The 2023 Executive Budget Document
Governor Youngkin's Proposed Amendments to the 2022-2024 Biennial Budget
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Released on December 15, 2022 
 
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
2022-2024 2023 Governor's Proposed Budget $172,867,695 $52,899,840 $225,767,535
    2022 Appropriation $172,867,695 $51,483,442 $224,351,137
    Governor's Amendments $0 $1,416,398 $1,416,398
2022-2024 2024 Governor's Proposed Budget $284,287,093 $57,326,983 $341,614,076
    2022 Appropriation $162,178,102 $55,887,317 $218,065,419
    Governor's Amendments $122,108,991 $1,439,666 $123,548,657
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
2022-2024 2023 Proposed Positions 518.50 46.75 565.25
    2022 Appropriation 518.50 46.75 565.25
    Governor's Amendments 0.00 0.00 0.00
2022-2024 2024 Proposed Positions 528.50 46.75 575.25
    2022 Appropriation 518.50 46.75 565.25
    Governor's Amendments 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 2023 FY 2024
General Fund $0 $58,345,204
Positions 0.00 5.00
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 2023 FY 2024
General Fund $0 $20,000,000
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 2023 FY 2024
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 2023 FY 2024
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 2023 FY 2024
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 2023 FY 2024
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 2023 FY 2024
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 2023 FY 2024
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 2023 FY 2024
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 2023 FY 2024
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 2023 FY 2024
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 2023 FY 2024
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 2023 FY 2024
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.
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.
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.
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 2023 FY 2024
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 2023 FY 2024
General Fund $4,000,000 $0


pdocagy2014 - Executive Budget Document Agency Details - 04-05-2026 20:08:31