Department of Health [601]
Secretarial Area: Health and Human Resources
Operating Budget Summary
This table shows the Governor's proposed budget for the next two years and the agency's official budget for the previous six years.
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Biennium Fiscal Year Source GF NGF Total
2010-2012 2011 Chapter 2, 2012 Acts of Assembly $153,525,069 $417,086,680 $570,611,749
2010-2012 2012 Chapter 2, 2012 Acts of Assembly $154,030,571 $420,617,827 $574,648,398
2012-2014 2013 Chapter 1, 2014 Acts of Assembly $156,842,622 $464,592,306 $621,434,928
2012-2014 2014 Chapter 1, 2014 Acts of Assembly $154,009,573 $473,034,055 $627,043,628
2014-2016 2015 Chapter 732, 2016 Acts of Assembly $160,729,959 $480,503,381 $641,233,340
2014-2016 2016 Chapter 732, 2016 Acts of Assembly $165,510,117 $480,602,566 $646,112,683
2016-2018 2017 Chapter 836, 2017 Acts of Assembly $168,807,615 $529,096,894 $697,904,509
2016-2018 2017 Previous Legislative Appropriation $170,050,763 $529,096,894 $699,147,657
2016-2018 2017 Governor's Amendments ($1,093,148) $0 ($1,093,148)
2016-2018 2017 General Assembly Adjustments ($150,000) $0 ($150,000)
2016-2018 2018 Chapter 836, 2017 Acts of Assembly $170,525,146 $532,728,591 $703,253,737
2016-2018 2018 Previous Legislative Appropriation $169,852,346 $529,147,839 $699,000,185
2016-2018 2018 Governor's Amendments ($4,131,023) ($47,004,499) ($51,135,522)
2016-2018 2018 General Assembly Adjustments $4,803,823 $50,585,251 $55,389,074
Positions Budget Summary
Biennium Fiscal Year Source GF NGF Total
2010-2012 2011 Chapter 2, 2012 Acts of Assembly 1,554.22 2,058.78 3,613.00
2010-2012 2012 Chapter 2, 2012 Acts of Assembly 1,555.22 2,219.78 3,775.00
2012-2014 2013 Chapter 1, 2014 Acts of Assembly 1,544.00 2,215.00 3,759.00
2012-2014 2014 Chapter 1, 2014 Acts of Assembly 1,544.00 2,215.00 3,759.00
2014-2016 2015 Chapter 732, 2016 Acts of Assembly 1,485.00 2,191.00 3,676.00
2014-2016 2016 Chapter 732, 2016 Acts of Assembly 1,488.00 2,192.00 3,680.00
2016-2018 2017 Chapter 836, 2017 Acts of Assembly 1,490.00 2,192.00 3,682.00
2016-2018 2017 Previous Legislative Appropriation 1,490.00 2,192.00 3,682.00
2016-2018 2017 Governor's Amendments 0.00 0.00 0.00
2016-2018 2017 General Assembly Adjustments 0.00 0.00 0.00
2016-2018 2018 Chapter 836, 2017 Acts of Assembly 1,490.00 2,193.00 3,683.00
2016-2018 2018 Previous Legislative Appropriation 1,490.00 2,192.00 3,682.00
2016-2018 2018 Governor's Amendments 0.00 1.00 1.00
2016-2018 2018 General Assembly Adjustments 0.00 0.00 0.00
Operating Budget Addenda (in order of greatest impact)
•
Transfer responsibility for federal food programs to Department of Education Decision Package
  Transfers both federal food programs to the Department of Education (DOE). This amendment would also continue to fund the partially funded positions that would remain at the Department of Health (VDH) after the programs are transferred to DOE in their entirety.
 
  FY FY
General Fund $0 $130,455
Nongeneral Fund $0 ($57,744,831)
•
Increase restaurant inspection fee Decision Package
  Increases restaurant inspection fees to cover approximately one-third of the program costs and generate approximately $5.4 million for the agency and the locally administered health districts. Of that amount, $3.1 million GF represents the state share and $2.2 million represents the amount credited to the localities' share of the cooperative budget. The two locally administered health districts would generate an additional $1.1 million; since they collect their own revenue there is no balancing entry required as part of the cooperative budget.
 
  FY FY
General Fund $0 ($4,291,077)
Nongeneral Fund $0 $3,176,817
•
Increase education and expand access to women’s reproductive health Decision Package
  Increases federal support for education and expanded access to women's reproductive health. The goal of this intervention is to remove barriers such as the financial and limited availability of Long Acting Reversible Contraception in order to increase access to and utilization of highly effective methods of contraception using Temporary Assistance for Needy Families funding.
 
  FY FY
Nongeneral Fund $0 $6,000,000
Positions 0.00 1.00
•
Require meningococcal vaccine prior to entering the sixth grade Decision Package
  Adds a requirement for one dose of meningococcal conjugate (MCV4) vaccine prior to entering the 6th grade. MCV4 vaccine was added to the Advisory Committee on Immunization Practices' Recommended Childhood and Adolescent Immunization Schedule in 2006.
 
  FY FY
General Fund $0 $482,505
Nongeneral Fund $0 $1,447,515
•
Reflect October 2016 Savings in agency budgets Decision Package
  Reflects the savings included in the Governor's October 2016 Savings Plan.
 
  FY FY
General Fund ($1,093,148) $0
•
Assume responsibility for sexually transmitted disease testing Decision Package
  Transfers responsibility for sexually transmitted disease testing from the Division of Consolidated Laboratory Services (DCLS) to the Department of Health (VDH). Testing is currently provided by DCLS for VDH's testing program. New grant requirements make it fiscally advantageous to the Commonwealth for VDH to contract for these services with the private sector.
 
  FY FY
General Fund $0 $594,883
•
Establish fee for shellfish facility inspections Decision Package
  Establishes a fee for shellfish facility inspections to defray five percent of inspection service costs. The proposed fee for each type of facility is based on the minimum number of times per year that they are required to conduct inspections.
 
  FY FY
General Fund $0 ($116,000)
Nongeneral Fund $0 $116,000
•
Revert savings from consolidation of administration and management functions Decision Package
  Consolidates the management and administration functions of the agency's Environmental Health Hazards Control and Drinking Water Improvement programs. This strategy would remove funding for a vacant director position and would share a business manager. Both programs will still provide the same level of services after consolidation.
 
  FY FY
General Fund $0 ($217,539)
•
Consolidate and de-commission agency server hardware Decision Package
  Consolidates current servers and storage from standalone servers with direct access storage devices to a storage area network (SAN). SAN's are more efficient and effective technologies that can be upgraded more easily than direct access storage devices.
 
  FY FY
General Fund $0 ($200,000)
•
Modify Environmental Health's soil scientist services contract Decision Package
  Modifies an existing memorandum of understanding between the agency and Virginia Tech for the use of soil scientists to perform evaluations. The agency will shift to performing evaluations on a needs basis rather than the current practice of contracting for services from a certain number of soil scientists.
 
  FY FY
General Fund $0 ($200,000)
•
Eliminate general fund appropriation for the Virginia Student Loan Repayment Program Decision Package
  Eliminates the general fund appropriation for the Virginia Student Loan Repayment Program. The program does not have the proper funding level to provide services compared to the scope of need.
 
  FY FY
General Fund $0 ($150,000)
•
Capture administrative reorganization savings Decision Package
  Captures savings associated with a reorganization of administrative functions as a result of agency positions being vacant for a long period of time.
 
  FY FY
General Fund $0 ($96,000)
•
Reduce the pass-through appropriation to Hampton Roads Proton Beam Institute Decision Package
  Reduces the pass-through appropriation to Hampton Roads Proton Beam Institute by 7.5 percent in FY 18. This reduction was identified after careful consideration of each pass-through and their public health impact.
 
  FY FY
General Fund $0 ($38,250)
•
Eliminate unspent match for federal grant Decision Package
  Captures savings from a general fund match requirement for a federal grant. Due to the grant's limited focus, the agency has historically had trouble finding interested sub-grantees.
 
  FY FY
General Fund $0 ($30,000)
•
Modify language pertaining to the sale of birth, marriage, and divorce records in the health districts Decision Package
  Improves the accessibility of the vital records, (birth, marriage, divorces) to citizens of the Commonwealth by providing them at the local health districts. Currently the districts only provide death records to the public. This amendment would also direct a 35 percent distribution of new vital record revenues collected in the local health districts to the central Division of Vital Records to maintain operations.
•
Rename Fan Free Clinic to the Health Brigade Decision Package
  Updates the name of the Fan Free Clinic to the Health Brigade.
•
Revert nongeneral fund cash Decision Package
  Transfers nongeneral fund cash balances from various funds. The agency has identified eight funds from which the transfers will occur.
•
Strike Paragraph Related to the VA Student Loan Repayment Program Decision Package
  Removes language directing the agency to contract with the Virginia Health Care Foundation to support the Virginia Loan Repayment Program. The language was added to the incorrect item in the budget. Also, funding for the program has been eliminated and without this amendment the agency would be directed to spend general fund dollars in the incorrect program area.
•
Transfer appropriation to the correct program Decision Package
  Realigns nongeneral fund resources from Health Research, Planning and Coordination to Administrative and Support Services, to account for where spending will occur. The transfer will align the appropriation to the correct program and is a net-sum zero transfer.
•
Update language addressing consolidation of CHIP of VA Decision Package
  Updates language to allow CHIP of VA or its successor to continue receiving general fund dollars as appropriated in the appropriation act.
•
Restore Funding for Federal Food Programs General Assembly Adjustment
  This amendment restores funding for federal food programs that was transferred to the Department of Education in the introduced budget. Funding that was added in the introduced budget to backfill the loss of administrative funding in the Department of Health is removed since there will be no change to the existing program.
 
  FY FY
General Fund $0 ($130,455)
Nongeneral Fund $0 $57,744,831
•
Eliminate Increase in Restaurant Inspection Fee General Assembly Adjustment
  This amendment adds $4.3 million from the general fund and reduces $3.2 million from nongeneral funds from a proposed increase in the restaurant inspection fee contained in the introduced budget. Language is modified to return the fee to $40 from the proposed fee of $285. Language directs the Department of Health to examine the adequacy of cost recovery from larger establishments and report to the Chairmen of the House Appropriations and Senate Finance Committees by December 15, 2017.
 
  FY FY
General Fund $0 $4,291,077
Nongeneral Fund $0 ($3,176,817)
•
Eliminate Use of TANF for Long Acting Reversible Contraceptives General Assembly Adjustment
  This amendment eliminates $6.0 million the second year from the federal Temporary Assistance to Needy Families block grant for developing a pilot program increasing education about reproductive choices and expanding access to long acting reversible contraception that was included in the introduced budget.
 
  FY FY
Nongeneral Fund $0 ($6,000,000)
•
Support Emergency Department Care Coordination System General Assembly Adjustment
  This amendment adds $370,000 from the general fund and $3.3 million from nongeneral funds the second year to develop and implement a single, statewide technology solution that connects all the emergency departments in the Commonwealth to enable real time communication and collaboration between physicians, providers and other clinical or care management personnel for patients receiving services in hospital emergency departments for the purpose of improving the quality of patient care services, and lowering costs. The general fund for implementing this program would be matched with $3.3 million in federal Health Information Technology for Economic and Clinical Health (HITECH) Act funds for a total budget in fiscal year 2018 of $3.7 million. Implementation of this program is contingent upon the receipt of federal HITECH Act funds.
 
  FY FY
General Fund $0 $370,000
Nongeneral Fund $0 $3,330,000
•
Eliminate New Funding for Meningococcal Vaccine Legislation General Assembly Adjustment
  This amendment eliminates $482,505 from the general fund and $1.3 million from nongeneral funds in fiscal year 2018 contained in the introduced budget to require the meningococcal vaccine for children entering the sixth grade. Proposed legislation requiring the vaccine was not approved, so the appropriation is unnecessary.
 
  FY FY
General Fund $0 ($482,505)
Nongeneral Fund $0 ($1,319,458)
•
Support Local Health Department Rent and Renovations General Assembly Adjustment
  This amendment provides funding to support the rent and renovation costs for two local health departments.
 
  FY FY
General Fund $0 $303,236
Nongeneral Fund $0 $167,772
•
Recover Administrative Savings General Assembly Adjustment
  This amendment reduces $150,000 each year from the general fund to capture administrative savings in the Virginia Department of Health. Language is provided allowing the Virginia Department of Health to spread the reduction for administrative savings across programs within the agency's budget.
 
  FY FY
General Fund ($150,000) ($150,000)
•
Restore Funds for Physician Loan Repayment Program General Assembly Adjustment
  This amendment adds $300,000 from the general fund the second year to restore funding for the Virginia State Loan Repayment Program that was eliminated in the Governor's FY 2017 Savings Plan and House Bill 1500, as introduced. Funding for the program is matched by the federal government to provide student loan repayment on behalf of qualified medical, dental, behavioral health and pharmaceutical (pharmacists) professionals who practice at an eligible site in one of the federally designated Health Professional Shortage Areas in Virginia. There are currently 16 individuals on the waiting list for this program.
 
  FY FY
General Fund $0 $300,000
•
Eliminate Licensing Fee for Shellfish Facilities General Assembly Adjustment
  This amendment adds $116,000 from the general fund and eliminates $116,000 in nongeneral funds from a new fee for shellfish facility inspections proposed in the introduced budget. Language authorizing the Department of Health to implement the fee is eliminated.
 
  FY FY
General Fund $0 $116,000
Nongeneral Fund $0 ($116,000)
•
Support Perinatal Quality Collaborative General Assembly Adjustment
  This amendment provides $124,470 from the general fund and $82,980 from nongeneral funds the second year for the Virginia Department of Health to establish and administer a Perinatal Quality Collaborative. The Perinatal Quality Collaborative shall work to improve pregnancy outcomes for women and newborns by advancing evidence-based clinical practices and processes through continuous quality improvement.
 
  FY FY
General Fund $0 $124,470
Nongeneral Fund $0 $82,980
•
Eliminate New Funding for Meningococcal Vaccine Legislation - Local General Assembly Adjustment
  This amendment eliminates $128,057 from nongeneral funds in fiscal year 2018 contained in the introduced budget to require the meningococcal vaccine for children entering the sixth grade. Proposed legislation requiring the vaccine was not approved.
 
  FY FY
Nongeneral Fund $0 ($128,057)
•
Add Neonatal Abstinence Syndrome as Reportable Disease General Assembly Adjustment
  This amendment adds $52,000 from the general fund the second year for the fiscal impact of House Bill 1467 and Senate Bill 1323 (2017 Session) which add Neonatal Abstinence Syndrome to the list of diseases that are required to be reported by the Board of Health.
 
  FY FY
General Fund $0 $52,000
•
Support Special Olympics Healthy Athlete Program General Assembly Adjustment
  This amendment adds $10,000 from the general fund the second year for the Special Olympics Healthy Athlete exam and treatment program. The program provides health exams to its athletes and other individuals with intellectual disability and links individuals to health care services. The program also trains health care professionals and students to treat individuals with intellectual disability. Funding will allow the program to serve more disabled individuals at the Special Olympics games, including athletes and other individuals with intellectual disability residing in the community who have unmet health care needs.
 
  FY FY
General Fund $0 $10,000
•
Authorize transfer of nutrition program General Assembly Adjustment
  This amendment adds language that authorizes the Director, Department of Planning and Budget, to move the associated appropriation and authorized positions supporting the federal Summer Food Service Program (SFSP) and the federal At-Risk Afterschool Meals Program (AR) from the Virginia Department of Health (VDH) to the Department of Education (DOE). Transferring the SFSP and AR to DOE is intended to increase program capacity, efficiency, and save state resources by housing similar nutrition programs together.
•
Eliminate RSAF Set-Aside for 12-Lead EKG Monitors General Assembly Adjustment
  This amendment eliminates language in the budget requiring that $400,000 in nongeneral funds from the Rescue Squad Assistance Fund (RSAF) be set aside for the purchase of 12-lead EKG monitors. The RSAF currently approves grants in excess of $1.0 million for the purchase of these monitors. The RSAF will continue to approve grants for the 12-lead monitors as they are presented but stakeholders feel that budgetary language requiring this use of the fund is no longer necessary. This amount of funding will remain in the RSAF but not be designated expressly for the 12-lead program.
•
Implement Electronic Death Registration System Requirements General Assembly Adjustment
  This amendment requires the state teaching hospitals to work with the Department of Health and Division of Vital Records to fully implement use of the Electronic Death Registration System (EDRS) for all deaths occurring within any Virginia state teaching hospital's facilities. Full implementation shall occur and be reported, by the Division of Vital Records, to the Chairmen of the House Appropriations and Senate Finance Committees by April 15, 2018, in alignment with Vital Records plans to promulgate and market the EDRS.
•
Update Southwest Virginia Graduate Medical Education Consortium language General Assembly Adjustment
  This amendment eliminates language in the Appropriation Act that states the Southwest Virginia Graduate Medical Education Consortium (GMEC) is a program of the University of Virginia (UVA) at Wise. GMEC is becoming an independent entity and is terminating its formal relationship with UVA at Wise.


p3_bullets - Official Enacted Budget - 11-01-2025 01:23:45