In 1989, the Code of Virginia (§ 51.5-9.l) designated the Department for Aging and Rehabilitative Services (DARS) "as the lead state agency for coordinating rehabilitative services to persons with functional and central nervous system disabilities [to include] ... traumatic brain injury ... " The Code further states that DARS shall provide for the assessment of the need for rehabilitative and support services for such persons, identify gaps in services, promote interagency coordination, develop models for case management, and advise the Secretary of Health and Human Resources, the Governor, and the General Assembly on programmatic, fiscal , and service delivery policies.

In 1989, the General Assembly made the first appropriation of $235,000 in dedicated funding for brain injury services to Fairfax County. In 2004, when the General Assembly appropriated new funds for brain injury services (BIS) for State Fiscal Year (SFY) 2005-06 (Item 327.4 of the Appropriations Act), it directed DARS to

" ... submit an annual report to the Chairmen of the Senate Finance and House Appropriations Committees documenting the number of individuals served, types of services provided, and success in attracting non-state resources. "

This document constitutes DARS' 2019 Annual Report of Virginia's State-Funded Brain Injury Services Programs.