| Technical |
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| • | Adjust appropriation for centrally funded five percent salary increase for state employees 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 2025 | FY 2026 | | General Fund | $4,255,295 | $4,255,295 | | Nongeneral Fund | $744,799 | $744,799 | |
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| • | Adjust appropriation for centrally funded changes to state health insurance premiums 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 2025 | FY 2026 | | General Fund | $235,934 | $235,934 | | Nongeneral Fund | $46,530 | $46,530 | |
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| • | Adjust appropriation for centrally funded changes to agency rental costs 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 2025 | FY 2026 | | General Fund | ($201,495) | ($201,495) | |
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| • | Adjust appropriation for centrally funded changes to agency information technology costs 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 2025 | FY 2026 | | General Fund | $86,716 | $86,716 | | Nongeneral Fund | $3,535 | $3,535 | |
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| • | Transfer funds for developmental disability waiver rate responsibilities to the Department of Medical Assistance Services 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 2025 | FY 2026 | | General Fund | ($85,000) | ($85,000) | |
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| • | Adjust appropriation for centrally funded changes to Cardinal Human Capital Management System charges 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 2025 | FY 2026 | | General Fund | $60,843 | $60,843 | | Nongeneral Fund | $10,649 | $10,649 | |
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| • | Adjust appropriation for centrally funded changes to Cardinal Financials System charges 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 2025 | FY 2026 | | General Fund | $51,094 | $51,094 | | Nongeneral Fund | $10,512 | $10,512 | |
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| • | Adjust appropriation for centrally funded information technology auditors and security officers 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 2025 | FY 2026 | | General Fund | $10,319 | $10,319 | | Nongeneral Fund | ($7,896) | ($7,896) | |
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| • | Adjust appropriation for centrally funded changes to Performance Budgeting system charges 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 2025 | FY 2026 | | General Fund | ($9,153) | ($9,153) | | Nongeneral Fund | ($3,681) | ($3,681) | |
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| • | Adjust appropriation for centrally funded internal service fund charges for the Personnel Management Information System 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 2025 | FY 2026 | | General Fund | ($4,721) | ($4,721) | | Nongeneral Fund | ($815) | ($815) | |
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| • | Adjust appropriation for centrally funded workers’ compensation premium changes Adjusts appropriation for workers’ compensation premiums budgeted in Central Appropriations, Item 483 P. of Chapter 2, 2022 Acts of Assembly, Special Session I. | FY 2025 | FY 2026 | | General Fund | ($2,457) | ($2,457) | | Nongeneral Fund | $289 | $289 | |
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| • | Adjust appropriation for centrally funded changes to agency leased space costs 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 2025 | FY 2026 | | General Fund | $16 | $16 | |
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| • | Align appropriation to projected spending Moves funding between service areas to properly account for projected spending. This sum zero transfer has no fiscal impact. |
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| Non-Technical |
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| • | Continue Chapter 1 funding changes: Increase funding for comprehensive crisis services system 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 2025 | FY 2026 | | General Fund | $39,845,204 | $39,845,204 | |
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| • | Fund additional crisis services 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 2025 | FY 2026 | | General Fund | $32,967,146 | $2,603,514 | |
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| • | Continue Chapter 1 funding changes: Expand school-based mental health pilot 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 2025 | FY 2026 | | General Fund | $15,000,000 | $15,000,000 | |
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| • | Continue Chapter 1 funding changes: Expand housing opportunities for individuals with serious mental illness 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 2025 | FY 2026 | | General Fund | $8,000,000 | $8,000,000 | |
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| • | Continue Chapter 1 funding changes: Increase funding for Virginia Mental Health Access Program 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 2025 | FY 2026 | | General Fund | $7,900,000 | $7,900,000 | |
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| • | Fund comprehensive psychiatric emergency programs Provides one-time funds to pursue comprehensive psychiatric emergency programs or similar models of psychiatric care in emergency departments. | FY 2025 | FY 2026 | | General Fund | $10,000,000 | $0 | |
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| • | Fund mobile crisis teams Provides funds for the one-time costs of establishing additional mobile crisis units. | FY 2025 | FY 2026 | | General Fund | $10,000,000 | $0 | |
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| • | Expand alternative transportation and custody program to individuals under involuntary commitment orders Provides additional funding for alternative transportation and alternative custody. Additionally, eligibility for this service is expanded to individuals under involuntary commitment orders. | FY 2025 | FY 2026 | | General Fund | $4,733,920 | $4,733,920 | |
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| • | Increase crisis training among local first responders and hospital personnel 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 2025 | FY 2026 | | General Fund | $2,585,000 | $2,585,000 | |
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| • | Reduce funding for local inpatient purchase of service Captures anticipated balances for local inpatient purchase of service funds. Funds appropriated for this purpose have been underutilized for the last two years. | FY 2025 | FY 2026 | | General Fund | ($1,239,662) | ($1,239,662) | |
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| • | Fund new credentialing database for youth mental health services Provides funds to contract with a vendor for a credentialing database for youth mental health services. | FY 2025 | FY 2026 | | General Fund | $1,000,000 | $1,000,000 | |
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| • | Use crisis call center fund balances to support crisis efforts 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 2025 | FY 2026 | | General Fund | ($500,000) | ($500,000) | | Nongeneral Fund | $500,000 | $500,000 | |
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| • | Add new positions in the developmental disabilities division 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 2025 | FY 2026 | | General Fund | $490,222 | $490,222 | | Nongeneral Fund | $490,222 | $490,222 | | Positions | 8.00 | 8.00 |
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| • | Continue Chapter 1 funding changes: Provide funding for two percent salary increase 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 2025 | FY 2026 | | General Fund | $915,405 | $915,405 | |
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| • | Expand and sustain funding for adolescent substance use disorder services 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 2025 | FY 2026 | | General Fund | $1,080,000 | $610,000 | |
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| • | Capture underutilized funds for children's inpatient services 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 2025 | FY 2026 | | General Fund | ($800,000) | ($800,000) | |
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| • | Fund initiatives to expand mental health workforce 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 2025 | FY 2026 | | General Fund | $595,876 | $645,876 | |
| Positions | 1.00 | 1.00 |
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| • | Provide funds for Boost 200 expansion 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 2025 | FY 2026 | | General Fund | $575,000 | $575,000 | |
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| • | Provide additional appropriation for problem gambling treatment Provides additional nongeneral fund appropriation for problem gambling treatment programs. | FY 2025 | FY 2026 | |
| Nongeneral Fund | $306,521 | $306,521 | |
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| • | Continue Chapter 1 funding changes: Provide funds for specially adapted resources clubs 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 2025 | FY 2026 | | General Fund | $250,000 | $250,000 | |
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| • | Fund peer-to-peer mentoring and employment programs for individuals with developmental disabilities Provides ongoing support for the Peer-to-Peer Mentoring Program through a contract with the Arc of Virginia. | FY 2025 | FY 2026 | | General Fund | $214,250 | $214,250 | |
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| • | Transfer funds for administrative support of the Opioid Abatement Authority 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 2025 | FY 2026 | |
| Nongeneral Fund | $200,000 | $200,000 | |
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| • | Eliminate technology contract Reduces funding for technology contracts. | FY 2025 | FY 2026 | | General Fund | ($180,604) | ($180,604) | |
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| • | Fund training and quality improvement for preadmission screening clinicians 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 2025 | FY 2026 | | General Fund | $300,000 | $0 | |
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| • | Continue Chapter 1 funding changes: Provide funds for On Our Own 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 2025 | FY 2026 | | General Fund | $100,000 | $100,000 | |
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| • | Provide emergency regulatory language for behavioral health services 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. |
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| • | Combine funding for alternative transportation and custody 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. |
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| • | Allow funds for dementia behavioral specialists to be used for geriatric population Amends language to allow dementia-specific funding to be used for all geriatric individuals. |
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| • | Optimize drug court funding Amends language that restricts funding to drug treatment courts to include specialty dockets, such as veterans and behavioral health dockets. |
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| • | Provide flexibility for pilot funding for inpatient admission alternatives 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. |
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| • | Amend language to allow dementia funds to be used for discharge and diversion of older adults Amends language to allow dementia-specific funding to be used for all geriatric individuals. |
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| • | Support complex hospital discharges 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. |
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| • | Combine waiver reporting requirements Combines multiple paragraphs related to developmental disability Medicaid waiver reporting into one annual report. |
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