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 Chaper 2, 2018-2020 $182,000,222 $548,203,813 $730,204,035
2018-2020 2019 Base Budget $170,525,146 $532,728,591 $703,253,737
2018-2020 2019 Governor's Amendments $10,904,576 $18,385,222 $29,289,798
2018-2020 2019 General Assembly Adjustments $570,500 ($2,910,000) ($2,339,500)
2018-2020 2020 Chaper 2, 2018-2020 $184,159,722 $548,203,813 $732,363,535
2018-2020 2020 Base Budget $170,525,146 $532,728,591 $703,253,737
2018-2020 2020 Governor's Amendments $13,883,321 $19,947,458 $33,830,779
2018-2020 2020 General Assembly Adjustments ($248,745) ($4,472,236) ($4,720,981)
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 Chaper 2, 2018-2020 1,503.00 2,196.00 3,699.00
2018-2020 2019 Base Budget 1,490.00 2,193.00 3,683.00
2018-2020 2019 Governor's Amendments 13.00 2.00 15.00
2018-2020 2019 General Assembly Adjustments 0.00 1.00 1.00
2018-2020 2020 Chaper 2, 2018-2020 1,503.00 2,196.00 3,699.00
2018-2020 2020 Base Budget 1,490.00 2,193.00 3,683.00
2018-2020 2020 Governor's Amendments 13.00 2.00 15.00
2018-2020 2020 General Assembly Adjustments 0.00 1.00 1.00
Operating Budget Addenda (in order of greatest impact)
•
Adjust appropriation for the centrally funded three percent salary increase for state employees Base Budget Adjustment
  Adjusts appropriation for the three percent salary increase for state employees budgeted in Central Appropriations, Item 475 X. of Chapter 836, 2017 Acts of Assembly.
 
  FY FY
General Fund $2,278,961 $2,278,961
Nongeneral Fund $3,911,908 $3,911,908
•
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 475 G. of Chapter 836, 2017 Acts of Assembly.
 
  FY FY
General Fund $2,280,469 $2,280,469
Nongeneral Fund $3,768,418 $3,768,418
•
Adjust appropriation for the centrally funded changes in agency information technology costs Base Budget Adjustment
  Adjusts appropriation for changes in information technology and telecommunications usage budgeted in Central Appropriations, Item 476 G. of Chapter 836, 2017 Acts of Assembly.
 
  FY FY
General Fund $898,974 $898,974
Nongeneral Fund $1,966,248 $1,966,248
•
Adjust appropriation for centrally funded retirement rate changes Base Budget Adjustment
  Adjusts appropriation for changes in state employee retirement rates budgeted in Central Appropriations, Item 475 H. of Chapter 836, 2017 Acts of Assembly.
 
  FY FY
General Fund ($446,566) ($446,566)
Nongeneral Fund ($766,543) ($766,543)
•
Adjust appropriation for the centrally funded two percent salary increase for high turnover positions Base Budget Adjustment
  Adjusts appropriation for the two percent salary increase for state employees in high turnover job roles budgeted in Central Appropriations, Item 475 BB. of Chapter 836, 2017 Acts of Assembly.
 
  FY FY
General Fund $327,125 $327,125
Nongeneral Fund $564,432 $564,432
•
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 475 K. of Chapter 836, 2017 Acts of Assembly.
 
  FY FY
General Fund $146,811 $146,811
Nongeneral Fund $252,015 $252,015
•
Adjust appropriation for centrally funded workers’ compensation premium changes Base Budget Adjustment
  Adjusts appropriation for workers’ compensation premiums budgeted in Central Appropriations, Item 475 V. of Chapter 836, 2017 Acts of Assembly.
 
  FY FY
General Fund $51,229 $51,229
Nongeneral Fund $175,722 $175,722
•
Adjust appropriation for centrally funded information technology auditors and security officers Base Budget Adjustment
  Adjusts appropriation for information technology auditors and information security officers budgeted in Central Appropriations, Item 476 J. of Chapter 836, 2017 Acts of Assembly.
 
  FY FY
General Fund $75,858 $75,858
Nongeneral Fund $128,762 $128,762
•
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 475 Y. of Chapter 836, 2017 Acts of Assembly.
 
  FY FY
General Fund $184,675 $184,675
•
Adjust appropriation for centrally funded internal service fund charges for the Personnel Management Information System Base Budget Adjustment
  Adjusts appropriation for the Personnel Management Information System internal service fund charges budgeted in Central Appropriations, Item 476 O. of Chapter 836, 2017 Acts of Assembly.
 
  FY FY
General Fund $23,933 $23,933
Nongeneral Fund $41,081 $41,081
•
Adjust appropriation for centrally funded changes in Cardinal charges Base Budget Adjustment
  Adjusts appropriation for the reduction in Cardinal charges budgeted in Central Appropriations, Item 476 L. of Chapter 836, 2017 Acts of Assembly.
 
  FY FY
General Fund ($4,520) ($4,520)
Nongeneral Fund ($13,122) ($13,122)
•
Transfer positions and federal appropriation for the Child Adult Care Feeding Program At-risk and Summer Food Service Program to the Department of Education Decision Package
  Transfers the Child and Adult Care Feeding Program’s At-risk and Summer Food Service Program to the Department of Education as directed by item 294 H of Chapter 836.
 
  FY FY
Nongeneral Fund ($14,999,176) ($14,999,176)
Positions (5.00) (5.00)
•
Increase federal appropriation for the Ryan White Program Decision Package
  Increases the federal appropriation for the Ryan White Program to reflect historical expenditure data. The federal Ryan White Treatment Extension Act Part B grant funding is distributed to each state based on a needs-based formula. The agency has secured this source of funding for the past five years as the formula determines an increase in need for HIV/AIDS Treatment Services.
 
  FY FY
Nongeneral Fund $12,500,000 $12,500,000
•
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 cost and limited availability of Long Acting Reversible Contraception in order to increase access to and utilization of highly effective methods of contraception. This action uses Temporary Assistance for Needy Families funding.
 
  FY FY
Nongeneral Fund $6,000,000 $6,000,000
Positions 1.00 1.00
•
Provide general fund support to develop an Electronic Health Records System Decision Package
  Provides general fund support to develop an Electronic Health Records System and provide an important and critical addition to Virginia’s health safety net. These organizations provide patients with free or low cost health services. This new system will allow the agency to efficiently and effectively operate its preventive health clinics, collect standard demographic information, and provide the capacity for electronic orders for laboratory tests, results, and prescriptions.
 
  FY FY
General Fund $1,801,500 $4,201,500
Positions 1.00 1.00
•
Increase federal appropriation for Drinking Water State Revolving Fund Decision Package
  Increases the federal appropriation for the Drinking Water State Revolving Fund, which provides low interest loans, as well as some grants, for drinking water projects to local governments and privately organized water suppliers. This increase is necessary to keep pace with the reimbursement and payment trends of the Environmental Protection Agency’s Safe Drinking Water Grant.
 
  FY FY
Nongeneral Fund $2,500,000 $2,500,000
•
Increase nongeneral fund appropriation for the Emergency Medical Services Trauma Center Fund Decision Package
  Increases the federal appropriation for the Emergency Medical Services Trauma Center fund based on previous years’ expenditure data and is consistent with current spending levels.
 
  FY FY
Nongeneral Fund $1,500,000 $1,500,000
•
Increase staff in the Office of the Chief Medical Examiner Decision Package
  Supports additional staff for the Office of the Chief Medical Examiner, which performs comprehensive death investigations for citizens and families in all applicable cases. These positions will help address a large increase in cases reported to the office.
 
  FY FY
General Fund $1,472,900 $1,472,900
Positions 12.00 12.00
•
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 $520,745
Nongeneral Fund $0 $1,562,236
•
Increase the Office of the Chief Medical Examiner's decedent transport rate Decision Package
  Increases general fund support to allow the Office of the Chief Medical Examiner to increase the decedent transport rate from $100 to $250 to secure transport services that remove decedents from the scene of death. The office finds it challenging to get funeral homes and transport companies to transport decedents at the current rate, which has remained unchanged since 2001.
 
  FY FY
General Fund $700,000 $700,000
•
Provide support for the active supervision of a cooperative agreement in southwest Va Decision Package
  Provides nongeneral fund support for a Cooperative Agreement in southwest Virginia and Tennessee to merge two health systems, consistent with a corresponding legislative proposal. The Code currently allows VDH to seek reimbursement of up to $75,000, which is insufficient to adequately support the monitoring of the cooperative agreement. Companion legislative proposal seeks to authorize full reimbursement for services from parties involved.
 
  FY FY
Nongeneral Fund $624,518 $624,518
Positions 6.00 6.00
•
Provide support for increases in rent for local health department facilities 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 $345,304 $345,304
Nongeneral Fund $230,959 $230,959
•
Increase support for the Virginia Association of Free and Charitable Clinics Decision Package
  Increases general fund support for the Virginia Association of Free and Charitable Clinics. These clinics are safety-net health care organizations that utilize a volunteer and staff model to provide a range of medical, dental, pharmacy, vision, and behavioral health services to economically disadvantaged individuals.
 
  FY FY
General Fund $500,000 $500,000
•
Increase in costs associated with the contract for the Virginia Environmental Information System (VENIS) Decision Package
  Supports increased costs associated with a new contract for the Virginia Environmental Information System by providing additional general fund support. The new contract will migrate the current database to a newer cloud-based application, which will provide improved flexibility to VDH and the vendor for creating and deploying changes to the database in response to changing business needs.
 
  FY FY
General Fund $165,000 $223,000
•
Provide general fund to support mandated autopsy services for sudden unexpected infant deaths Decision Package
  Provides general fund support to the Office of the Chief Medical Examiner to continue improved autopsy services with the Division of Consolidated Laboratory Services for sudden unexpected infant deaths.
 
  FY FY
General Fund $102,923 $102,923
•
Develop study for restaurant inspection fees Decision Package
  Requires the department, in cooperation with the Department of Agriculture and Consumer Services, to develop a long-term plan to adequately fund the food safety and restaurant inspection programs. This amendment is language-only.
•
Establish new fees for voluntary upgrades, repairs, and reviews of onsite sewage systems Decision Package
  Establishes fees for onsite sewage system repairs, voluntary upgrades, and requests for written authorization from the agency. The department is in a five-year transition to phase out evaluation and design services that are available from the private sector, and would consequently lead to the loss of associated fee revenue. The new fees will allow the agency to continue to receive revenue for other onsite sewage services and continue agency operations without impacting the general fund.
•
Transfer appropriation within program and fund Decision Package
  Transfers appropriation at the sub-object level within the Office of the Chief Medical Examiner and Scholarships to accurately reflect where the appropriation has been expended based on three-years of expenditure data. This action nets to zero.
•
Transfer general fund between programs to reflect proper alignment Decision Package
  Transfers general fund from Communicable Disease Prevention and Control to Community Health Services to reflect where actual expenditures will occur. The amendment also distributes the impact of a general fund reduction strategy across the correct program areas. This action nets to zero.
•
Transfer NGF appropriation between programs to account for where spending will occur Decision Package
  Transfers nongeneral fund appropriation between Financial Assistance to Community Human Services Organizations and Emergency preparedness to correctly align the appropriation with the proper program. This action nets to zero.
•
Modify pilot program for long acting reversible contraceptives (LARC) General Assembly Adjustment
  This amendment replaces language and reduces funding contained in the introduced language related to a pilot program to expand access to long acting reversible contraceptives through the Virginia Department of Health. The changes provide $3.0 million each year from the federal TANF block grant for a two-year pilot program to expand access to long acting reversible contraception (LARC) through qualified health care providers reimbursed at Medicaid rates. Language requires the Virginia Department of Health (VDH), in cooperation with the Department of Medical Assistance Services and stakeholders, to develop a plan to improve awareness of the Medicaid Plan First family planning program and refer women with a substance use disorder who seek family planning services to the Plan First program or participating providers in the pilot program. Language also requires the Virginia Department of Health to develop metrics to measure the effectiveness of the pilot program and submit a progress and final report to the Governor, Chairmen of House Appropriations and Senate Finance Committees, Secretary of Health and Human Resources and the Director of the Department of Planning and Budget.
 
  FY FY
Nongeneral Fund ($3,000,000) ($3,000,000)
•
Eliminate funding for Meningococcal Vaccine prior to sixth grade entry General Assembly Adjustment
  Reduces the general fund in the Health Department by $520,745 and $1.6 million from the nongeneral fund the second year for the meningococcal vaccine. House Bill 644, introduced in the 2018 Regular Session, which would have required the vaccine to be provided to children prior to entering sixth grade was not passed by the House.
 
  FY FY
General Fund $0 ($520,745)
Nongeneral Fund $0 ($1,562,236)
•
Establish Hampton University Proton Therapy Foundation General Assembly Adjustment
  Adds $2.0 million the first year from the general fund for the Hampton University Proton Therapy Foundation for cancer research and therapy. Funding will be used for applied research efforts through the establishment of the nation's first Multi-Ions Therapy (Hadron) facility, continued research and study of tissue specific radiation biological effectiveness of proton therapy, proton activated atomic medicine, and to improve access to advanced cancer treatment modalities.
 
  FY FY
General Fund $2,000,000 $0
•
Delay implementation of an Electronic Health Records system General Assembly Adjustment
  Reduces $1.8 million from the general fund in the first year in the Health Department for the development of an electronic health records system. This action delays the development by one year to allow time for the project to be re-examined to ensure interoperability with other state agency and health care provider systems and cost effectiveness.
 
  FY FY
General Fund ($1,801,500) $0
•
Increase support for Proton Beam Therapy Institute at Hampton University General Assembly Adjustment
  Adds $100,000 each year from the general fund for the contract with the Hampton Roads Proton Beam Therapy Institute at Hampton University to support efforts for proton therapy in the treatment of cancerous tumors.
 
  FY FY
General Fund $100,000 $100,000
•
Increase support for the Health Wagon in Southwest Virginia General Assembly Adjustment
  This amendment provides $100,000 from the general fund each year to increase support for the Health Wagon in Southwest Virginia.
 
  FY FY
General Fund $100,000 $100,000
•
Newborn screening test results availability General Assembly Adjustment
  Provides $90,000 each year and one position from the nongeneral funds for the fiscal impact of Chapter 531, 2018 Acts of Assembly (House Bill 1362, 2018 Regular Session), which requires newborn screening tests for time-critical disorders identified by the U.S. Department of Health and Human Services and the Secretary's Advisory Committee on Heritable Disorders in Newborns and Children to be performed seven days per week. Funding is provided to the Department of Health for one nurse position to provide coordination and education services related to the test results provided by the Department of General Services Division of Consolidated Laboratory Services. A companion amendment in DGS provides nongeneral funds for laboratory costs, follow-up, and administrative staffing as well as Information System Services coverage, on-call instrument vendors, and courier services to deliver samples seven days per week. The nongeneral funds are provided from a fee charged to medical providers for each newborn screening test. The current fee of $78 per infant would be adjusted to $90.20 per infant to cover the estimated additional costs to expand testing availability to seven days per week.
 
  FY FY
Nongeneral Fund $90,000 $90,000
Positions 1.00 1.00
•
Review health risks from biosolids and conduct sample testing General Assembly Adjustment
  This amendment provides $50,000 the first year from the general fund and language directing the Virginia Department of Health to review health risks from the land application of biosolids. In addition, this amendment provides another $50,000 the first year from the general fund for the Virginia Department of Health to test Class B biosolids that are applied in Virginia for pathogen content. This funding is a recommendation from a 2017 JLARC report, Land Application of Biosolids and Industrial Residuals.
 
  FY FY
General Fund $100,000 $0
•
Develop a plan for services for substance-exposed infants General Assembly Adjustment
  Provides $47,000 each year from the general fund for the fiscal impact of Chapter 695, 2018 Acts of Assembly (House Bill 1157, 2018 Regular Session), which requires the Department of Health to serve as the lead agency with responsibility for the development, coordination, and implementation of a plan for services for substance-exposed infants in the Commonwealth.
 
  FY FY
General Fund $47,000 $47,000
•
Provide support for Mission of Mercy (M.O.M.) dental project General Assembly Adjustment
  This amendment adds $25,000 from the general fund each year for the Virginia Dental Health Foundation Mission of Mercy (M.O.M.) dental 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 hygienists. Since 2000, the project has treated more than 65,000 patients with dental care valued at $44.2 million.
 
  FY FY
General Fund $25,000 $25,000
•
Eliminate earmark for ambulance stretcher retention systems General Assembly Adjustment
  This amendment eliminates budget language directing $840,000 from the Rescue Squad Assistance Fund each year for the purchase of new ambulance stretcher retention systems. These funds will be allocated by the general distribution to non-profit EMS organizations as defined in § 46.2-694 A 13 b (iii) of the Code of Virginia.
•
Study feasibility of a home visiting Pay for Success pilot project General Assembly Adjustment
  Directs the Department of Health to assess the feasibility of developing a pilot Pay for Success program for home visiting based on the potential for federal funding to support such an effort.


p3_bullets - Official Enacted Budget - 06-02-2025 07:54:11