Division of Legislative Services: Interim Studies

Mental Health Services

Joint Subcommittee to Study Mental Health Services in the Commonwealth in the 21st Century

SJ 47 (2014)

SJ 301 (2019)

Executive Summary (2019)

In 2021 the Behavioral Health Commission was established as a standing commission of the Virginia General Assembly (§ 30-402).

Meetings

Date	Time	Place	Documents
07/15/21	1:00PM	Senate Room A, Pocahontas Bldg, Richmond, VA	Agenda MaterialsSummary
Materials DBHDS Presentation Draft Recommendations
06/22/21	10:00AM	Electronic Meeting	Summary
06/08/21	1:30PM	Electronic Meeting	Agenda MaterialsSummary
Materials Virginia Sheriffs' Association Recommendations LEO/ECO TDO Workgroup Law Enforcement Workgroup - DBHDS Hospital Staffing Update VMAP Overview
06/07/21	1:30PM	Electronic Meeting	Agenda MaterialsSummary
Materials HB 2329 Summary HB 2329 Bill Text SB 1049 Summary SB 1049 Bill Text SB 1049 Bill Text, Committee Substitute
05/04/21	--	Electronic Meeting	MaterialsSummary
Materials DBHDS Presentation LEO/ECO TDO Workgroup VSA Recommendations
04/20/21	2:00PM	Electronic Meeting	Agenda MaterialsSummary
Materials 2020 Recommendations and Outcomes DBHDS Presentation DMAS Presentation VSA Presentation 2021 Work Plan Bills Referred to the Joint Subcommittee Budget Update
08/05/20	2:00PM	Electronic Meeting	Agenda Materials
Materials Background and History 2019 Recommendations and Outcomes Budget Update DBHDS Update Medicaid Behavioral Health Services During COVID-19
01/07/20	2:00PM	Senate Room A Pocahontas Bldg, Richmond, VA	Agenda MaterialsSummary
Materials Governor’s Budget Proposal for DBHDS SJ 47 Recommendations for 2020 Session
12/06/19	1:00PM	Senate Committee Room A Pocahontas Bldg, Richmond, VA	Agenda MaterialsSummary
Materials DMAS Pocket Guide STEP- VA Handout
11/12/19	10:00AM	Senate Subcommittee Room 1 Pocahontas Bldg, Richmond, VA	Agenda MaterialsSummary
Materials SB 1488 Workgroup Presentation Hybrid CIT Proposal Middle Peninsula Northern Neck CSB Lancaster Sheriff Letter Middlesex Sheriff Letter Warsaw PD Letter Westmoreland Sheriff Letter Updated Northumberland Letter of Support Middle Peninsula - Northern Neck CSB Catchment Catchment Area Map Letter from Senator McDougle
10/07/19	1:30PM	Senate Committee Room A Pocahontas Bldg, Richmond, VA	Agenda MaterialsSummary
Materials Virginia‘s Behavioral Health System: Community Hospitals‘ Perspective Hospital Census Update SB 1644 Presentation
09/23/19	1:00PM	Senate Committee Room A Pocahontas Bldg, Richmond, VA	Agenda MaterialsSummary
Materials DBHDS Update Behavioral Health Redesign Update
09/23/19	10:00AM	Work Group #2 Criminal Diversion Senate Committee Room A Pocahontas Bldg, Richmond, VA	Agenda MaterialsSummary
Materials VMAP presentation School Counselors presentation School Psychologists presentation School Nurses presentation VSCA Advocacy Brief The case for universal mental health screening in schools Update
08/14/19	10:00AM	Work Group #1 System Structure Sen. Committee Rm 1, 5th Floor Pocahontas Bldg, Richmond, VA	Agenda Summary
07/01/19	1:00PM	Senate Committee Room A Pocahontas Bldg, Richmond, VA	Agenda MaterialsSummary
Materials CSB Funding Implementation of STEP- VA DBHDS Response to JLARC Studies School-Based Mental Health in Virginia
05/22/19	1:00PM	Pocahontas Bldg, Richmond, VA	Agenda MaterialsSummary
Materials Overview of SB1488 Workgroup Children’s Services: Current System and Opportunities Behavioral Health Redesign Update Family First Prevention Services Act and Implementation Updates Comments on Children’s Mental Health Services
04/02/19	3:00PM	Pocahontas Bldg, Richmond, VA	Agenda MaterialsSummary
Materials 2018 Activities Recommendations for the 2019 Session Potential Topics for 2019 JLARC Presentation - April 2019 Central State Hospital Proposal DBHDS Update - April 2019
12/04/18	4:00PM	Senate Committee Room A Pocahontas Bldg, Richmond, VA	Agenda Materials
Materials Medicaid Behavioral Health Redesign Update Recommendations for the 2019 Session Final Table of Recommendations
12/04/18	2:30PM	Work Group #2 Criminal Diversion Senate Committee Room A Pocahontas Bldg, Richmond, VA	Agenda Materials
Materials SJ47 Criminal Diversion Expert Panel Bill Draft 1131 Bill Draft 1135 Bill Draft 4249
12/04/18	12:00PM	Work Group #1 System Structure Senate Committee Room A Pocahontas Bldg, Richmond, VA	Agenda Materials
Materials Statewide TDO Task Force: Second Interim Report The TDO Patient Crisis in State Hospitals TDO Task Force Potential Recommendations The Case for a Psychiatric Emergency Center (PEC) Pilot Project NASMHPD Crisis System Report Region 3a Mobile Crisis Team Proposal Bill Draft 2676 Bill Draft 2672
11/05/18	2:30PM	Senate Committee Room A Pocahontas Bldg, Richmond, VA	Agenda Materials
Materials STEP-VA Implementation Update
11/05/18	12:30PM	Work Group #2 Criminal Diversion Senate Committee Room A Pocahontas Bldg, Richmond, VA	Agenda Materials
Materials Michael Gage Email VARJ Comments TDO Task Force TDO Patient Crisis DBHDS Briefing Need for 24/7 supervised level of care to build community capacity
11/05/18	10:00AM	Work Group #1 System Structure Senate Committee Room A Pocahontas Bldg, Richmond, VA	Agenda Materials
Materials Building Behavioral Health System Accountability Expert Advisory Panel on System Structure and Finance Expert Advisory Panel on System Structure and Finance - Regional Functions
10/01/18	2:00PM	Work Group #2 Criminal Diversion Merrifield Center, Room 3-314A 8221 Willow Oaks Corporate Drive, Fairfax, VA	Agenda Materials
Materials SJ47 Criminal Diversion Expert Panel Health Care Services in Virginia Jails - Final Report of 2 year Study Statewide Study on Jail Healthcare Delivery
10/01/18	12:30PM	Work Group #1 System Structure Merrifield Center, Room 3-314A 8221 Willow Oaks Corporate Drive, Fairfax, VA	Agenda
10/01/18	11:30AM	Merrifield Center, Room 3-314A 8221 Willow Oaks Corporate Drive, Fairfax, VA	Agenda
09/06/18	9:00AM	Senate Room 3 The Capitol, Richmond, VA	Agenda Summary
09/05/18	3:00PM	Work Group #2 Criminal Diversion Senate Subcommittee Rm 1, 5th Floor Pocahontas Bldg, Richmond, VA	Agenda MaterialsSummary
Materials Secure Diversionary Treatment Program for Offenders with Serious Mental Illness Albemarle/Charlottesville Therapeutic Docket Therapeutic Docket Operations Manual Albemarle/Charlottesville Therapeutic Docket Participant Handbook Participation Standard Agreement with Restitution Participation Standard Agreement Albemarle/Charlottesville Therapeutic Docket on One Page Therapeutic Docket Referral Form
09/05/18	1:00PM	Work Group #1 System Structure Senate Subcommittee Rm 1, 5th Floor Pocahontas Bldg, Richmond, VA	Agenda MaterialsSummary
Materials Children’s Community-Based Behavioral Health Services Behavioral Health Medicaid Transformation CSB Structure, Financing, and Governance CSB Taxonomy Region III Crisis Response & Child Psychiatry Grant Key Structural Variables Virginia Models of State and Local Cooperation in Service Delivery
08/07/18	1:00PM	Work Group #1 System Structure Southwestern VA Mental Health Institute	Agenda MaterialsSummary
Materials Other State Behavioral Health Systems Virginia Department of Health presentation Department of Social Services Delivery Model and Legal Authority
08/07/18	11:00AM	Southwestern VA Mental Health Institute 340 Bagley Circle Marion, VA	Agenda Materials
Materials Mental Health Standards for Virginia’s Local and Regional Jails
07/16/18	12:00PM	Work Group #1 System Structure Catawba Hospital 5525 Catawba Hospital Dr. Catawba, VA	Agenda MaterialsSummary
Materials Variations in Funding and Services Across CSBs Behavioral Health Delivery System Accountability and Oversight The Role of the Private Sector in Virginia’s Behavioral Health System CSB Funding by Source
07/16/18	11:30AM	Catawba Hospital 5525 Catawba Hospital Dr. Catawba, VA	Agenda Summary
06/05/18	TBD	Work Group #2 Criminal Diversion Central State Hospital 26317 W. Washington St. Petersburg, VA	Agenda MaterialsSummary
Materials 2018 Work Plan Mental Health Crisis Response & Emergency Services Expert Advisory Panel: 2018 Agenda SJ47 Criminal Justice Panel update for Deeds Commission June 5, 2018
06/05/18	1:00PM	Work Group #1 System Structure Central State Hospital 26317 W. Washington St. Petersburg, VA	Agenda MaterialsSummary
Materials DMAS' Role in the Public Mental Health System Behavioral Health Service Delivery System Overview
06/05/18	11:00AM	Central State Hospital 26317 W. Washington St. Petersburg, VA	Agenda MaterialsSummary
Materials Update on Budget Actions from the Special Session
05/07/18	1:00PM	Work Group #1 System Structure Eastern State Hospital 4601 Ironbound Road Williamsburg, VA	Agenda MaterialsSummary
Materials Background Enacted Recommendations 2014-2017 Interim Report 2017 Work Plan Presentation by Secretary of Health and Human Resources Daniel Carey, M.D.
05/07/18	10:00AM	Eastern State Hospital 4601 Ironbound Road Williamsburg, VA	Agenda MaterialsSummary
Materials Background and History Work Plan Questions
12/19/17	10:00AM	Pocahontas Building	Agenda MaterialsSummary
Materials Work Group 1 Recommendations Telemental Health Priority Recommendations for Expanding Access to Mental Health Services in Virginia Alternative Transportation Cost Walkthrough Cost Estimate fro Alternative Transportation for Region 3 Alternative Transportation of Children and Adults in Mental Health Crisis Evaluation Proposal: To Accompany the Alternative (Non-Law Enforcement) Transportation of Children and Adult in Mental Health Crisis Service and Amendment of the Alternative Transportation Order TDO Study Housing Expert Panel Recommendations Work Group 2 Recommendations Final Recommendations
11/28/17	12:00PM	Pocahontas Building	Agenda MaterialsSummary
Materials Advancing Mental Health Envisioning Mental Health Services in the 21st Century: Goals and Challenges Priority Recommendations of the Telemental Health Work Group on Policy Development Progress Report of SJ 47 Expert Advisory Panel on Crisis Response and Emergency Services Update on Financial Realignment of Virginia’s Public Behavioral Health System HB 1426 (Garrett)/SB 1221 (Barker) Alternative Transportation Workgroup Forensic Discharge Planning Study/Plan
11/28/17	10:00AM	Work Group #2 Criminal Justice Diversion Senate Committee Room E008 Pocahontas Building	Agenda Materials
Materials Recommendations for Criminal Justice Diversion in Rural Virginia Communities Virginia Sequential Intercept Overview Interim Report on Jails and Prisons Housing the Seriously Mentally Ill Update DBHDS Permanent Supportive Housing Update Permanent Supportive Housing
11/27/17	--:--AM	Work Group #1 System Structure	Materials
Materials Update on Financial Realignment of Virginia’s Public Behavioral Health System Envisioning Mental Health Services in the 21st Century: Goals and Challenges Next Steps for Expanding Access to Mental Health Services in Virginia: Priority Recommendations of the Telemental Health Work Group on Policy Development Progress Report of SJ 47 Expert Advisory Panel on Crisis Response and Emergency Services Envisioning Mental Health Services in the 21st Century - Short List of Recommendations
09/28/17	1:00PM	Senate Subcommittee Room Pocahontas Building	Agenda MaterialsSummary
Materials DBHDS Update on Behavioral Health System Reform Efforts Summary of 2017-18 Governance Study Summary of 2017-18 Governance Study - DBHDS Oversight Authority and Responsibility HB 1918 (2017) SB 1222 (2017) HB 1480 (2017) SB 1064 (2017)
06/20/17	1:00PM	Work Group #2 Criminal Justice Diversion House Room 3 The Capitol	Agenda Materials
Materials Same Day Access and System Reform Updates Virginia Board of Corrections - Implementation Update Mental Health Screening of Jail Inmates
06/12/17	11:00AM	Work Group #1 System Structure Senate Room 1 The Capitol	Agenda MaterialsSummary
Materials Expert Advisory Panel on System Structure and Financing Work Plan HB 1426 (Garrett)/SB 1221 (Barker) Alternative Transportation Workgroup Report to the June 12, 2017 Meeting of the System Structure and Finance Work Group of the SJ 47 Joint Subcommittee to Study Mental Health Services A Project Proposal: Developing a “Pilot” Psychiatric Emergency Center (PEC) from One (or more) of Our Region’s CIT Assessment Centers Variation in Mental Health Services and Funding across Community Services Boards in Virginia FY 2016 Preliminary Report Telemental Health in Emergency Settings: “Smart Practices” for Community Services Boards Learned from the Field Cost of Care Annotated Bibliography Payment Reform in the Patient-Centered Medical Home Advancing Mental Health in Virginia: Considerations for Policy Same Day Access and System Reform Updates
04/05/17	10:00AM	Senate Room B General Assembly Bldg	Agenda MaterialsSummary
Materials 2017 Legislative Update
12/06/16	10:00AM	Senate Room A General Assembly Bldg	Agenda MaterialsSummary
Materials Commitment Hearings; Data Sharing CSB Services Involuntary Mental Commitment Fund Telemental Health Study Preliminary Report on Services
12/06/16	9:00AM	Work Group #2 Criminal Justice Diversion 4th Floor East Conference Room General Assembly Bldg	Agenda Materials
Materials Jail Discharge Planning Board of Corrections Review Mental Health Screening of Prisoners
12/06/16	9:00AM	Work Group #1 System Structure 3rd Floor East Conference Room General Assembly Bldg	Agenda Materials
Materials Commitment Hearings; Data Sharing CSB Services Involuntary Mental Commitment Fund Telemental Health Study Preliminary Report on Services
10/26/16	1:00PM	Senate Room B General Assembly Bldg	Agenda MaterialsSummary
Materials Mental Health Reform at the Federal Level
10/26/16	10:00AM	Work Group #4 Housing 3rd Floor East Conference Room General Assembly Bldg	Agenda
10/26/16	10:00AM	Work Group #3 Crisis & Emergency Services House Room C General Assembly Bldg	Agenda Materials Summary
Materials Advisory Panel Final Report October 2016 Emergency Department Care Coordination Improvement Initiative Presentation Letter regarding Internet Prescribing and Telemedicine Final Recommendations Final Interim Report
10/26/16	10:00AM	Work Group #2 Criminal Justice Diversion 5th Floor East Conference Room General Assembly Bldg	Agenda MaterialsSummary
Materials Criminal Justice Diversion Advisory Panel Conference Call, September 15, 2016 Criminal Justice Diversion Advisory Panel Meeting, October 11, 2016 Mental Health Screening in Local and Regional Jails Statement Submitted by Ann White, William Thomas, and Cathy Hill
10/26/16	10:00AM	Work Group #1 System Structure 4th Floor East Conference Room General Assembly Bldg	Agenda MaterialsSummary
Materials Housing Expert Panel – Recommendations to the Housing Work Group Expanding Use of Telemental Health Services 37.2-818 Amendment Proposal on Managing State Hospital Utilization Interim Report on Core Services Preliminary Report on Services
09/30/16	10:00AM	Work Group #1 System Structure 3rd Floor East Conference Room General Assembly Bldg	Agenda MaterialsSummary
Materials Preliminary Report on Services DRAFT Proposal to Use Incentives to Manage State Hospital Utilization in Virginia State Hospital Census Management Information
08/22/16	1:00PM	Senate Room 3 Capitol Bldg	Agenda MaterialsSummary
Materials DBHDS Updates Center for Behavioral Health and Justice
08/22/16	10:00AM	Work Group #4 Housing Senate Room 1 Capitol Bldg	Agenda Materials
Materials Olmstead Discussion: National Picture and North Carolina Settlement Agreement with the U.S. Department of Justice
08/22/16	10:00AM	Work Group #3 Crisis & Emergency Services House Room 2 Capitol Bldg	Agenda MaterialsSummary
Materials UVA Telepsychiatry Overview power point and Telepsychiatry Overview word doc (presented in conjunction by Dr. Merkel and Dr. Clayton) Centra Documents (presented by Ted Stryker) Virginia Association of Health Plans power point slides (presented by Stephanie Lynch and Dr. Miskimmin)
08/22/16	10:00AM	Work Group #2 Criminal Justice Diversion House Room 1 Capitol Bldg	Agenda MaterialsSummary
Materials Virginia Mental Health Docket Matrix Therapeutic Docket June 27, 2016 Conference Call Summary July 25, 2016 Meeting of Advisory Panel Alexandria CORE
08/22/16	10:00AM	Work Group #1 System Structure Senate Room 2 Capitol Bldg	Agenda MaterialsSummary
Materials Service Descriptions CSB Data Collection Options Update on Panel Activities Fiscal Realities for Local Government Roanoke County Services for Behavioral Health Needs Testimony Improving Police Response to Mental Health Crisis in a Rural Area Selected Examples of Programs with a Behavioral Health Connection and Local Government Funding
06/23/16	2:30PM	Senate Room 3 Capitol Bldg	Agenda MaterialsSummary
Materials 4/19/16 Meeting Summary Therapeutic Docket
06/23/16	12:30PM	Work Group #4 Housing Senate Room 1 Capitol Bldg	Agenda Materials
Materials Purpose Permanent Supportive Housing Panel Topics Problem Statement and Target Population
06/23/16	12:30PM	Work Group #3 Crisis & Emergency Services Senate Room 2 Capitol Bldg	Agenda MaterialsSummary
Materials 5/3/16 Conference Call 5/17/16 Conference Call 6/8/16 Conference Call Advisory Panel Summary Advisory Panel Bios Virginia Sheriffs' Association presentation Southwest Virginia Alternative Transportation Pilot Story of an individual that was served by Alternative Transportation Alternative Transportation Brochure
06/23/16	12:30PM	Work Group #2 Criminal Justice Diversion House Room 2 Capitol Bldg	Agenda MaterialsSummary
Materials 5/6/16 Conference Call 5/31/16 Criminal Justice meeting Questions of Interest Jack Green letter Recommendations from the Justice Involved Transformation Team Role of Mental Illness in Fatal Law Enforcement Encounters - Treatment Advocacy Center
06/23/16	12:30PM	Work Group #1 System Structure Senate Room 3 Capitol Bldg	Agenda MaterialsSummary
Materials Initial Report on Structural Models Problem Statement and Work Plan Governance Structure-Finance Diagram Community Service Boards Performance Contracting Performance Contract Mental Health Spending in Virginia
05/17/16	10AM	Work Group #1 System Structure 3rd Floor East Conference Rm General Assembly Bldg	Agenda MaterialsSummary
Materials Progress Report Draft Work Plan
04/19/16	1PM	Senate Room B General Assembly Bldg	Agenda MaterialsSummary
Materials Proposal for The Way Forward: Virginia Certified Behavioral Health Clinics Investigation of Critical Incident at Hampton Roads Regional Jail Work Groups Panel Bios
11/13/15	10AM	James J. McCoart Administration Bldg 1 County Complex Court Woodbridge, VA	Agenda MaterialsSummary
Materials The Challenge to Provide For Incarcerated Virginians with Behavioral Health Issues Magistrate Involvement in the Mental Health Process
11/13/15	8AM	Work Group #3 - Special Populations James J. McCoart Administration Bldg 1 County Complex Court Woodbridge, VA	Agenda Materials
Materials Mandatory Outpatient Treatment (MOT) for Juveniles
11/13/15	8AM	Work Group #2 - Continuum of Care James J. McCoart Administration Bldg 1 County Complex Court Woodbridge, VA	Agenda Materials
Materials STEP VA: System Transformation, Excellence and Performance in Virginia
11/13/15	8AM	Work Group #1 - Crisis Intervention James J. McCoart Administration Bldg 1 County Complex Court Woodbridge, VA	Agenda Materials
Materials SR 47 Notice of Hearing SR 47 Family Recommendations SR 47 Contrary Recommendations SR 47 Medical Records SR 47 Sheriffs
09/24/15	1PM	Sufflok City Hall 442 W. Washington St. Suffolk, VA	Agenda MaterialsSummary
Materials DBHDS Updates and STEP VA NAMI Presentation Recent Budget Actions Affecting Behavioral Health Services
09/24/15	9AM	Work Group #3 - Special Populations Sufflok City Hall Suffolk, VA	Agenda Materials
Materials Juvenile Civil Commitments and the Psychiatric Treatment of Minors Act
09/24/15	9AM	Work Group #2 - Continuum of Care Sufflok City Hall Suffolk, VA	Agenda Materials
Materials Brian Stettin on Assisted Outpatient Treatment Mandatory Outpatient Treatment Law
09/24/15	9AM	Work Group #1 - Crisis Intervention Sufflok City Hall Suffolk, VA	Agenda Materials
Materials Alameda Model-Emergency Psychiatric Services Models Alameda Model-Key Points that Differentiate Unity Alameda Model-Unity Joint Operating Agreement Developments in Mental Health, April 2015 SR 47 #1 notice of hearing SR 47 #2 family recommendations SR 47 #3 contrary recommendations SR 47 #4 medical records SR 47 #5 sheriffs
07/01/15	1:30PM	Valley Community Services Board 85 Sangers Lane Staunton, VA	Agenda MaterialsSummary
Materials Valley Community Services Board
07/01/15	10AM	Work Group #1 - Crisis Intervention Augusta Health Care Building Fishersville, VA	Agenda
07/01/15	10AM	Work Group #2 - Continuum of Care Augusta Health Care Building Fishersville, VA	Agenda Materials
Materials National Alliance on Mental Illness
07/01/15	10AM	Work Group #3 - Special Populations Augusta Health Care Building Fishersville, VA	Agenda Materials
Materials Behavioral Health Needs of Court Involved Youth in Virginia: Profiles, Barriers, and Opportunities Systems of Care Reform: Implementing High Fidelity Wraparound Youth Mobile Crisis Intervention
06/30/15	10AM	Augusta County Government Center 18 Government Center Lane Verona, VA	Agenda MaterialsSummary
Materials The Alameda Model: Using a Psychiatric Emergency Services Unit to Treat People in Mental Health Crisis Civil Commitment Legislative History Comments on History of Civil Commitment in Virginia - Richard J. Bonnie Trends in Commitment Orders
04/16/15	2PM	Senate Room A General Assembly Bldg	Agenda Summary
02/24/15	8AM	Senate Room A General Assembly Bldg	Agenda Summary
12/16/14	11AM	Senate Room A General Assembly Bldg	Agenda MaterialsSummary
Materials Recommendations
10/28/14	10AM	3rd Floor East Conference Room General Assembly Bldg	Agenda Materials
Materials Commission on Youth Now is the Time Grant Fact Sheet Now is the Time Project AWARE Grant Children's Mental Health: Challenges and Opportunities Comments from Bill Hunter
10/23/14	10AM	3rd Floor East Conference Room General Assembly Bldg	Agenda Materials
Materials James M. Martinez - Department of Behavioral Health and Developmental Services Jon Morris - Family Preservation Services, Inc.
09/09/14	10AM	Senate Room A General Assembly Bldg	Agenda MaterialsSummary
Materials Overview: Governor’s Taskforce on Improving Mental Health Services and Crisis Response Virginia’s State Mental Health System: National Comparisons & Trends in State Mental Health Systems Brief Review of Common Mental Illnesses and Treatment Department of Behavioral Health & Developmental Services and National Association of State & Mental Health Program Directors Research Institute presentations
07/21/14	2PM	Senate Room B General Assembly Bldg	Agenda MaterialsSummary
Materials Overview of Virginia’s Publicly-Funded Mental Health System: Structure, Funding & Recent Changes Virginia's Civil Commitment Laws Elements of an Ideal Statutory Scheme for Mental Health Civil Commitment - 2014 Psychiatric Annals Mental Health Commitment Laws - A Survey of the States Civil Commitment Laws: A Survey of the States

Division of Legislative Services

Mental Health Services

Joint Subcommittee to Study Mental Health Services in the Commonwealth in the 21st Century

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