• |
Account for savings from federal participation in substance abuse and mental health services |
Decision Package |
|
|
Reflects savings associated with providing federally reimbursable substance abuse and mental health services. |
|
|
FY 2019 |
FY 2020 |
General Fund |
($16,653,864) |
($24,980,796) |
|
• |
Increase Trust Fund appropriation |
Decision Package |
|
|
Adjusts appropriation from the Behavioral Health Trust Fund to properly reflect the amount of funds anticipated to be available in FY 2019 from the sale of Northern Virginia Training Center. A portion of the anticipated proceeds was appropriated in FY 2018. This adjustment accounts for the remaining balance. The remaining $3.9 million in FY 2019 will be used to develop services for individuals with complex medical needs and multiple diagnoses. |
|
|
FY 2019 |
FY 2020 |
Nongeneral Fund |
($4,750,000) |
($8,550,000) |
|
• |
Complete implementation of Same Day Access (STEP-VA) |
Decision Package |
|
|
Provides funds for the staffing costs at Community Services Boards of complying with same-day access legislation passed in the 2017 session. State law requires that all CSBs offer same-day access to behavioral health assessment services by July 1, 2019. Funding for 18 CSBs is currently in the 2018 base budget. The funds in this amendment will provide the same support to the remaining 22 CSBs. |
|
|
FY 2019 |
FY 2020 |
General Fund |
$5,900,000 |
$5,900,000 |
|
• |
Provide funds for primary care screening and monitoring |
Decision Package |
|
|
Provides funds to implement primary care screening services at all 40 CSBs in Virginia, as required by Section 37.2-500 and 37.2-601. Beginning July 1, 2019, all CSBs are responsible for outpatient clinic primary care screening and monitoring of key health indicators and health risk. Funds are phased in the first year. |
|
|
FY 2019 |
FY 2020 |
General Fund |
$3,720,000 |
$7,440,000 |
|
• |
Provide funding to support medication assisted treatment provided by community services boards for individuals with opioid use disorders. |
Decision Package |
|
|
Replaces federal grant funding for medication assisted treatment for individuals with substance use disorders. |
|
|
FY 2019 |
FY 2020 |
General Fund |
$5,000,000 |
$5,000,000 |
|
• |
Provide community discharge funds for census management at state facilities |
Decision Package |
|
|
Provides funding to transition individuals currently on the extraordinary barriers to discharge list at state mental health facilities into the community. These funds are phased in the first year. |
|
|
FY 2019 |
FY 2020 |
General Fund |
$2,300,000 |
$4,600,000 |
|
• |
Increase funding for state rental assistance program |
Decision Package |
|
|
Provides rental subsidies for 343 individuals with developmental disabilities to live in their own housing with appropriate supports. The Settlement Agreement with the federal Department of Justice requires the Commonwealth to establish and implement a plan to address access to independent housing options. As a result of this requirement, the Commonwealth has established a goal of providing rental assistance to 847 individuals. Current funding has allowed for 504 individuals to receive rental assistance. This request would provide funding to support the remaining 343. |
|
|
FY 2019 |
FY 2020 |
General Fund |
$1,558,836 |
$4,147,833 |
|
• |
Adjust appropriation for the centrally funded two percent salary increase for state-supported local employees |
Base Budget Adjustment |
|
|
Adjusts appropriation for the two percent salary increase for state-supported local employees budgeted in Central Appropriations, Item 475 Y. of Chapter 836, 2017 Acts of Assembly. |
|
|
FY 2019 |
FY 2020 |
General Fund |
$2,833,407 |
$2,833,407 |
|
• |
Expand crisis program for individuals with developmental disabilities |
Decision Package |
|
|
Provides funding for staffing for a children's crisis therapeutic home and an adult transition home located in northern Virginia acquired pursuant to Chapter 780, the 2016 Appropriation Act, which provided one-time funds from the Behavioral Health and Developmental Services Trust Fund for the development of services in the region for those with intensive behavioral or medical needs. The settlement agreement with the federal Department of Justice mandates the development of a crisis infrastructure to support the target population. |
|
|
FY 2019 |
FY 2020 |
General Fund |
$2,381,250 |
$3,175,000 |
|
• |
Transfer Local Inpatient Purchase of Service funds to Community Services Boards |
Decision Package |
|
|
Transfers LIPOS (local inpatient purchase of service) funds to agency 790 (Grants to Localities). There is an additional amendment that moves LIPOS funds from the agency's central office to agency 790. In total these transfers will result in all LIPOS funds being appropriated in one agency code, improving transparency and eliminating the need for administrative transfers. |
|
|
FY 2019 |
FY 2020 |
General Fund |
$2,500,000 |
$2,500,000 |
|
• |
Support growth in the Early Intervention Program - Part C caseload |
Decision Package |
|
|
Funds projected growth in the Early Intervention - Part C caseload. As a participant in the Part C program, the Commonwealth is required to make early intervention services eligible to all eligible children from birth through two years old with developmental delays and disabilities. |
|
|
FY 2019 |
FY 2020 |
General Fund |
$1,807,518 |
$2,779,610 |
|
• |
Expand supportive housing for adults with serious mental illness |
Decision Package |
|
|
Expands supportive housing options for up to 200 individuals. Priority will be given to those individuals currently residing in state facilities that have been determined ready for discharge, but are in need of housing in order to be placed in the community. |
|
|
FY 2019 |
FY 2020 |
General Fund |
$1,525,605 |
$3,051,210 |
|
• |
Transfer Local Inpatient Purchase of Service funds to Community Services Boards |
Decision Package |
|
|
This sum zero transfer will move LIPOS funds to agency 790 (Grants to Localities). There is an additional transfer to move LIPOS funds from the mental health treatment centers to 790. In total these transfers will result in all LIPOS funds being appropriated in one agency code, improving transparency and eliminating the need for administrative transfer. |
|
|
FY 2019 |
FY 2020 |
General Fund |
$2,250,000 |
$2,250,000 |
|
• |
Provide supportive housing for pregnant and parenting women |
Decision Package |
|
|
Provides permanent supportive housing funds for up to 75 pregnant or parenting women with substance abuse disorders. Funds are phased in over the biennium. |
|
|
FY 2019 |
FY 2020 |
General Fund |
$826,200 |
$1,652,400 |
|
• |
Transfer permanent supportive housing administrative funds to Central Office |
Decision Package |
|
|
Moves funding from agency 790 (Grants to Localities) to agency 720 (Central Office) for the oversight of the permanent supportive housing program. This sum zero transfer has no fiscal impact. |
|
|
FY 2019 |
FY 2020 |
General Fund |
($200,000) |
($200,000) |
|
• |
Realign funding within DBHDS |
Decision Package |
|
|
Transfers funding for two grant-funded administrative positions from agency 790 (Grants to Localities) to the agency's Central Office (720). This sum zero nongeneral fund transfer has no fiscal impact. |
|
|
FY 2019 |
FY 2020 |
Nongeneral Fund |
($173,472) |
($173,472) |
|