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<law><site_title>Virginia Decoded</site_title><site_url>https://vacode.org</site_url><law_id>84749</law_id><section_number>37.2-316</section_number><catch_line>System restructuring; state and community consensus and planning team required</catch_line><edition url="https://vacode.org/2025/" slug="2025" current="TRUE" last_updated="">2025</edition><structure><unit label="title" level="1" order_by="1" identifier="37.2">Behavioral Health and Developmental Services</unit><unit label="subtitle" level="2" order_by="1" identifier="I">General Provisions</unit><unit label="chapter" level="3" order_by="1" identifier="3">Department of Behavioral Health and Developmental Services</unit><unit label="article" level="4" order_by="1" identifier="3">System Restructuring</unit></structure><text>
						<section id="A"><p><span class="prefix-number">A.</span> For the purpose of considering any restructuring of the system of <span class="dictionary">mental health services</span> involving an existing <span class="dictionary">state hospital</span>, the <span class="dictionary">Commissioner</span> shall establish a state and community consensus and planning team consisting of <span class="dictionary">Department</span> staff and representatives of the localities served by the <span class="dictionary">state hospital</span>, including local government officials, <span class="dictionary">individuals</span> receiving services, <span class="dictionary">family members</span> of <span class="dictionary">individuals</span> receiving services, advocates, <span class="dictionary">state hospital</span> employees, <span class="dictionary">community services boards</span>, behavioral health authorities, public and private service providers, <span class="dictionary">licensed hospitals</span>, local health <span class="dictionary">department</span> staff, local social services <span class="dictionary">department</span> staff, sheriffs&#x2019; office staff, area agencies on aging, and other interested persons. In addition, the members of the House of Delegates and the Senate representing the localities served by the affected <span class="dictionary">state hospital</span> may serve on the state and community consensus and planning team for that <span class="dictionary">state hospital</span>. Each state and community consensus and planning team, in collaboration with the <span class="dictionary">Commissioner</span>, shall develop a plan that addresses (i) the types, amounts, and locations of new and expanded community services that would be needed to successfully implement the closure or conversion of the <span class="dictionary">state hospital</span> to any use other than the provision of <span class="dictionary">mental health services</span>, including a six-year projection of the need for inpatient psychiatric beds and related community <span class="dictionary">mental health services</span>; (ii) the development of a detailed implementation plan designed to build community mental health infrastructure for current and future capacity needs; (iii) the creation of new and enhanced community services prior to the closure of the <span class="dictionary">state hospital</span> or its conversion to any use other than the provision of <span class="dictionary">mental health services</span>; (iv) the transition of <span class="dictionary">individuals</span> receiving services in the <span class="dictionary">state hospital</span> to community services in the locality of their residence prior to admission or the locality of their choice after discharge; (v) the resolution of <span class="dictionary">issues</span> relating to the restructuring implementation process, including employment <span class="dictionary">issues</span> involving <span class="dictionary">state hospital</span> employee transition planning and appropriate transitional benefits; and (vi) a six-year projection comparing the cost of the current structure and the proposed structure. <a id="paragraph-303690" class="section-permalink" href="https://vacode.org/37.2-316/#A"><i class="fa fa-link"/></a></p></section>
						<section id="B"><p><span class="prefix-number">B.</span> The <span class="dictionary">Commissioner</span> shall ensure that each plan includes the following components: <a id="paragraph-303691" class="section-permalink" href="https://vacode.org/37.2-316/#B"><i class="fa fa-link"/></a></p></section>
						<section id="B1" class="indent-1"><p><span class="prefix-number">1.</span> A plan for community education; <a id="paragraph-303692" class="section-permalink" href="https://vacode.org/37.2-316/#B1"><i class="fa fa-link"/></a></p></section>
						<section id="B2" class="indent-1"><p><span class="prefix-number">2.</span> A plan for the implementation of required community services, including state-of-the-art practice models and any models required to meet the unique characteristics of the area to be served, which may include models for rural areas; <a id="paragraph-303693" class="section-permalink" href="https://vacode.org/37.2-316/#B2"><i class="fa fa-link"/></a></p></section>
						<section id="B3" class="indent-1"><p><span class="prefix-number">3.</span> A plan for assuring the availability of adequate staff in the affected communities, including specific strategies for transferring qualified <span class="dictionary">state hospital</span> employees to community services; <a id="paragraph-303694" class="section-permalink" href="https://vacode.org/37.2-316/#B3"><i class="fa fa-link"/></a></p></section>
						<section id="B4" class="indent-1"><p><span class="prefix-number">4.</span> A plan for assuring the development, funding, and implementation of individualized discharge plans pursuant to &#xA7; <a class="law" title="Coordination of services for preadmission screening and discharge planning" href="/37.2-505/">37.2-505</a> for <span class="dictionary">individuals</span> discharged as a result of the closure or conversion of the <span class="dictionary">state hospital</span> to any use other than the provision of <span class="dictionary">mental health services</span>; and <a id="paragraph-303695" class="section-permalink" href="https://vacode.org/37.2-316/#B4"><i class="fa fa-link"/></a></p></section>
						<section id="B5" class="indent-1"><p><span class="prefix-number">5.</span> A provision for suspending implementation of the plan if the total general funds appropriated to the <span class="dictionary">Department</span> for <span class="dictionary">state hospital</span> and community services decrease in any year of plan implementation by more than 10 percent from the year in which the plan was approved by the General Assembly. <a id="paragraph-303696" class="section-permalink" href="https://vacode.org/37.2-316/#B5"><i class="fa fa-link"/></a></p></section>
						<section id="C"><p><span class="prefix-number">C.</span> At least nine months prior to any proposed <span class="dictionary">state hospital</span> closure or conversion of the <span class="dictionary">state hospital</span> to any use other than the provision of <span class="dictionary">mental health services</span>, the state and community consensus and planning team shall submit a plan to the Joint Commission on Health Care and the Governor for review and recommendation. <a id="paragraph-303697" class="section-permalink" href="https://vacode.org/37.2-316/#C"><i class="fa fa-link"/></a></p></section>
						<section id="D"><p><span class="prefix-number">D.</span> The Joint Commission on Health Care shall make a recommendation to the General Assembly on the plan no later than six months prior to the date of the proposed closure or conversion of the <span class="dictionary">state hospital</span> to any use other than the provision of <span class="dictionary">mental health services</span>. <a id="paragraph-303698" class="section-permalink" href="https://vacode.org/37.2-316/#D"><i class="fa fa-link"/></a></p></section>
						<section id="E"><p><span class="prefix-number">E.</span> Upon approval of the plan by the General Assembly and the Governor, the <span class="dictionary">Commissioner</span> shall ensure that the plan components required by subsection B are in place and may thereafter perform all tasks necessary to implement the closure or conversion of the <span class="dictionary">state hospital</span> to any use other than the provision of <span class="dictionary">mental health services</span>. <a id="paragraph-303699" class="section-permalink" href="https://vacode.org/37.2-316/#E"><i class="fa fa-link"/></a></p></section>
						<section id="F"><p><span class="prefix-number">F.</span> Any funds saved by the closure or conversion of the <span class="dictionary">state hospital</span> to any use other than the provision of <span class="dictionary">mental health services</span> and not allocated to individualized services plans for <span class="dictionary">individuals</span> being transferred or discharged as a result of the closure or conversion of the <span class="dictionary">state hospital</span> to any use other than the provision of <span class="dictionary">mental health services</span> shall be invested in the Behavioral Health and <span class="dictionary">Developmental Services</span> Trust Fund established in Article 4 (&#xA7; <a class="law" title="Definitions" href="/37.2-317/">37.2-317</a> et seq.). <a id="paragraph-303700" class="section-permalink" href="https://vacode.org/37.2-316/#F"><i class="fa fa-link"/></a></p></section>
						<section id="G"><p><span class="prefix-number">G.</span> Nothing in this section shall prevent the <span class="dictionary">Commissioner</span> from leasing unused, vacant space to any public or private organization. <a id="paragraph-303701" class="section-permalink" href="https://vacode.org/37.2-316/#G"><i class="fa fa-link"/></a></p></section></text><history>2002, c. 803, &#xA7; 37.1-48.2; 2005, c. 716; 2009, cc. 813, 840; 2012, cc. 476, 507.</history><metadata></metadata></law>
