Virginia's inpatient mental healthcare geography post SB260

This study explores the impact of mental health policy reforms on geographic variations in inpatient psychiatric facility utilization and mental health outcomes in Virginia. Following the enactment of Senate Bill 260 (SB260), we observed significant changes in utilization patterns, particularly in regions with higher proportions of Medicaid-eligible populations. We identify nuanced factors influencing facility usage, including proximity to facilities and demographic characteristics, shedding light on the complex dynamics of mental health care access. Notably, our analysis indicates a notable increase in overall utilization of Virginia's state-operated mental hospitals post-SB260, suggesting a greater fulfillment of unmet needs for inpatient care. Moreover, our research underscores the necessity to reconsider IMD exclusion laws, emphasizing the potential benefits of policy changes for underserved populations. This research contributes to mental health policy discussions by offering evidence-based considerations for future reforms aimed at improving access and equity in mental health care delivery in Virginia.