• |
|
|
Adjusts appropriation for the five percent salary increase for state employees budgeted in Central Appropriations, Item 477 X. of Chapter 552, 2021 Acts of Assembly, Special Session I. |
|
|
FY |
FY |
General Fund |
$4,075,701 |
$4,075,701 |
Nongeneral Fund |
$7,128,215 |
$7,128,215 |
|
• |
|
|
Adjusts appropriation for changes to information technology and telecommunications usage budgeted in Central Appropriations, Item 478 C. of Chapter 552, 2021 Acts of Assembly, Special Session I. |
|
|
FY |
FY |
General Fund |
($2,188,972) |
($2,188,972) |
Nongeneral Fund |
($3,948,962) |
($3,948,962) |
|
• |
|
|
Adjusts appropriation for changes to contribution rates for state employee retirement plans budgeted in Central Appropriations, Item 477 H. of Chapter 552, 2021 Acts of Assembly, Special Session I. |
|
|
FY |
FY |
General Fund |
$612,346 |
$612,346 |
Nongeneral Fund |
$1,070,969 |
$1,070,969 |
|
• |
|
|
Adjusts appropriation for the employer’s share of health insurance premiums budgeted in Central Appropriations, Item 477 G. of Chapter 552, 2021 Acts of Assembly, Special Session I. |
|
|
FY |
FY |
General Fund |
$446,242 |
$446,242 |
Nongeneral Fund |
$804,350 |
$804,350 |
|
• |
|
|
Adjusts appropriation for changes to Cardinal Human Capital Management System internal service fund charges budgeted in Central Appropriations, Item 478 G. of Chapter 552, 2021 Acts of Assembly, Special Session I. |
|
|
FY |
FY |
General Fund |
$263,110 |
$263,110 |
Nongeneral Fund |
$460,112 |
$460,112 |
|
• |
|
|
Adjusts appropriation for workers’ compensation premiums budgeted in Central Appropriations, Item 477 R. of Chapter 552, 2021 Acts of Assembly, Special Session I. |
|
|
FY |
FY |
General Fund |
($132,286) |
($132,286) |
Nongeneral Fund |
($462,669) |
($462,669) |
|
• |
|
|
Adjusts appropriation for the five percent salary increase for state-supported local employees budgeted in Central Appropriations, Item 477 Y. of Chapter 552, 2021 Acts of Assembly, Special Session I. |
|
|
FY |
FY |
General Fund |
$438,132 |
$438,132 |
|
• |
|
|
Adjusts appropriation for changes to Cardinal Financials System internal service fund charges budgeted in Central Appropriations, Item 478 F. of Chapter 552, 2021 Acts of Assembly, Special Session I. |
|
|
FY |
FY |
General Fund |
($64,930) |
($64,930) |
Nongeneral Fund |
($242,063) |
($242,063) |
|
• |
|
|
Adjusts appropriation for changes to agency rental costs at the seat of government budgeted in Central Appropriations, Item 478 D. of Chapter 552, 2021 Acts of Assembly, Special Session I. |
|
|
FY |
FY |
General Fund |
$26,433 |
$26,433 |
Nongeneral Fund |
$42,409 |
$42,409 |
|
• |
|
|
Adjusts appropriation for general liability premiums billed by the Department of the Treasury’s Division of Risk Management budgeted in Central Appropriations, Item 478 J. of Chapter 552, 2021 Acts of Assembly, Special Session I. |
|
|
FY |
FY |
General Fund |
$18,524 |
$18,524 |
Nongeneral Fund |
$31,590 |
$31,590 |
|
• |
|
|
Adjusts appropriation for Personnel Management Information System internal service fund charges budgeted in Central Appropriations, Item 478 I. of Chapter 552, 2021 Acts of Assembly, Special Session I. |
|
|
FY |
FY |
General Fund |
($9,009) |
($9,009) |
Nongeneral Fund |
($14,028) |
($14,028) |
|
• |
|
|
Adjusts appropriation for changes to state employee other post-employment benefit rates budgeted in Central Appropriations, Item 477 K. of Chapter 552, 2021 Acts of Assembly, Special Session I. |
|
|
FY |
FY |
General Fund |
$6,516 |
$6,516 |
Nongeneral Fund |
$11,393 |
$11,393 |
|
• |
|
|
Adjusts appropriation for changes to Performance Budgeting system internal service fund charges budgeted in Central Appropriations, Item 478 H. of Chapter 552, 2021 Acts of Assembly, Special Session I. |
|
|
FY |
FY |
General Fund |
($991) |
($991) |
Nongeneral Fund |
($4,740) |
($4,740) |
|
• |
|
|
Provides appropriation for Virginia Department of Health's COVID-19 response grants, not originating from the federal American Rescue Plan Act, to reduce the number of mid-year administrative adjustments and increase budget transparency. |
|
|
FY |
FY |
Nongeneral Fund |
$259,680,817 |
$0 |
|
• |
|
|
Provides appropriation to contract for an integrated e-referral system. The purpose of the system is to connect government agencies, health care providers, and community-based partners to enable participants in the system to refer patients to public health and social services. |
|
|
FY |
FY |
General Fund |
$8,000,000 |
$8,000,000 |
|
• |
|
|
Provides general fund to complete the phase-in of the local match rate changes by 2024 to meet the revised funding formula estimates for the cooperative health budget. |
|
|
FY |
FY |
General Fund |
$2,835,696 |
$5,671,392 |
|
• |
|
|
Provides funding for marijuana prevention and education for the period prior to receipt of revenues from sales. |
|
|
FY |
FY |
General Fund |
$2,240,000 |
$2,240,000 |
|
• |
|
|
Provides funds to allow Virginia to draw down its entire federal share for the State Loan Repayment Program. The federal funding has a 1:1 match requirement, this would allow VDH to draw down a total of $1.5 million in federal funds. |
|
|
FY |
FY |
General Fund |
$1,200,000 |
$1,200,000 |
Nongeneral Fund |
$1,000,000 |
$1,000,000 |
|
• |
|
|
Supplants Temporary Assistance for Needy Families funding with general fund to continue ongoing support for the Virginia Resource Mothers Program. The program provides support to a high risk population of pregnant teens, teen mothers and their babies through care coordination and home visiting by Community Health Workers through the child's first birthday. |
|
|
FY |
FY |
General Fund |
$1,000,000 |
$1,000,000 |
Nongeneral Fund |
($1,000,000) |
($1,000,000) |
|
• |
|
|
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 |
$878,435 |
$892,559 |
Nongeneral Fund |
$650,411 |
$661,967 |
|
• |
|
|
Adds positions and funding to implement a Water Sampling Verification Program. The program shall ensure sampling is valid and representative of the actual water quality and conditions at the waterworks. |
|
|
FY |
FY |
General Fund |
$1,500,000 |
$1,500,000 |
Positions |
7.00 |
7.00 |
|
• |
|
|
Expands comprehensive harm reduction (CHR) services to address an increase in demand for services at CHR sites in the central region. Services include sterile needle distribution, needle exchange, counseling, testing, and naloxone distribution. |
|
|
FY |
FY |
General Fund |
$1,061,875 |
$1,681,875 |
|
• |
|
|
Adds funding to support three additional assistant chief medical examiners to assist with an increase in workload and to maintain National Association of Medical Examiners accreditation. |
|
|
FY |
FY |
General Fund |
$1,047,553 |
$1,047,553 |
Positions |
3.00 |
3.00 |
|
• |
|
|
Provides funding and positions to establish, operate, and develop necessary databases for a Chesapeake Bay Septic Pilot program. The pilot program, through local health departments, shall provide oversight of the septic tank pump out and inspection programs in the Eastern Shore, Middle Peninsula, and Northern Neck regions of Virginia. |
|
|
FY |
FY |
General Fund |
$1,038,611 |
$1,013,720 |
Positions |
7.00 |
7.00 |
|
• |
|
|
Establishes a fund to provide support for small community waterworks. The proposed fund would help the Office of Drinking Water consolidate small waterworks to reduce health violations, improve the economies of scale, and address resilience and reliability at small and disadvantaged systems. |
|
|
FY |
FY |
General Fund |
$1,000,000 |
$1,000,000 |
|
• |
|
|
Provides funding to support licensing costs for five pieces of necessary software. The maintenance and enhancement of these systems are crucial for the Virginia Department of Health to continue providing accurate and timely public health data. |
|
|
FY |
FY |
General Fund |
$826,637 |
$826,637 |
|
• |
|
|
Provides funding to contract with the ASK Childhood Cancer Foundation to facilitate the provision of pediatric cancer support services by pediatric cancer treatment centers in Virginia. |
|
|
FY |
FY |
General Fund |
$700,289 |
$700,289 |
|
• |
|
|
Provides funding to support operational costs for the Virginia Healthcare Workforce Development Authority and establish a workgroup to conduct a study on addressing primary care workforce issues and potential solutions. |
|
|
FY |
FY |
General Fund |
$800,000 |
$300,000 |
|
• |
|
|
Provides funding to the State Office of Rural Health to draw down the full federal amount of $230,000. The Federal Office of Rural Health Policy requires a state match of three times that of the federal award. Therefore, the state match to receive the full federal amount is $690,000. This would provide VDH $540,000 for federal matching funds. |
|
|
FY |
FY |
General Fund |
$540,000 |
$540,000 |
|
• |
|
|
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 |
|
• |
|
|
Adds positions and funding to support three Health Care Compliance Specialists to address new legislative mandates and to supplement the existing hospital state licensure inspection program. The legislation requires that every hospital licensed by the Virginia Department of Health shall provide to the department an approved plan for services that are provided to survivors of sexual assault. |
|
|
FY |
FY |
General Fund |
$283,696 |
$567,391 |
Positions |
3.00 |
3.00 |
|
• |
|
|
Transfers Temporary Assistance for Needy Families funding for Healthy Families from the Virginia Department of Health back to the Department of Social Services. |
|
|
FY |
FY |
Nongeneral Fund |
($417,822) |
($417,822) |
|
• |
|
|
Adds funding to support three medicolegal death investigators to address an increase in caseload for death investigations. The Office of Chief Medical Examiners has seen a 26 percent increase in the number of death investigations since 2016. |
|
|
FY |
FY |
General Fund |
$332,150 |
$332,150 |
Positions |
3.00 |
3.00 |
|
• |
|
|
Provides funding and positions to support an increase in information technology projects. These positions will ensure that all projects are completed on time, within the scope, and budget and will ensure that the business needs of the agency are clearly defined and implemented into information technology solutions. |
|
|
FY |
FY |
General Fund |
$265,851 |
$265,851 |
Positions |
2.00 |
2.00 |
|
• |
|
|
Provides funding to contract with Edmarc Hospice for Children to expand pediatric hospice and palliative care program services. The contract shall include, but not be limited to, implementing or expanding a telemedicine program. |
|
|
FY |
FY |
General Fund |
$500,000 |
$0 |
|
• |
|
|
Provides funding for 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 |
$250,000 |
$250,000 |
|
• |
|
|
Enhances genomic surveillance efforts by supporting two positions to analyze and interpret genomic data. The purpose of this effort is to be able to better track the spread of emerging pathogens and mutations across the Commonwealth. |
|
|
FY |
FY |
General Fund |
$246,469 |
$246,469 |
Positions |
2.00 |
2.00 |
|
• |
|
|
Adds funding for two positions to address an increase in the investigative workload the Office of Internal Audit has had to perform. |
|
|
FY |
FY |
General Fund |
$231,448 |
$231,448 |
Positions |
2.00 |
2.00 |
|
• |
|
|
Provides funding to the Virginia Department of Health for central office administrative functions for the Opioid Abatement Authority. |
|
|
FY |
FY |
Nongeneral Fund |
$200,000 |
$200,000 |
Positions |
2.00 |
2.00 |
|
• |
|
|
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 |
$190,764 |
$190,764 |
Positions |
2.00 |
2.00 |
|
• |
|
|
Provides funding for operating costs associated with the additional field work, data collection, and analyses necessary to assess contamination in shellfish growing and harvesting areas. The purpose is to eventually expand shellfish growing areas more equitably to rural communities who do not have these resources, including watersheds in the Northern Neck, Middle Peninsula, and Eastern Shore. |
|
|
FY |
FY |
General Fund |
$175,000 |
$175,000 |
|
• |
|
|
Facilitates sharing of data regarding firearm violence in Virginia. |
|
|
FY |
FY |
General Fund |
$144,799 |
$144,799 |
Positions |
1.00 |
1.00 |
|
• |
|
|
Adds one position and funding for an Environmental Health Coordinator to support the Grade A Milk Program. This position will serve as the agency lead for regulatory functions of the Grade A Milk program, including the provision of technical guidance to local health district Milk Specialists, coordination and delivery of necessary training, and coverage for plan review services for new milk plants in districts without a Milk Specialist. |
|
|
FY |
FY |
General Fund |
$149,952 |
$134,952 |
Positions |
1.00 |
1.00 |
|
• |
|
|
Adds one position and funding to address an increase in the regulatory caseload in the Office of Licensure and Certification. This increase in workload has had an impact on the office's ability to maintain a proper timetable for the promulgation of regulations and periodic regulatory reviews. |
|
|
FY |
FY |
General Fund |
$120,106 |
$120,106 |
Positions |
1.00 |
1.00 |
|
• |
|
|
Provides additional general fund support for the Special Olympics Healthy Athlete Program. |
|
|
FY |
FY |
General Fund |
$15,000 |
$15,000 |
|
• |
|
|
Adjusts appropriation to reflect the increases in the Virginia minimum wage effective May 1, 2021 and January 1, 2022, and budgeted in Central Appropriations, Item 477 T. of Chapter 552, 2021 Acts of Assembly, Special Session I. The amounts provided support the annualized general fund cost of increasing the Virginia minimum wage from $7.25 per hour to $11.00 per hour or the equivalent annual salary of $22,880. |
|
|
FY |
FY |
General Fund |
$10,268 |
$10,268 |
|
• |
|
|
Removes language to fund six identified organizations at designated funding levels, without competition, from either Rape Prevention and Education funds as allowable or from the Virginia Sexual and Domestic Violence Prevention Fund. Current language excludes more than 40 other sexual violence/domestic violence organizations from accessing these funds. |
• |
|
|
Clarifies that two dollars is the amount intended to go into the Vital Statistics Automation Fund. |
• |
|
|
Amends appropriation act language to allow existing federal American Rescue Plan Act funding to be used to hire temporary staff to assist with an increase in drinking water construction projects. |
|
|
FY |
FY |
Positions |
11.00 |
11.00 |
|
• |
|
|
Provides nongeneral fund appropriation and positions to enact grant requirements for a supplemental award received from the Strengthening STD Prevention and Control for Health Departments federal grant. The purpose of the grant is to strengthen the capacity of public health departments to mitigate the spread of COVID-19 and other infections and enhance the disease intervention specialists workforce. |
|
|
FY |
FY |
Positions |
32.00 |
32.00 |
|
• |
|
|
This amendment reduces funding by $5.5 million the first year and $8.0 million the second year from the general fund for an information technology information system designed to connect government agencies, health care providers, and community-based partners to facilitate referrals for public health and social services. This leaves $2.5 million in fiscal year 2023 to continue the current contract for the system for one additional year. It is expected that the e-referral system will continue beyond fiscal year 2023 with the use of user fees to support its operations. |
|
|
FY |
FY |
General Fund |
($5,500,000) |
($8,000,000) |
|
• |
|
|
This amendment reduces general fund support for the Resource Mothers Program and replaces it with federal Temporary Assistance to Needy Families block grant funds that have historically supported this program whose main goal is to improve birth outcomes for teens and their infants. |
|
|
FY |
FY |
General Fund |
($1,000,000) |
($1,000,000) |
Nongeneral Fund |
$1,000,000 |
$1,000,000 |
|
• |
|
|
This amendment reduces $2.2 million the first year and $1.8 million the second year from the general fund in the introduced budget for marijuana prevention and education. The revised amendment provides $40,000 the first year for a study of marijuana usage and $480,000 the second year from the general fund for a more modest marijuana prevention and education campaign, deferring action on additional prevention and education activities until the Commonwealth begins to collect revenues from the sale of marijuana. |
|
|
FY |
FY |
General Fund |
($2,200,000) |
($1,760,000) |
|
• |
|
|
This amendment provides $1.8 million from indirect cost recoveries the first year and $1.8 million from the general fund the second year to fund a budget shortfall in the Office of Drinking Water. Decisions in the past few years by the office resulted in increased operational expenses that were temporarily funded from nongeneral fund balances until those balances were exhausted in fiscal year 2022. To cover the shortfall in fiscal year 2022, $850,000 from the general fund was transferred from the budget for the local health districts to support the Office of Drinking Water. This amendment provides funding to ensure the operations of the office in the 2022-24 biennium, but requires a thorough analysis of how the office is funded to ensure adequate funding going forward. |
|
|
FY |
FY |
General Fund |
$0 |
$1,833,505 |
Nongeneral Fund |
$1,833,505 |
$0 |
|
• |
|
|
This amendment provides $3.0 million the first year from the general fund for the 10 percent match for the Commonwealth to receive additional federal drinking water program funds from the recently passed federal Infrastructure Investment and Jobs Act. |
|
|
FY |
FY |
General Fund |
$3,000,000 |
$0 |
|
• |
|
|
This amendment adds funding for the Hampton Roads Proton Beam Therapy Institute at Hampton University to support efforts for proton therapy in the treatment of cancerous tumors with fewer side effects. |
|
|
FY |
FY |
General Fund |
$1,000,000 |
$1,000,000 |
|
• |
|
|
This amendment provides $1.0 million from the general fund each year to fund nursing scholarship, loan repayment, and incentive programs established and administered by the Virginia Department of Health (VDH) to assist in recruiting and retaining nurses and nursing faculty to address significant workforce shortages. Language sets out specific funding amounts for the Long-Term Facility Nursing Scholarship to fund scholarships for students who commit to work in certified nursing facilities and nursing homes. The funding will support 32 nursing students receiving $2,000 scholarships each year. The Long-Term Facility Nursing Scholarship was established in 2016 but has not received any funding to award scholarships to students. The remaining $936,000 from the general fund each year shall be allocated for nursing scholarship, loan repayment and incentive programs as prioritized by the Commissioner of Health and the ability to expedite funding to recipients. Language directs that fund balances at the end of each fiscal year for health profession higher education student financial assistance shall be carried forward and reappropriated. Language also directs the Virginia Department of Health to publicize information about all health care scholarship and loan repayment programs on its website and notify nursing schools and programs of available nursing scholarship and loan repayment programs prior to the start of the academic year. |
|
|
FY |
FY |
General Fund |
$1,000,000 |
$1,000,000 |
|
• |
|
|
This amendment adds $1.5 million the first year from the general fund to support a public-private partnership that would build out and expand children's hospice services into Williamsburg and adjacent counties, bringing the total amount of funding in fiscal year 2023 to $2.0 million. Edmarc Children's Hospice provides pediatric hospice and home care to children with life-threatening illnesses. |
|
|
FY |
FY |
General Fund |
$1,500,000 |
$0 |
|
• |
|
|
This amendment provides $508,750 the first year and $816,750 the second year from the general fund for the Virginia Department of Health to contract with the Virginia Center for Health Innovation for actions necessary to facilitate and support the Virginia Task Force on Primary Care in years three and four of the Governor s Task Force on Primary Care. It also changes the name to the Virginia Task Force on Primary Care. A companion amendment in Item 283 requires the agency to collaborate on these efforts with the Secretary of Health and Human Resources, along with the development of a report on task force activities. |
|
|
FY |
FY |
General Fund |
$508,750 |
$816,750 |
|
• |
|
|
This amendment eliminates language and transfers $650,000 each year from the general fund for the Virginia Sexual and Domestic Violence Prevention Fund to the Department of Social Services. A separate amendment in the Department of Social Services appropriates all the funding in one agency. |
|
|
FY |
FY |
General Fund |
($650,000) |
($650,000) |
|
• |
|
|
This amendment level funds the additional funding included in the introduced budget for the Comprehensive Harm Reduction Program. The introduced budget included $1.1 million the first year and $1.7 million the second year from the general fund to support the program. |
|
|
FY |
FY |
General Fund |
$0 |
($620,000) |
|
• |
|
|
This amendment reduces $500,000 the first year from the general fund for the new Watering Sampling Verification Program. The introduced budget included $1.5 million from the general fund each year to establish the new program. This amendment reflects the phase-in of the program in the first year while staff are being hired and the program is launched. |
|
|
FY |
FY |
General Fund |
($500,000) |
$0 |
|
• |
|
|
This amendment provides $150,000 each year from the general fund for Special Olympics to re-engage schools in the Unified Champion Schools initiatives intentionally promoting meaningful social inclusion by bringing together students with and without intellectual disabilities through inclusive sports, inclusive youth leadership and school-wide engagement. |
|
|
FY |
FY |
General Fund |
$150,000 |
$150,000 |
|
• |
|
|
This amendment adds $225,000 from the general fund the first year for the operational expenses of the Southwest Virginia Health Authority. Funding will be used to support the implementation of population health programs and initiatives by the addition of a part-time employee, website development and other expenses to support the Authority's work. |
|
|
FY |
FY |
General Fund |
$225,000 |
$0 |
|
• |
|
|
This amendment provides $100,000 from the general fund each year for the fiscal impact of Chapters 678 and 679, 2022 Acts of Assembly, which require the Virginia Department of Health to provide oversight of hospital payment plans and billing processes. |
|
|
FY |
FY |
General Fund |
$100,000 |
$100,000 |
|
• |
|
|
This amendment provides $60,000 each year from the general fund for a contract with the Virginia Telehealth Network to provide consultation to advisory groups, track implementation and facilitate changes to the Statewide Telehealth Plan. |
|
|
FY |
FY |
General Fund |
$60,000 |
$60,000 |
|
• |
|
|
This amendment adds $100,000 from the general fund to support an expanded review of nursing education programs and nursing staffing shortages in Virginia, to be led by the Virginia Health Workforce Development Authority. |
|
|
FY |
FY |
General Fund |
$100,000 |
$0 |
|
• |
|
|
This amendment provides $50,000 each year from the general fund for the Rx Partnership program. The Rx Partnership works through a network of clinic partners to provide brand and generic medications to low-income, uninsured Virginians. The funding will support existing programs to expand utilization by 20 percent during the biennium based upon the growth and success of the existing programs, the significant additional patients due to COVID-19, the loss of access to key brand medications, and the increasing cost of generic medications. |
|
|
FY |
FY |
General Fund |
$50,000 |
$50,000 |
|
• |
|
|
This amendment provides $40,976 from the general fund each year to support the activities of the Renal Disease Council. |
|
|
FY |
FY |
General Fund |
$40,976 |
$40,976 |
|
• |
|
|
This amendment provides $60,000 the first year from the general fund for the continuation of the Commissioner of Health's workgroup to examine the occurrence of contaminants in public drinking water. |
|
|
FY |
FY |
General Fund |
$60,000 |
$0 |
|
• |
|
|
This amendment adds language to address the significant behavioral health workforce shortage by allowing stand-alone inpatient psychiatric facilities that serve uninsured or medically underserved populations and/or communities to be eligible practice sites for the Behavioral Health Student Loan Repayment Program. |
• |
|
|
This amendment clarifies that at least one annual payment must be made each year from the fund to eligible hospitals. |
• |
|
|
This amendment directs Virginia Health Information to develop a strategic plan to expand the Emergency Department Care Coordination Program to a statewide comprehensive health information exchange. |