Legislative Plan 2024

2024 VNPP Legislative Agenda

 

Developmental Disability Services:

  • Ensure access to services by creating sufficient FIS and CL Waiver slots to accommodate the enrollees on the Priority One Wait List within a year of placement on the list and bolster the Support Coordination function by adequately funding the CSBs.
  • Ensure sufficiency of the rates to support providers in meeting the challenges of building a workforce in an increasingly competitive environment.
  • Ensure flexibility in the assignment of CL slots to allow for families to engage in future planning and increasing the “glidepath” for beginning services at the chosen provider to one year.
  • Ensure access to services by building the capacity in the system to meet current and future needs.

Behavioral Health Services:

  • Stabilize the community behavioral health system by determining an array of needed services, defining the criteria for medical necessity, the required staffing qualifications, the expected service outcomes and how these services integrate with and augment STEP-VA and the CRISIS Continuum for both youth and adults.
  • Using the information above, commit to funding the development or expansion by establishing a plan across the next three biennia to allow for the services to be developed and scaled up to meet the anticipated need.

 

In general:

  • Support our advocacy partners with their specific agenda items that improve access to services for individuals with behavioral health needs, substance use disorders or developmental disabilities.
  • Focus attention on those items that will remove barriers to providing the services needed, for example
    • duplicative processes that are burdens in both workload and cost for providers and have no demonstratable impact on protecting or improving quality; or
    • barrier crimes preventing individuals with lived experience from providing peer support services serving adults with behavioral health or substance use disorders.

 

 

Specifically:

  • Request an increase in the DD Waiver rates of 18% to meet both ongoing inflationary pressures and the growing challenge to recruit and retain a qualified workforce given the mandated 12.5% increase in the minimum wage in January 2025.
  • Request a budget amendment to allow payment for DD Waiver Residential staff to support individuals during stays in an acute care facility.
  • Actively participate in discussions to utilize available data to standardize rates across the service requirements and professional credentials/skill sets required to accomplish the identified services. The issues can be found in the services primarily classified as Behavioral Health (eg., Significant discrepancies in the criteria and rates of pay for the same requirement across multiple services) and those primarily for IDD individuals (eg., Significant discrepancies in the rates for the provision of Behavioral Consultation between Board Certified Behavior Analysts, Positive Behavior Support Specialists and Licensed Professional Counselors or Licensed Clinical Social Workers).