Virginia 2026 Regular Session

Virginia House Bill HB453

Introduced
1/12/26  
Refer
1/12/26  
Report Pass
1/27/26  
Engrossed
1/30/26  
Refer
2/3/26  
Report Pass
2/27/26  
Enrolled
3/10/26  
Chaptered
4/13/26  

Caption

An Act to amend and reenact § 37.2-311.1 of the Code of Virginia, relating to comprehensive crisis system; Marcus alert system; powers and duties of the Department of Behavioral Health and Developmental Services related to comprehensive mental health, substance abuse, and developmental disability crisis services; written plan.

Summary

HB453 amends Virginia’s crisis-services statute to further define and operationalize the Commonwealth’s comprehensive crisis system and the Marcus alert system. The bill directs the Department of Behavioral Health and Developmental Services (DBHDS) to maintain a system built around a crisis call center, community care teams, mobile crisis teams, crisis stabilization centers, and the Marcus alert system, with the goal of diverting behavioral-health crises away from 9-1-1 and toward appropriate behavioral health or developmental services whenever feasible. The bill also requires DBHDS, in collaboration with the Department of Criminal Justice Services and a broad set of stakeholders, to develop and maintain a written implementation plan. That plan must inventory existing crisis programs, set protocols for diversion from 9-1-1, establish standards for law-enforcement backup, assign responsibilities among state and local entities, and address community engagement, training, and service delivery in historically economically disadvantaged communities. The plan is to serve as the operational framework for local implementation and may be amended only after stakeholder consultation and a public comment period. HB453 further sets a phased statewide rollout schedule for Marcus alert programs and associated crisis teams. It requires five regional programs, then five more, and then additional programs over subsequent years until all community services board and behavioral health authority service areas have a Marcus alert system using community care or mobile crisis teams by July 1, 2028. It also requires all teams established under the section to meet statutory standards and directs DBHDS to report annually on implementation, usage, outcomes, law-enforcement involvement, disparities, barriers, and recommendations for improvement. The bill’s impact is to strengthen and standardize Virginia’s behavioral-health crisis response infrastructure and to expand the legal duties of DBHDS and related agencies. It affects state and local crisis-response planning, emergency dispatch protocols, community services boards, behavioral health authorities, law-enforcement coordination, and reporting requirements, while also creating a more formal statewide framework for mobile crisis and community care responses. The overall sentiment appears strongly supportive and noncontroversial. The bill advanced through subcommittee, committee, the House, and the Senate with unanimous or near-unanimous votes, indicating broad bipartisan agreement on expanding crisis-response capacity and improving coordination between behavioral health and public safety systems. The main points of contention reflected in the text are not opposition to the bill itself, but implementation issues: how quickly localities can build programs, how law enforcement should participate, how to ensure equitable service delivery, and how to address disparities and barriers in underserved communities.

Impact

HB453 amends § 37.2-311.1 of the Code of Virginia and reinforces DBHDS’s authority and responsibility to develop, implement, and monitor the Commonwealth’s comprehensive crisis system. It establishes a detailed statewide framework for crisis call centers, community care teams, mobile crisis teams, crisis stabilization centers, and the Marcus alert system, and it requires local and state partners to align their policies and operations with the written implementation plan. The bill also imposes phased deadlines for statewide expansion and annual reporting obligations, affecting DBHDS, the Department of Criminal Justice Services, community services boards, behavioral health authorities, and local law-enforcement agencies.

Sentiment

The bill’s legislative history shows overwhelming support. It was reported favorably in committee and passed both chambers with unanimous or near-unanimous votes, suggesting consensus that Virginia should continue building out a coordinated behavioral-health crisis response system. The discussion reflected in the bill text emphasizes public safety, diversion from emergency dispatch, and improved access to mental health and substance-use crisis services rather than partisan disagreement.

Contention

There was little visible opposition to the bill, but the statutory language highlights several implementation issues that are likely the main areas of concern. These include how localities will fund and staff crisis teams, how to structure law-enforcement backup without making police the primary responders, how to ensure consistent statewide standards, and how to reduce disparities in response and outcomes for historically economically disadvantaged communities. The bill also anticipates barriers to local program creation and requires DBHDS to identify and address them, indicating that rollout capacity and local readiness are the principal challenges.

Companion Bills

No companion bills found.

Previously Filed As

VA HB1578

Office of the State Inspector General; behavioral health and developmental services; required reports.

VA SB885

Office of the State Inspector General; behavioral health and developmental services; required reports.

VA HB2738

Health insurance; coverage for mental health and substance abuse disorders.

VA SB869

Autism spectrum disorder or a developmental disability; custodial interrogation of person.

VA HB1977

Weapons; possession prohibited in a hospital that provides mental health or developmental services.

VA SB1110

Weapons; possession prohibited in a hospital that provides mental health or developmental services.

VA HB1827

Comprehensive plan; social determinants of health.

VA SB870

Behavioral health services; correctional facilities, exchange of medical/mental health information.

VA HB2754

Behavioral health services; correctional facilities, exchange of medical/mental health information.

VA HB2290

Behavioral health services; correctional facilities, exchange of medical/mental health information.

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