2018 Session

SB548

Three-year provisional licenses; extensions. Permits the Board of Education to extend, for up to two additional years, the three-year provisional license of any teacher who requires additional time to satisfy the requirements for a renewable license.

SB549

Teacher licensure by reciprocity; grace period. Permits teachers with a valid out-of-state license, with full credentials and without deficiencies, to teach in a public elementary or secondary school in the Commonwealth for up to one school year prior to applying for licensure by reciprocity.

SB551

Teacher licensure; prerequisites. Eliminates the requirements that teachers seeking initial licensure or renewal of a license (i) demonstrate proficiency in the use of educational technology for instruction and (ii) receive professional development in instructional methods tailored to promote student academic progress and effective preparation for the Standards of Learning end-of-course and end-of-grade assessments.

SB553

Education improvement scholarships tax credits; eligibility; payout penalty. Expands the education improvement scholarships tax credits program by including as eligible scholarship recipients children who are eligible to enter pre-kindergarten. In addition, the bill reduces the penalty for failure to fully disburse all donations received from 200 percent of the difference between 90 percent of the value of the donations it received and the amount disbursed to 100 percent of the difference. Under current law, foundations must spend at least 90 percent of donations on scholarships in order to avoid the penalty.

SB558

Provisional teacher licensure; grace period. Allows an individual who seeks a provisional teacher license to satisfy certain licensure requirements, such as demonstrating proficiency in the use of educational technology for instruction and completing study in child abuse recognition and intervention, during the period of provisional licensure. Current law requires that such licensure requirements be met prior to the granting of a provisional teacher license.

SB631

Virginia Community College System. Makes several changes to the Virginia Community College System to ensure a standard quality of education at all comprehensive community colleges, and to ensure in the transfer of community college credit to four-year public institutions of higher education in order to provide higher education as efficiently and cost effective as possible. The bill requires the development of a standard Passport Program and a Uniform Certificate of General Studies program to be offered at each community college. Initially, the Passport Program course offerings would be accepted as credit at a four-year institution, unless a four-year institution had applied for and received a waiver from accepting a particular course for a particular major, with a goal of making all courses in the Uniform Certificate transferrable. Four-year institutions, in cooperation with the Community College System, would be required to map out career education pathways to allow students to see the classes necessary to complete a four-year degree in a particular field of study. The Virginia Community College System would be required to create a single online repository where the public may access all transfer agreements and dual enrollment agreements with four-year institutions. Finally, the State Board for Community Colleges is required to implement an annual review for each community college, and to standardize the course offerings across the community college system.
The bill adds the Virginia Community College System to the Virginia Online Network, and requires that all Passport Program courses be made available through the Network. A community college would be required to indicate whether dual enrollment courses offered at local school division would be eligible for transfer. The Community College system would also be required to maintain a database of all dual enrollment course offered across the Commonwealth.

SB637

Virginia Longitudinal Data System; workforce data. Requires the State Council of Higher Education for Virginia (SCHEV), through the Virginia Longitudinal Data System, to report additional information regarding the alignment of postsecondary education and workforce in the Commonwealth. The bill also directs the Department of Motor Vehicles, the Virginia Employment Commission, and the Department of Taxation to cooperate with SCHEV to further assist in the collection and sharing of data regarding workforce analysis.

SB638

Virginia Community College System continued as the Virginia College System. Renames the Virginia Community College System as the Virginia College System. The bill also renames the Chancellor and State Board for Community Colleges as the Chancellor of the Virginia College System and State Board for the College System.

SB713

Standards of Quality; mathematics intervention services. Requires local school divisions to identify students in grades 10, 11, and 12 who are at risk of graduating without the necessary skills to take college-level mathematics coursework, as demonstrated by their individual performance on a Standards of Learning assessment, the PreACT, PSAT/NMSQT, ACT, or SAT, the Virginia Placement Test, or any diagnostic test that has been approved by the Department and to provide mathematics intervention services to such students. The bill requires such intervention services to be aligned with the developmental math curriculum offered by the Virginia Community College System and provides that local school divisions may partner with a local comprehensive community college to provide such intervention services.

SB724

Online Virginia Network Authority. Adds the Chancellor of the Virginia Community College System and one nonlegislative citizen member appointed by the State Board for Community Colleges to the members of the board of trustees of the Online Virginia Network Authority (Authority). The bill also provides that the Online Virginia Network, established by the Authority, will facilitate the completion of degrees at comprehensive community colleges as well as at George Mason University and Old Dominion University.

SB329

Clinics for the treatment of opioid addiction; location. Provides that the prohibition on locating clinics for the treatment of persons with opiate addiction through the use of methadone or opioid replacements other than opioid replacements approved for the treatment of opioid addiction by the U.S. Food and Drug Administration within one-half mile of a public or private licensed day care center or a public or private K-12 school shall not apply to an applicant for a license to operate in its current location or to relocate an existing facility when the facility is currently located within one-half mile of a public or private licensed day care center or a public or private K-12 school in the City of Richmond, has been licensed and operated as a facility to provide treatment for persons with opiate addiction through the use of methadone or other opioid replacements by another provider immediately prior to submission of the application for a license, and, upon issuance of the license, will be operated by a behavioral health authority.

SB330

THC-A oil; dispensing. Requires the Board of Pharmacy to promulgate regulations that (i) ensure the percentage of tetrahydrocannabinol in dispensed THC-A oil is within 10 percent of the level of tetrahydrocannabinol measured for labeling and (ii) require stability testing of any pharmaceutical processor producing THC-A oil.

SB632

Limits on prescription of controlled substances containing opioids. Eliminates the surgical or invasive procedure treatment exception to the requirement that a prescriber request certain information from the Prescription Monitoring Program (PMP) when initiating a new course of treatment that includes prescribing opioids for a human patient to last more than seven days. Under current law, a prescriber is not required to request certain information from the PMP for opioid prescriptions of up to 14 days to a patient as part of treatment for a surgical or invasive procedure. The provisions of the bill will expire on July 1, 2022.

SB634

All-Payer Claims Database. Provides that participation in the All-Payer Claims Database by (i) issuers of individual or group accident and sickness insurance policies providing hospital, medical and surgical, or major medical coverage on an expense-incurred basis; corporations providing individual or group accident and sickness subscription contracts; and health maintenance organizations providing a health care plan for health care services; (ii) third-party administrators and any other entities that receive or collect charges, contributions, or premiums for, or adjust or settle health care claims for, Virginia residents; (iii) the Department of Medical Assistance Services with respect to services provided under programs administered pursuant to Titles XIX and XXI of the Social Security Act; and (iv) federal health insurance plans, if available, including but not limited to Medicare, TRICARE, and the Federal Employees Health Benefits Plan, shall be mandatory, to the extent permitted by federal law. Currently, participation is optional.

SB635

Prescribers; notice of administration of naloxone. Requires every hospital that operates an emergency department to develop and implement a protocol for (i) identifying every prescriber who has prescribed opioids to a patient to whom naloxone is administered for the purpose of reversing an opioid overdose in the emergency department or by emergency medical services personnel or a law-enforcement officer prior to admission to the emergency department and (ii) notifying each such prescriber that the patient has been treated with naloxone for the purpose of reversing an opioid overdose. Such notification shall be made in each case in which naloxone is administered for the purpose of reversing an opioid overdose by a health care provider in a hospital emergency department, emergency medical services personnel, or a law-enforcement officer to a patient to whom opioids have been prescribed by a prescriber.

SB639

Health care shared savings; incentive programs. Requires health carriers to establish a comparable health care service incentive program under which savings are shared with a covered person who elects to receive a covered health care service from a lower-cost provider. Incentive payments shall be at least 50 percent of the saved cost compared to the average cost. Incentive payments are not required for savings of $25 or less. Programs are required to be approved by the Commissioner of Insurance. The measure also requires health carriers to make available an interactive mechanism on their website that enables a covered person to compare costs between providers in-network, calculate estimated out-of-pocket costs, and obtain quality data for those providers, to the extent available. The measure authorizes covered persons to obtain health care services from out-of-network providers if their costs are below the average of in-network providers. The measure requires health care facilities and practitioners to provide a covered person an estimate of charges prior to an admission, procedure, or service. All health care providers are required to post in a visible area notification of the patient’s ability to obtain information in order to get an estimate of out-of-pocket costs from his health carrier and to compare providers.

SB719

Data sharing; substance abuse data. Establishes a Substance Abuse Data Sharing and Analytics Clearinghouse (the Clearinghouse), to be administered by the Secretary of Health and Human Resources in consultation with the Substance Abuse Data Sharing and Analytics Advisory Committee (the Advisory Committee), also created by the bill. To the extent allowed by federal law, state and local health and human services and public safety agencies are required to provide data to the Clearinghouse to be used for data analytics and analysis related to improving the efficiency and efficacy of the treatment and prevention of substance abuse, with a focus on opioid addiction and abuse. The Secretary of Health and Human Resources may also enter into agreements with private entities and public institutions of higher education to further the goals of the Clearinghouse. The bill requires the Secretary to report annually to the Governor and the General Assembly regarding the results achieved through the use of the Clearinghouse, including the identification of cost savings and policy recommendations.
The Advisory Committee shall have 14 members, consisting of three members of the House of Delegates, two members of the Senate, the Secretaries of Health and Human Resources, Public Safety and Homeland Security, and Technology, and six nonlegislative citizen members representing local government, the medical profession, and community services boards. The Advisory Committee is charged with advising on all matters related to the Clearinghouse.
The bill also makes changes to the Government Data Collection and Dissemination Practices Act to codify that data sharing among state and local agencies in certain circumstances is a proper use of personal data.

SB728

Prescription Monitoring Program; prescriber and dispenser patterns. Requires the Director of the Department of Health Professions to annually review controlled substance prescribing and dispensing patterns. The bill requires the Director to conduct such review in consultation with an advisory panel consisting of representatives from the relevant health regulatory boards, the Department of Health, the Department of Medical Assistance Services, and the Department of Behavioral Health and Developmental Services. The bill requires the Director to make any necessary changes to the criteria for unusual patterns of prescribing and dispensing and report any findings and recommendations for best practices to the Joint Commission on Health Care by November 1 of each year.

SB731

Health insurance plans; prior authorization for drug benefits or surgical procedures. Provides that prior authorization requirements currently applicable to drug benefits are applicable to the process for a carrier’s approval of surgical procedures. The measure requires contracts between an insurance carrier and a participating health care provider that require the carrier’s prior authorization to include provisions that prohibit the carrier, after it has approved a prior authorization request submitted by a participating health care provider, from (i) withdrawing or retracting its approval of the request or (ii) declining or refusing to pay a claim submitted for the drug benefit or surgical procedure. The measure provides that if a health plan or provider contract states that prior authorization is not required for a specific drug benefit or surgical procedure, the carrier shall not refuse to pay a claim submitted for the drug benefit or surgical procedure. The measure addresses the standards applicable to electronic submissions of requests for prior authorization and specifies that requests may be submitted in paper if the provider meets certain criteria. Finally, the measure exempts a drug benefit from prior authorization requirements if prior authorization has been approved for the drug benefit in 90 percent or more of the requests for prior authorization submitted by the provider in the preceding 12 months or if the drug is a generic medication. These provisions apply to provider contracts entered into, amended, extended, or renewed on or after January 1, 2019.

SB735

Prescription Monitoring Program; disclosure of information; Department of Medical Assistance Services. Allows the Director of the Department of Health Professions to disclose information about a specific recipient of covered substances who is a recipient of medical assistance services to a physician or pharmacist licensed in the Commonwealth or his designee who holds a multistate licensure privilege to practice nursing or a license issued by a health regulatory board within the Department of Health Professions and is employed by the Department of Medical Assistance Services, for the purpose of determining eligibility for and managing the care of the recipient in a Patient Utilization Management Safety or similar program.

SB781

Secretary of Health and Human Resources and Secretary of Commerce and Trade; global reform waiver. Directs the Secretary of Health and Human Resources to apply for a waiver to allow for transformation of the Commonwealth’s existing program of medical assistance services through the implementation of a person-centered model of medical assistance services that improves outcomes and reduces costs by (i) integrating medical and behavioral health care, (ii) implementing a value-based payment model, and (iii) promoting personal choice and responsibility, including cost-sharing and incentives that encourage healthy behaviors, prevention, and wellness. Such waiver may include provisions for an aggregate cap on federal funds for a specified period of time with adequate tools to manage state financing of the program. The Secretary of Health and Human Resources shall report to the Governor and the General Assembly on the status of the waiver by December 1, 2018.
The bill also directs the Secretary of Health and Human Resources, together with the Secretary of Commerce and Trade, to submit a request to the U.S. Secretary of Housing and Urban Development (i) to receive all federal funds made available to the Commonwealth from the Department of Housing and Urban Development as a single annual grant and (ii) for flexibility in the administration of such funds to better align medical assistance and housing support services to better support low-income individuals receiving medical assistance. The Secretaries of Health and Human Resources and Commerce and Trade shall report to the Governor and the General Assembly on the status of such request by December 1, 2018.

SB795

CBD oil and THC-A oil; certification for use; dispensing. Provides that a practitioner may issue a written certification for the use of cannabidiol oil or THC-A oil for the treatment or to alleviate the symptoms of any diagnosed condition or disease determined by the practitioner to benefit from such use. Under current law, a practitioner may only issue such certification for the treatment or to alleviate the symptoms of intractable epilepsy. The bill also reduces the minimum amount of cannabidiol or tetrahydrocannabinol acid per milliliter for a dilution of the Cannabis plant to fall under the definition of CBD oil or THC-A oil, respectively.

SB844

Health insurance; active participation in health benefit exchange condition to government contracting. Bars a health carrier that does not actively participate in the health benefit exchange from entering into or renewing a contract with the Commonwealth or any agency or political subdivision thereof related to the administration, sponsorship, sale, offering, or provision of services or benefits under a Medicaid managed care program or a health insurance program for current or retired state or local government employees.

SB845

Premium Security Plan. Creates the Premium Security Plan (the Plan), a state-based reinsurance program to stabilize premiums for individual health benefit plans sold on the exchange. The measure provides that moneys provided from general fund appropriations and federal funding provided by a state innovation waiver under § 1332 of the Affordable Care Act would be used to partially reimburse insurers for high-cost claims by initially covering 80 percent of an enrolled individual’s annual claims costs between $50,000 and $250,000. The Plan will be overseen by the Virginia Health Reinsurance Association, created by this measure. An enactment clause provides that the measure, other than the requirement that the Commissioner of Insurance apply for the state innovation waiver, will become effective 30 days after notice of approval of the waiver request.

SB878

Mental health services in local and regional correctional facilities. Requires the Board of Corrections to adopt standards for mental health services in local and regional correctional facilities, which shall include a requirement that (i) the sheriff of every county and city in which a local correctional facility is located enter into an agreement with the community services board serving that county or city for the delivery of mental health and substance abuse services in the local correctional facility and (ii) the administrator of every regional correctional facility enter into an agreement with the community services board or boards serving the counties and cities participating in the regional correctional facility for the delivery of mental health and substance abuse services in the regional correctional facility. The bill also requires community services boards to provide mental health and substance abuse services to individuals in local and regional correctional facilities and establishes a procedure for the delivery of services to individuals released from local and regional correctional facilities by the community services board serving the local or regional correctional facility or the community services board serving the county or city in which the individual will reside upon his release.

SB915

Priority Needs Access Program. Directs the Department of Medical Assistance Services to amend the Medicaid demonstration project (Project Number 11-W-00297/3) to create the Priority Needs Access Program to (i) increase the income eligibility for adults with serious mental illness from 100 to 138 percent of the federal poverty level; (ii) include in the benefit package inpatient hospital and emergency room services; (iii) expand program eligibility to individuals with a diagnosis of mental illness, substance use disorder, or a life-threatening or complex chronic medical condition; (iv) and include the entire population of the demonstration project in the Commonwealth Coordinated Care Plus managed care program. The bill also creates an annual hospital assessment for private acute care hospitals.

SB923

Certificate of public need; exception. Authorizes the State Health Commissioner to accept, review, and issue a certificate of public need for the establishment of a new ambulatory surgery center located in Planning District 23 that will provide orthopedic services.

SB934

Benefits consortium. Authorizes an association organized as a nonstock corporation whose members are employers conducting business in the Commonwealth to sponsor a trust. The measure authorizes the trust, called a benefits consortium, to sell benefits plans to its members. To be eligible to sponsor a plan, the association is required to have been actively in existence for 10 years, have at least five members, have been formed for purposes other than obtaining or providing health benefits, and operate as a nonprofit entity. The benefits plans may provide medical prescription drug, dental, and vision coverage for the employees of members and the sponsoring association and their dependents. The benefits may be self-funded or purchased from an insurer. The benefits consortium will be a multiple employer welfare arrangement subject to the provisions of the federal Employee Retirement Income Security Act of 1974. The measure exempts the benefits consortium from state taxation and insurance regulations.

SB935

Group health benefit plans; bona fide associations. Removes the definition of and references to “bona fide association” as used in provisions applicable to health care plans in the small employer market. The measure also excludes plans provided by a multiple employer welfare arrangement from the scope of the definition of a health benefit plan.

SB268

Personal property tax; computer equipment and peripherals used in data centers. Creates a separate classification of tangible personal property, for valuation purposes, for computer equipment and peripherals used in a data center. The classification specifies that the computer equipment and peripherals shall be valued by means of a percentage or percentages of original cost.

SB328

Common Interest Community Board; disclosure packets; registration of associations. Requires the Common Interest Community Board to include information regarding the meaning of developer control in its current one-page form that accompanies association disclosure packets that are required to be provided to all prospective purchasers of lots located within a development that is subject to the Virginia Property Owners’ Association Act. The bill also requires the developer to file an annual report for the association of the development with the Common Interest Community Board within 30 days after the recordation of the declaration.

SB335

Virginia taxable income; deduction for personal exemptions. Increases the deduction, for purposes of computing Virginia taxable income, for personal exemptions. For taxable years beginning on and after January 1, 2019, a taxpayer may deduct $1,000 for each personal exemption allowable to the taxpayer on federal income taxes; current law allows a deduction of $930 per exemption. A taxpayer who is blind or aged may deduct an additional personal exemption in the amount of $900; current law allows an additional deduction of $800.

SB633

Auditor of Public Accounts; Commonwealth Data Point; employee compensation information. Adds state employee bonuses, total compensation, and the name of the employee associated with each position for which the annual rate of pay is more than $10,000 to the list of data that must be maintained on the Auditor of Public Accounts online database.

SB636

Kinship Guardianship Assistance program. Creates the Kinship Guardianship Assistance program (the program) to facilitate child placements with relatives and ensure permanency for children for whom adoption or being returned home are not appropriate permanency options. The bill sets forth eligibility criteria for the program, payment allowances to kinship guardians, and requirements for kinship guardianship assistance agreements. The bill also requires the Board of Social Services to promulgate regulations for the program.

SB725

Posting human trafficking hotline information; civil penalty. Requires local departments of health, the Department of Transportation, at each rest area in the Commonwealth, and each library board or governing body, at each public library, to post notice of the existence of a human trafficking hotline to alert possible witnesses or victims of human trafficking to the availability of a means to report crimes or gain assistance. The bill also provides that any employer who operates a facility in which basic health care services are provided and fails to post notice of the existence of a human trafficking hotline to alert possible witnesses or victims of human trafficking to the availability of a means to report crimes or gain assistance is subject to a civil penalty of $100 per facility in which the notice is not posted.

SB782

City of Richmond; Combined Sewer Overflow (CSO) system permit; James River outfalls. Directs the State Water Control Board (Board) to include in the next renewal of the Virginia Pollutant Discharge Elimination System permit for the Combined Sewer Overflow (CSO) system of the City of Richmond (City) a requirement that the City complete by January 1, 2020, an assessment of the discharges from each of its Combined Sewer Outfalls into the James River. The bill requires the assessment to incorporate any improvements meant to address discharges from any part of the City’s CSO system and to determine what control technologies may be required to meet applicable regulations. The bill requires copies of the completed assessment to be delivered to the Board and the Chairmen of the House Committee on Agriculture, Chesapeake and Natural Resources and the Senate Committee on Agriculture, Conservation and Natural Resources. The bill also directs the Board, to the extent necessary and with the consent of the City, to modify an existing consent order or issue a new consent order between itself and the City regarding the CSO system. The bill contains an emergency clause.

SJ137

Commending the Heart of Virginia Healthcare Cooperative.

SJ161

Celebrating the life of the Most Reverend Francis X. DiLorenzo.

SJ162

Commending the Virginia Association of Free and Charitable Clinics, Inc.

SJ164

Commending St. Michael the Archangel Catholic Church.

SJ165

Commending Verna Mildred Mills Hurtt.

SR70

Celebrating the life of Kermit Marshall Cook.

Item 1 #2S HE Jt Sub – Statewide HE Finance Plan

This language amendment would require the staff of the House Appropriations and Senate Finance Committees to work with the State Council of Higher Education for Virginia staff, the Virginia Economic Development Partnership, and higher education stakeholders to develop a statewide higher education finance plan to be included as a component of the Joint Subcommittee’s final report.

Item 1 #5S Pay for Success Program

This amendment directs the Joint Subcommittee for Health and Human Resources Oversight contract for a vendor to assist in developing and establishing a Pay for Success program within for the Health and Human Resources secretariat. This program will establish performance targets for programs tied to funding.

Item 38 #1S Additional Funding for the Henrico County Adult Drug Court

This amendment provides additional funding to meet demand in the Henrico County Adult Drug Court. The funding would provide for clinician staff and operational support to meet increased demand for the Drug Court program.

Item 81 #3S DHRM – Shared Savings Incentive Program

This amendment directs the Department of Human Resource Management to report to the Chairmen of House Appropriations and Senate Finance Committees no later than Nov. 1, 2018 on the progress of implementing a shared-savings incentive program for the state employee health plan and the local choice health benefit plan.

Item 130 #1S Test Development & Admin – Social Studies

This amendment provides $300,000 GF each year and 3.0 positions to support the establishment of expertise in the Department of Education to oversee and support local school divisions with the development and implementation of authentic and performance based assessments as part of local alternative assessments required by Section 22.1-253.13:3.C of the Code of Virginia and changes in the revised Standards of Accreditation as it related to K-12 social studies education.

Item 134 #1S Student Growth and Personalized Learning

This amendment requires VDOE to develop a value-added growth and projection analytics system and incorporate the model to assist in meeting reporting requirements under the Every Student Succeeds Act.

Item 135 #9S VECF Integrated Early Childhood Funding Pilot

This amendment would direct the pass-through/allocation of funds from two existing NGF appropriations (unused Virginia Preschool Initiative funds estimated at $2 million annually and TANF funding of $2.0 million annually) to the Virginia Early Childhood Foundation to be administered/distributed, along with current appropriations in Item # 135 T. 1-3, through community grants as part of an integrated early childhood funding pilot initiative. In addition, this amendment adds $250,000 GF each year to support and increase in early care an education provider enrollment in the federal Child and Adult Care Food Program.

Item 135 #13S Virginia Reading Corps

This amendment provides additional funding in the first year and allows the implementation partner to determine and select school division partners.

Item 143 #2S SCHEV – VIVA – Free or Reduced Cost Course Content

This amendment provides $600,000 GF in each year of the biennium to support a statewide initiative to provide free or reduced cost course content to students, including textbooks, through the Virtual Library of Virginia (VIVA). This builds upon a successful pilot in 2017 to develop, identify, and adopt into the curricula low-cost and free course materials, especially textbooks, for Virginia students, thereby decreasing the cost of education.

Item 143 #3S SCHEV – Fund for Excellence and Innovation

This amendment increases the amount dedicated to the Fund for Excellence and Innovation by $175,000 GF the first year and $275,000 GF the second year. The purpose of the Fund is to stimulate collaboration among public school divisions, community colleges and universities to create and expand affordable student pathways and to pursue shared services and other efficiency initiatives at colleges and universities that lead to measurable cost reductions. The introduced budget includes $225,000 GF in each year. The original program, funded in the 2016-18 biennium, initially included $500,000 GF in each year prior to budget reductions. This amendment fully restores the funding in the second year to the original level.

Item 143 #4S SCHEV – Internship Pilot Program

This amendment provides $250,000 GF per year for an internship pilot program to be administered by SCHEV. The internship program would require public institutions of higher education to apply for a grant to demonstrate the pilot and would also require 1-1 matching funds from a non-state source.

Item 193 #5S UVA – Virginia Repertory Theatre

This amendment provides $125,000 GF each year to support a partnership between the University of Virginia and the Virginia Repertory Theatre at the historic November Theatre (formally known as the Empire Theatre).

Item 210 #1S VCCS – Advising Plan

This language amendment would require VCCS to develop a plan on how they will expand community college capacity to provide proactive, individualized, and mandatory advising services to students who are at risk for not completing a degree or credential.

Item 210 #2S Develop and Maintain a Statewide College Transfer Portal

This amendment provides $661,000 GF and 2.0 GF positions in the first year and $311,000 GF and 2.0 GF positions in the second year for the development and maintenance of a statewide college transfer portal.

Item 281 #3S Evaluation of Medicaid Eligibility System

This amendment provides $200,000 from the general fund and $100,000 from nongeneral funds the first year to procure a contract to conduct an independent review and evaluation of the Virginia Case Management System (VaCMS). The VaCMS determines eligibility for the Virginia Medicaid program, Supplemental Nutrition Assistance Program, and Temporary Assistance for Needy Families. The importance of the system to the Commonwealth requires additional oversight. Therefore, an independent review of the VaCMS would provide verification that the system has the architecture and capabilities to serve the needs of the citizens of the Commonwealth and identify if any additional functionalities should be provided based on current technology and best practices from other states.

Item 281 #4S Substance Abuse Data Sharing and Analytics Clearinghouse

This amendment provides funds for the implementation of Senate Bill 719, which creates a Substance Abuse Data Sharing Clearinghouse in the Health and Human Resources secretariat.

Item 282 #2S Eliminate Local Match on Non-Mandated CSA Services

This amendment eliminates the local match for Children’s Services Act funding spent to serve non-mandated children with evidence based services. Language also requires training of stakeholders on those evidence based programs and the establishment of report requirements.

Item 299 #2S Enhance Prescription Monitoring Program

This amendment provides $300,000 each year from nongeneral funds to enhance the Prescription Monitoring Program to provide significantly better reporting capabilities for all users and less expensive access for integrated prescribing and dispensing systems.

Item 303 #14S Private Duty Nursing Medical Necessity Review

This amendment authorizes the Department of Medical Assistance Services (DMAS) to review and adjust private duty nursing services as a part of Medicaid home and community-based services (HCBS) waivers and the Medicaid Early, Periodic Screening, Diagnosis and Treatment (EPSDT) benefit. The medical necessity criteria for private duty nursing services for individuals in HCBS waivers and those who use the EPSDT benefit has not been evaluated for many years. This review is necessary to ensure that DMAS is applying updated medical necessity criteria that reflects the advances in medical treatment, new technologies, and use of integrated care models that allow medically complex individuals to live longer, healthier lives in their homes and communities. It will also ensure this service is being utilized in a clinically appropriate and cost effective manner for all Medicaid and FAMIS members and that lower costs services such as skilled nursing, home health nursing, personal care, and behavioral supports are utilized when clinically appropriate.

Item 303 #16S Transform Behavioral Health Services to Evidence-Based and Trauma Informed

This amendment directs the Department of Medical Assistance Services to transform the system of care of Medicaid-funded behavioral health services to emphasize community services that are evidence-based and trauma informed.

Item 303 #32S Medicaid Supportive Housing Transfer

This amendment transfers funding from the Department of Behavioral Health and Developmental Services to the Department of Medical Assistance Services (DMAS) to develop and administer the permanent supportive housing program and utilize Medicaid medical and administrative match where appropriate to provide permanent supportive housing and deliver housing tenancy support services to qualifying Medicaid beneficiaries. A strategic plan shall be created with stakeholders in the development of program design, and implementation schedule through Medicaid health plans for the administration of this program.

Item 303 #40S Priority Needs Access Program and Meeting Existing Needs in the Medicaid Program

This amendment increases coverage to currently unserved populations in need of behavioral health treatment, funds waiver slots for individuals on waiting lists for Medicaid waiver services, and enhances payments to health systems important to the safety net. The amendment creates the Priority Needs Access Program which modifies the existing GAP waiver to: (i) include individuals with income up to 138 percent of the federal poverty level; (ii) add inpatient and emergency room hospital benefits; (iii) add qualifying diagnoses of mental illness, substance use disorder, or life-threatening or complex medical conditions; and (iv) moves the waiver population into Medicaid managed care. In addition, funding of $37.7 million from the general fund and a like amount of federal Medicaid matching funds each year is provided to add an additional 2,296 Medicaid waiver slots to eliminate the Priority One waiting list for disabled individuals in need of services. Medicaid reimbursement to hospitals is increased to 80 percent of costs for private hospitals, and for critical access hospitals is increased to 100 percent of allowable costs. The amendment fully funds a statewide alternate transportation model for individuals under a Temporary Detention Order. Lastly, language is included to ensure that children in Medicaid and FAMIS are being screened for adverse childhood experiences. The funding for the items in this amendment is generated from a provider assessment on private acute hospitals.

Item 307 #2S Behavioral Health Transformation

This amendment provides $150,000 from the general fund and a like amount of federal Medicaid matching funds the first year as one-time funding to contract with Virginia Commonwealth University to develop a comprehensive strategic plan to transform the Medicaid/FAMIS behavioral health system. This strategic plan will redesign Medicaid and FAMIS mental health services into a more complete continuum of care in which services are evidence-based, trauma-focused, clinically necessary, preventative focused and cost effective with positive health outcomes for Medicaid and FAMIS members and their families. This funding will support research of the evidence base and trauma-focused practices for behavioral health services, focus groups with stakeholders, and the development of the strategic plan.

Item 307 #3S Review of Managed Care Programs

This amendment provides $100,000 from the general fund and a like amount of federal Medicaid matching funds for Department of Medical Assistance Services’ actuary to conduct a review of health plan capitation rates for the Commonwealth Coordinated Care (CCC) Plus and Medallion 4.0 programs. The CCC Plus program, which began August 1, 2017, expands Medicaid managed care to long-term care services. This new program serves over 200,000 complex individuals at a projected cost of nearly $6.0 billion in state and federal funds per year. The Medallion 4.0 program has an additional projected cost of nearly $3.0 billion in state and federal funds per year and will serve over 700,000 individuals. The importance of the Medicaid programs to the Commonwealth requires additional oversight. Therefore, a heightened review of both programs’ rates would provide verification the program payment is appropriate to serve the needs of the individuals enrolled and rates are justified within the current funding level for Medicaid. This review will also identify if cost savings can be achieved by creating one combined Medicaid managed care program for all populations and services. In addition, the Department of Medical Assistance Services is directed to add the populations from the Commonwealth’s Medallion program to the CCC Plus program to create one combined Medicaid Managed Care Programs if cost savings and administrative efficiencies are identified.

Item 307 #4S Organizational Review and Restructuring of Agency

This amendment directs the Department of Medical Assistance Services to undertake a comprehensive review of the staffing and operations of the agency and develop a plan for the reorganization of the agency that reflects the transition of the overall Medicaid program from a fee-for-services system to a managed care delivery system. The agency’s oversight responsibility over managed care is critical for the overall program.

Item 310 #3S McShin Model Pilot Program

This amendment provides $750,000 from the general fund each year to the Department of Behavioral Health and Developmental Services to fund and study the McShin model. Funds will be used for same day admission to sober living, same day linkage to medication assisted detox and peer supports provided by McShin and McShin trained peer support specialists.

Item 312 #6S Medicaid Supportive Housing Transfer

This amendment transfers funding from the Department of Behavioral Health and Developmental Services to the Department of Medical Assistance Services (DMAS) to develop and administer the permanent supportive housing program and utilize Medicaid medical and administrative match where appropriate to provide permanent supportive housing and deliver housing tenancy support services to qualifying Medicaid beneficiaries. A strategic plan shall be created with stakeholders in the development of program design, and implementation schedule through Medicaid health plans for the administration of this program.

Item 344 #5S Fund Fiscal Impact of SB 636 Kinship Guardian Assistance

This amendment provides funding for the fiscal impact of Senate Bill 636 which creates the Kinship Guardianship Assistance program.

Item 366 #5S Richmond CSO Reporting

This amendment requires the State Water Control Board to include in the next renewal of the Virginia Pollutant Discharge Elimination System permit for the Combined Sewer Overflow system of the City of Richmond, a requirement that the City complete an assessment of the discharges from each of its Combined Sewer Outfalls into the James River to determine the costs of control technologies may be required to meet applicable regulations.

Item 453 #4S Maintenance Payment Correction

This amendment clarifies the legislative intent of the Code of Virginia for the Commonwealth Transportation Board and the Virginia Department of Transportation when calculating annual rates of payment for counties that have elected to withdraw from the secondary highway system. An erroneous interpretation by the Board, at the recommendation of VDOT’s Local Assistance Division, in June 2017 resulted in a one-time reduction in the calculation of maintenance payments to Henrico County due to an unanticipated increase in the lane miles in Arlington County that occurred after the total allocation was determined for the two Counties that maintain their own roads was calculated.

Item 456 #2S Department of Transportation

This amendment clarifies the legislative intent of the Code of Virginia for the Commonwealth Transportation Board and the Virginia Department of Transportation when calculating annual rates of payment for counties that have elected to withdraw from the secondary highway system. An erroneous interpretation by the Board, at the recommendation of VDOT’s Local Assistance Division, in June 2017 resulted in a one-time reduction in the calculation of maintenance payments to Henrico County due to an unanticipated increase in the lane miles in Arlington County that occurred after the total allocation was determined for the two Counties that maintain their own roads was calculated.