MONDAY, DEC. 2
Day Pick 3: 8-8-6
Day Pick 4: 5-8-5-4
Day Cash 5: 5-22-25-29-33
SUNDAY, DEC. 1
Night Pick 3: 3-6-0
Night Pick 4: 7-2-5-4
Night Cash 5: 2-13-20-22-25
Cash 4 Life: 8-10-36-45-60 (CB 3)
Pick 3, Pick 4 and Cash 5 numbers are drawn twice a day. Cash 4 Life is drawn daily. Mega Millions is drawn Tuesdays and Fridays. Bank a Million and Powerball are drawn Wednesdays and Saturdays.
Visit Richmond.com (search: lottery) for out-of-state numbers.
Stephanie Lynch was sworn in as the 5th District representative for the Richmond City Council on Monday, becoming the first woman to represent the district.
Lynch, 32, beat out six other candidates in a special election last month to replace Parker Agelasto on the city’s nine-member legislative body. She will serve out the remaining 13 months of his term.
“I will take a consensus-building approach,” she said. “I hope to be a bridge in many ways, as [Agelasto was], between folks on City Council, the administration, stakeholders to get a lot of good stuff done.”
A social worker by trade, Lynch is director of government affairs, strategy and development at Good Neighbor, which provides mental health and developmental disabilities services. She holds undergraduate degrees from Virginia Commonwealth University in psychology and gender studies, as well as a master’s of social work administration and policy practice.
Lynch was sworn in during a short ceremony inside council chambers at City Hall with her husband, Dustin Dunbar, and parents, Steve and Karen Lynch, looking on. Council members and Mayor Levar Stoney also attended, as did some city administrators.
Lynch thanked her colleagues for sharing advice as she prepared to transition into her first elective office. Also providing guidance, she said, was Agelasto, who Lynch credited as “a role model and wonderful template of what it means to serve the 5th District.” She is retaining Agelasto’s council liaison, Amy Robins, in that role, she said.
Agelasto represented the district from 2013 until Nov. 30. He resigned to avoid a potential removal bid at the hands of the commonwealth’s attorney after he moved out of the district last year. Agelasto, who assisted residents and attended council meetings through the ordeal, remains a popular figure among the district’s residents.
In brief remarks, Lynch spoke of the example set by her father, a federal employee with a 30-year military career.
“He is a selfless, tried-and-true human being that taught me everything I know about how to be a leader and a model citizen, and I thank you so much,” she said.
Afterward, Steve Lynch said he was proud of his daughter and that he believed she would be successful in her new role by “serving for the good of the people and serving for those that don’t necessarily have a voice sometimes, and doing what’s the best for all concerned.”
The district encompasses the neighborhoods of Randolph, Oregon Hill, Woodland Heights, Swansboro, Byrd Park, Maymont, Carytown and part of the Fan District.
Lynch said she would prioritize affordable housing, public education and the James River Park System during her tenure. She said she intends to seek a four-year term next year, when the current term expires.
The Virginia Department of Medical Assistance Services has developed a new methodology for disbursing federal and state money intended to help cover uncompensated care by private hospitals in a way that incentivizes them to take on more involuntary psychiatric patients.
The state legislature directed the agency to develop the methodology for distributing “disproportionate share hospital,” or DSH, payments in order to combat the crisis facing the state’s public psychiatric hospitals, which now regularly operate at nearly full capacity and struggle with staffing shortages.
The pressure on Virginia’s public psychiatric hospitals has built over the past five years, since state legislation passed in 2014 requiring that a person placed under an emergency custody order while experiencing a mental health crisis be admitted to a state facility if no private provider will accept the patient.
As a result, private hospitals reduced the proportion of people under a temporary detention order that they accepted. At the same time, the number of involuntary admissions to state hospitals climbed.
Private hospitals accept about three-quarters of all involuntary psychiatric patients in the state and have faced their own challenges, according to the Virginia Hospital and Healthcare Association, which represents 110 hospitals in the state.
The proposed methodology — described in a Department of Medical Assistance Services report released last week and presented to the Joint Subcommittee for Health and Human Resources Oversight on Monday — would assign DSH payments to private hospitals based on reaching a target number of temporary detention order patients covered by Medicaid that would be similar to the hospital’s TDO numbers in 2015, before the spike in admissions to state hospitals.
Rather than increasing the state’s investment into DSH payments, it would reallocate the already budgeted $26 million to be based on TDOs rather than the number of Medicaid patients a hospital admits.
“There would be winners and losers relative to the current methodology,” DMAS Director Karen Kimsey said in a presentation to the joint subcommittee. Her agency runs the state Medicaid program.
If the new methodology is fully implemented, some private hospitals that currently accept a high number of Medicaid patients, but don’t offer behavioral health services, would lose DSH payments. Some hospitals that accept TDO patients also would not qualify for DSH payments because they don’t meet federal requirements, such as offering obstetrics services.
Five hospitals — Carilion Medical Center in Roanoke, Inova Fairfax Hospital, Riverside Regional Medical Center in Newport News, Sentara Norfolk General Hospital and Winchester Medical Center — could stand to lose at least $1 million in DSH payments, the state’s report says.
According to the report, the Virginia Hospital and Healthcare Association said that DSH funding is not an effective tool to incentivize hospitals to accept more TDO patients.
The hospital group said a number of factors — including an increase in voluntary psychiatric admissions, staff recruitment and retention issues, and insufficient discharge options — have played a role in why private hospitals have taken on a smaller portion of TDO admissions in recent years.
The proposed methodology is subject to adjustment by the General Assembly during the legislative session starting in January. The earliest the methodology could be implemented is July 1.