[{"_1":2,"_100":-5,"_101":-5},"loaderData",{"_3":4,"_26":27},"root",{"_5":6,"_17":10,"_18":19,"_20":21,"_22":10,"_23":-5,"_24":-5,"_25":10},"user",{"_7":8,"_9":10,"_11":10,"_12":-5,"_13":-5,"_14":15,"_16":-5},"roles",[],"isAuthenticated",false,"isPremium","planName","subscriptionStatus","featureFlags",{},"insightsBudget","isDevelopmentHost","userPreferences",{},"recaptchaSiteKey","6LcvOJcUAAAAAHsB-gPGfGktcRlKpH7OTIU_dMTD","isImpersonating","impersonation","affiliateStatus","isFreedomPortal","routes/v2/article/layout",{"_28":29,"_30":31},"notFound",true,"relatedArticles",[32,76,88],{"_33":34,"_35":36,"_37":38,"_39":40,"_41":42,"_43":44,"_45":46,"_47":48,"_49":50,"_51":52,"_53":54,"_55":56,"_57":58,"_59":60,"_61":62,"_63":64,"_65":66,"_67":68,"_69":70,"_71":72,"_73":74,"_75":74},"mediaId",6386174,"mediaKeyId","2118465-565c65fb7fdde6ac4b145570b5af0843","parentId",2118465,"title","CSB leaders describe waiver rollout, same-day access and staffing needs; request funding for support coordinators","audioSeconds",73,"startMs",2429990,"endMs",2503180,"viewUrl","/Search/View?dp=1&key=2118465-565c65fb7fdde6ac4b145570b5af0843&start=2429&end=2503","thumbnailUrl","https://assets.pipeline.soar.com/2118465-565c65fb7fdde6ac4b145570b5af0843/thumbnail_2429990.jpg","articleUrl","/articles/6386174/Virginia/CSB-leaders-describe-waiver-rollout-same-day-access-and-staffing-needs-request-funding-for-support-coordinators","mediaUrl","https://secure.pipeline.soar.com/6386174-7f5107858b67cd328e8cd89455eafd74/orig.mp4?Expires=1771133818&Signature=gHTa8-Lz3cheKMc0mH4dJyNxGshD2WcTdtL5zisT-vFu9psCLoiB9LmE3OL01XsH9nFAZFlKa9ZUlhfWVa~TnxkbQK4Htrhsl~LC2IrTVaPRhgsoQ1YMU0~mSB1VYwjthtA00yQ3iyXKgXh~hA2shn0EmeZQn6ckEbLMlpFy0XcFvalvQ30~2jh2Y3BM6sC8akatsQkLpjW3IekWqn-xK1Bf2E~sL-mZwGWfMBeUCtcN0TExgzrDVaM1EtncQDIJ7oOS1Ui0zyJlaB9E2lKnZ3Up1bR9LOzqkaiImuBdhro7Ugy-r~YTyt7Q4kBOBXL3IwwexbSCj6StmqarDqRH3w__&Key-Pair-Id=KUT5TJCACFTXG","author","Virginia Legislature","date","2025-01-14T00:00:00Z","article","Jennifer Faison, executive director of the Virginia Association of Community Services Boards (VACSB), told the committee there are 40 community services boards in Virginia that together employ about 15,000 people and — in fiscal year 2024 — served over 200,000 individuals.

Faison described CSBs as the public safety net for behavioral health and developmental disability services, noting most clients are on Medicaid or uninsured and that CSBs prioritize people with the most severe and complex conditions. She described how CSBs vary by local structure (single- and multi-jurisdiction) but share a recovery-oriented, person-centered mission.

On the developmental disability (DD) waiver rollout, Faison said the General Assembly approved 3,440 additional waiver slots and that the state has implemented a quarterly “slow roll” for assigning slots. She said 900 slots were approved in August, 822 assigned, and 179 individuals had service authorizations at the time of her remarks. Faison explained families have up to 150 days after assignment to initiate services and stressed the need to convert assigned slots into active service authorizations within that period to avoid losing slots.

Faison said the VACSB requested $8,700,000 to support onboarding of support coordinators — the key role that helps families access services — and explained the funding would address the gap between when staff are hired (or authorized) and when they develop a full billable caseload. She estimated a reasonable caseload for a support coordinator at roughly 30–35 clients, noting actual caseloads vary by region.

On Step Virginia and same-day access, Faison said every CSB received $270,000 to implement same-day access capacity and explained that same-day access provides a timely assessment and a first offered appointment (within 10 days), not necessarily immediate long-term clinical services. She said the CSB network supports services for veterans, children and adults with co-occurring conditions and partners with housing, education and other local stakeholders.

Faison urged members to get to know their local CSB leadership and noted the VACSB annual report provides regional detail and funding breakdowns.","mediaType","Video","parentTitle","Health and Human Services Tuesday, Jan 14, 2025","oneSentenceSummary","Jennifer Faison, executive director of the Virginia Association of Community Services Boards, briefed the committee on the 40 local CSBs, their role as the public safety net, progress assigning DD waiver slots and the need for $8.7 million to support onboarding of support coordinators and other implementation costs.","taxTitle","2025 Legislature VA, Virginia","taxId",77687,"location","Virginia","headline","","shortSummary",{"_33":77,"_35":36,"_37":38,"_39":78,"_41":79,"_43":80,"_45":81,"_47":82,"_49":83,"_51":84,"_53":85,"_55":56,"_57":58,"_59":86,"_61":62,"_63":64,"_65":87,"_67":68,"_69":70,"_71":72,"_73":74,"_75":74},6386177,"Virginia HHR secretary outlines maternal, behavioral health, foster care, long-term care priorities and budget requests",2213,89400,2303050,"/Search/View?dp=1&key=2118465-565c65fb7fdde6ac4b145570b5af0843&start=89&end=2303","https://assets.pipeline.soar.com/2118465-565c65fb7fdde6ac4b145570b5af0843/thumbnail_89400.jpg","/articles/6386177/Virginia/Virginia-HHR-secretary-outlines-maternal-behavioral-health-foster-care-long-term-care-priorities-and-budget-requests","https://secure.pipeline.soar.com/6386177-1934abf067f9cc2c52117ea19a80a243/orig.mp4?Expires=1771133818&Signature=Umh1WC57qXKUTWUImml-l3FqK2rV2ibIu2KV~gfVQ8ez7GoJwV9-gSuLGjhE2-A-EukIAp1HFieusSWttOGL7vJ~36pIPPBPCNAxTBPtHp0qwgmHnB4c7RGWqGpl71UOYyhBNCEyC8n4P~Ef9ZHujggPuZUT7SRpU2GXPCadVBA-Hn3MzbrD3DEGxdHVV7iLkYDAH6339KM3w2jFi919eEgWAQ2e5tg-3KEJKUr-Nbf7NNWeS5NjRVwFPcPEKJSBvjPAQSsR-eUZezhzuNRqK9mRArHPvnt-tyZJbUp0Kyjm0EgMGdVxVQjnvak1LQ9E4hxa32k92EJQRCmy91T4ag__&Key-Pair-Id=KUT5TJCACFTXG","Secretary Janet Kelly, Virginia’s secretary of Health and Human Resources, told the committee she will focus the secretariat’s work this session on five bipartisan priorities: maternal health; behavioral health including fentanyl prevention and children’s mental health; child welfare; long-term care; and infrastructure.

Kelly said the secretariat accounts for roughly 35% of the state operating budget and outlined several current programs, service expansions and budget requests tied to those priorities.

On maternal health, Kelly said Virginia recorded 64 pregnancy-associated deaths in 2021 (down from 82 in 2020) and that the state’s task force on maternal health and data has identified cardiovascular issues and mental health as leading causes. She described an “Ask About Aspirin” campaign aimed at prompting patients to consult providers about aspirin use for certain high-risk pregnancies, and said the administration has directed a $1,000,000 investment through the Office of Transformation to support the task force and implementation. Kelly said the administration has allocated “almost $500,000,000” to maternal health services and asked for an additional $4,000,000 this year to expand perinatal hubs, increase payments for OB training/residencies and grow the maternal health workforce.

On behavioral health, Kelly updated the committee on the Right Help Right Now initiative and said the General Assembly previously allocated about $1,400,000,000 to Virginia’s behavioral health system. She said mobile crisis teams have grown from 32 to 102 teams with 24/7/365 coverage and an average response time of about 50 minutes. The administration has invested $165,000,000 in crisis receiving centers and stabilization units, yielding 287 operational chairs/beds and another 320 in development, Kelly said. She also said the state restored 254 closed state mental health hospital beds and that 988 call volume reached more than 14,000 calls a month in mid-2023. The administration has requested an additional $70,000,000 this year for Right Help Right Now, with $35,000,000 proposed to expand special conservators of the peace and $3,500,000 for alternative transportation; Kelly described those items as bridge funding while the full crisis system is built.

Kelly said the administration has requested $4,000,000 to support readiness and implementation of an SMI waiver, $1,400,000 to expand the adult psychiatric access line (APOW) and $17,800,000 to address children’s mental health through literacy, school-based services and workforce growth. She also described a proposal to reallocate management of unused waiver slots from community services boards (CSBs) to the Department of Behavioral Health and Developmental Services (DBHDS) to improve efficiency in assigning slots.

On fentanyl prevention and overdose response, Kelly said the Commonwealth has seen a 24.4% drop in overdoses and fentanyl-related deaths since 2022 and reported distribution of 313,786 naloxone kits and training for more than 441,000 individuals since 2023. The first lady’s public awareness work and the Virginia Foundation for Healthy Youth were cited as partners; Kelly said the administration has submitted a budget amendment to ensure naloxone general fund appropriations are allocated to the correct service area.

On child welfare and kinship care, Kelly described the Virginia Adopts campaign (which she helped lead under a previous administration) and said kinship placements have increased: she reported serving “over a 1,000 kids” since July and raising the share of kinship placements from 18% to 28.5% during the Youngkin administration. Kelly asked support for $9,200,000 to fund cost-of-living adjustments for new foster and adoptive families.

On long-term care, Kelly said complaints rose 64% from 2019 to 2023 and urged support for proposed licensing fee increases to sustain VDH inspection and licensing staff; she said Virginia ranked 38th in a recent nursing home study.

Delegates pressed Kelly with follow-up questions. Delegate Jeff Herring asked about clinical follow-up beyond the aspirin campaign; Dr. Shelton (the health agency physician appearing with the secretary) said the “Ask About Aspirin” campaign is meant to prompt patients to ask providers and that decisions about aspirin use should be made between patients and clinicians. Delegate Tran and Delegate Hodges asked about dementia and health literacy; Kelly highlighted concern about social media’s effect on youth mental health and described a November summit on “reclaiming childhood.”

Kelly closed by urging members to work with agency leadership and noting the secretariat’s large span of services and staff.","Secretary Janet Kelly told the committee the Health and Human Resources secretariat will focus on maternal health, behavioral health (Right Help Right Now), child welfare, long-term care and infrastructure; she provided program updates and listed specific funding requests and implementation proposals.",{"_33":89,"_35":36,"_37":38,"_39":90,"_41":91,"_43":92,"_45":93,"_47":94,"_49":95,"_51":96,"_53":97,"_55":56,"_57":58,"_59":98,"_61":62,"_63":64,"_65":99,"_67":68,"_69":70,"_71":72,"_73":74,"_75":74},6386182,"Committee unanimously refers HB 1733 to courts committee",78,36190,114500,"/Search/View?dp=1&key=2118465-565c65fb7fdde6ac4b145570b5af0843&start=36&end=114","https://assets.pipeline.soar.com/2118465-565c65fb7fdde6ac4b145570b5af0843/thumbnail_36190.jpg","/articles/6386182/Virginia/Committee-unanimously-refers-HB-1733-to-courts-committee","https://secure.pipeline.soar.com/6386182-d518eaa567b156e38510618326751369/orig.mp4?Expires=1771133818&Signature=IT2DYfSGTak~wdyGpb7o2iEqNnQQJz-ozVD2mAGkDF0GDflg8MNYMxw5hZPV8mamAcFl4K6Ua5Dc8M4p6SUtoENfX8K832D86EyRa3~VAdSDQ5ocSuTBGUW-OkvOSBZNaMvd9NYgOVaI~P~3QA6Q6dIDstA0LItPVbKIqoVX2xLTdGou66Tl4U0dJLCT~6sU558f0oNE8H8qbWZnWvjLr5u7sNxUVWM4YqD1arEYeWSU06~abphDKbSWfjO78DNhofAVC-HTE2cnhyPyW464-Caboh39jHh1nRfpEj6Fht4qUWiVOGYHpLi~VnBuUT1ZbBvFhdCQYoRBuzik9K~~DQ__&Key-Pair-Id=KUT5TJCACFTXG","The committee moved and seconded a referral of HB 1733 (listed in the transcript as Delegate Coal 1733) to the courts committee and approved the referral by voice vote.

The chair asked whether there was any objection to referring the bill to the courts committee, noted consent when none was raised, and the membership responded “aye.” There was no recorded roll-call tally, no named nay votes and no further discussion in the transcript.

The referral was handled as a procedural motion and resulted in the bill being re-referred to the courts committee for legal review and any subsequent committee action.","Members present moved, seconded and approved a referral of HB 1733 (Delegate Coal 1733) to the committee on courts by voice vote; no recorded opposition was noted in the transcript.","actionData","errors"]

Article not found

CSB leaders describe waiver rollout, same-day access and staffing needs; request funding for support coordinators

Virginia HHR secretary outlines maternal, behavioral health, foster care, long-term care priorities and budget requests

Committee unanimously refers HB 1733 to courts committee