The 2009 Executive Budget Document
Department of Mental Health, Mental Retardation and Substance Abuse Services
Mission Statement
The Department of Mental Health, Mental Retardation, and Substance Abuse Services (the Department) provides leadership and service to improve Virginia’s system of quality treatment, habilitation, and prevention services for individuals and their families whose lives are affected by mental illness, mental retardation, or substance use disorders (alcohol or other drug dependence or abuse). The Department seeks to promote dignity, choice, recovery, and the highest possible level of participation in work, relationships, and all aspects of community life for these individuals.
Operating Budget History
General Fund | Nongeneral Fund | Positions | |
---|---|---|---|
2005 Appropriation | $ 30,978,347 | $ 13,094,206 | 269.00 |
2005 Appropriation | $ 162,047,048 | $ 69,029,447 | 0.00 |
2005 Appropriation | $ 224,887,551 | $ 78,096,631 | 4,992.00 |
2005 Appropriation | $ 26,607,789 | $ 176,173,994 | 4,545.00 |
2005 Appropriation | $ 5,805,615 | $ 0 | 137.00 |
2006 Appropriation | $ 5,806,889 | $ 0 | 137.00 |
2006 Appropriation | $ 27,713,457 | $ 176,173,994 | 4,524.00 |
2006 Appropriation | $ 218,316,887 | $ 78,096,631 | 4,963.00 |
2006 Appropriation | $ 168,100,431 | $ 69,029,447 | 0.00 |
2006 Appropriation | $ 25,067,975 | $ 13,094,206 | 260.00 |
2007 Appropriation | $ 26,262,042 | $ 9,628,430 | 269.00 |
2007 Appropriation | $ 214,758,913 | $ 60,029,447 | 0.00 |
2007 Appropriation | $ 236,872,917 | $ 79,752,749 | 4,962.00 |
2007 Appropriation | $ 34,159,768 | $ 201,585,697 | 4,524.00 |
2007 Appropriation | $ 7,161,391 | $ 0 | 137.00 |
2008 Appropriation | $ 13,861,500 | $ 0 | 137.00 |
2008 Appropriation | $ 34,559,768 | $ 205,382,239 | 4,390.00 |
2008 Appropriation | $ 236,892,899 | $ 79,752,749 | 4,907.00 |
2008 Appropriation | $ 221,187,698 | $ 60,029,447 | 0.00 |
2008 Appropriation | $ 29,231,815 | $ 14,326,563 | 270.00 |
General Fund | Nongeneral Fund | Positions | |
---|---|---|---|
2009 Base Budget | $ 586,641,828 | $ 376,727,183 | 9,711.25 |
2009 Addenda | $ (24,244,747) | $ 7,829,795 | (39.00) |
2009 Total | $ 562,397,081 | $ 384,556,978 | 9,672.25 |
2010 Base Budget | $ 593,771,737 | $ 376,729,957 | 9,712.25 |
2010 Addenda | $ (27,008,350) | $ (22,046,205) | (571.00) |
2010 Total | $ 566,763,387 | $ 354,683,752 | 9,141.25 |
Recommended Operating Budget Addenda
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Increase federal appropriation to reflect new grant awardsIncreases the nongeneral fund appropriation in the central office to account for new federal grant awards. For each year, $1.0 million (NGF).
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Transfer funding for pharmacy staffTransfers funding for outpatient pharmacy staff from the Hiram Davis Medical Center to the central office. This will allow the agency to properly account for true pharmacy expenditures, which are currently embedded in funding for Hiram Davis.
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Increase nongeneral appropriation for review of public-private partnership unsolicited proposalsIncreases nongeneral fund appropriation for the anticipated costs of reviewing unsolicited proposals for capital outlay projects related to major repair and replacement of state mental health and mental retardation facilities. A fee is submitted by the vendor for each unsolicited proposal to offset the costs of review. For each year, $155,000 (NGF).
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Transfer funding for Autism Program of VirginiaTransfers funding from the Commonwealth Autism Service at Virginia Commonwealth University to the Department of Mental Health, Mental Retardation and Substance Abuse Services (DMHMRSAS). The Commonwealth Autism Service will provide guidance and expertise to DMHMRSAS as it begins to coordinate services for people with developmental disabilities, including autism spectrum disorder. The transfer will allow for better coordination of autism assessments and services in Virginia. For 2010, $940,000 (GF).
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Repay funds to vendors for unsolicited public-private partnership proposalsAppropriates funds to return unexpended fees paid by vendors to the agency for review of unsolicited capital proposals. The balance of the fees reverted to the General Fund before repayments to vendors could be completed. For 2009, $95,743 (GF).
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Reflect Governor’s October reductions in agency budgetsReflects the reductions approved by Governor Kaine in October 2008 for 2009 and the corresponding continuation of savings in 2010. See Part D of this document for reduction details. For 2009, a decrease of $24.3 million (GF), an increase of $5.0 million (NGF), and a reduction of 39 positions. For 2010, a decrease of $18.9 million (GF).
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Implement targeted reductionsImplements targeted reductions for 2009 and 2010 included in Governor Kaine's 2008-2010 Budget Reduction Plan. Reduction details can be found in Part D of this document. For 2010, a decrease of $9.3 million (GF), $24.9 million (NGF), and a reduction of 534 positions.
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Add positions for oversight of service delivery for autism spectrum disorders and developmental disabilitiesAdds two new positions to the central office to provide oversight for Autism Spectrum Disorder (ASD) and developmental disabilities service delivery in the Commonwealth. The positions will be responsible for the development of a coordinated approach to serving people with developmental disabilities including those with ASD. For 2010, $215,000 (GF) and an increase of two positions.
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Increase nongeneral fund appropriation for Community Services BoardsIncreases nongeneral fund appropriation received as rental income for the operation of four group homes in southwestern Virginia. The rental income is used to cover costs of major maintenance and repair of the homes as needed. For each year, $324,795 (NGF).
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Amend language to provide administrative flexibilityAmends language to allow for flexibility in funding levels for certain earmarked community-based services to accommodate administrative budget reductions. The Secretary of Health and Human Resources will be responsible for approving any such reduction.
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Increase nongeneral fund appropriation for mental health facilitiesIncreases nongeneral fund appropriation to account for insurance, recyclable and surplus property revenues received by facilities. These funds will be used to support resident care. For each year, $1.2 million (NGF).
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Increase nongeneral fund appropriation for mental retardation facilitiesIncreases nongeneral fund appropriation to account for insurance, recyclable and surplus property revenues received by facilities. These funds will be used to support resident care. For each year, $150,000 (NGF).
Capital Totals for the Biennium
General Fund 2008-10 Biennium |
Nongeneral Fund 2008-10 Biennium |
Debt 2008-10 Biennium |
---|---|---|
$ 0 | $ 20,000,000 | $ 0 |
Recommended Capital Budget Addenda
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Redirect Southeastern Virginia Training Center capital funds to community housingRedirects $23.8 million in Virginia Public Building Authority funds designated for the renovation of Southeastern Virginia Training Center to new community housing developments for individuals with mental retardation. The facility is slated for closure by June 30, 2009, and the construction of new housing will assist in creating placements for individuals who can be served in the community.
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Divert Central Virginia Training Center capital funding to construct community housingRedirects a portion of the $43.0 million in Virginia Public Building Authority funds that have been approved for renovation of Central Virginia Training Center. $18.5 million will be moved to a project to construct an estimated 33 group homes in the community. The remaining $24.5 million will be used to address critical life safety issues and renovate a portion of the facility's residential space.
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Replace Western State HospitalProvides $20.0 million in nongeneral fund appropriation for the replacement of Western State Hospital. The funds will come from the sale of the existing hospital site. The replacement facility will be constructed on a new site at a total cost of $130.0 million, including $110.0 million in Virginia Public Building Authority funds originally appropriated in Chapter 1, 2008 Acts of Assembly, Special Session I. For the biennium, $20.0 million (NGF).
Budget Reduction Strategies
October Reduction Strategies
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Capture surplus nongeneral fund revenue (Mental Retardation Training Centers)
Transfers $15.0 million in surplus Medicaid, Medicare and third party insurance revenues to the general fund on a one-time basis.
FY 2009 FY 2010 Revenue / Transfers $ 15,067,179 $ 0 -
Consolidate support services at state facilities (Mental Health Treatment Centers)
Consolidates certain targeted administrative services such as human resources, purchasing and financial services. Services will be organized on a regional basis to provide efficiencies and savings at facilities.
FY 2009 FY 2010 General Fund Savings $ (2,001,056) $ (2,001,056) -
Eliminate funding for manpower contract
Eliminates funding for a manpower contract in the central office that is no longer necessary.
FY 2009 FY 2010 General Fund Savings $ (17,500) $ (17,500) -
Eliminate funding for new scholarships in child psychology
Eliminates funding for new scholarships to individuals concentrating in child psychology. Scholarships that have already been awarded will not be affected.
FY 2009 FY 2010 General Fund Savings $ (80,000) $ (333,197) -
Eliminate use of contract consumer inspectors (Office of the Inspector General)
Eliminates funds for consumer contract inspectors who survey the consumer perspective in state facility and community inspections.
FY 2009 FY 2010 General Fund Savings $ (3,500) $ 0 -
Eliminate use of contract professional inspectors (Office of the Inspector General)
Eliminates funds for non-medical professional contract inspectors. The reduction is equal to a 20 percent reduction in total investigative staff capacity, and eliminates state-wide comparative reviews.
FY 2009 FY 2010 General Fund Savings $ (23,000) $ 0 -
Eliminate use of medical and psychiatric contract inspectors (Office of the Inspector General)
Eliminates funds for medical and psychiatric inspector consultants who assist in aspects of complaints and critical incidents involving medical personnel.
FY 2009 FY 2010 General Fund Savings $ (3,000) $ 0 -
Eliminate use of University Data Analysis Center (Office of the Inspector General)
Eliminates use of data analysis center to scan and analyze data from inspections. This strategy will result in a return to manual entry of data.
FY 2009 FY 2010 General Fund Savings $ (6,000) $ 0 -
Eliminate use of wage employees for data entry (Office of the Inspector General)
Eliminates use of part-time staff to assist with data entry. Inspectors will have to assist with data entry.
FY 2009 FY 2010 General Fund Savings $ (1,000) $ 0 -
Maintain vacant positions
Maintains vacancies in 11 currently unfilled human resources and reimbursement positions in the central office.
FY 2009 FY 2010 General Fund Savings $ (872,059) $ (967,366) Position Changes (11.00) (11.00) -
Reduce appropriation for prepaid items
Reduces administrative appropriation. The agency prepaid rent and insurance payments in FY 2008 in anticipation of budget cuts in FY 2009. The prepayment makes additional general funds available on a one-time basis.
FY 2009 FY 2010 General Fund Savings $ (1,500,000) $ 0 -
Reduce central office staffing levels
Reduces current staff levels through layoffs.
FY 2009 FY 2010 General Fund Savings $ (1,749,746) $ (2,489,553) Position Changes (28.00) (28.00) Layoffs 28 0 -
Reduce computer equipment
Eliminates unnecessary or duplicate equipment. The agency is completing an inventory of computers and other information technology devices.
FY 2009 FY 2010 General Fund Savings $ (19,039) $ (19,039) -
Reduce facility reimbursement for special hospitalization
Reduces special hospitalization funds by 15 percent. The agency currently has approximately $880,000 in funds in the central office to be distributed to facilities as necessary when a client is placed in a private hospital for medical reasons. The reduction will be absorbed by the individual facilities.
FY 2009 FY 2010 General Fund Savings $ (132,000) $ (132,000) -
Reduce funding for administrative costs (Grants to Localities)
Reduces funding for the administrative costs of Community Services Boards. Localities will implement these reductions as appropriate for each board.
FY 2009 FY 2010 General Fund Savings $ (12,400,000) $ (12,400,000) -
Reduce jail diversion expansion services
Reduces funds distributed for jail diversion projects by 10 percent. The 2008 -10 biennial budget included $3 million general fund per year to expand jail diversion services. This cut would reduce the amount of funding available to localities for these services.
FY 2009 FY 2010 General Fund Savings $ (330,000) $ (330,000) -
Reduce number of copiers
Reduces the number of copiers in the central office by six.
FY 2009 FY 2010 General Fund Savings $ (10,296) $ (20,592) -
Reduce staff training contract with University of Virginia
Reduces funding for a contract to train staff in forensics at the Institute of Law, Psychiatry and Public Policy at the University of Virginia.
FY 2009 FY 2010 General Fund Savings $ (31,200) $ (46,800) -
Reduce travel expenses (Office of the Inspector General)
Reduces travel expenses by 70 percent.
FY 2009 FY 2010 General Fund Savings $ (13,494) $ 0 -
Use funds collected for background screenings
Replaces general fund appropriation with nongeneral funds raised by the collection of fees for background checks the agency conducts for individuals seeking employment.
FY 2009 FY 2010 General Fund Savings $ (147,600) $ (100,000) -
Use nongeneral fund balances to replace general fund (Mental Health Treatment Centers)
Replaces $5.0 million in general fund appropriation with $5.0 million in nongeneral fund balances. Nongeneral fund balances are comprised of reimbursement from Medicaid, Medicare, and other third party payers.
FY 2009 FY 2010 General Fund Savings $ (5,000,000) $ 0 NGF Appropriation $ 5,000,000 $ 0
December Reduction Strategies
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Close adolescent unit at Southwestern Mental Health Institute (Mental Health Treatment Centers)
Closes the 15-bed adolescent unit at Southwestern Mental Health Institute. The closure of the unit will result in estimated separation costs of approximately $740,000. The agency will use special fund balances to pay these costs.
FY 2009 FY 2010 General Fund Savings $ 0 $ (1,378,666) Position Changes 0.00 (28.00) Layoffs 0 28 -
Close the Commonwealth Center for Children and Adolescents (Mental Health Treatment Centers)
Closes the Commonwealth Center for Children and Adolescents, located adjacent to Western State Hospital in Staunton. The closure will result in separation costs of $3.3 million which are not included in the savings estimates. These costs will be paid with the proceeds from the sale of land, which is estimated at $12.0 million. To ensure that children maintain access to inpatient mental health services, $2.1 million is provided to purchase services through local private providers.
FY 2009 FY 2010 General Fund Savings $ 0 $ (6,218,777) NGF Appropriation $ 0 $ (1,800,000) Position Changes 0.00 (100.00) Layoffs 0 100 -
Eliminate cultural competency conference
Eliminates funding for the cultural competency conference. The conference is intended to promote cultural and linguistic competence among staff.
FY 2009 FY 2010 General Fund Savings $ 0 $ (75,000) -
Eliminate SharePoint service
Eliminates paid "SharePoint" service for central office computers. SharePoint facilitates a collaborative technological workspace for the agency, however a less costly version is available.
FY 2009 FY 2010 General Fund Savings $ 0 $ (4,100) -
Eliminate wage positions
Eliminates all wage positions in the central office. The positions are necessary through the end of FY 2009 as they are currently providing training to agency staff on the impact of the mental health law reform legislation passed in the 2008 session.
FY 2009 FY 2010 General Fund Savings $ 0 $ (330,000) Position Changes 0.00 (6.00) -
Reduce nongeneral fund appropriation for closure of Southeastern Virginia Training Center (Mental Retardation Training Centers)
Eliminates positions and special fund appropriation to reflect the closure of Southeastern Virginia Training Center. The nongeneral fund appropriation is comprised of funds from the Department of Medical Assistance Services (DMAS) for reimbursement of services for Medicaid eligible individuals served at the facility. A corresponding reduction in nongeneral and general fund dollars is contained in a separate amendment to adjust the DMAS appropriation for mental retardation facilities.
FY 2009 FY 2010 NGF Appropriation $ 0 $ (23,076,000) Position Changes 0.00 (400.00) Layoffs 0 400 -
Remove additional funding for pay practices
Removes the half-percent pay practices funding granted to Executive branch agencies in the 2006-08 biennium.
FY 2009 FY 2010 General Fund Savings $ 0 $ (82,290) -
Remove additional funding for pay practices (Center for Behavioral Rehabilitation)
Removes the half-percent pay practices funding granted to Executive branch agencies in the 2006-08 biennium.
FY 2009 FY 2010 General Fund Savings $ 0 $ (16,488) -
Remove additional funding for pay practices (Mental Health Treatment Centers)
Removes the half-percent pay practices funding granted to Executive branch agencies in the 2006-08 biennium.
FY 2009 FY 2010 General Fund Savings $ 0 $ (790,916) -
Remove additional funding for pay practices (Mental Retardation Training Centers)
Removes the half-percent pay practices funding granted to Executive branch agencies in the 2006-08 biennium.
FY 2009 FY 2010 General Fund Savings $ 0 $ (410,010)