RICHMOND, Va. -- VCU Health’s costly exit from an ill-fated downtown development project has prompted calls for organizational and procedural change from Gov. Glenn Youngkin. In a letter dated Sept. 19 to House Speaker Todd Gilbert and Senate Rules Committee Chairwoman Mamie Locke, Youngkin urges the Virginia General Assembly to make changes to the VCU Health System Authority’s governance structure, including the replacement of VCU President Michael Rao as chairman of the authority’s Board of Directors.