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
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 1, 2022 Acts of Assembly $192,953,062 $604,272,099 $797,225,161
2020-2022 2022 Chapter 1, 2022 Acts of Assembly $211,902,238 $721,576,816 $933,479,054
2022-2024 2023 Chapter 1, 2023 Acts of Assembly, Special Session 1 $237,622,379 $989,400,303 $1,227,022,682
2022-2024 2023 Previous Legislative Appropriation $237,622,379 $989,400,303 $1,227,022,682
2022-2024 2023 Governor's Amendments $1,118,595 $0 $1,118,595
2022-2024 2023 General Assembly Adjustments ($1,118,595) $0 ($1,118,595)
2022-2024 2024 Chapter 1, 2023 Acts of Assembly, Special Session 1 $246,225,920 $820,460,040 $1,066,685,960
2022-2024 2024 Previous Legislative Appropriation $235,412,508 $727,897,537 $963,310,045
2022-2024 2024 Governor's Amendments $54,648,305 $250,318,514 $304,966,819
2022-2024 2024 General Assembly Adjustments ($43,834,893) ($157,756,011) ($201,590,904)
Positions Budget Summary
Biennium Fiscal Year Source GF NGF Total
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 1, 2022 Acts of Assembly 1,513.50 2,198.00 3,711.50
2020-2022 2022 Chapter 1, 2022 Acts of Assembly 1,571.50 2,239.00 3,810.50
2022-2024 2023 Chapter 1, 2023 Acts of Assembly, Special Session 1 1,605.50 2,273.00 3,878.50
2022-2024 2023 Previous Legislative Appropriation 1,605.50 2,273.00 3,878.50
2022-2024 2023 Governor's Amendments 0.00 0.00 0.00
2022-2024 2023 General Assembly Adjustments 0.00 0.00 0.00
2022-2024 2024 Chapter 1, 2023 Acts of Assembly, Special Session 1 1,605.50 2,273.00 3,878.50
2022-2024 2024 Previous Legislative Appropriation 1,605.50 2,273.00 3,878.50
2022-2024 2024 Governor's Amendments 2.00 0.00 2.00
2022-2024 2024 General Assembly Adjustments (2.00) 0.00 (2.00)
Operating Budget Addenda (in order of greatest impact)
•
Add appropriation for epidemiology and laboratory capacity grants Decision Package
  Provides appropriation for Epidemiology and Laboratory Capacity for Prevention and Control of Emerging Infectious Diseases Cooperative Agreement grants, which are not funded by the federal American Rescue Plan Act. This will reduce the number of mid-year administrative adjustments and increase budget transparency.
 
  FY FY
Nongeneral Fund $0 $150,756,011
•
Provide required state match funding for drinking water infrastructure projects 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 State Revolving Fund. Increases the nongeneral fund appropriation as necessary to keep pace with the reimbursement and payment trends of drinking water grants.
 
  FY FY
General Fund $0 $3,373,581
Nongeneral Fund $0 $91,864,181
•
Establish the Earn to Learn Nursing Education Acceleration program grant Decision Package
  Provides funding to establish the Earn to Learn Nursing Education Acceleration program for partnerships between educational and health institutions to increaset he number of nursing graduates receiving necessary clinical training to achieve certification. Grantees must provide participating students employment opportunites consistent with their current certification level.
 
  FY FY
General Fund $0 $30,000,000
•
Enhance the Nurse Preceptor Incentive Program Decision Package
  Provides funding to increase the awards provided through the Nursing Preceptor Incentive Program to $5,000 per semester (up from $1,000). Expands the eligibility of preceptor awards to include registered nurses and licensed practical nurses to encourage more clinicians to become preceptors.
 
  FY FY
General Fund $0 $10,000,000
Positions 0.00 1.00
•
Designate portion of opioid settlement funds for fentanyl response efforts Decision Package
  Provides funding to support costs associated with a statewide fentanyl response strategy pursuant to legislation to be introduced in the 2023 General Assembly Session. The funding would come from the Commonwealth share of opioid settlement funds deposited to the Commonwealth Opioid Abatement and Remediation Fund.
 
  FY FY
Nongeneral Fund $0 $7,000,000
•
Establish psychiatric nursing graduate education loan repayment program Decision Package
  Provides loan repayments for psychiatric registered nurses and psychiatric nurse practitioners who work in Virginia over four years.
 
  FY FY
General Fund $0 $5,000,000
•
Enhance the Behavioral Health Loan Repayment Program Decision Package
  Increases funding for the Behavioral Health Loan Repayment Program. Increases loan repayment awards from $30,000 to $50,000 for child and adolescent psychiatrists, psychiatric nurse practitioners, and psychiatrists. Allows psychiatrists in residency to apply and qualify for loan repayments.
 
  FY FY
General Fund $0 $2,500,000
•
Provide additional support to address increases in rent costs for 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 $943,856
Nongeneral Fund $0 $698,322
•
Increase funding to support salary adjustments for Office of the Chief Medical Examiner staff Decision Package
  Provides funding for salary adjustments for the Chief Medical Examiner, Assistant Chief Medical Examiners, and non-physician staff. This adjustment aligns salaries to be more competitive with other states.
 
  FY FY
General Fund $0 $1,491,950
•
Add funds to address a reversion of federal funding for the Office of Drinking Water Decision Package
  Provides general fund resources to cover federal deferrals associated with payments to the U.S. Environmental Protection Agency dating back to March of 2021.
 
  FY FY
General Fund $1,118,595 $0
•
Provide additional support for the nursing scholarships and loan repayment program Decision Package
  Provides additional support for the nursing scholarships and loan repayment programs to provide additional awards for licensed practical and registered nurses.
 
  FY FY
General Fund $0 $1,000,000
•
Provide funding for cybersecurity threat management position Decision Package
  Provides funding to replace a contractor with a full-time cybersecurity analyst to protect and maintain the overall security of agency systems.
 
  FY FY
General Fund $0 $163,918
Positions 0.00 1.00
•
Add funding for sexual assault forensic examiner training for emergency department staff Decision Package
  Funds sexual assault forensic examiner training for emergency department staff as required by the Code of Virginia.
 
  FY FY
General Fund $0 $125,000
•
Increase drug-susceptible tuberculosis funding Decision Package
  Provides funding to account for an increase in tuberculosis medication costs and to provide treatment options to more individuals.
 
  FY FY
General Fund $0 $50,000
•
Extend loan deadlines for COVID-19 pandemic response Decision Package
  Extends the repayment term for any existing treasury loan authorized for the purpose of COVID-19 pandemic response activities to June 30, 2024, upon notification from the Department of Emergency Management to the Department of Accounts that federal reimbursement expected from the Federal Emergency Management Agency has not yet been received by the treasury loans’ existing planned repayment date.
•
Restrict abortion services Decision Package
  Prevents expenditures from general or nongeneral fund sources to be used for providing abortion services, except as otherwise required by federal law.
•
Transfer State Office of Rural Health Grant matching funds to correct program area Decision Package
  Transfers appropriation for the State Office of Rural Health Grant matching funds to correct program area.
•
Reverse Introduced Operating Budget Amendments (2023 Session HB 1400 Conference Action) General Assembly Adjustment
  This amendment reverses the operating budget amendments proposed in HB 1400 / SB 800 as introduced. The passage of the conference substitute to HB 1400 nullifies the introduced amendments. To reflect the General Assembly action, this amendment reverses the aggregate total of proposed introduced budget changes for this agency.
 
  FY FY
General Fund ($1,118,595) ($54,648,305)
Nongeneral Fund $0 ($250,318,514)
Positions 0.00 (2.00)
•
2023 Special Session I Amendments: Drinking Water Infrastructure Projects General Assembly Adjustment
  Increases the general fund appropriation used as match to draw down the U.S. Environmental Protection Agency's grant funds for the Drinking Water State Revolving Fund. The amendment increases the nongeneral fund appropriation as necessary to keep pace with the reimbursement and payment trends of drinking water grants. The state match requirement will increase to 20% starting in FY25, it is currently 10%.
 
  FY FY
General Fund $0 $3,373,581
Nongeneral Fund $0 $91,864,181
•
2023 Special Session I Amendments: Nurse Preceptor Incentive Program General Assembly Adjustment
  Provides funding to increase the awards provided through the Nursing Preceptor Incentive Program to $5,000 per semester (up from $1,000). Language expands the eligibility of preceptor awards to include registered nurses and licensed practical nurses to encourage more clinicians to become preceptors.
 
  FY FY
General Fund $0 $3,000,000
•
2023 Special Session I Amendments: Rent Costs for Local Health Departments General Assembly Adjustment
  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 $943,856
Nongeneral Fund $0 $698,322
•
2023 Special Session I Amendments: Behavioral Health Loan Repayment Program General Assembly Adjustment
  Increases funding for the Behavioral Health Loan Repayment Program.
 
  FY FY
General Fund $0 $1,500,000
•
2023 Special Session I Amendments: ALS Assistance Funding General Assembly Adjustment
  Provides $750,000 the second year from the general fund to the ALS Association to provide support for a durable medical equipment loan program, multidisciplinary ALS clinics, adaptive communication programming, transportation stipends, and grants for respite care.
 
  FY FY
General Fund $0 $750,000
•
2023 Special Session I Amendments: Salary Adjustments for the Office of Chief Medical Examiner General Assembly Adjustment
  Provides funding to increase the salaries of the assistant chief medical examiners and other support staff in the Office of the Chief Medical Examiner for the January 1, 2024 through June 30, 2024 timeframe. The cost of these salary adjustments would be annualized in the 2024-26 biennial budget. Based on recent information from the Virginia Department of Health, only 11 of the 19 medical examiners are filled.
 
  FY FY
General Fund $0 $745,975
•
2023 Special Session I Amendments: Samaritan House General Assembly Adjustment
  Provides $500,000 from the general fund the second year for Samaritan House to support emergency and permanent housing, support services and community outreach to victims of domestic and sexual violence, human trafficking, and homelessness in Southeast Virginia.
 
  FY FY
General Fund $0 $500,000


p3_bullets - Official Enacted Budget - 11-02-2026 23:02:15