Department of Medical Assistance Services [602]
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 $5,008,158,914 $7,594,157,772 $12,602,316,686
2018-2020 2020 Chapter 1283, 2020 Acts of Assembly $4,899,537,379 $10,228,886,509 $15,128,423,888
2020-2022 2021 Chapter 1, 2022 Acts of Assembly $4,545,328,030 $12,527,356,462 $17,072,684,492
2020-2022 2022 Chapter 1, 2022 Acts of Assembly $4,649,993,559 $14,472,732,262 $19,122,725,821
2022-2024 2023 Chapter1, 2024 Acts of Assembly $5,824,897,704 $14,857,958,805 $20,682,856,509
2022-2024 2024 Chapter1, 2024 Acts of Assembly $5,876,121,463 $16,797,807,713 $22,673,929,176
2024-2026 2025 Chapter 7, 2026 Acts of Assembly $7,209,890,810 $19,062,899,817 $26,272,790,627
2024-2026 2025 Previous Legislative Appropriation $7,209,890,810 $19,062,899,817 $26,272,790,627
2024-2026 2025 Governor's Amendments $0 $0 $0
2024-2026 2025 General Assembly Adjustments $0 $0 $0
2024-2026 2026 Chapter 7, 2026 Acts of Assembly $8,038,519,706 $20,693,477,358 $28,731,997,064
2024-2026 2026 Previous Legislative Appropriation $7,622,621,275 $19,926,298,195 $27,548,919,470
2024-2026 2026 Governor's Amendments $415,898,431 $767,179,163 $1,183,077,594
2024-2026 2026 General Assembly Adjustments $0 $0 $0
Positions Budget Summary
Biennium Fiscal Year Source GF NGF Total
2018-2020 2019 Chapter 1283, 2020 Acts of Assembly 257.52 273.48 531.00
2018-2020 2020 Chapter 1283, 2020 Acts of Assembly 259.52 275.48 535.00
2020-2022 2021 Chapter 1, 2022 Acts of Assembly 260.02 269.98 530.00
2020-2022 2022 Chapter 1, 2022 Acts of Assembly 263.02 272.98 536.00
2022-2024 2023 Chapter1, 2024 Acts of Assembly 266.02 276.98 543.00
2022-2024 2024 Chapter1, 2024 Acts of Assembly 263.52 279.48 543.00
2024-2026 2025 Chapter 7, 2026 Acts of Assembly 274.02 292.98 567.00
2024-2026 2025 Previous Legislative Appropriation 274.02 292.98 567.00
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 7, 2026 Acts of Assembly 276.52 295.48 572.00
2024-2026 2026 Previous Legislative Appropriation 276.52 295.48 572.00
2024-2026 2026 Governor's Amendments 0.00 0.00 0.00
2024-2026 2026 General Assembly Adjustments 0.00 0.00 0.00
Operating Budget Addenda (in order of greatest impact)
•
Fund Medicaid utilization and inflation Decision Package
  Provides funding for the cost of Medicaid utilization and inflation as estimated in the most recent expenditure forecast as projected by the Department of Medical Assistance Services.
 
  FY FY
General Fund $0 $410,305,498
Nongeneral Fund $0 $758,111,628
•
Fund Family Access to Medical Insurance Security utilization and inflation Decision Package
  Adjusts funding for the Family Access to Medical Insurance Security program to reflect the latest forecast of expenditures as projected by the Department of Medical Assistance Services.
 
  FY FY
General Fund $0 $16,193,616
Nongeneral Fund $0 $36,516,513
•
Remove duplicative members enrolled in other states Decision Package
  Accounts for savings from removal of individuals currently enrolled in Virginia’s medical assistance programs who have coverage in other states.
 
  FY FY
General Fund $0 ($6,247,833)
Nongeneral Fund $0 ($15,499,551)
•
Fund medical assistance services for low-income children utilization and inflation Decision Package
  Adjusts funding for the Commonwealth's Medicaid Children's Health Insurance Program to reflect the latest expenditure forecast as projected by the Department of Medical Assistance Services.
 
  FY FY
General Fund $0 ($8,922,388)
Nongeneral Fund $0 ($9,879,889)
•
Adjust Health Care Fund appropriation Decision Package
  Modifies appropriation in the Virginia Health Care Fund to reflect the latest revenue estimates and prior year cash balance. Since the Health Care Fund is used as state match for Medicaid, any increase in revenue offsets general fund support for Medicaid and any decrease requires additional general fund dollars.
 
  FY FY
General Fund $0 $4,569,538
Nongeneral Fund $0 ($4,569,538)
•
Implement federal community engagement and eligibility verification requirements Decision Package
  Provides funding to begin implementation of federal community engagement and eligibility verification requirements pursuant to H.R. 1, 119th Congress (2025-2026).
 
  FY FY
Nongeneral Fund $0 $2,500,000


p3_bullets - Official Enacted Budget - 09-14-2026 07:57:24