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
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 1283, 2020 Acts of Assembly $182,107,747 $548,203,813 $730,311,560
2018-2020 2020 Chapter 1283, 2020 Acts of Assembly $180,711,343 $549,408,884 $730,120,227
2020-2022 2021 Chapter 1289, 2020 Acts of Assembly $200,240,415 $585,546,962 $785,787,377
2020-2022 2021 Base Budget $182,537,044 $549,408,884 $731,945,928
2020-2022 2021 Governor's Amendments $25,080,981 $34,566,125 $59,647,106
2020-2022 2021 General Assembly Adjustments ($7,377,610) $1,571,953 ($5,805,657)
2020-2022 2022 Chapter 1289, 2020 Acts of Assembly $198,041,753 $583,087,587 $781,129,340
2020-2022 2022 Base Budget $182,537,044 $549,408,884 $731,945,928
2020-2022 2022 Governor's Amendments $26,409,458 $33,844,250 $60,253,708
2020-2022 2022 General Assembly Adjustments ($10,904,749) ($165,547) ($11,070,296)
Positions Budget Summary
Biennium Fiscal Year Source GF NGF Total
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 1283, 2020 Acts of Assembly 1,503.00 2,196.00 3,699.00
2018-2020 2020 Chapter 1283, 2020 Acts of Assembly 1,504.50 2,198.00 3,702.50
2020-2022 2021 Chapter 1289, 2020 Acts of Assembly 1,513.50 2,198.00 3,711.50
2020-2022 2021 Base Budget 1,504.50 2,198.00 3,702.50
2020-2022 2021 Governor's Amendments 10.00 0.00 10.00
2020-2022 2021 General Assembly Adjustments (1.00) 0.00 (1.00)
2020-2022 2022 Chapter 1289, 2020 Acts of Assembly 1,517.50 2,198.00 3,715.50
2020-2022 2022 Base Budget 1,504.50 2,198.00 3,702.50
2020-2022 2022 Governor's Amendments 10.00 0.00 10.00
2020-2022 2022 General Assembly Adjustments 3.00 0.00 3.00
Operating Budget Addenda (in order of greatest impact)
•
Adjust appropriation for centrally funded changes to agency information technology costs Base Budget Adjustment
  Adjusts appropriation for changes to information technology and telecommunications usage budgeted in Central Appropriations, Item 475 G. of Chapter 854, 2019 Acts of Assembly.
 
  FY FY
General Fund $3,857,193 $3,857,193
Nongeneral Fund $6,880,389 $6,880,389
•
Adjust appropriation for centrally funded 2.75 percent salary increase for state employees Base Budget Adjustment
  Adjusts appropriation for the 2.75 percent salary increase for state employees budgeted in Central Appropriations, Item 474 T. of Chapter 854, 2019 Acts of Assembly.
 
  FY FY
General Fund $2,154,638 $2,154,638
Nongeneral Fund $3,623,657 $3,623,657
•
Adjust appropriation for centrally funded 2.25 percent merit-based salary increase for state employees Base Budget Adjustment
  Adjusts appropriation for the 2.25 percent merit-based salary increase for state employees budgeted in Central Appropriations, Item 474 V. of Chapter 854, 2019 Acts of Assembly.
 
  FY FY
General Fund $1,522,989 $1,522,989
Nongeneral Fund $2,575,954 $2,575,954
•
Adjust appropriation for centrally funded changes to state health insurance premiums Base Budget Adjustment
  Adjusts appropriation for the employer’s share of health insurance premiums budgeted in Central Appropriations, Item 474 G. of Chapter 854, 2019 Acts of Assembly.
 
  FY FY
General Fund $835,209 $835,209
Nongeneral Fund $1,395,957 $1,395,957
•
Adjust appropriation for centrally funded changes to Cardinal Financials System charges Base Budget Adjustment
  Adjusts appropriation for changes to Cardinal Financials System internal service fund charges budgeted in Central Appropriations, Item 475 L. of Chapter 854, 2019 Acts of Assembly.
 
  FY FY
General Fund $50,244 $50,244
Nongeneral Fund $235,845 $235,845
•
Adjust appropriation for centrally funded three percent salary increase for state-supported local employees Base Budget Adjustment
  Adjusts appropriation for the three percent salary increase for state-supported local employees budgeted in Central Appropriations, Item 474 U. of Chapter 854, 2019 Acts of Assembly.
 
  FY FY
General Fund $280,044 $280,044
•
Adjust appropriation for centrally funded changes to agency rental costs Base Budget Adjustment
  Adjusts appropriation for changes to agency rental costs at the seat of government budgeted in Central Appropriations, Item 475 J. of Chapter 854, 2019 Acts of Assembly.
 
  FY FY
General Fund ($15,552) ($15,552)
Nongeneral Fund $216,493 $216,493
•
Adjust appropriation for centrally funded workers’ compensation premium changes Base Budget Adjustment
  Adjusts appropriation for workers’ compensation premiums budgeted in Central Appropriations, Item 474 R. of Chapter 854, 2019 Acts of Assembly.
 
  FY FY
General Fund $131,537 $131,537
•
Adjust appropriation for centrally funded state employee other post-employment benefit rate changes Base Budget Adjustment
  Adjusts appropriation for changes to state employee other post-employment benefit rates budgeted in Central Appropriations, Item 474 K. of Chapter 854, 2019 Acts of Assembly.
 
  FY FY
General Fund ($18,928) ($18,928)
Nongeneral Fund ($31,835) ($31,835)
•
Adjust appropriation for centrally funded retirement rate changes Base Budget Adjustment
  Adjusts appropriation for changes to contribution rates for state employee retirement plans budgeted in Central Appropriations, Item 474 H. of Chapter 854, 2019 Acts of Assembly.
 
  FY FY
General Fund $18,929 $18,929
Nongeneral Fund $31,831 $31,831
•
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 475 K. of Chapter 854, 2019 Acts of Assembly.
 
  FY FY
General Fund $12,592 $12,592
Nongeneral Fund $19,977 $19,977
•
Adjust appropriation for centrally funded internal service fund charges for the Personnel Management Information System Base Budget Adjustment
  Adjusts appropriation for Personnel Management Information System internal service fund charges budgeted in Central Appropriations, Item 475 O. of Chapter 854, 2019 Acts of Assembly.
 
  FY FY
General Fund $1,765 $1,765
Nongeneral Fund $2,131 $2,131
•
Adjust appropriation for centrally funded changes to Performance Budgeting System charges Base Budget Adjustment
  Adjusts appropriation for changes to Performance Budgeting System internal service fund charges budgeted in Central Appropriations, Item 475 M. of Chapter 854, 2019 Acts of Assembly.
 
  FY FY
General Fund $140 $140
Nongeneral Fund $1,214 $1,214
•
Increase the Office of Epidemiology's 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
•
Develop electronic health record 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. 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 $7,011,531 $8,320,216
Positions 2.00 2.00
•
Increase general fund and nongeneral fund appropriation related to the EPA Drinking Water State Revolving Fund grant Decision Package
  Increases the general fund appropriation used as match to draw down the U.S. Environmental Protection Agency's grant funds for the Drinking Water Revolving Fund Grant. It also increases the nongeneral fund appropriation necessary to keep pace with the reimbursement and payment trends of the Environmental Protection Agency’s Safe Drinking Water Grant.
 
  FY FY
General Fund $482,400 $482,400
Nongeneral Fund $3,000,000 $3,000,000
•
Increase general fund support for tobacco cessation through Quit Now Virginia Decision Package
  Supports nicotine cessation counseling through an evidence-based “quitline” program known as Quit Now Virginia (QNV). The emphasis will be on supporting nicotine cessation for Virginia Medicaid clients with a goal of helping to reduce Medicaid costs from smoking and tobacco related illnesses for both children and adults.
 
  FY FY
General Fund $3,149,088 $3,149,088
•
Reduce Office of Information Management's HITECH general fund match Decision Package
  Reduces the general fund match and subsequent nongeneral fund appropriation for the Emergency Department Care Coordination program. As it is no longer in the building phase of the EDCC, funding for the match has been reduced accordingly.
 
  FY FY
General Fund ($263,056) ($343,264)
Nongeneral Fund ($2,367,500) ($3,089,375)
•
Increase Hampton Roads Proton Therapy Institute funding Decision Package
  Increases funding for the Proton Therapy Institute at Hampton University. This funding allows the institute to continue to provide cancer care for patients in the Commonwealth. Funding will also assist in infrastructure development and advance the research and training components of the institute.
 
  FY FY
General Fund $3,000,000 $3,000,000
•
Increase nongeneral fund appropriation due to increased indirect cost recovery rate Decision Package
  Increases nongeneral fund appropriation as a result of increases in indirect cost recoveries. The Virginia Department of Health has seen an increase in grant awards, which have an indirect rate component, as well as an increase in the rate they are allowed to charge for indirect costs.
 
  FY FY
Nongeneral Fund $2,500,000 $2,500,000
•
Renew funding for the Virginia Long Acting Reversible Contraception (LARC) initiative Decision Package
  Renews 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 $2,000,000 $2,000,000
•
Add funding to expand protection and prevent deaths from drug overdose to vulnerable populations Decision Package
  Expands the distribution of NARCAN and personal protection equipment to Virginia’s most at-risk populations, related to the opioid epidemic, through the local health departments and community services boards by providing general fund support to purchase kits and other medical supplies.
 
  FY FY
General Fund $1,600,011 $1,600,011
•
Increase Central Pharmacy's nongeneral fund appropriation Decision Package
  Increases the nongeneral fund appropriation for the Central Pharmacy to store and distribute purchased pharmaceuticals (vaccines, flu shots, etc.) for the health districts. The Central Pharmacy recoups their costs from insurance along with a fee to cover their overhead from the districts as they distribute the pharmaceuticals. This would give the Central Pharmacy the spending authority to use existing resources.
 
  FY FY
Nongeneral Fund $500,000 $500,000
•
Increase the Office of Radiological Health's nongeneral fund appropriation due to approved fees increase Decision Package
  Increases the Office of Radiological Health's nongeneral fund appropriation due to an increase in fee revenue for the Radioactive Materials Facilities Licensure Fund. Fees charged for X-ray machine registrations, X-ray machine inspections and shielding reviews performed by the Virginia Department of Health, and the fees charged for Radioactive Materials licenses all increased as of February 7, 2019.
 
  FY FY
Nongeneral Fund $500,000 $500,000
•
Add funding for adult sickle cell services Decision Package
  Provides general fund appropriation to establish a comprehensive adult program for sickle cell disease within the Office of Family Health Services’ Children and Youth with Special Health Care Needs program.
 
  FY FY
General Fund $305,000 $305,000
•
Add funding for community health workers - two year pilot Decision Package
  Increases local health department capacity to improve health outcomes in high-burden communities by providing general fund support and positions for four community health workers.
 
  FY FY
General Fund $289,168 $289,168
Positions 4.00 4.00
•
Increase the Office of the Chief Medical Examiner's federal appropriation due to increased federal funding Decision Package
  Increases the federal appropriation for the Office of the Chief Medical Examiner due to an increase in Enhanced Opioid Surveillance, Violent Death Reporting, and National Institute of Mental Health Neuropathology Project grants.
 
  FY FY
Nongeneral Fund $250,000 $250,000
•
Increase the Office of Radiological Health's nongeneral fund appropriation based on the revenue increase from the Virginia Department of Emergency Management Decision Package
  Increases the nongeneral fund appropriation due to an increase in revenue from Dominion Energy through the Virginia Department of Emergency Management. The funding is for the use of environmental monitoring and emergency preparedness activities, such as comprehensive surveillance, testing, and analyses associated with the North Anna and Surry power stations operated by Dominion.
 
  FY FY
Nongeneral Fund $221,817 $221,817
•
Add funding for a data management system for Virginia's Drinking Water Program Decision Package
  Provides general fund support to cover a portion of the costs associated with updating and securing water quality and monitoring databases. The Office of Drinking Water must update its current database system to meet state security standards and federal reporting requirements under the Safe Drinking Water Act and the National Primary Drinking Water Regulations implementation.
 
  FY FY
General Fund $150,000 $250,000
•
Increase the Office of the Chief Medical Examiner's anatomical services appropriation due to increased revenues Decision Package
  Increases the nongeneral fund appropriation for the Virginia Anatomical Services Program as a result of increased revenues. This program provides cadavers to state medical schools and has continued to realize increased revenue over the past three fiscal years.
 
  FY FY
Nongeneral Fund $200,000 $200,000
•
Adds positions for the Shellfish Safety Division Decision Package
  Provides general fund and two positions to address a staffing shortage within the Office of Environmental Health Services and to address the steady increase in workload over the past several years. The volume of oyster production reported has significantly increased from 23,000 bushels in 2004, to over 700,000 bushels in 2017, without an increase in staff.
 
  FY FY
General Fund $168,270 $168,270
Positions 2.00 2.00
•
Add funding for building Office of Health Equity infrastructure and capacity Decision Package
  Provides general fund support and one position to the Office of Health Equity to support a "Health in All Policies" position. This position would work with local communities to educate and gather feedback on policy issues, specifically those related to health equity.
 
  FY FY
General Fund $150,000 $150,000
Positions 1.00 1.00
•
Increase the Office of the Chief Medical Examiner's special revenue fund appropriation to use increased revenues Decision Package
  Increases the Office of the Chief Medical Examiner's nongeneral fund appropriation due to increased fee revenue. This increase is attributed in part to the ongoing work the Medical Examiner's Office is continuing to perform with the Department of Motor Vehicles, related to the National Highway Traffic Safety Administration's BAC Data Collection and Submission project.
 
  FY FY
Nongeneral Fund $150,000 $150,000
•
Add funding and a position for a wastewater infrastructure manager Decision Package
  Provides general fund appropriation and one position to support a Wastewater Infrastructure Manager in the Office of Environmental Health Services. This position is necessary to address the aging wastewater treatment systems in Virginia.
 
  FY FY
General Fund $131,880 $131,880
Positions 1.00 1.00
•
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 $75,889 $75,889
Nongeneral Fund $49,195 $49,195
•
Increase the Office of Health Equity's federal appropriation for the State Loan Repayment Grant Decision Package
  Increases the federal nongeneral fund appropriation for the Office of Health Equity due to an increase in State Loan Repayment Grant funding. The SLRP provides a non-taxed incentive to qualified medical, dental, behavioral health and pharmaceutical (pharmacists) professionals in return for a minimum of two years of service at an eligible practice site in one of the federally designated Health Professional Shortage Areas in a qualified field of practice in Virginia.
 
  FY FY
Nongeneral Fund $111,000 $111,000
•
Increase Emergency Medical Services special fund reversion Decision Package
  Increases the Part 3 §3-1.01 W interfund transfer from the annual vehicle registration fee from the special medical services fund by $2.0 million.
•
Mandatory reporting of Temporary Detention Orders by private hospitals Decision Package
  Mandates that inpatient hospitals report the admission source of any individuals meeting the criteria for voluntary or involuntary psychiatric commitment to the Board of Health. The board shall share the data with the Department of Behavioral Health and Developmental Services.
•
Transfer funding and positions to newly created service area for Population Health Decision Package
  Transfers current resources to a new service area for Population Health. Without this transfer the funds and positions will continue to be improperly aligned with actual execution. The Virginia Department of Health anticipates that this new service area would increase transparency about the programs and their funding as well as group similar programs and services together.
•
Transfer funding and positions to newly created service area for the Cooperative Agreement Decision Package
  Transfers current resources to a new service area created for the Cooperative Agreement in Southwest Virginia. Without this transfer the funds and positions will continue to be improperly aligned with actual execution. The Virginia Department of Health anticipates that this new service area would increase transparency about the programs and their funding as well as group similar programs and services together.
•
Update appropriation act language regarding coverage for abortions in cases of fetal anomalies Decision Package
  Protects women’s rights to make their own healthcare decisions.
•
Update organization name from CHIP of Virginia to Families Forward Decision Package
  Updates the name of the orginization from CHIP of Virginia to Families Forward, which was created as a result of the merger of Prevent Child Abuse Virginia, CHIP of Virginia, and Early Impact Virginia.
•
Delay Implementation of Electronic Health Records General Assembly Adjustment
  This amendment reduces $7.0 million from the general fund the first year and $8.3 million from the general fund the second year in the Health Department for the development of an electronic health records system. This action delays the development to allow more time for the agency to complete its assessment of its business processes and for the completion of the cost analysis for determining the funding needed for the system to meet the identified business processes of the agency.
 
  FY FY
General Fund ($7,011,531) ($8,320,216)
•
Supplant Funding for Opioid Reversal Drugs General Assembly Adjustment
  This amendment supplants general fund amounts of $1.6 million each year for opioid reversal drugs provided to the Health Department with an equal amount of nongeneral funds from the State Opioid Response Grant that Virginia is expected to receive over the next biennium.
 
  FY FY
General Fund ($1,600,011) ($1,600,011)
Nongeneral Fund $1,600,011 $1,600,011
•
Eliminate New Funding for Quit Now Program General Assembly Adjustment
  This amendment eliminates $3.1 million from the general fund each year for the Health Department's quit-line program known as Quit Now Virginia.
 
  FY FY
General Fund ($3,149,088) ($3,149,088)
•
Restore Long-Acting Reversible Contraception Program language and adjust appropriation General Assembly Adjustment
  This amendment restores language that was inadvertently excluded from the introduced budget related to the Long-Acting Reversible Contraception (LARC) pilot program, as included in the 2018 Appropriation Act. This language modifies the existing program to clarify that it is no longer a pilot program and, in addition, it provides $1.0 million a year from the Temporary Assistance to Needy Families block grant to supplement the LARC program by allowing access to other forms of contraception. The introduced budget also included an additional $2.0 million nongeneral fund for the program, bringing the total amount appropriated to $5.0 million. However, the total funding level required for the program is only $3.0 million and therefore this amendment removes $2.0 million in excess appropriation.
 
  FY FY
Nongeneral Fund ($2,000,000) ($2,000,000)
•
Establish Behavioral Health Loan Repayment Program General Assembly Adjustment
  This amendment establishes the Behavioral Health Loan Repayment Program in order to increase the number of Virginia behavioral health practitioners by way of an educational loan repayment incentive that complements and coordinates with existing efforts to recruit and retain Virginia behavioral health practitioners. The program would allow for a variety of behavioral health practitioners to receive a student loan repayment award from the Commonwealth in exchange for providing service to Virginia communities that are otherwise underserved. Practitioners would receive loan repayment for up to 25 percent of student loan debt for each year of health care service provided to the Commonwealth. Maximum loan repayment amounts per year are dependent upon the type of behavioral health professional applying and shall not exceed the total student loan debt. Participating practitioners will have an initial two-year minimum participation obligation and may renew for a third and fourth year. This provides the practitioner with the opportunity to fully pay off their student loan debt while providing four years of service to the Commonwealth.
 
  FY FY
General Fund $1,600,000 $1,600,000
•
Reduce Hampton University Proton Therapy Foundation funding General Assembly Adjustment
  This amendment reduces $1.5 million from the general fund each year from the amount included in the introduced budget for the Hampton University Proton Therapy Foundation. This amendment leaves an annual $1.5 million appropriation for the foundation.
 
  FY FY
General Fund ($1,500,000) ($1,500,000)
•
Support Poison Control Centers General Assembly Adjustment
  This amendment increases funding by $1.5 million from the general fund the first year and decreases by $1.0 million the second year from the general fund for three poison control centers in the Virginia Department of Health. This would provide a total of $2.5 million from the general fund for the poison control centers in fiscal year 2021. The reduction in the second year provides funding through a companion amendment in Item 317 to provide a similar total amount of funding to the poison control centers through the Department of Medical Assistance Services as part of a Health Services Initiative, which allows the state to use federal Children's Health Insurance Program administrative funding for such initiative.
 
  FY FY
General Fund $1,500,000 ($1,000,000)
•
Provide additional Vaccines for School Children General Assembly Adjustment
  This amendment adds funding each year to reflect the fiscal impact of House Bill 1090 passed in the 2020 Session, which provides for vaccines for children as determined by the State Board of Health in their regulations for the immunization of school children.
 
  FY FY
General Fund $934,921 $949,241
Nongeneral Fund $134,442 $134,442
•
Support the Emergency Department Care Coordination Program General Assembly Adjustment
  This amendment provides an additional $1.7 million from the nongeneral fund the first year to support the Emergency Department Care Coordination program. The added general fund dollars can be absorbed in the Department of Health's administrative budget, which has sufficient funding from indirect cost recoveries to ensure other essential activities will be funded. The nongeneral funds may be provided through a number of federal funds, in coordination with the Department of Medical Assistance Services.
 
  FY FY
Nongeneral Fund $1,737,500 $0
•
Establish Virginia Sexual & Domestic Violence Prevention Fund General Assembly Adjustment
  This amendment provides $750,000 from the general fund each year for the fiscal impact of House Bill 1015 and Senate Bill 297, which creates the Virginia Sexual and Domestic Violence Prevention Fund. The Fund will be used to develop and support programs that prevent sexual and domestic violence through strategies that (i) promote healthy practices related to relationships, sexuality, and social-emotional development and (ii) counteract the factors associated with the initial perpetration of sexual and domestic violence.
 
  FY FY
General Fund $750,000 $750,000
•
Fund Nursing Preceptor Incentive Program General Assembly Adjustment
  This amendment provides $500,000 the first year and $500,000 the second year from the general fund to the Virginia Department of Health to establish a Nursing Preceptor Incentive Program. Language requires the department to report to the Chairs of the House Appropriations and Senate Finance and Appropriations Committees by November 1, 2020 on the progress of establishing the Nursing Preceptor Incentive.
 
  FY FY
General Fund $500,000 $500,000
•
Transfer Community Health Worker Pilot Funding to Correct Item General Assembly Adjustment
  This amendment transfers the funding for a community health worker pilot program to the correct program in the budget.
 
  FY FY
General Fund ($289,168) ($289,168)
Positions (4.00) (4.00)
•
Establish Sickle Cell Patient Assistance Program General Assembly Adjustment
  This amendment provides $250,000 each year from the general fund to create the Virginia Sickle Cell Patient Assistance Program. This program would provide health insurance premium assistance and cost sharing assistance to patients diagnosed with Sickle Cell Disease and who do not qualify for Medicaid.
 
  FY FY
General Fund $250,000 $250,000
•
Fund Revisions to the COPN Program General Assembly Adjustment
  This amendment provides $233,238 from the general fund each year and two full-time positions for the fiscal impact of implementing requirements of Senate Bill 764, which revises the Medical Facilities Certificate of Public Need Program.
 
  FY FY
General Fund $233,238 $233,238
Positions 2.00 2.00
•
Support Lead & Mold Testing in Schools and Child Day Care Programs General Assembly Adjustment
  This amendment adds $195,950 the first year and $213,548 the second year from the general fund for the fiscal impact on the Virginia Department of Health for the implementation of legislation during the 2020 Regular Session which requires (i) each local school board, licensed child day programs and certain other programs that serve preschool-age children to develop and implement a plan to test potable water from sources identified by the U.S. Environmental Protection Agency as high priority; and (ii) each local school board to develop and implement a plan to test and, if necessary, a plan to remediate mold in public school buildings in accordance with guidance issued by the U.S. Environmental Protection Agency.
 
  FY FY
General Fund $195,950 $213,548
•
Pilot Program Using Community Health Workers General Assembly Adjustment
  This amendment reduces $289,169 the first year from the general fund to delay implementation of a pilot program using certified community health workers in four local health districts to improve health outcomes. House Bill 688 requires the Board of Health to adopt regulations setting forth requirements for community health workers to become certified, effective July 1, 2020. This delay will allow time for the regulations to be implemented so that certified community health workers can be hired for the pilot project beginning July 1, 2021. Language sets out the funding provided for the pilot program beginning in fiscal year 2022. Language also requires the agency to evaluate the pilot program and provide an interim report at the end of the biennium.
 
  FY FY
General Fund $0 $289,168
Positions 0.00 4.00
•
Collect Information on Sexual Assault Nurse Examiners' Place of Practice General Assembly Adjustment
  This amendment provides $129,165 the first year and $89,625 the second year from the general fund to support the fiscal impact of House Bill 1176, which requires hospitals to report on the number of certified sexual assault nurse examiners employed by the hospital, including the location, street address, and contact information for the location at which each certified sexual assault nurse examiner provides services. The bill also requires the Department of Health to make information on its website regarding the availability of certified sexual assault nurse examiners in the Commonwealth, including the name of each hospital at which a certified sexual assault nurse examiner is employed, the location, including street address, of such hospital, and the contact information for such hospital.
 
  FY FY
General Fund $129,165 $89,625
•
Support EMS Volunteer Background Checks General Assembly Adjustment
  This amendment clarifies policy that the cost of all criminal background checks for volunteers applying with local Emergency Medical Services (EMS) agencies is to be paid by the state Office of Emergency Services and that local EMS agencies may continue to submit fingerprint cards for processing as appropriate to reduce travel times for volunteers who otherwise may have to travel long distances to use the state's electronic scan vendor. The amendment provides $100,000 each year from the Rescue Squad Assistance Fund to assist in covering the costs.
 
  FY FY
Nongeneral Fund $100,000 $100,000
•
Fund Loan Repayment Program Position General Assembly Adjustment
  This amendment provides $88,914 from the general fund each year to fund one position related to administering the Behavioral Health Loan Repayment program and the Nursing Preceptor Incentive program funded in companion amendments in Item 295.
 
  FY FY
General Fund $88,914 $88,914
Positions 1.00 1.00
•
Remove TDO Tracking Funding for the ED Care Coordination Program General Assembly Adjustment
  This amendment eliminates $50,000 from the general fund each year provided in the 2019 Session for modifying the Emergency Department Care Coordination System to track Temporary Detention Orders. After review, it was determined this system was not the solution to address the issue. This amendment removes that funding from the agency's base budget.
 
  FY FY
General Fund ($50,000) ($50,000)
•
Support Mel Leaman Free Clinic General Assembly Adjustment
  This amendment provides $30,000 each year from the general fund to support a part-time Physician Assistant-Certified or Family Nurse Practitioner (24 hours weekly) to provide medical care and serve as a clinical coordinator at the Mel Leaman Free Clinic.
 
  FY FY
General Fund $30,000 $30,000
•
Special Olympics Virginia General Assembly Adjustment
  This amendment provides an additional $10,000 each year from the general fund for Special Olympics 'Healthy Athlete' Program.
 
  FY FY
General Fund $10,000 $10,000
•
Continue PANDAS and PANS Advisory Council General Assembly Adjustment
  This amendment continues the Advisory Council on Pediatric Autoimmune Neuropsychiatric Disorders Associated with Streptococcal Infections (PANDAS) and Pediatric Acute-onset Neuropsychiatric Syndrome (PANS), which is set to sunset on July 1, 2020.
•
Correctly Identify CHIP of Roanoke and Embedded Dollar Amounts General Assembly Adjustment
  This amendment corrects an erroneous reference to Families Forward of Roanoke and annualizes certain ongoing appropriations, which were not properly reflected in the introduced budget.
•
Expand access to long acting reversible contraceptives (Reconvened Amendment) General Assembly Adjustment
  Increases access to all LARCs by removing the prohibition on non-hormonal LARCs. Providers participating in the program report that the current restriction is an unnecessary barrier to patients accessing contraception.
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Reporting on Agency Organization General Assembly Adjustment
  This amendment requires the Virginia Department of Health to annually report on the agency's organization and operations and any changes that occurred during the year. The agency will make this report available on its website by August 15 of each year. This information will assist in providing public information regarding changes in the agency's organization and operations. The Departments of Medical Assistance Services and Behavioral Health and Developmental Services are already required to submit these reports and are good models for the agency to use in creating the report.
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Restore Language Governing Fees General Assembly Adjustment
  This amendment corrects an omission of language in the introduced budget that outlines certain existing fees charged by the Department of Health. Adding this language is necessary in order to ensure current fees and policies are continued.
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Technical: Remove Outdated Language General Assembly Adjustment
  This amendment strikes outdated budget language related to the transfer of summer food programs from the Virginia Department of Health to another agency. The agency completed the transfer several years ago and the language is no longer necessary.
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Technical: Remove Outdated Language General Assembly Adjustment
  This amendment strikes outdated budget language related to the feasibility of developing a Pay for Success Pilot program and the allocation of administrative savings. The agency completed these requirements several years ago and the language is no longer necessary.
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Unallot spending increases in response to potential revenue shortfall (Reconvened Amendment) General Assembly Adjustment
  Creates a language item to require the unallotment of new discretionary spending amounts ($7,387,353 in FY2021 and $6,276,521 in FY2022).


p3_bullets - Official Enacted Budget - 06-07-2025 15:58:57