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
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
2021-2024 2022 Chapter1, 2024 Acts of Assembly $237,622,379 $989,400,303 $1,227,022,682
2021-2024 2023 Chapter1, 2024 Acts of Assembly $246,225,920 $820,460,040 $1,066,685,960
2024-2026 2025 Chapter 725, 2025 Acts of Assembly $326,633,728 $842,889,522 $1,169,523,250
2024-2026 2025 Previous Legislative Appropriation $299,815,177 $842,889,522 $1,142,704,699
2024-2026 2025 Governor's Amendments $118,551 $0 $118,551
2024-2026 2025 General Assembly Adjustments $26,700,000 $0 $26,700,000
2024-2026 2026 Chapter 725, 2025 Acts of Assembly $309,700,157 $771,481,733 $1,081,181,890
2024-2026 2026 Previous Legislative Appropriation $297,371,844 $839,034,522 $1,136,406,366
2024-2026 2026 Governor's Amendments $9,938,925 ($67,552,789) ($57,613,864)
2024-2026 2026 General Assembly Adjustments $2,389,388 $0 $2,389,388
Positions Budget Summary
Biennium Fiscal Year Source GF NGF Total
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
2021-2024 2022 Chapter1, 2024 Acts of Assembly 1,605.50 2,273.00 3,878.50
2021-2024 2023 Chapter1, 2024 Acts of Assembly 1,605.50 2,273.00 3,878.50
2024-2026 2025 Chapter 725, 2025 Acts of Assembly 1,614.50 2,271.00 3,885.50
2024-2026 2025 Previous Legislative Appropriation 1,614.50 2,271.00 3,885.50
2024-2026 2025 Governor's Amendments 0.00 0.00 0.00
2024-2026 2025 General Assembly Adjustments 0.00 0.00 0.00
2024-2026 2026 Chapter 725, 2025 Acts of Assembly 1,615.50 2,271.00 3,886.50
2024-2026 2026 Previous Legislative Appropriation 1,614.50 2,271.00 3,885.50
2024-2026 2026 Governor's Amendments 0.00 0.00 0.00
2024-2026 2026 General Assembly Adjustments 1.00 0.00 1.00
Operating Budget Addenda (in order of greatest impact)
•
Reduce excess federal appropriation Decision Package
  Aligns appropriation with anticipated expenditures and revenues collected.
 
  FY FY
Nongeneral Fund $0 ($68,074,469)
•
Provide funding for a perinatal health hub pilot program Decision Package
  Provides funding to support a perinatal health hub pilot program in Virginia to reduce maternal and infant mortality.
 
  FY FY
General Fund $0 $2,500,000
•
Provide support to maintain compliance with drinking water regulations Decision Package
  Provides additional support to the Office of Drinking Water to maintain compliance with state and federal drinking water requirements.
 
  FY FY
General Fund $0 $1,803,598
•
Add support for community health workers and doulas at local health districts Decision Package
  Provides additional support for community health workers and doulas at local health districts that serve localities with the highest rates of maternal mortality.
 
  FY FY
General Fund $0 $1,000,000
•
Continue support for the Division of Disease Prevention due to decreased federal support Decision Package
  Provides support for the Division of Disease Prevention to continue sexually transmitted infection prevention efforts due to an unanticipated loss of grant funding.
 
  FY FY
General Fund $0 $1,000,000
•
Support rent increases at local health department facilities Decision Package
  Provides funding to offset expected rental or moving costs at the following local health department facilities: Piedmont, Eastern Shore, Southside, Central Shenandoah, New River, Chesterfield, Prince William, Rappahannock, and Virginia Beach Health Districts.
 
  FY FY
General Fund $0 $546,266
Nongeneral Fund $0 $421,680
•
Provide support for the Home Care Organization Licensure Program Decision Package
  Provides support for the Home Care Organization Licensure Program's biennial inspection workload.
 
  FY FY
General Fund $0 $853,098
•
Provide support for information technology security audits and mandatory investigations Decision Package
  Provides support to the Office of Internal Audit for additional financial and information technology auditors to address an increase in workload.
 
  FY FY
General Fund $0 $847,529
•
Fund electronic health records system Decision Package
  Provides funding to support initial costs of an electronic health record system for pilot sites and eventually for full implementation. This initiative will improve communication between patients and providers and to help providers work more efficiently.
 
  FY FY
General Fund $0 $500,000
•
Establish a Large Animal Veterinary Loan Repayment program Decision Package
  Establishes the Large Animal Veterinary Loan Repayment program to provide loan repayments for large animal veterinarians operating in Virginia.
 
  FY FY
General Fund $0 $450,000
•
Provide support for intermediate disciplinary actions for medical care facilities Decision Package
  Provides support for the administration of intermediate disciplinary actions for medical care facilities. This funding is tied to forthcoming legislation.
 
  FY FY
General Fund $0 $319,883
•
Fund implementation of rainwater harvesting system regulations Decision Package
  Provides funding for the implementation of rainwater harvesting system regulations and associated database costs. The regulations provide standards for the use of rainwater harvesting systems, including systems that collect rainwater for human consumption.
 
  FY FY
General Fund $118,551 $118,551
•
Complete opioid impact reduction registry Decision Package
  Provides Commonwealth Opioid Abatement and Remediation funding for one-time costs associated with the development of the Opioid Impact Reduction Registry.
 
  FY FY
Nongeneral Fund $0 $100,000
•
Amend language for the State Pharmaceutical Assistance Program to expand access to purchase HIV prevention medication Decision Package
  Amends language for the State Pharmaceutical Assistance Program to expand access to purchase pre-exposure prophylaxis (PrEP) and non-occupational post exposure prophylaxis (n-PEP) HIV prevention medication, co-pays, and other out-of-pocket costs.
•
Increase vital records fee for expedited records Decision Package
  Increases the amount charged for expedited records from $48.00 to $53.00 to cover for increased services costs.
•
Remove budget language that prohibits changes to emergency medical services council regional boundaries Decision Package
  Eliminates restrictive language that prevents changes to current emergency medical services regional council boundaries.
•
Restrict taxpayer funding for 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 funding for naloxone purchases to correct service area Decision Package
  Transfers general fund appropriation for the purchase of naloxone to the correct service area.
•
Update language to reflect current funding levels for the Virginia Center for Health Innovation Decision Package
  Updates language to reflect current funding levels for the Virginia Center for Health Innovation.
•
Grants for Drinking Water Projects (280 #1c) General Assembly Adjustment
  This amendment provides $25.0 million from the general fund the first year for the Virginia Department of Health to provide grants to localities for drinking water projects.
 
  FY FY
General Fund $25,000,000 $0
•
Executive Amendment - Transfer Mobile Maternal Health Clinic pilot program to the Department of Medical Assistance Services (Amendment 91) General Assembly Adjustment
  Transfers the Mobile Maternal Health Clinic pilot program to the Department of Medical Assistance Services.
 
  FY FY
General Fund $0 ($2,500,000)
•
Mobile Maternal Health Clinics (277 #1c) General Assembly Adjustment
  This amendment provide $2.5 million from the general fund the second year to the Virginia Department of Health, working with Virginia universities and private businesses, to create a pilot program for mobile clinics within maternal health deserts in Virginia, as well as funding for data collection to measure the effectiveness of the program. The goal of the program is to improve access in underserved communities and reduce transportation and geographic barriers to care.
 
  FY FY
General Fund $0 $2,500,000
•
Improve Emergency Response in Greensville County (279 #1c) General Assembly Adjustment
  This amendment provides $1.3 million from the general fund the first year to Greensville County to improve emergency response times for the Liberty Road community.
 
  FY FY
General Fund $1,250,000 $0
•
Non-Emergency Medical Transportation Services in Rural Areas (279 #5c) General Assembly Adjustment
  This amendment provides $1.0 million from the general fund in fiscal year 2026 to the Virginia Community Healthcare Association for a pilot non-emergency transportation program for uninsured Virginians, living in medically underserved or unserved areas in the catchment area of a federally qualified health center. Funding priority will be given to serving individuals in rural localities.
 
  FY FY
General Fund $0 $1,000,000
•
Redirect Funding for Community Health Workers and Doulas (278 #1c) General Assembly Adjustment
  This amendment removes language and redirects $1.0 million from the general fund the second year provided in the introduced budget for community health workers and doulas at local health districts. During the 2024 session, $3.2 million from the general fund each year was provided to support community health workers in local health districts. The introduced budget proposed adding $1.0 million from the general fund the second year and making existing funding available for doulas, as well as community health workers.
 
  FY FY
General Fund $0 ($1,000,000)
•
HB 2446: Perinatal & Postpartum Depression Education (277 #2c) General Assembly Adjustment
  This amendment provides $553,200 the second year from the general fund to implement the provisions of House Bill 2446, passed during the 2025 Session, which directs the Department of Health to establish a public awareness campaign, develop and distribute educational materials, and create an online resource hub focused on perinatal and postpartum depression.
 
  FY FY
General Fund $0 $553,200
•
Community Grants for Maternal Mental Health Care Programs (279 #4c) General Assembly Adjustment
  This amendment provides $500,000 from the general fund in fiscal year 2026 for a contract with the Virginia Health Care Foundation to administer a grant program for community organizations to expand access to maternal mental health services.
 
  FY FY
General Fund $0 $500,000
•
Free Clinic Funding (279 #7c) General Assembly Adjustment
  This amendment provides $500,000 from the general fund in fiscal year 2026 to support operating costs of free clinics that are members of the Virginia Association of Free and Charitable Clinics. Funding will be used to provide medical, dental, vision, speech, hearing, and behavioral health care, as well as prescription medications and substance use disorder services to uninsured and underinsured patients.
 
  FY FY
General Fund $0 $500,000
•
Funding for Federally Qualified Health Centers (279 #2c) General Assembly Adjustment
  This amendment provides $500,000 from the general fund the second year to the Virginia Community Healthcare Association (VCHA). VCHA plans to use the additional funding to enable Federally Qualified Health Centers to continue providing comprehensive medical, dental, maternal, and mental health services to the most vulnerable and uninsured Virginians, primarily in rural and urban settings.
 
  FY FY
General Fund $0 $500,000
•
Free Clinic of Central Virginia (279 #3c) General Assembly Adjustment
  This amendment provides $450,000 from the general fund the first year to contract with the Free Clinic of Central Virginia to allow them to restore operations and continue providing dental care to the community following a fire at their existing location. The one-time funding will be allocated to staff the dental clinic for 12 months, equipment and supplies, Virginia Commonwealth University dental students' housing, and the E.C. Glass High School externship program. The funding may only be used for costs that are not covered by the Clinic's insurance.
 
  FY FY
General Fund $450,000 $0
•
Redirect Funding for Large Animal Veterinarian Loan Repayment Program (271 #4c) General Assembly Adjustment
  This amendment eliminates and redirects funding of $450,000 from the general fund the second year proposed to create the Large Animal Veterinary Loan Repayment Program in Department of Health. Instead, this funding is provided in a companion amendment under the Department of Agriculture and Consumer Services for a large animal veterinary grant program.
 
  FY FY
General Fund $0 ($450,000)
•
VDH JLARC Recommendations (283 #1c) General Assembly Adjustment
  This amendment provides $300,000 from the general fund the second year for the Virginia Department of Health (VDH) to implement recommendations from the Joint Legislative Audit and Review Commission (JLARC). Language would require VDH to report on its progress implementing recommendation made by the Department of Planning and Budget, the causes of issues with VDH-administered nursing incentive programs, and its progress on implementing recommendations made by JLARC. Funding is provided for VDH to hire 2.0 positions to support internal audit and information security audit functions.
 
  FY FY
General Fund $0 $300,000
•
Establish Birmingham Green Workforce Development Training Center (279 #8c) General Assembly Adjustment
  This amendment provides $150,000 from the general fund in fiscal year 2026 to establish the Birmingham Green Workforce Development Training Center. Birmingham Green offers the only CNA training program in Northern Virginia and is a crucial resource for individuals from underserved communities. The Workforce Development Training Center will be an expansion of their current workforce development efforts to train CNAs, with new career training opportunities for its workforce and for staff from other health care operations.
 
  FY FY
General Fund $0 $150,000
•
SB 1041/HB 2088: Virginia Forensic Nursing Advisory Council (277 #5c) General Assembly Adjustment
  This amendment provides $128,188 from the general fund the second year to support the establishment of a Virginia Forensic Nursing Advisory Council to make recommendations on issues related to forensic examinations and sexual assault and domestic violence services, pursuant to the passage of Senate Bill 1041 and House Bill 2088, 2025 Regular Session.
 
  FY FY
General Fund $0 $126,188
Positions 0.00 1.00
•
HB 1902: Data Sharing with Prescription Monitoring Program (279 #6c) General Assembly Adjustment
  This amendment provides $110,000 the second year from the general fund for the fiscal impact of House Bill 1902 in the 2025 Session, which requires data sharing from the All Payer Claims Database with the Prescription Drug Monitoring Program to allow for the display of patient non-fatal overdose information in near real time at the point of prescribing. A companion amendment in Item 285 provides funding for systems changes to the Department of Health Professions Prescription Monitoring Program through funding from the Commonwealth Opioid Abatement and Remediation (COAR) opioid settlement funds. Language requires the Department of Health to include in its budget submission for the 2026-28 budget, any necessary general fund amounts needed to continue the data sharing agreement.
 
  FY FY
General Fund $0 $110,000
•
Expand Nurse Preceptor Program for CRNAs (271 #2c) General Assembly Adjustment
  This amendment adds $100,000 the second year from the general fund to increase funding for the Nurse Preceptor Incentive Program to increase the number of registered nurse clinical education opportunities in the field of anesthesiology. Language modifies the funding and adds anesthesiology as a specific area in which to establish new preceptor rotations for nursing students.
 
  FY FY
General Fund $0 $100,000
•
Expand Mary Marshall Scholarship Program for Nurses (271 #3c) General Assembly Adjustment
  This amendment directs the Virginia Department of Health to expand the Mary Marshall Scholarship Program to increase the number of nurses coming into the profession to address significant shortages, including allowing humanitarian parolees (foreign nationals who are allowed to enter the United States for urgent humanitarian reasons) as eligible participants and paying the fees for Virginians with a nursing degree from an international educational institution to be credentialed in order to practice.
•
Guidance for Modifying the Number of Regional EMS Councils (272 #1c) General Assembly Adjustment
  This amendment provides language directing the Board of Health to consult with relevant stakeholders when deciding to modify the number of regional emergency medical services councils.
•
Northern Virginia Firefighter Cancer Screening Pilot Program (272 #2c) General Assembly Adjustment
  This amendment provides authority to carryover funding for the Northern Virginia Firefighter Occupational Cancer Screening Pilot Program from fiscal year 2025 to fiscal year 2026 in the event the funds are not expended in the first year.
•
Opioid Antagonists Distribution Program (277 #3c) General Assembly Adjustment
  This amendment adds language requiring the Virginia Department of Health to report on the distribution of opioid antagonists through its distribution program.
•
Perinatal Health Hubs Pilot (277 #4c) General Assembly Adjustment
  This amendment updates language in the introduced budget on pilot perinatal health hub programs throughout the Commonwealth. The proposed language change directs the Virginia Department of Health to collaborate closely with the Virginia Neonatal Perinatal Collaborative. The proposed language also adds requirements for potential pilot hub locations.
•
School Nurse Scholarships for LPNs to RNs (271 #1c) General Assembly Adjustment
  This amendment allows $300,000 from the general fund each year of existing nursing scholarship funds to be used for school nurse scholarships to address the lack of access to Registered Nurses (RNs) in schools. The scholarship would help school-employed License Practical Nurses to become RNs and keep working as a school nurse who would then be able to provide a higher level of care and treatment after receiving additional training and education.
•
Workgroup on Nursing Home Licensing Fees (276 #1c) General Assembly Adjustment
  This amendment adds language in the Department of Health to require the Commissioner of Health to convene a stakeholder meeting to examine options for phasing in changes in nursing home licensure fees to cover the cost of operating the hospital and nursing home licensure and inspection program, prior to the establishment of or changes to licensure fees.


p3_bullets - Official Enacted Budget - 06-21-2025 01:03:40