releasing the slots. |
• |
|
|
This amendment adds budget language requiring the Department of Behavioral Health and Developmental Services to monitor credentialed recovery homes for regulatory compliance and consult with the Virginia Association of Recovery Residences to keep the agency's public website's list of credentialed recovery homes up to date. |
• |
|
|
This amendment directs the Department of Behavioral Health and Developmental Services to collect information from Community Services Boards and the Behavioral Health Authority on employee compensation to assist in developing a proposal to address compensation issues to be considered in the 2023 Session. |
• |
|
|
This amendment directs the Department of Behavioral Health and Developmental Services to establish a workgroup of relevant stakeholders to examine the Problem Gambling Treatment and Support Fund and to report annually on the fund. |
• |
|
|
This amendment transfers the authority and oversight of all rate setting for Developmental Disability waiver services from the Department for Behavioral Health and Developmental Services to the Department of Medical Assistance Services, which is the more appropriate agency to oversee Medicaid rate setting. |