Why This Matters to the General Assembly
More on the Permanent Injunction Terms
- Term 37 (Integrated Day Services): Requires a 2% annual increase in the percentage of individuals on DD waivers receiving day services in the most integrated settings. Virginia achieved compliance for the first time in the 26th reporting period. Term 37
- Term 44 (Complex Needs Data): Requires annual collection and analysis of data regarding individuals with complex medical and adaptive support needs. Virginia has not yet achieved compliance. Term 44
- Term 75 (Compliance Monitoring): Establishes that documented achievement of specified goals satisfies provisions, and contemplates reporting of "any other pertinent information" relevant to compliance. Term 75
The December 2025 Independent Reviewer's Report found Virginia achieved compliance on only 3 of 29 required Terms.
Why Haven't SPARC Funds Been Counted Before?
The only reason SPARC appropriations haven't been counted toward compliance is procedural — no one brought them to the attention of the Independent Reviewer or the Court.
Virginia's compliance reporting infrastructure was built around Medicaid billing codes because that's how most DD services are funded and tracked. But this reflects data limitations, not a policy that only Medicaid services count toward ADA compliance.
The ADA's integration mandate applies regardless of funding source. The proposed budget amendment fixes this gap by expressly directing DBHDS to include SPARC data in compliance reporting.
Legislative Precedent
- Motion for Judicial Notice (ECF 525, May 2024): Virginia asked the Court to take judicial notice of budget provisions "relevant to the consent decree."
- Item 294 (2025 Appropriation Act): Required DBHDS to report on compliance status, including planned actions and expected compliance dates.
- Bipartisan Legislative Letter (November 2024): General Assembly leaders wrote to Judge Gibney affirming their "commitment to these Virginians" and noting $274 million in additional resources in the prior budget.