About 30 percent of people with intellectual and developmental disabilities have a co-occurring mental health condition, and many struggle to find the support they need.
This year both chambers of the state legislature propose significant investment in behavioral and mental health services, but the House proposal tops $1 billion. On the list we compiled, the House funding level tops the Senate’s by more than $400 million.
Our tally:
- House $1.03 billion
- Senate $628.4 million.
The following is a list compiled from agency detail reports summarizing budget proposals passed by each chamber. We hope we caught them all. Behavior and mental health investments show up across agencies, including the Department of Children, Youth, and Families (DCYF), the Department of Health (DOH), the Health Care Authority (HCA), the Department of Social and Health Services (DSHS), Commerce, and more.
As a general rule, community services and Medicaid rates will be reflected in the HCA budget, while state institutional care is reflected in the DSHS budget. DOH handles licensing and regulation, and Commerce may handle projects supporting specific groups, like youth.
One project from the last budget - a facility to support children with complex needs who have co-occurring developmental disabilities and behavioral health disorders - had no private bidders for the contract. The legislature has asked DSHS to create a state-run facility.
|
Proposed behavioral and mental health supports/2023 |
House |
Senate |
|
Children in crisis (HB 1580) care coordinator, rapid response (DCYF) |
$303,000 |
0 |
|
Children in crisis (HB 1580) care coordinator, rapid response (HCA) |
$308,000 |
0 |
|
Children in crisis (HB 1580) care coordinator, rapid response (DSHS) |
$200,000 |
0 |
|
Children in crisis (HB 1580) care coordinator, rapid response (DSHS DDA) |
$250,000 |
0 |
|
Youth shelter behavioral health grants (Commerce) |
$2 million |
$2 million |
|
Office of Behavioral Health Ombuds activities (Commerce) |
$2 million |
0 |
|
988 system/behavioral health crisis response (DOH) |
$9.2 million |
0 |
|
988 call centers (adjusted to reflect actual costs) (DOH) |
0 |
-$21.3 million |
|
988 system/behavioral health crisis response (HCA) |
$5.7 million |
0 |
|
988 tech platform (HCA) |
$25 million |
0 |
|
Behavioral health workforce licensing (DOH) |
$1.2 million |
0 |
|
Behavioral health agency regulation (DOH) |
$794,000 |
$794,000 |
|
Behavioral health new facility credentials (HB 1394) (DOH) |
$250,000 |
$250,000 |
|
Behavioral health support (SB 5189) (DOH) |
0 |
$465,000 |
|
Behavioral health support (SB 5189) (Insurance commissioner) |
0 |
$19,000 |
|
Behavioral health support (SB 5189) (HCA) |
0 |
$739,000 |
|
Behavioral health support (SB 5189) (UW) |
0 |
$157,000 |
|
Certified peer specialists (SB 5555) (DOH) |
0 |
$1 million |
|
Certified peer specialists (SB 5555) (HCA) |
0 |
$8.2 million |
|
Crisis relief centers (SB 5120) (DOH) |
0 |
$198,000 |
|
Psychiatric hospital program (DOH) |
0 |
$1.7 million |
|
African American behavioral health (DOH) |
0 |
$750,000 |
|
Supportive relationships (5438) (HCA) |
0 |
$289,000 |
|
Supportive relationships (5438) (DSHS) |
0 |
$579,000 |
|
Behavior health consumer advocacy (HCA) |
$726,000 |
$726,000 |
|
Behavioral health community capacity (HCA) |
0 |
$35.7 million |
|
Behavioral health community capacity (DSHS) |
0 |
$29.6 million |
|
Expand mental health services and supports (HCA) |
$25.3 million |
0 |
|
Behavioral health provider rate (HCA) |
0 |
$6.2 million |
|
MCO behavior health rate increase (HCA) |
$270.1 million |
$126.4 million |
|
Rural behavioral health pilot (Island County) (HCA) |
$300,000 |
0 |
|
Behavioral health strategy plan for youth (HCA) |
$500,000 |
0 |
|
UW Behavioral Health Institute training and workforce development (HCA) |
$1.5 million |
|
|
Behavioral health workforce shortage (HCA) |
$40 million |
0 |
|
Behavioral health joint legislative and executive committee (HCA) |
$170,000 |
0 |
|
Behavioral health contracting (HB 1515). (HCA) |
$1.6 million |
0 |
|
Behavioral health personal care (HCA) |
$110.3 million |
$9.4 million |
|
Regional BH coordinator pilot (Snoqualmie) (HCA) |
$160,000 |
0 |
|
Volunteer counseling services (HCA) |
$800.000 |
0 |
|
Intensive outpatient/partial hospitalization for youth (HCA) |
$8.6 million |
$7.5 million |
|
Court-ordered Assisted Outpatient Treatment (SB 5130) (HCA) |
0 |
$3 million |
|
Crisis system enhancements/mobile teams (HCA) |
$44.5 million |
$13.7 million |
|
Children’s Long-Term Inpatient Program (CLIP) rate increase. (HCA) |
$6.9 million |
$6.9 million |
|
Project ECHO and START trainings to support children with developmental disabilities and behavioral health needs. (HCA) |
$1.1 million |
$1.1 million |
|
Transfer from HCA to DSHS for state-run program to support children with complex co-occurring developmental disabilities and behavioral health disorders (HCA) |
-$12.1 million |
-$12.1 million |
|
Stanwood/Tulalip Tribes commitment facility (HCA) |
0 |
$3.7 million |
|
Stanwood Commitment Facility Support (HCA) |
0 |
$1.6 million |
|
Behavioral care rate increase (Tribal program) (HCA) |
$2.1 million |
$668,000 |
|
Emergency medical services behavioral health co-responders (HCA) |
$2 million |
0 |
|
Behavioral health facility operating costs (HCA) |
$35.7 million |
0 |
|
Acuity-based rate enhancement for challenging behaviors (HCA) |
0 |
$10.3 million |
|
Maple Lane facility rates (HCA) |
0 |
$15.6 million |
|
Civil conversion rate enhancement (HCA) |
$9 million |
0 |
|
Behavioral health residential room and board rates (HCA) |
$4 million |
0 |
|
Planning grant for community behavioral health clinics (HCA) |
$1 million |
$1 million |
|
15% rate increase for non-Medicaid wrap-around behavioral health services (HCA) |
$67.7 million |
$26 million |
|
Grant program for integrated child psychiatry services (HCA) |
$435,000 |
0 |
|
Parent portal to behavioral health services for minors (HCA) |
$400,000 |
0 |
|
Long-term civil commitment beds at UW BH teaching facility (HCA) |
$1.3 million |
$23.8 million |
|
Short-term beds at UW for complex medical and psychiatric issues (HCA) |
$51 million |
$10.3 million |
|
Operating costs for 7 crisis stabilization facilities (HCA) |
$26.7 million |
$26.7 million |
|
Increase access to Wraparound Intensive Services (WISe) for children and youth (HCA) |
$500,000 |
0 |
|
Behavior health occupational therapy (HCA) |
0 |
$1.7 million |
|
First Approach training/child mental health care support for primary care providers (HCA) |
$725,000 |
$725,000 |
|
Youth residential services (Clark and Spokane counties) (HCA) |
$6 million |
$6 million |
|
Mobile integrated health pilot (Arlington) |
0 |
$750,000 |
|
PAL mental health referral for children and teens (HCA) |
$455,000 |
$910,000 |
|
Youth inpatient navigators (HCA) |
$5 million |
$4 million |
|
Psychiatric per diem rates (HCA) |
$52 million |
$52 million |
|
Trueblood diversion programs (HCA) |
$8 million |
$11.4 million |
|
Trueblood phase 1 and 2 (HCA) |
$12.6 million |
$7.2 million |
|
Trueblood phase 2 (DSHS) |
$2.5 million |
$2.5 million |
|
Trueblood phase 3 (HCA) |
$13.2 million |
$11.7 million |
|
Trueblood phase 3 (DSHS) |
$5.7 million |
$5.7 million |
|
Trueblood master leasing (HCA) |
$761,000 |
$661,000 |
|
Trueblood ARNP prescribers (HCA) |
$4.9 million |
$5.6 million |
|
Trueblood program admin (HCA) |
$246,000 |
$592,000 |
|
Trueblood admissions (DSHS) |
$15,000 |
0 |
|
Trueblood court monitor (DSHS) |
$830,000 |
$830,000 |
|
Community long-term inpatient beds (HCA) |
$7.6 million |
$7.6 million |
|
Competency evaluations and restoration (DSHS) |
0 |
$5.5 million |
|
Neuropsychological evaluations in state hospitals (DSHS) |
$976,000 |
$976,000 |
|
Forensic evaluation site (King County) (DSHS) |
$1.5 million |
$1.5 million |
|
Residential unit at Child Study and Treatment Center (DSHS) |
$6.2 million |
0 |
|
Forensic competency evaluations (DSHS) |
$7.6 million |
$7.6 million |
|
Residential treatment facility -Vancouver (DSHS) |
$47.4 million |
$47.4 million |
|
Maple Lane residential expansion (DSHS) |
$48.1 million |
0 |
|
Maple Lane campus (DSHS) |
0 |
$1.8 million |
|
Maple Lane phase 2 (DSHS) |
0 |
$50.2 million |
|
Discharge resources/hard to place patients (DSHS) |
$4.7 million |
$6.7 million |
|
Reopen civil ward at Western State Hospital (DSHS) |
$15,725 |
$15,725 |
|
Violence reduction at state hospitals (DSHS) |
$13.2 million |
$18.5 million |
|
Jail-based behavioral health (DSHS) |
$20.7 million |
$10.4 million |
|
State hospital direct care staffing (DSHS) |
$14.9 million |
$12.7 million |
|
Community Supports for Children (DSHS DDA) |
$124,000 |
$1.6 million |
|
Source: fiscal.wa.gov |
$1.03 billion |
$628.4 million |
