Virginia’s track record speaks for itself: policy changes roll out on paper long before they work in practice. If IIH, TDT, MHSS, and PSR are shut down on a fixed date without true continuity of care, vulnerable individuals will lose services, providers will collapse, and communities will ultimately pay the price. 

This isn’t just bad planning, it’s legally risky. The Commonwealth is still under DOJ oversight precisely because it has failed to maintain reliable community-based services. To end core supports without a workable rollout for CPST isn’t reform, it’s negligence. The state can’t afford another Olmstead violation, and families can’t afford to be left without care.