2025 SESSION

HOUSE SUBSTITUTE

24106048D

HOUSE JOINT RESOLUTION NO. 22

AMENDMENT IN THE NATURE OF A SUBSTITUTE

(Proposed by the House Committee on Rules

on February 1, 2024)

(Patron Prior to Substitute—Delegate Walker)

Directing the Joint Legislative Audit and Review Commission to study the condition and capacity of the Hiram W. Davis Medical Center to provide skilled nursing, long-term care, and community care services for individuals diagnosed with intellectual or developmental disabilities within the Commonwealth. Report.

WHEREAS, the Southside Virginia Training Center, Northern Virginia Training Center, Southwestern Virginia Training Center, and Central Virginia Training Center have all closed permanently within the past nine years; and

WHEREAS, according to the 2022 population estimates by the United States Census Bureau, 8.3 percent of Commonwealth residents are younger than 65 and have a disability; and

WHEREAS, the Hiram W. Davis Medical Center, a 94-bed medical and long-term care facility in Petersburg, is one of nine behavioral health facilities for adults operated by the Department of Behavioral Health and Developmental Services and was built in 1974 and has had no major renovations since its construction; and

WHEREAS, access to skilled nursing, long-term care, and community care by individuals diagnosed with intellectual or developmental disabilities facilities depends on the condition and capacity of facilities such as the Hiram W. Davis Medical Center; now, therefore, be it

RESOLVED by the House of Delegates, the Senate concurring, That the Joint Legislative Audit and Review Commission be directed to study the condition and capacity of the Hiram W. Davis Medical Center to provide skilled nursing, long-term care, and community care services for individuals diagnosed with intellectual or developmental disabilities within the Commonwealth.

In conducting its study, the Joint Legislative Audit and Review Commission shall (i) determine the need for long-term care for individuals diagnosed with intellectual or developmental disabilities in the Commonwealth; (ii) estimate the current capacity of the Hiram W. Davis Medical Center to provide skilled nursing, long-term care, and community care services for individuals diagnosed with intellectual or developmental disabilities within the Commonwealth; (iii) examine the current condition of the infrastructure of the Hiram W. Davis Medical Center; (iv) provide recommendations for increasing the capacity and updating the infrastructure of the Hiram W. Davis Medical Center; (v) estimate the current capacity of community-based services for meeting the long-term care needs of these individuals; and (vi) provide recommendations for alternatives to facility-based care.

All agencies of the Commonwealth shall provide assistance to the Joint Legislative Audit and Review Commission for this study, upon request.

The Joint Legislative Audit and Review Commission shall complete its meetings by November 30, 2025, and the chairman shall submit to the Division of Legislative Automated Systems an executive summary of its findings and recommendations no later than the first day of the 2026 Regular Session of the General Assembly. The executive summary shall state whether the Joint Legislative Audit and Review Commission intends to submit to the General Assembly and the Governor a report of its findings and recommendations for publication as a House or Senate document. The executive summary and report shall be submitted as provided in the procedures of the Division of Legislative Automated Systems for the processing of legislative documents and reports and shall be posted on the General Assembly's website.