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
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 1, 2018 Acts of Assembly $168,807,615 $529,096,894 $697,904,509
2016-2018 2018 Chapter 1, 2018 Acts of Assembly $170,525,146 $532,728,591 $703,253,737
2018-2020 2019 Chapter 854, 2019 Acts of Assembly $182,107,747 $548,203,813 $730,311,560
2018-2020 2019 Previous Legislative Appropriation $182,000,222 $548,203,813 $730,204,035
2018-2020 2019 Governor's Amendments $5,476,507 $0 $5,476,507
2018-2020 2019 General Assembly Adjustments ($5,368,982) $0 ($5,368,982)
2018-2020 2020 Chapter 854, 2019 Acts of Assembly $182,537,044 $549,408,884 $731,945,928
2018-2020 2020 Previous Legislative Appropriation $184,159,722 $548,203,813 $732,363,535
2018-2020 2020 Governor's Amendments $4,128,223 $4,205,071 $8,333,294
2018-2020 2020 General Assembly Adjustments ($5,750,901) ($3,000,000) ($8,750,901)
Positions Budget Summary
Biennium Fiscal Year Source GF NGF Total
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 1, 2018 Acts of Assembly 1,490.00 2,192.00 3,682.00
2016-2018 2018 Chapter 1, 2018 Acts of Assembly 1,490.00 2,193.00 3,683.00
2018-2020 2019 Chapter 854, 2019 Acts of Assembly 1,503.00 2,196.00 3,699.00
2018-2020 2019 Previous Legislative Appropriation 1,503.00 2,196.00 3,699.00
2018-2020 2019 Governor's Amendments 2.00 0.00 2.00
2018-2020 2019 General Assembly Adjustments (2.00) 0.00 (2.00)
2018-2020 2020 Chapter 854, 2019 Acts of Assembly 1,504.50 2,198.00 3,702.50
2018-2020 2020 Previous Legislative Appropriation 1,503.00 2,196.00 3,699.00
2018-2020 2020 Governor's Amendments 3.00 2.00 5.00
2018-2020 2020 General Assembly Adjustments (1.50) 0.00 (1.50)
Operating Budget Addenda (in order of greatest impact)
•
Provide additional funding for proton beam therapy Decision Package
  Increases funding for the Proton Beam Therapy Institute at Hampton University. This funding allows the institute to continue to provide cancer care for the Commonwealth. Funding will also assist in infrastructure development and advance the research and training components of the institute.
 
  FY FY
General Fund $5,000,000 $0
•
Support Federation of Virginia Food Banks with TANF Decision Package
  Supports the Federation of Virginia Food Banks from the Temporary Assistance for Needy Families (TANF) block grant to strengthen outreach to food-insecure children throughout the Commonwealth.
 
  FY FY
Nongeneral Fund $0 $3,000,000
•
Support for childhood immunizations Decision Package
  Provides general fund to be used to purchase Meningococcal Conjugate (MCV4), Hepatitis A, and Human Papillomavirus (HPV) vaccines for children and adolescents to be administered at local health departments.
 
  FY FY
General Fund $0 $1,461,742
•
Provide funding to contract with Riverside Health System Decision Package
  Provides general fund to contract with the Riverside Shore Memorial Hospital to support the obstetrics program.
 
  FY FY
General Fund $0 $1,200,000
•
Provide funding to contract with Eastville Community Health Center Decision Package
  Provides general fund to contract with the Eastern Shore Rural Health System to help support the pediatrics wing at the new Eastville Center.
 
  FY FY
General Fund $0 $795,000
•
Provide support for rent increases at local health departments Decision Package
  Supports local health districts that are expecting significant cost increases due to moving to new facilities or rent increases in existing facilities by providing additional general and nongeneral fund appropriation. Health Districts do not fully control the process for determining when and where their facilities will be located.
 
  FY FY
General Fund $0 $257,708
Nongeneral Fund $0 $197,530
•
Increase the Central Pharmacy's appropriation Decision Package
  Provides nongeneral fund appropriation in 2020 for the Central Pharmacy to make additional drug purchases for the health districts.
 
  FY FY
Nongeneral Fund $0 $422,037
•
Receive nongeneral fund appropriation from the Department of Social Services for Healthy Families Decision Package
  Transfers appropriation from the Department of Social Services for Healthy Families, eliminating the need for an administrative transfer during the fiscal year.
 
  FY FY
Nongeneral Fund $0 $417,822
•
Increase the Certificate of Public Need State Medical Facilities Plan staffing Decision Package
  Provides general fund appropriation in the first year and nongeneral fund in the second year to support two positions pending legislation for increasing fees for COPN applicants. The legislation would allow additional fee revenue to cover the cost of these positions to review, update, and provide technical support to ensure the accuracy of the State Medical Facilities Plan.
 
  FY FY
General Fund $168,982 $0
Nongeneral Fund $0 $167,682
Positions 2.00 2.00
•
Funding for the Office of the Chief Medical Examiner to establish the State Overdose Fatality Review Team Decision Package
  Provides general fund appropriation to establish the State Overdose Fatality Review Team. The team will work alongside the local and regional overdose fatality review teams in the prevention of overdoses from prescribed, commercially available, or illicit substances as a result of misuse, overuse, and abuse.
 
  FY FY
General Fund $0 $256,248
Positions 0.00 3.00
•
Provide support for an increase in rent for the Office of Environmental Health's White Stone Field Office Decision Package
  Provides general fund to support an increase in rent at the Office of Environmental Health, Shellfish Division, White Stone field office’s laboratory. The new rent amount will allow the current landlord to make the necessary renovations to the facility.
 
  FY FY
General Fund $107,525 $107,525
•
Provide funding for anticipated additional OAG charges related to defending a pending lawsuit Decision Package
  Provides one-time general fund support to cover costs associated with legal fees.
 
  FY FY
General Fund $200,000 $0
•
Additional funding for the Virginia Neonatal Perinatal Collaborative Decision Package
  Provides the Virginia Neonatal Perinatal Collaborative with general fund support to improve pregnancy outcomes for women and newborns.
 
  FY FY
General Fund $0 $50,000
•
Transfer appropriation to the correct fund related to a prior year General Assembly adjustment Decision Package
  Transfers general fund and nongeneral fund appropriation between programs and funds to accurately reflect where expenditures will occur.
•
Transfer federal appropriation to special fund for grant alignment correction Decision Package
  Transfers appropriation between fund groups to accurately reflect where expenditures occur.
•
Transfer general fund between programs to reflect proper alignment Decision Package
  Transfers general fund appropriation between programs to accurately reflect where expenditures will occur.
•
Eliminate New Funding for Proton Beam Therapy and Research General Assembly Adjustment
  This amendment removes $5.0 million from the general fund the first year proposed in the introduced budget for the Hampton University Proton Therapy Foundation for Proton Beam, leaving $2.0 million from the general fund in fiscal year 2019 for this project.
 
  FY FY
General Fund ($5,000,000) $0
•
Delay Implementation of Electronic Health Records General Assembly Adjustment
  This amendment reduces $4.2 million from the general fund the second year in the Health Department for the development of an electronic health records (EHR) system. This action delays the development by one year to allow more time for the agency to complete its assessment of its business processes and for the completion of a cost analysis to determine if it would be more cost effective to purchase the system off an existing state contract. A companion amendment in Item 281 includes language directing the cost analysis for the Health Department EHR system.
 
  FY FY
General Fund $0 ($4,201,500)
•
Transfer TANF for Food Banks to DSS General Assembly Adjustment
  This amendment transfers $3.0 million from the federal Temporary Assistance to Needy Families block grant contained in the introduced budget for the Department of Health community health services to the Department of Social Services.
 
  FY FY
Nongeneral Fund $0 ($3,000,000)
•
Eliminate New Funding for Certain Vaccines General Assembly Adjustment
  This amendment removes funding proposed in the introduced budget for purchase of additional vaccines by the Health Department.
 
  FY FY
General Fund $0 ($1,461,742)
•
Transfer Funding for Riverside Shore Memorial Hospital to Correct Item General Assembly Adjustment
  This amendment eliminates $1.2 million from the general fund the second year for a contract with Riverside Shore Memorial Hospital for obstetrical services in this item. A companion amendment in Item 293 includes a portion of the funding for this project. The introduced budget incorrectly placed the funding for this project in this item.
 
  FY FY
General Fund $0 ($1,200,000)
•
Support All Payer Claims Database General Assembly Adjustment
  This amendment provides $1.0 million from the general fund in the second year to fund the All Payer Claims Database (APCD), pursuant to House Bill 2798 and Senate Bill 1216, which makes submission of health plan claims data mandatory. Other states with mandatory APCDs are supported primarily with state funds.
 
  FY FY
General Fund $0 $1,000,000
•
Eliminate New Initiative for Eastville Community Health Center General Assembly Adjustment
  This amendment eliminates $795,000 the second year from the general fund and language for a new initiative for Eastville Community Health Center.
 
  FY FY
General Fund $0 ($795,000)
•
Funding for Riverside Shore Memorial Hospital Obstetrics Program General Assembly Adjustment
  This amendment provides $600,000 from the general fund the second year for a contract with Riverside Shore Memorial Hospital for obstetrical services. A companion amendment in Item 290 transfers funding for this project. Funding for this project was contained in the wrong item in the introduced budget.
 
  FY FY
General Fund $0 $600,000
•
Expand Efforts to Address Maternal Mortality and Morbidity General Assembly Adjustment
  This amendment adds $315,000 from the general fund the second year and one position to expand the capability of the Virginia Neonatal Perinatal Collaborative's work to decrease maternal mortality and morbidity.
 
  FY FY
General Fund $0 $315,000
Positions 0.00 1.00
•
Eliminate Funding to Establish a Statewide Overdose Fatality Review Team General Assembly Adjustment
  This amendment reduces by $256,248 from the general fund the second year funding and three positions provided to establish a Statewide Overdose Fatality Review Team.
 
  FY FY
General Fund $0 ($256,248)
Positions 0.00 (3.00)
•
Eliminate Funding for Office of Attorney General Charges General Assembly Adjustment
  This amendment eliminates $200,000 the first year from the general fund provided in the introduced budget to fund charges from the Office of the Attorney General for defending the Virginia Department of Health in a lawsuit. The Office of the Attorney General is supported by the general fund and should not need additional resources to defend the agency.
 
  FY FY
General Fund ($200,000) $0
•
HB 2026 Newborn Screening for Congenital Cytomegalovirus General Assembly Adjustment
  This amendment provides $198,589 from the general fund to implement a newborn screening test for congenital cytomegalovirus for those infants who fail the newborn hearing screen, pursuant to House Bill 2026. A companion amendment in the Division of Consolidated Laboratory Services provides the nongeneral fund appropriation for lab equipment, software and hardware.
 
  FY FY
General Fund $0 $198,589
Positions 0.00 0.50
•
Remove General Fund Support for State Medical Facilities Plan General Assembly Adjustment
  This amendment eliminates $168,982 from the general fund the first year that was provided to fund two positions for the Certificate of Public Need office for updating the state medical facilities plan. The Department of Health has authority to increase fees the second year to support these positions.
 
  FY FY
General Fund ($168,982) $0
Positions (2.00) 0.00
•
Modify ED Care Coordination System to Track TDOs General Assembly Adjustment
  This amendment provides $50,000 from the general fund the second year to modify the Emergency Room Care Coordination Program to track individuals who present in the emergency room and become subject to a Temporary Detention Order and require the information be made available publicly.
 
  FY FY
General Fund $0 $50,000
•
Long Acting Reversible Contraception Initiative General Assembly Adjustment
  This amendment changes the long-acting reversible contraception initiative from a reimbursement program with contracted providers to one in which the Virginia Department of Health purchases the LARCs and makes them available at no cost to health care providers.
•
Report on Fetal Abnormalities General Assembly Adjustment
  This amendment requires the Department of Health to report monthly on the number of procedures approved for payment and a description of the fetal abnormality required pursuant to ยง 32.1-92.2 of the Code of Virginia, which allows for state payment of abortions for women who otherwise meet the financial eligibility criteria of the State Medical Assistance Plan.


p3_bullets - Official Enacted Budget - 11-02-2026 21:56:56