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 780, 2016 Appropriation Act $170,050,763 $529,096,894 $699,147,657
2016-2018 2017 Base Budget $165,510,117 $480,602,566 $646,112,683
2016-2018 2017 Governor's Amendments $4,782,302 $50,494,328 $55,276,630
2016-2018 2017 General Assembly Adjustments ($241,656) ($2,000,000) ($2,241,656)
2016-2018 2018 Chapter 780, 2016 Appropriation Act $169,852,346 $529,147,839 $699,000,185
2016-2018 2018 Base Budget $165,510,117 $480,602,566 $646,112,683
2016-2018 2018 Governor's Amendments $4,524,885 $53,545,273 $58,070,158
2016-2018 2018 General Assembly Adjustments ($182,656) ($5,000,000) ($5,182,656)
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 780, 2016 Appropriation Act 1,490.00 2,192.00 3,682.00
2016-2018 2017 Base Budget 1,488.00 2,191.00 3,679.00
2016-2018 2017 Governor's Amendments 2.00 1.00 3.00
2016-2018 2017 General Assembly Adjustments 0.00 0.00 0.00
2016-2018 2018 Chapter 780, 2016 Appropriation Act 1,490.00 2,192.00 3,682.00
2016-2018 2018 Base Budget 1,488.00 2,191.00 3,679.00
2016-2018 2018 Governor's Amendments 2.00 1.00 3.00
2016-2018 2018 General Assembly Adjustments 0.00 0.00 0.00
Operating Budget Addenda (in order of greatest impact)
•
Adjust appropriation for centrally funded retirement rate changes Base Budget Adjustment
  Adjusts appropriation for changes in state employee retirement rates to 80 percent of the Virginia Retirement System Board certified rates budgeted in Central Appropriations, Item 467.H. of Chapter 665, 2015 Acts of Assembly. A companion adjustment provides funding to increase state employee retirement rates to 90 percent of the Virginia Retirement System Board certified rate.
 
  FY FY
General Fund $2,176,002 $2,176,002
Nongeneral Fund $3,774,779 $3,774,779
•
Distribute savings to agency budgets Base Budget Adjustment
  Moves savings budgeted centrally in Paragraph A, Item 471.10, Chapter 665, 2015 Acts of Assembly from Central Appropriations to the individual budgets of state agencies.
 
  FY FY
General Fund ($5,415,293) ($5,415,293)
•
Adjust appropriation for the centrally funded two percent salary increase for state employees Base Budget Adjustment
  Adjusts appropriation for the two percent salary increase for state employees budgeted in Central Appropriations, Item 467.P. of Chapter 665, 2015 Acts of Assembly.
 
  FY FY
General Fund $1,473,329 $1,473,329
Nongeneral Fund $2,516,150 $2,516,150
•
Adjust appropriation to accelerate the employer retirement contribution phase in schedule Base Budget Adjustment
  Adjusts appropriation for changes in employee retirement rates to 90 percent of the Virginia Retirement System Board certified rate budgeted in Central Appropriations, Item 467.U. of Chapter 665, 2015 Acts of Assembly.
 
  FY FY
General Fund $1,174,668 $1,174,668
Nongeneral Fund $1,975,322 $1,975,322
•
Adjust appropriation for the centrally funded compression pay adjustment for state employees Base Budget Adjustment
  Adjusts appropriation for the compression pay adjustment for state employees budgeted in Central Appropriations, Item 467.Q. of Chapter 665, 2015 Acts of Assembly.
 
  FY FY
General Fund $1,088,182 $1,088,182
Nongeneral Fund $1,858,398 $1,858,398
•
Adjust appropriation for centrally funded health insurance costs Base Budget Adjustment
  Adjusts appropriation for the employer’s share of health insurance premiums budgeted in Central Appropriations, Item 467.G. of Chapter 665, 2015 Acts of Assembly.
 
  FY FY
General Fund $908,114 $908,114
Nongeneral Fund $1,617,862 $1,617,862
•
Adjust appropriation for the centrally funded two percent salary increase for state employees in high turnover roles Base Budget Adjustment
  Adjusts appropriation for the two percent salary increase for state employees in high turnover roles budgeted in Central Appropriations, Item 467.T. of Chapter 665, 2015 Acts of Assembly.
 
  FY FY
General Fund $348,439 $348,439
Nongeneral Fund $604,538 $604,538
•
Adjust appropriation for changes in information technology costs Base Budget Adjustment
  Adjusts appropriation for the changes in information technology costs budgeted in Central Appropriations, Items 468.M. and 470.B. of Chapter 665, 2015 Acts of Assembly.
 
  FY FY
General Fund $281,095 $281,095
Nongeneral Fund $559,034 $559,034
•
Adjust appropriation for centrally funded state employee other post employment benefit rate changes Base Budget Adjustment
  Adjusts appropriation for changes in state employee other post employment benefit rates budgeted in Central Appropriations, Item 467.K.3. of Chapter 665, 2015 Acts of Assembly.
 
  FY FY
General Fund $85,335 $85,335
Nongeneral Fund $148,032 $148,032
•
Adjust appropriation for the centrally funded two percent salary increase for state supported local employees Base Budget Adjustment
  Adjusts appropriation for the two percent salary increase for state supported local employees budgeted in Central Appropriations, Item 467.R. of Chapter 665, 2015 Acts of Assembly.
 
  FY FY
General Fund $206,391 $206,391
•
Adjust appropriation for the centrally funded increase in internal service fund costs due to salary adjustments Base Budget Adjustment
  Adjusts appropriation to agencies to offset increases in internal service fund costs due to the salary and benefit adjustments in Chapter 665, 2015 Acts of Assembly.
 
  FY FY
General Fund $32,245 $32,245
Nongeneral Fund $55,937 $55,937
•
Adjust appropriation for a salary increase for security officer roles Base Budget Adjustment
  Adjusts appropriation for a $1,000 salary increase for employees in Security Officer I and III roles.
 
  FY FY
General Fund $957 $957
Nongeneral Fund $1,634 $1,634
•
Increase appropriation for HIV/AIDS treatment services Decision Package
  Increases nongeneral fund appropriation for HIV/AIDS treatment services to support the program's increase in services provided, to account for an increase in grant funding received, and to increase budget transparency. The program has secured this funding for the past four years from federal Ryan White Treatment Extension Act Part B grant funding, which is distributed by a formula based on living HIV and AIDS cases to all states. VDH does not expect a reduction in Ryan White grant funds based on the formula and needs base.
 
  FY FY
Nongeneral Fund $22,900,000 $22,900,000
•
Adjust nongeneral fund to align with agency operations Decision Package
  Adjusts the nongeneral appropriation in multiple service areas within the agency to account for anticipated nongeneral fund expenditures and to increase budget transparency. These adjustments were made in 2015 administratively.
 
  FY FY
Nongeneral Fund $8,712,786 $8,712,786
•
Increase education and expand access for women’s reproductive health Decision Package
  Increases federal support for the education and expanded access for women's reproductive health. The goal of this intervention is to remove barriers such as financial and limited availability of Long Acting Reversible Contraception (LARC) in order to increase access to and utilization of highly effective methods of contraception using TANF funding.
 
  FY FY
Nongeneral Fund $3,000,000 $6,000,000
Positions 1.00 1.00
•
Increase federal appropriation for regulation of health care facilities Decision Package
  Adjusts nongeneral fund support for the program to reflect changes in salary expenditures. This adjustment will reflect the actual amount spent on salaries in the budget and will further increase transparency.
 
  FY FY
Nongeneral Fund $1,336,007 $1,336,007
•
Adjust appropriation for the costs of the new Cardinal financial system Decision Package
  Reflects the agency's share of the costs of the new Cardinal accounting system. The Department of Accounts allocates the yearly cost of the system to agencies based upon the number of transactions the agency completed in the previous fiscal year.
 
  FY FY
General Fund $267,654 $278,962
Nongeneral Fund $763,042 $795,876
•
Eliminate Automation Fund Transfer Language Decision Package
  Removes language that transfers $518,421 from the automation fund to the Office of Epidemiology. The transfer was executed over the last ten years as a cost saving effort; however, the automation fund can no longer sustain this transfer and maintain arequired fund operations. This adjustment also provides general fund to the Office of Epidemiology to support the purchase of childhood vaccines such as tetanus, diphtheria, acellular pertussis (Tdap) vaccine and hepatitis B vaccines.
 
  FY FY
General Fund $518,421 $518,421
Nongeneral Fund ($518,421) ($518,421)
•
Increase support for the Comprehensive Health Investment Project (CHIP) of Virginia Decision Package
  Increases nongeneral fund support for the Comprehensive Health Investment Project (CHIP) of Virginia. The purpose of the program is to develop, expand, and operate a network of local public-private partnerships providing comprehensive care coordination, family support, and preventative medical and dental services to low-income, at-risk children.
 
  FY FY
Nongeneral Fund $1,000,000 $1,000,000
•
Increase support for the State Office of Rural Health grant funds Decision Package
  Adjusts general fund support for the program to reflect changes in grant funding. The adjustment increases agency appropriation by $300,000 general fund to meet match requirements for the grant. The appropriation level has not increased in 15 years while the match requirement has more than tripled. Funds are used to deliver programming, technical assistance, and resources to all areas of rural Virginia.
 
  FY FY
General Fund $300,000 $300,000
•
Fund Local Health Department Rent Increases Decision Package
  Supports the local health districts that are expecting significant rent increases in 2017 and 2018 due to moving to new facilities or rent increases in existing facilities. The local health districts do not control the process for determining when and where their facilities will be located, and therefore cannot control costs.
 
  FY FY
General Fund $178,629 $178,629
Nongeneral Fund $120,552 $120,552
•
Provide additional staff resources (Onsite Sewage and Water Programs) Decision Package
  Increases general fund support for environmental health programs and provides three positions. This will help address a backlog of requests for onsite sewage and water supply services and address other programmatic inconsistencies. Current program staff have diverted resources to and address these problems, which in turn has created a delay in other services.
 
  FY FY
General Fund $253,860 $253,860
•
Support Youth Suicide Prevention Decision Package
  Supports the Youth Suicide Prevention Program by providing appropriation to continue contracting with the Campus Suicide Prevention Center of Virginia to provide all public and private institutions of higher learning throughout Virginia with training, consultation and prevention resources
 
  FY FY
General Fund $220,983 $205,983
•
Provide two auditor positions to support the Certificate of Public Need program Decision Package
  Provides two auditor positions to support the timely review and update of the State Medical Facilities Plan, to streamline the process for submission and review of COPN applications through greater use of expedited review through reducing the standard review process to not more than 120 days, strengthen the monitoring of compliance with COPN conditions, and increase transparency of the COPN program by making extensive information available on-line.
 
  FY FY
General Fund $191,656 $182,656
Positions 2.00 2.00
•
Adjust appropriation to support workers' compensation premiums Decision Package
  Supports the agency's workers' compensation premiums based on the allocation of program costs provided by the Department of Human Resource Management. The allocation is based on the historical experience of the agency and reflects the current policy of providing agencies with 50 percent of any increased costs and allowing agencies to retain 50 percent of any reduced costs.
 
  FY FY
General Fund $36,635 $41,910
Nongeneral Fund $68,676 $86,787
•
Increase support for Pediatric Comprehensive Sickle Cell Disease Services Decision Package
  Adjusts general fund support for the program to reflect changes in operating costs. The funding helps support program coordination and social work staff that provide core public health functions such as newborn screenings and reducing infant mortality.
 
  FY FY
General Fund $105,000 $105,000
•
Increase support for the Health Wagon Decision Package
  Increases appropriation for the Health Wagon to address the medically underserved population, which is expanding as a result of increased unemployment in coal producing areas of the state.
 
  FY FY
General Fund $100,000 $100,000
•
Support the Virginia Student Loan Repayment Program Decision Package
  Supports the Student Loan Repayment Program with general fund to provide a non-taxed option incentive to qualified medical, dental, behavioral health, and pharmacist professionals in return for service at an eligible practice site.
 
  FY FY
General Fund $150,000 $0
•
Increase support for Mission of Mercy Decision Package
  Increases appropriation for the Mission of Mercy (MOM) dental project to address rising costs in patient care and broaden the foundation of support.
 
  FY FY
General Fund $100,000 $0
•
Develop plan to transfer responsibility for federal food programs to the Department of Agriculture and Consumer Services Decision Package
  Requires the Virginia Departments of Education, Health, and Agriculture and Consumer Services to develop a plan to transfer the Summer Food Services Program and the Child and Adult Care Feeding Program from the Virginia Department of Health, and the Fresh Fruit and Vegetable Program, National School Lunch Program, School Breakfast Program, and Special Milk Program from the Virginia Department of Education to the Department of Agriculture and Consumer Services in an effort to house school feeding services under one agency. This is a language-only amendment.
•
Distribute VITA appropriation to the correct programs Decision Package
  Net sum zero adjustment to properly allocate funding provided for VITA.
•
Realign appropriation between Health Research, Planning and Coordination service areas Decision Package
  Transfers funds between programs to reflect where expenditures will occur and increase budget transparency. The transfer will align the appropriation to the correct fund and is a net-sum zero transfer.
•
Realign appropriation between Environmental Health Hazards and Control programs Decision Package
  Realigns funds to the proper fund code. Funds are appropriated for the regulation of radioactive by-product, special, and source materials. This zero sum adjustment will permanently move funds to the program where they will be spent.
•
Realign appropriation between State and Community Health Services Decision Package
  Realigns general fund to reflect agency expenditures in the proper program.This is a sum zero adjustment.
•
Realign appropriation in Community Health Services with the correct fund Decision Package
  Aligns appropriation with the correct fund. This zero sum transfer will better represents the current percentages in the Local Government Agreements.
•
Remove language related to plan management activities Decision Package
  Removes language related to plan management activities for the federal exchange because the general fund originally associated with this item has been replaced with nongeneral funds.
•
Eliminate TANF for LARC Pilot Project General Assembly Adjustment
  This amendment eliminates $3.0 million the first year and $6.0 million the second year from the federal Temporary Assistance to Needy Families (TANF) block grant for a pilot program to provide long-acting reversible contraceptives through the Virginia Department of Health, that was contained in the introduced budget.
 
  FY FY
Nongeneral Fund ($3,000,000) ($6,000,000)
•
Provide TANF Funds to Support Resource Mothers Program General Assembly Adjustment
  This amendment provides $1,000,000 each year from the Temporary Assistance to Needy Families (TANF) block grant to support the Resource Mothers program. The purpose of the program is to reduce infant mortality and reduce the incidents of low birth weight babies. The program focuses on first-time teenage mothers and provides a mentor for the teen and her family. The mentoring occurs from the prenatal period through the infant s first birthday. The resource mother provides health education, infant care tips, model daily living skills, encourages good decision making and planning, and connects the teen to community resources. The funding for the program was eliminated through budget reductions and is in the process of phasing down. This funding would continue the program.
 
  FY FY
Nongeneral Fund $1,000,000 $1,000,000
•
Eliminate New COPN Positions General Assembly Adjustment
  This amendment eliminates $191,656 the first year and $182,656 the second year from the general fund that was included in the introduced budget for two auditor positions in the Certificate of Public Need Program.
 
  FY FY
General Fund ($191,656) ($182,656)
•
Reduce Hampton Proton Beam Therapy Funding to FY 2015 Level General Assembly Adjustment
  This amendment reduces $50,000 the first year and $250,000 the second year from the general fund for support provided for the Hampton University Proton Beam Therapy Institute. This action reduces the funding to the fiscal year 2015 level of $510,000 by fiscal year 2018.
 
  FY FY
General Fund ($50,000) ($250,000)
•
State Loan Repayment Program for Health Care Professionals General Assembly Adjustment
  This amendment appropriates $150,000 from the general fund each year for the Virginia State Loan Repayment Program. The introduced budget provided $150,000 from the general fund in fiscal year 2017 only for this program. Funding is added in the second year to sustain the program. The introduced budget inadvertently provided funding for the first year in Item 296; therefore, funding from that item is transferred to this item. A companion amendment in Item 296 reduces the spending that was contained in the incorrect item.
 
  FY FY
General Fund $150,000 $150,000
•
Technical-Move State Loan Repayment Program Funds to Correct Program General Assembly Adjustment
  This technical amendment moves the appropriation for the Virginia State Loan Repayment Program for health care professionals to the correct item. A companion amendment in Item 288 increases the appropriation in the correct item.
 
  FY FY
General Fund ($150,000) $0
•
Mission of Mercy (M.O.M.) Dental Project General Assembly Adjustment
  This amendment adds $100,000 from the general fund the second year for the Virginia Dental Health Foundation's Mission of Mercy (M.O.M.) dental project. The introduced budget provided $100,000 from the general fund the first year, but did not provide the second year amount for the project. The M.O.M. dental project provides no cost dental services in underserved areas of the Commonwealth through the use of volunteer dentists and hygenists. The project has treated more than 59,000 patients with dental care valued at $38.3 million since 2000.
 
  FY FY
General Fund $0 $100,000
•
Collaborative Plan for Loan Repayment for Behavioral Health Practitioners General Assembly Adjustment
  This amendment requires the Virginia Department of Health to collaborate with the Virginia Health Care Foundation, the Department of Behavioral Health and Developmental Services, the state's teaching hospitals and other relevant stakeholders to develop a plan to increase the number of behavioral health practitioners practicing in state and local behavioral health agencies, and health safety net organizations through the use of a student loan repayment program. Language sets out provisions that the program design is to include a preference for applicants to practice in underserved areas for at least two years. The plan shall be reported to the Governor and the Chairmen of the House Appropriations and Senate Finance Committees and the Chairman of the Joint Subcommittee to Study Mental Health Services in the Twenty-First Century by November 1, 2016.
•
Correct Sickle Cell Language General Assembly Adjustment
  This amendment changes the amounts set out in budget language to reflect the actual dollars appropriated.
•
Report on Electronic Death Registry System General Assembly Adjustment
  This amendment requires a report by the Department of Health on efforts to address changes to improve the electronic system for filing death certificates. The report is due October 1, 2016 to the Chairmen of the House Appropriations and Senate Finance Committees.
•
Report on Improving Birth Outcomes General Assembly Adjustment
  This amendment requires the Department of Health to report on the most effective policies and programs that would improve birth outcomes in the Commonwealth.
•
Report on Shellfish Sanitation Activities General Assembly Adjustment
  This amendment requires the Department of Health to report on agency activities related to shellfish sanitation to the Chairmen of the House Appropriations and Senate Finance Committees by October 1, 2016. The 2016 General Assembly provided the agency with $225,000 from the general fund and three positions in fiscal year 2016 to assess the sources of bacterial contamination in shellfish waters and to develop data in support of conditional management plans to allow for the safe harvest of shellfish from contaminated areas.
•
Rescue Squad Assistance Fund for Ambulance Cot Retention Systems General Assembly Adjustment
  This amendment allocates $840,000 each year from the Virginia Rescue Squad Assistance Fund (RSAF) for the purchase of federally required ambulance cot retention systems. Language allows only non-profit Emergency Medical Services agencies to receive the funds. The costs to meet the new federal standard is $40,000 per unit.
•
Strike Language Related to Transfer of Food Programs General Assembly Adjustment
  This amendment strikes language regarding the transfer of the Summer Food Services Program and Child and Adult Care Feeding program to the Virginia Department of Agriculture and Consumer Services (VDACS). Language in VDACS directs that a plan be submitted to the General Assembly before any transfer takes place. Therefore, this language is unnecessary.


p3_bullets - Official Enacted Budget - 10-31-2025 15:51:27