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
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
2021-2024 2022 Chapter1, 2024 Acts of Assembly $172,867,695 $51,483,442 $224,351,137
2021-2024 2023 Chapter1, 2024 Acts of Assembly $261,228,102 $57,303,715 $318,531,817
2024-2026 2025 Chapter 2, 2024 Acts of Assembly, Special Session 1 $294,357,872 $57,865,876 $352,223,748
2024-2026 2025 Base Budget $162,178,102 $55,887,317 $218,065,419
2024-2026 2025 Governor's Amendments $138,229,148 $2,300,665 $140,529,813
2024-2026 2025 General Assembly Adjustments ($6,049,378) ($322,106) ($6,371,484)
2024-2026 2026 Chapter 2, 2024 Acts of Assembly, Special Session 1 $261,191,386 $57,865,876 $319,057,262
2024-2026 2026 Base Budget $162,178,102 $55,887,317 $218,065,419
2024-2026 2026 Governor's Amendments $87,145,516 $2,300,665 $89,446,181
2024-2026 2026 General Assembly Adjustments $11,867,768 ($322,106) $11,545,662
Positions Budget Summary
Biennium Fiscal Year Source GF NGF Total
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
2021-2024 2022 Chapter1, 2024 Acts of Assembly 518.50 46.75 565.25
2021-2024 2023 Chapter1, 2024 Acts of Assembly 518.50 46.75 565.25
2024-2026 2025 Chapter 2, 2024 Acts of Assembly, Special Session 1 521.50 46.75 568.25
2024-2026 2025 Base Budget 518.50 46.75 565.25
2024-2026 2025 Governor's Amendments 9.00 0.00 9.00
2024-2026 2025 General Assembly Adjustments (6.00) 0.00 (6.00)
2024-2026 2026 Chapter 2, 2024 Acts of Assembly, Special Session 1 521.50 46.75 568.25
2024-2026 2026 Base Budget 518.50 46.75 565.25
2024-2026 2026 Governor's Amendments 9.00 0.00 9.00
2024-2026 2026 General Assembly Adjustments (6.00) 0.00 (6.00)
Operating Budget Addenda (in order of greatest impact)
•
Adjust appropriation for centrally funded five percent salary increase for state employees Base Budget Adjustment
  Adjusts appropriation for the five percent salary increase for state employees budgeted in Central Appropriations, Item 483 S. of Chapter 2, 2022 Acts of Assembly, Special Session I.
 
  FY FY
General Fund $4,255,295 $4,255,295
Nongeneral Fund $744,799 $744,799
•
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 483 G. of Chapter 2, 2022 Acts of Assembly, Special Session I.
 
  FY FY
General Fund $235,934 $235,934
Nongeneral Fund $46,530 $46,530
•
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 484 D. of Chapter 2, 2022 Acts of Assembly, Special Session I.
 
  FY FY
General Fund ($201,495) ($201,495)
•
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 484 C. of Chapter 2, 2022 Acts of Assembly, Special Session I.
 
  FY FY
General Fund $86,716 $86,716
Nongeneral Fund $3,535 $3,535
•
Adjust appropriation for centrally funded changes to Cardinal Human Capital Management System charges Base Budget Adjustment
  Adjusts appropriation for changes to Cardinal Human Capital Management System internal service fund charges budgeted in Central Appropriations, Item 484 G. of Chapter 2, 2022 Acts of Assembly, Special Session I.
 
  FY FY
General Fund $60,843 $60,843
Nongeneral Fund $10,649 $10,649
•
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 484 F. of Chapter 2, 2022 Acts of Assembly, Special Session I.
 
  FY FY
General Fund $51,094 $51,094
Nongeneral Fund $10,512 $10,512
•
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 484 E. of Chapter 2, 2022 Acts of Assembly, Special Session I.
 
  FY FY
General Fund $10,319 $10,319
Nongeneral Fund ($7,896) ($7,896)
•
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 484 H. of Chapter 2, 2022 Acts of Assembly, Special Session I.
 
  FY FY
General Fund ($9,153) ($9,153)
Nongeneral Fund ($3,681) ($3,681)
•
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 484 I. of Chapter 2, 2022 Acts of Assembly, Special Session I.
 
  FY FY
General Fund ($4,721) ($4,721)
Nongeneral Fund ($815) ($815)
•
Adjust appropriation for centrally funded workers’ compensation premium changes Base Budget Adjustment
  Adjusts appropriation for workers’ compensation premiums budgeted in Central Appropriations, Item 483 P. of Chapter 2, 2022 Acts of Assembly, Special Session I.
 
  FY FY
General Fund ($2,457) ($2,457)
Nongeneral Fund $289 $289
•
Adjust appropriation for centrally funded changes to agency leased space costs Base Budget Adjustment
  Adjusts appropriation for to increased charges to customer agencies for the Department of General Services to perform lease administration services. budgeted in Central Appropriations, Item 485 K. of Chapter 2, 2022 Acts of Assembly, Special Session I.
 
  FY FY
General Fund $16 $16
•
Continue Chapter 1 funding changes: Increase funding for comprehensive crisis services system Decision Package
  Provides for the ongoing impact of appropriation changes included in Chapter 1, 2023 Special Session I. These funds will support the ongoing costs of the crisis services created in Chapter 1.
 
  FY FY
General Fund $39,845,204 $39,845,204
•
Fund additional crisis services Decision Package
  Provides support for the continued expansion and modernization of the statewide crisis services system by investing in crisis receiving centers, crisis stabilization units, pharmacy improvements, and other crisis initiatives.
 
  FY FY
General Fund $32,967,146 $2,603,514
•
Continue Chapter 1 funding changes: Expand school-based mental health pilot Decision Package
  Provides for the ongoing impact of appropriation changes included in Chapter 1, 2023 Special Session I. These funds will be utilized to expand school-based mental health programs.
 
  FY FY
General Fund $15,000,000 $15,000,000
•
Continue Chapter 1 funding changes: Expand housing opportunities for individuals with serious mental illness Decision Package
  Provides for the ongoing impact of appropriation changes included in Chapter 1, 2023 Special Session I. This funding will provide residential placements for 100 individuals.
 
  FY FY
General Fund $8,000,000 $8,000,000
•
Continue Chapter 1 funding changes: Increase funding for Virginia Mental Health Access Program Decision Package
  Provides for the ongoing impact of appropriation changes included in Chapter 1, 2023 Special Session I. These funds will provide support for the continued implementation and management of the expansion of the Virginia Mental Health Access program to early childhood (ages zero to five).
 
  FY FY
General Fund $7,900,000 $7,900,000
•
Fund comprehensive psychiatric emergency programs Decision Package
  Provides one-time funds to pursue comprehensive psychiatric emergency programs or similar models of psychiatric care in emergency departments.
 
  FY FY
General Fund $10,000,000 $0
•
Fund mobile crisis teams Decision Package
  Provides funds for the one-time costs of establishing additional mobile crisis units.
 
  FY FY
General Fund $10,000,000 $0
•
Expand alternative transportation and custody program to individuals under involuntary commitment orders Decision Package
  Provides additional funding for alternative transportation and alternative custody. Additionally, eligibility for this service is expanded to individuals under involuntary commitment orders.
 
  FY FY
General Fund $4,733,920 $4,733,920
•
Increase crisis training among local first responders and hospital personnel Decision Package
  Provides funds for an ongoing contract with the Virginia Crisis Intervention Team Coalition. This program is funded with federal funds in the current biennium.
 
  FY FY
General Fund $2,585,000 $2,585,000
•
Reduce funding for local inpatient purchase of service Decision Package
  Captures anticipated balances for local inpatient purchase of service funds. Funds appropriated for this purpose have been underutilized for the last two years.
 
  FY FY
General Fund ($1,239,662) ($1,239,662)
•
Fund new credentialing database for youth mental health services Decision Package
  Provides funds to contract with a vendor for a credentialing database for youth mental health services.
 
  FY FY
General Fund $1,000,000 $1,000,000
•
Use crisis call center fund balances to support crisis efforts Decision Package
  Provides nongeneral fund appropriation from the Crisis Call Center Fund in lieu of general fund appropriation for the maintenance costs of the 988 call center.
 
  FY FY
General Fund ($500,000) ($500,000)
Nongeneral Fund $500,000 $500,000
•
Add new positions in the developmental disabilities division Decision Package
  Provides funds for eight new positions in the developmental disabilities division to assist in meeting the terms of the Department of Justice settlement agreement.
 
  FY FY
General Fund $490,222 $490,222
Nongeneral Fund $490,222 $490,222
Positions 8.00 8.00
•
Continue Chapter 1 funding changes: Provide funding for two percent salary increase Decision Package
  Adjusts appropriation for the two percent salary increase for state and state supported local employees budgeted in Central Appropriations, Paragraphs S, T, U, and V of Item 483, Chapter 1, 2023 Acts of Assembly, Special Session I.
 
  FY FY
General Fund $915,405 $915,405
•
Expand and sustain funding for adolescent substance use disorder services Decision Package
  Provides funds for medically monitored high-intensity inpatient services (ASAM 3.7) for youth and adolescents with serious mental illness or substance use disorder who may otherwise require inpatient hospitalization. Additionally, $400,000 in the second year is provided to support Chesterfield Recovery Academy.
 
  FY FY
General Fund $1,080,000 $610,000
•
Capture underutilized funds for children's inpatient services Decision Package
  Captures excess funding due to underutilized contracts for children's private inpatient behavioral health services. The remaining earmark provides $7.6 million in each year for this purpose.
 
  FY FY
General Fund ($800,000) ($800,000)
•
Fund initiatives to expand mental health workforce Decision Package
  Provides funds to expand the mental health workforce by conducting an evaluation of the licensing process, funding a workforce training director, and providing scholarships for behavioral health technicians.
 
  FY FY
General Fund $595,876 $645,876
Positions 1.00 1.00
•
Provide funds for Boost 200 expansion Decision Package
  Provides 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.
 
  FY FY
General Fund $575,000 $575,000
•
Provide additional appropriation for problem gambling treatment Decision Package
  Provides additional nongeneral fund appropriation for problem gambling treatment programs.
 
  FY FY
Nongeneral Fund $306,521 $306,521
•
Continue Chapter 1 funding changes: Provide funds for specially adapted resources clubs Decision Package
  Provides for the ongoing impact of appropriation changes included in Chapter 1, 2023 Special Session I. These funds will support specially adapted resource clubs for individuals with disabilities.
 
  FY FY
General Fund $250,000 $250,000
•
Fund peer-to-peer mentoring and employment programs for individuals with developmental disabilities Decision Package
  Provides ongoing support for the Peer-to-Peer Mentoring Program through a contract with the Arc of Virginia.
 
  FY FY
General Fund $214,250 $214,250
•
Transfer funds for administrative support of the Opioid Abatement Authority Decision Package
  Transfers Opioid Abatement Fund appropriation from the Virginia Department of Health to the Department of Behavioral Health and Developmental Services (DBHDS) for the administrative costs of providing fiscal services to the Opioid Abatement Authority (OAA). This zero-sum transfer will eliminate the need for administrative transfer of funding during the fiscal year, as DBHDS is serving as the fiscal agent for the OAA.
 
  FY FY
Nongeneral Fund $200,000 $200,000
•
Eliminate technology contract Decision Package
  Reduces funding for technology contracts.
 
  FY FY
General Fund ($180,604) ($180,604)
•
Fund training and quality improvement for preadmission screening clinicians Decision Package
  Provides funds to update training modules for certified preadmission screening clinicians to meet requirements of the Americans with Disabilities Act as well as provide additional quality management modules.
 
  FY FY
General Fund $300,000 $0
•
Continue Chapter 1 funding changes: Provide funds for On Our Own Decision Package
  Provides for the ongoing impact of appropriation changes included in Chapter 1, 2023 Special Session I. These funds will support On Our Own, a peer recovery center that serves the community at no charge.
 
  FY FY
General Fund $100,000 $100,000
•
Transfer funds for developmental disability waiver rate responsibilities to the Department of Medical Assistance Services Decision Package
  Transfers funds to the Department of Medical Assistance Services for the costs of managing developmental disability Medicaid waiver rate functions. This transfer was required in Chapter 1, 2023 Acts of Assembly, Special Session I.
 
  FY FY
General Fund ($85,000) ($85,000)
•
Align appropriation to projected spending Decision Package
  Moves funding between service areas to properly account for projected spending. This sum zero transfer has no fiscal impact.
•
Allow funds for dementia behavioral specialists to be used for geriatric population Decision Package
  Amends language to allow dementia-specific funding to be used for all geriatric individuals.
•
Amend language to allow dementia funds to be used for discharge and diversion of older adults Decision Package
  Amends language to allow dementia-specific funding to be used for all geriatric individuals.
•
Combine funding for alternative transportation and 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.
•
Combine waiver reporting requirements Decision Package
  Combines multiple paragraphs related to developmental disability Medicaid waiver reporting into one annual report.
•
Optimize drug court funding Decision Package
  Amends language that restricts funding to drug treatment courts to include specialty dockets, such as veterans and behavioral health dockets.
•
Provide emergency regulatory language for behavioral health services Decision Package
  Adds language to allow the Department of Behavioral Health and Developmental Services to pursue emergency regulatory changes to align licensing regulations with planned changes to Medicaid behavioral health services.
•
Provide flexibility for pilot funding for inpatient admission alternatives Decision Package
  Amends currently earmarked language for alternative inpatient treatment options to allocate $5.0 million each year for alternative options to state behavioral health hospital care for patients designated as forensic who are admitted to, or at risk of admission to, state hospitals.
•
Support complex hospital discharges 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.
•
Community Services Board Workforce Development General Assembly Adjustment
  This amendment provides $7.5 million from the general fund each year to support efforts to grow the Community Services Board workforce. The funding will act as a mechanism for recruitment and retention in the short term as well as to develop a pipeline for staff at all levels.
 
  FY FY
General Fund $7,500,000 $7,500,000
•
Expand Discharge Assistance for the Extraordinary Barriers List General Assembly Adjustment
  This amendment provides $6.0 million each year from the general fund for discharge assistance planning for individuals on the Extraordinary Barriers List.
 
  FY FY
General Fund $6,000,000 $6,000,000
•
Reallocate Comprehensive Psychiatric Emergency Programs Funding General Assembly Adjustment
  This amendment reallocates $10 million the first year from the general fund for the development of comprehensive psychiatric emergency programs to other behavioral health initiatives.
 
  FY FY
General Fund ($10,000,000) $0
•
Repurpose Crisis System Funding General Assembly Adjustment
  This amendment repurposes $8.0 million the first year from the general fund for additional crisis services for other behavioral health initiatives. This amendment sustains an additional investment of $25 million general fund in fiscal year 2025 for the build out of the comprehensive crisis system, bringing the yearly total to $64.8 million general fund. The amendment also directs that $2.3 million each year from the general fund shall be provided to support the Prince William County Youth Crisis Receiving Center.
 
  FY FY
General Fund ($7,967,146) $0
•
Reallocate Youth Mental Health Services Database Funding General Assembly Adjustment
  This amendment reallocates $1.0 million each year from the general fund for a youth mental health services database for other behavioral health initiatives.
 
  FY FY
General Fund ($1,000,000) ($1,000,000)
•
Reduce Number of Developmental Disabilities Office Positions General Assembly Adjustment
  This amendment removes the associated funding for five out of eight new positions included in the introduced budget for the developmental disabilities division.
 
  FY FY
General Fund ($322,106) ($322,106)
Nongeneral Fund ($322,106) ($322,106)
Positions (5.00) (5.00)
•
Repurpose Funding for Mental Health Workforce Initiatives General Assembly Adjustment
  This amendment repurposes funding for various mental health workforce initiatives, such as evaluating the licensing process, funding a workforce training director, and providing scholarships for behavioral health technicians for other behavioral health priorities.
 
  FY FY
General Fund ($595,876) ($645,876)
Positions (1.00) (1.00)
•
Bridge Behavioral Health Program General Assembly Adjustment
  This amendment provides $300,000 from the general fund each year for clients assigned to participate in the Bridge Behavioral Health program. The Bridge Program is an inpatient residential treatment center that serves men 18 years of age and older suffering from behavioral and mental health challenges. During the first phase of the program, individuals participate in evidence-based group cognitive behavioral therapy and individualized counseling with a licensed professional as well as workforce development training and financial management courses. During the second phase, participants stay in transitional housing in Charlottesville where they are placed in career employment opportunities. At the conclusion of the transitional housing program, clients also receive assistance obtaining permanent residency to aid to their successful reentry into society. The Bridge Program invests $46,000 per inmate that is court ordered to participate in the program but does not currently receive any state funding for the clients.
 
  FY FY
General Fund $300,000 $300,000
•
Virginia Association of Recovery Residences General Assembly Adjustment
  This amendment adds $250,000 each year from the general fund to make grants to members of the Virginia Association of Recovery Residences (VARR) and adds language to require VARR to comply with all requirements of agreements entered with DBHDS and to report monthly to DBHDS with financial and operational documentation for services provided. This amendment also allows DBHDS to pursue a bidding process to expand the buildout of recovery residences across the state.
 
  FY FY
General Fund $250,000 $250,000
•
Repurpose Peer to Peer Mentoring Funding General Assembly Adjustment
  This amendment repurposes $214,250 each year from the general fund in the introduced budget for peer to peer mentoring for other behavioral health initiatives.
 
  FY FY
General Fund ($214,250) ($214,250)
•
Discharge Pilot Program Costs General Assembly Adjustment
  This amendment directs the Department of Behavioral Health and Developmental Services, pursuant to legislation passed in the 2024 General Assembly, to pay for an individual's expenses if granted a home or trial visit after being discharged from a state hospital, as part of the pilot program, if no other public or private assistance is available to them.
•
Fund School-Based Health Centers General Assembly Adjustment
  This amendment redirects $15 million each year from the general fund to create school-based health clinics to provide mental health services, primary medical care, and other health services to students, their families, and staff within the school.
•
Report on CSB Performance, Billing, and Workforce Data General Assembly Adjustment
  This amendment requires the Department of Behavioral Health and Developmental Services to report annually on a variety of CSB performance, billing, and workforce data.
•
Report on STEP-VA Benchmarks General Assembly Adjustment
  This amendment directs the Department of Behavioral Health and Developmental Services (DBHDS) to report on anticipated changes to STEP-VA performance measures in Community Services Board (CSB) performance contracts before they become effective to ensure they achieve the General Assembly's intent of effectively measuring the performance of STEP-VA. In the 2023 Session, the General Assembly directed DBHDS to revise CSB performance contracts by July 1, 2025.
•
Report on Unmet STEP-VA Needs General Assembly Adjustment
  This amendment directs the Department of Behavioral Health and Developmental Services (DBHDS) to: (i) conduct a needs assessment to determine the unmet need for each of the nine service components of STEP-VA; (ii) develop an estimate of the cost of satisfying the unmet need for each of the nine STEP-VA service components statewide; and (iii) report on their findings.
Capital Project Requests (in order of largest to smallest)
•
Renovate, repair, and upgrade state-operated facilities
  Provides funds for the costs of upgrading, repairing, and renovating state facilities, including, but not limited to, security improvements, duress systems, HVAC systems, and other necessary projects. Language is included that will allow the director of the Department of Planning and Budget to transfer funds between this project and existing projects, including projects managed by the Department of General Services, as appropriate.
 
  FY FY
General Fund $35,000,000 $0
•
Improve safety and security at Eastern State Hospital
  Provides funds for renovations at Eastern State Hospital to ensure safety and security of patients, staff, and the surrounding communities. Language is included to permit the transfer of funds from this project to a similar project managed by the Department of General Services.
 
  FY FY
Tax Supported Debt $24,340,860 $0
•
2024 Special Session I: Supplant funding for capital project: DBHDS Facility Renovations
  Supplants general fund appropriation with state-supported bonds for an umbrella project to renovate and repair facilities at the Department of Behavioral Health and Developmental Services.
 
  FY FY
General Fund ($20,000,000) $0
Nongeneral Fund $20,000,000 $0
•
DBHDS - Renovate, Repair, and Upgrade State-Operated Facilities
  This amendment reduces general fund by $15.0 million for a capital project at the Department of Behavioral Health and Developmental Services for a project to make critical upgrades at statewide facilities.
 
  FY FY
General Fund ($15,000,000) $0


p3_bullets - Official Enacted Budget - 06-04-2025 00:16:29