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
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 1, 2022 Acts of Assembly $419,913,787 $93,800,000 $513,713,787
2020-2022 2022 Chapter 1, 2022 Acts of Assembly $468,815,857 $90,000,000 $558,815,857
2022-2024 2023 Chapter 2, 2022 Acts of Assembly, Special Session 1 $497,191,587 $94,732,000 $591,923,587
2022-2024 2023 Base Budget $466,815,857 $90,000,000 $556,815,857
2022-2024 2023 Governor's Amendments $49,721,231 $4,732,000 $54,453,231
2022-2024 2023 General Assembly Adjustments ($19,345,501) $0 ($19,345,501)
2022-2024 2024 Chapter 2, 2022 Acts of Assembly, Special Session 1 $558,032,889 $97,453,798 $655,486,687
2022-2024 2024 Base Budget $466,815,857 $90,000,000 $556,815,857
2022-2024 2024 Governor's Amendments $88,317,032 $7,453,798 $95,770,830
2022-2024 2024 General Assembly Adjustments $2,900,000 $0 $2,900,000
Positions Budget Summary
Biennium Fiscal Year Source GF NGF Total
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 1, 2022 Acts of Assembly 0.00 0.00 0.00
2020-2022 2022 Chapter 1, 2022 Acts of Assembly 0.00 0.00 0.00
2022-2024 2023 Chapter 2, 2022 Acts of Assembly, Special Session 1 0.00 0.00 0.00
2022-2024 2023 Base Budget 0.00 0.00 0.00
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 2, 2022 Acts of Assembly, Special Session 1 0.00 0.00 0.00
2022-2024 2024 Base Budget 0.00 0.00 0.00
2022-2024 2024 Governor's Amendments 0.00 0.00 0.00
2022-2024 2024 General Assembly Adjustments 0.00 0.00 0.00
Operating Budget Addenda (in order of greatest impact)
Adjust appropriation for centrally funded five percent salary increase for state-supported local employees Base Budget Adjustment
  Adjusts appropriation for the five percent salary increase for state-supported local employees budgeted in Central Appropriations, Item 477 Y. of Chapter 552, 2021 Acts of Assembly, Special Session I.
 
  FY FY
General Fund $7,726,685 $7,726,685
Fund STEP-VA services and local infrastructure needs Decision Package
  Provides funds for the implementation of the remaining three services required by STEP-VA. Additionally, funds are provided for local infrastructure and regional management of STEP-VA services.
 
  FY FY
General Fund $22,245,501 $28,302,800
Increase funding for permanent supportive housing for individuals with serious mental illness Decision Package
  Provides additional funding for permanent supportive housing. Of the amounts included, $2.5 million is earmarked for housing in the Northern Virginia region.
 
  FY FY
General Fund $11,250,000 $19,050,000
Continue implementation of crisis system transformation Decision Package
  Provides funds for the continued implementation of the crisis system transformation. In addition to the funds appropriated in this adjustment, $20 million in funding from the American Rescue Plan Act is appropriated in central accounts for 2023.
 
  FY FY
General Fund $2,000,000 $22,000,000
Appropriate funds for 988 call center staff Decision Package
  Appropriates funds deposited into the Crisis Call Center Fund, which receives funds from surcharges on wireless services. These funds will be used to support the costs of call center staff.
 
  FY FY
General Fund $0 ($2,000,000)
Nongeneral Fund $4,732,000 $7,453,798
Continue Implementation of local Marcus Alert systems Decision Package
  Provides funds for an additional five localities to implement a local Marcus Alert System. This adjustment will bring total state support of local systems to $6.0 million per year.
 
  FY FY
General Fund $3,000,000 $3,000,000
Sustain funding for substance use disorder treatment  Decision Package
  Provides funds to continue the expansion of substance use disorder workforce training and innovation programs. These programs are funded with federal American Rescue Plan Act funds in the first year.
 
  FY FY
General Fund $0 $5,000,000
Increase funding for the State Rental Assistance Program Decision Package
  Increases funding for rental subsidies for individuals with an intellectual or developmental disability. The provided funding will serve an additional 75 individuals per year.
 
  FY FY
General Fund $1,050,000 $2,722,720
Provide additional permanent supportive housing for pregnant or parenting women with substance use disorder Decision Package
  Provides rental subsidies and support services for 75 additional pregnant or parenting women.
 
  FY FY
General Fund $1,715,545 $1,781,327
Provide additional funding for mental health dockets Decision Package
  Increases funding for the existing mental health dockets in the Commonwealth to increase the availability of clinically appropriate services to a greater number of eligible individuals.
 
  FY FY
General Fund $650,000 $650,000
Increase the availability of outpatient restoration services for adults in order to prevent unnecessary inpatient hospitalizations Decision Package
  Provides additional funds to Community Services Boards for outpatient restoration services.
 
  FY FY
General Fund $83,500 $83,500
Addresses outdated budget language for Mental Health Initiative funds Decision Package
  Updates language to clarify how Mental Health Initiative funds may be used for children at risk of out of home placements.
Clarify language around 24 equal installments to Community Services Boards Decision Package
  Amends language to clarify the method and timing of distribution of funds to Community Services Boards.
Provide emergency regulatory authority for the Individual and Family Supports Program Decision Package
  Allows the Department of Behavioral Health and Developmental Services to promulgate emergency regulations related to structure of the Individual and Family Supports Program.
Provide ARPA in First Year for STEP-Virginia General Assembly Adjustment
  This amendment replaces general fund support for STEP-Virginia with American Rescue Plan Act (ARPA) funds the first year, resulting in general fund savings of $22.2 million in fiscal year 2023. This change only affects the fund source for STEP-Virginia and has no impact on implementation of the program. A companion amendment in Item 486 provides $22.2 million in ARPA funds for STEP-VA.
 
  FY FY
General Fund ($22,245,501) $0
Part C Early Intervention General Assembly Adjustment
  This amendment provides $2.9 million from the general fund each year to support Community Services Boards commensurate with the 12.5 percent increase in Medicaid reimbursement for Part C Early Intervention services for children that have Medicaid. This amendment accounts for Part C Early Intervention services provided to infants and toddlers who do not have Medicaid as a funding source.
 
  FY FY
General Fund $2,900,000 $2,900,000
Crisis Receiving Centers General Assembly Adjustment
  This amendment designates from the funding included in the introduced budget an allocation for the Lynchburg area to implement a 23-hour crisis receiving center and requires an advisory board of local law enforcement to oversee such center. In addition, language clarifies that a variety of community organizations are eligible to establish 23-hour crisis receiving or observation centers.
Expand Use of Medication Assisted Treatment General Assembly Adjustment
  This amendment removes language that restricts the use of medication assisted treatment to individuals with substance use disorders who are addicted to opioids. This will make this treatment option open to all individuals with substance use disorders.
Jails Discharge Planning for Persons with Serious Mental Illness General Assembly Adjustment
  This amendment expands use of $3,700,800 in general fund appropriation provided each year for discharge planning at jails for individuals with serious mental illness to also include emergency client assistance resources. As such, this amendment allows the funds to be used for either new staff positions or for emergency client assistance resources. Additionally, this amendment permits the use of funding in additional jails meeting the criteria for funding.


p3_bullets - Official Enacted Budget - 07-18-2025 17:59:13