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 2, 2024 Acts of Assembly, Special Session 1 $299,815,177 $842,889,522 $1,142,704,699
2024-2026 2025 Base Budget $235,412,508 $727,897,537 $963,310,045
2024-2026 2025 Governor's Amendments $52,221,729 $106,991,985 $159,213,714
2024-2026 2025 General Assembly Adjustments $12,180,940 $8,000,000 $20,180,940
2024-2026 2026 Chapter 2, 2024 Acts of Assembly, Special Session 1 $297,371,844 $839,034,522 $1,136,406,366
2024-2026 2026 Base Budget $235,412,508 $727,897,537 $963,310,045
2024-2026 2026 Governor's Amendments $53,138,396 $103,036,985 $156,175,381
2024-2026 2026 General Assembly Adjustments $8,820,940 $8,100,000 $16,920,940
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 2, 2024 Acts of Assembly, Special Session 1 1,614.50 2,271.00 3,885.50
2024-2026 2025 Base Budget 1,605.50 2,273.00 3,878.50
2024-2026 2025 Governor's Amendments 0.00 (2.00) (2.00)
2024-2026 2025 General Assembly Adjustments 9.00 0.00 9.00
2024-2026 2026 Chapter 2, 2024 Acts of Assembly, Special Session 1 1,614.50 2,271.00 3,885.50
2024-2026 2026 Base Budget 1,605.50 2,273.00 3,878.50
2024-2026 2026 Governor's Amendments 0.00 (2.00) (2.00)
2024-2026 2026 General Assembly Adjustments 9.00 0.00 9.00
Operating Budget Addenda (in order of greatest impact)
•
Adjust appropriation for centrally funded five percent salary increase for state employees Base Budget Adjustment
  Adjusts appropriation for the five percent salary increase for state employees budgeted in Central Appropriations, Item 483 S. of Chapter 2, 2022 Acts of Assembly, Special Session I.
 
  FY FY
General Fund $9,115,843 $9,115,843
Nongeneral Fund $15,004,640 $15,004,640
•
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 484 C. of Chapter 2, 2022 Acts of Assembly, Special Session I.
 
  FY FY
General Fund $4,857,089 $4,857,089
Nongeneral Fund $7,070,693 $7,070,693
•
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 483 G. of Chapter 2, 2022 Acts of Assembly, Special Session I.
 
  FY FY
General Fund $609,472 $609,472
Nongeneral Fund $1,049,611 $1,049,611
•
Adjust appropriation for centrally funded five percent salary increase for state-supported local employees Base Budget Adjustment
  Adjusts appropriation for the five percent salary increase for state-supported local employees budgeted in Central Appropriations, Item 483 T. of Chapter 2, 2022 Acts of Assembly, Special Session I.
 
  FY FY
General Fund $1,004,541 $1,004,541
•
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 484 F. of Chapter 2, 2022 Acts of Assembly, Special Session I.
 
  FY FY
General Fund $135,531 $135,531
Nongeneral Fund $469,901 $469,901
•
Adjust appropriation for centrally funded changes to Cardinal Human Capital Management System charges Base Budget Adjustment
  Adjusts appropriation for changes to Cardinal Human Capital Management System internal service fund charges budgeted in Central Appropriations, Item 484 G. of Chapter 2, 2022 Acts of Assembly, Special Session I.
 
  FY FY
General Fund $159,091 $159,091
Nongeneral Fund $258,700 $258,700
•
Adjust appropriation for centrally funded property insurance premium charges Base Budget Adjustment
  Adjusts appropriation for property insurance premiums billed by the Department of the Treasury’s Division of Risk Management budgeted in Central Appropriations, Item 484 J. of Chapter 2, 2022 Acts of Assembly, Special Session I.
 
  FY FY
General Fund ($133,236) ($133,236)
Nongeneral Fund ($113,605) ($113,605)
•
Adjust appropriation for centrally funded workers’ compensation premium changes Base Budget Adjustment
  Adjusts appropriation for workers’ compensation premiums budgeted in Central Appropriations, Item 483 P. of Chapter 2, 2022 Acts of Assembly, Special Session I.
 
  FY FY
General Fund ($65,588) ($65,588)
Nongeneral Fund $113,391 $113,391
•
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 484 E. of Chapter 2, 2022 Acts of Assembly, Special Session I.
 
  FY FY
General Fund $66,449 $66,449
Nongeneral Fund $103,143 $103,143
•
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 484 D. of Chapter 2, 2022 Acts of Assembly, Special Session I.
 
  FY FY
General Fund ($14,007) ($14,007)
Nongeneral Fund ($97,617) ($97,617)
•
Adjust appropriation for centrally funded changes to agency leased space costs Base Budget Adjustment
  Adjusts appropriation for to increased charges to customer agencies for the Department of General Services to perform lease administration services. budgeted in Central Appropriations, Item 485 K. of Chapter 2, 2022 Acts of Assembly, Special Session I.
 
  FY FY
General Fund $29,616 $29,616
Nongeneral Fund $42,701 $42,701
•
Adjust appropriation for centrally funded minimum wage increases Base Budget Adjustment
  Adjusts appropriation to reflect the increase in the Virginia minimum wage effective January 1, 2023, and budgeted in Central Appropriations, Item 483 R. of Chapter 2, 2022 Acts of Assembly, Special Session I. The amounts provided support the annualized general fund cost of increasing the Virginia minimum wage from $11.00 per hour to $12.00 per hour or the equivalent annual salary of $24,960.
 
  FY FY
General Fund $27,168 $27,168
Nongeneral Fund $44,188 $44,188
•
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 484 I. of Chapter 2, 2022 Acts of Assembly, Special Session I.
 
  FY FY
General Fund ($16,688) ($16,688)
Nongeneral Fund ($29,184) ($29,184)
•
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 484 H. of Chapter 2, 2022 Acts of Assembly, Special Session I.
 
  FY FY
General Fund ($4,093) ($4,093)
Nongeneral Fund ($7,614) ($7,614)
•
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 483 H. of Chapter 2, 2022 Acts of Assembly, Special Session I.
 
  FY FY
Nongeneral Fund $189 $189
•
Continue Chapter 1 funding changes: Provide required state match funding for drinking water infrastructure projects Decision Package
  Provides for the ongoing impact of appropriation changes included in Chapter 1, 2023 Special Session I. 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 percent starting in 2025, it is currently 10 percent.
 
  FY FY
General Fund $6,464,800 $6,464,800
Nongeneral Fund $91,654,000 $91,654,000
•
Reduce excess federal appropriation Decision Package
  Removes excess federal appropriation across programs.
 
  FY FY
Nongeneral Fund ($12,588,619) ($12,588,619)
•
Allocate portion of opioid settlement funds for fentanyl response efforts Decision Package
  Allocates Commonwealth Opioid Abatement and Remediation fund dollars to support the Naloxone Distribution Program. Funding will support the purchase and distribution of opioid reversal agents as well as administrative costs such as shipping, test strips, and software modifications.
 
  FY FY
Nongeneral Fund $5,519,145 $5,464,145
•
Enhance the Behavioral Health Loan Repayment Program Decision Package
  Provides additional support for the Behavioral Health Loan Repayment Program. This amendment increases incentives for tier 1 professions from $30,000 to $50,000 as well as expands program eligibility to include psychiatric registered nurses. Out of this amount, $1.0 million shall be set aside for eligible behavioral health professionals who are school-based.
 
  FY FY
General Fund $5,000,000 $5,000,000
•
Supplant Temporary Assistance for Needy Families block grant funding for Families Forward with general fund Decision Package
  Supplants Temporary Assistance for Needy Families block grant funding for Families Forward with general fund.
 
  FY FY
General Fund $2,400,000 $2,400,000
Nongeneral Fund ($2,400,000) ($2,400,000)
•
Continue support for the Earn to Learn Nursing Education Acceleration Program Decision Package
  Continues support for the Earn to Learn Nursing Education Acceleration Program for partnerships between educational and health institutions to increase the number of nursing graduates receiving necessary clinical training to achieve certification.
 
  FY FY
General Fund $4,000,000 $4,000,000
•
Supplant Temporary Assistance for Needy Families block grant funding for contraceptives with general fund Decision Package
  Supplants Temporary Assistance for Needy Families block grant funding for access to contraceptives with general fund support starting in 2026.
 
  FY FY
General Fund $0 $4,000,000
Nongeneral Fund $0 ($4,000,000)
•
Continue Chapter 1 funding changes: Enhance the Nurse Preceptor Incentive Program Decision Package
  Provides for the ongoing impact of appropriation changes included in Chapter 1, 2023 Special Session I. 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 $3,000,000 $3,000,000
•
Continue Chapter 1 funding changes: Provide funding for two percent salary increase Decision Package
  Adjusts appropriation for the two percent salary increase for state and state supported local employees budgeted in Central Appropriations, Paragraphs S, T, U, and V of Item 483, Chapter 1, 2023 Acts of Assembly, Special Session I.
 
  FY FY
General Fund $2,177,113 $2,177,113
•
Supplant Temporary Assistance for Needy Families block grant funding for Resource Mothers with general fund Decision Package
  Supplants Temporary Assistance for Needy Families block grant funding for Resource Mothers with general fund.
 
  FY FY
General Fund $1,000,000 $1,000,000
Nongeneral Fund ($1,000,000) ($1,000,000)
•
Provide funding to create sustainable financial oversight Decision Package
  Provides general fund support to improve compliance and audit findings and to create financial oversight for the agency.
 
  FY FY
General Fund $1,765,106 $1,765,106
•
Provide state matching funds to expand home visiting services Decision Package
  Provides sufficient general fund support to use as the 25 percent state match to meet the minimum threshold to draw down federal funds. The associated nongeneral fund appropriation is also provided.
 
  FY FY
General Fund $333,333 $500,000
Nongeneral Fund $1,000,000 $1,500,000
•
Continue Chapter 1 funding changes: Provide additional support to address increases in rent costs for local health departments Decision Package
  Provides for the ongoing impact of appropriation changes included in Chapter 1, 2023 Special Session I. 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 $943,856 $943,856
Nongeneral Fund $698,322 $698,322
•
Continue Chapter 1 funding changes: Enhance the Behavioral Health Loan Repayment Program Decision Package
  Provides for the ongoing impact of appropriation changes included in Chapter 1, 2023 Special Session I. Increases funding for the Behavioral Health Loan Repayment Program.
 
  FY FY
General Fund $1,500,000 $1,500,000
•
Continue Chapter 1 funding changes: Increase funding to support salary adjustments for Office of the Chief Medical Examiner staff Decision Package
  Provides for the ongoing impact of appropriation changes included in Chapter 1, 2023 Special Session I. 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 $1,491,950 $1,491,950
•
Add funding for Hampton Roads Proton Beam Therapy Institute Decision Package
  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 $2,500,000 $0
•
Continue Chapter 1 funding changes: Provide support for Amyotrophic Lateral Sclerosis Association and increase support in the first year Decision Package
  Provides for the ongoing impact of appropriation changes included in Chapter 1, 2023 Special Session I. Funding will be used by the Amyotrophic Lateral Sclerosis Association to provide support for a durable medical equipment loan program, multidisciplinary amyotrophic lateral sclerosis clinics, adaptive communication programming, transportation stipends, and grants for respite care.
 
  FY FY
General Fund $1,500,000 $750,000
•
Provide additional support for the Nursing Scholarships and Loan Repayment Program Decision Package
  Provides additional support for the Nursing Scholarships and Loan Repayment program.
 
  FY FY
General Fund $936,000 $936,000
•
Establish Office of Grants Administration Decision Package
  Provides support to establish the Office of Grants Administration and funding for three positions. Funding shall also be used to provide training on grants administration.
 
  FY FY
General Fund $557,010 $557,010
•
Continue Chapter 1 funding changes: Provide support for the Samaritan House Decision Package
  Provides for the ongoing impact of appropriation changes included in Chapter 1, 2023 Special Session I. Funding will be used by the 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 $500,000 $500,000
•
Add funds to increase staffing of Healthcare Workforce Incentive Unit Decision Package
  Provides general fund support to convert two contractors into classified positions within the Health Workforce Incentive Unit.
 
  FY FY
General Fund $231,373 $231,373
•
Provide funding to conduct a wastewater surveillance demonstration project for fentanyl and norfentanyl Decision Package
  Allocates Commonwealth Opioid Abatement and Remediation fund dollars to conduct a wastewater surveillance demonstration project for fentanyl and norfentanyl in three geographically diverse localities. The demonstration project shall last one year.
 
  FY FY
Nongeneral Fund $400,000 $0
•
Transfer funds for administrative support of the Opioid Abatement Authority Decision Package
  Transfers nongeneral fund appropriation and positions to the Department of Behavioral Health and Developmental Services to perform administrative services for the Opioid Abatement Authority.
 
  FY FY
Nongeneral Fund ($200,000) ($200,000)
Positions (2.00) (2.00)
•
Provide support for Special Olympics Virginia for Unified Champion Schools Decision Package
  Doubles support for Special Olympics Virginia for Unified Champion Schools.
 
  FY FY
General Fund $150,000 $150,000
•
Align appropriation to where expenditures occur Decision Package
  Aligns appropriation to where expenditures occur. This moves state match for the State Office of Rural Health to the correct program area.
•
Exempt the Office of Emergency Medical Services from a Part-3 transfer in 2025 Decision Package
  Exempts the Office of Emergency Medical Services from making a required transfer of $12.5 million to the general fund in 2025 as stated in Part 3 of Chapter 1, 2023 Acts of Assembly, Special Session I. The transfer will resume in 2026 and beyond.
•
Expands use of tuberculosis funding Decision Package
  Allows the agency to fully utilize all appropriation provided for tuberculosis medication purchases. Specifically, this would allow the agency to use all available funding for both drug-susceptible and drug-resistant tuberculosis based on need.
•
Remove appropriation act language related to the Vaccine Equity Report Decision Package
  Removes language related to the Vaccine Equity Report.
•
Opioid Overdose Reversal Agent Program General Assembly Adjustment
  This amendment provides $8.0 million each year from the Commonwealth Opioid Abatement and Remediation fund for the establishment of the Opioid Overdose Reversal Agent Program which is intended to address inconsistent availability of opioid reversal agents by establishing a public-private manufacturing program for them in Virginia using funds from the Commonwealth Opioid Abatement and Remediation fund.
 
  FY FY
Nongeneral Fund $8,000,000 $8,000,000
•
Community Health Workers in Local Health Districts General Assembly Adjustment
  This amendment provides $3.2 million each year from the general fund to support Community Health Worker positions at Virginia's local health districts. The agency is directed to prioritize supporting Community Health Worker positions at local health districts that serve localities with the highest rates of maternal mortality.
 
  FY FY
General Fund $3,200,000 $3,200,000
•
Virginia Health Workforce Development Authority Operational Funding General Assembly Adjustment
  This amendment adds $1.3 million each year from the general fund to the Virginia Health Workforce Development Authority (VHWDA) to support the Area Health Education Center Programs and health workforce responsibilities of the VHWDA, pursuant to legislation passed by the 2024 General Assembly. This additional funding will be used to match federal funding received from the Health Resources and Services Administration to support efforts to develop and enhance education and training networks within communities, academic institutions, and community-based organizations, with the goal of increasing diversity among health professionals, broadening the distribution of the health workforce, enhancing health care quality, and improving health care delivery to rural and underserved areas and populations. Language and funding reflects this new funding plus a technical transfer from Item 276 of the organization's base appropriation of $300,000 each year contained in the introduced budget.
 
  FY FY
General Fund $1,617,272 $1,617,272
•
Free Clinic Funding General Assembly Adjustment
  This amendment adds $1.5 million from the general fund each year 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 $1,500,000 $1,500,000
•
Funding for Federally Qualified Health Centers General Assembly Adjustment
  This amendment provides an additional $1.5 million each year from the general fund to the Virginia Community Healthcare Association (VCHA) to be distributed to Federally Qualified Health Centers (FQHCs). The additional funding will be used by FQHCs to continue providing comprehensive medical, dental, and mental health services to uninsured Virginians.
 
  FY FY
General Fund $1,500,000 $1,500,000
•
Greene County Reservoir Project General Assembly Adjustment
  This amendment provides $3.0 million the first year from the general fund to support a portion of the costs related to developing an impoundment structure to serve Greene County.
 
  FY FY
General Fund $3,000,000 $0
•
Expand Behavioral Health Loan Repayment Program General Assembly Adjustment
  This amendment eliminates language setting aside $1.0 million from the general fund each year from the Behavioral Health Loan Repayment Program for licensed behavioral health providers who are school-based. It also reduces funding contained in the introduced budget by $750,000 from the general fund each year for the program. Together with actions contained in Chapter 1, 2023 Special Session I, the program will have $4.8 million more each year for loan repayments over the fiscal year 2023 appropriation. The amendment expands the program to: (i) add child and adolescent psychiatry Fellows to the list of Tier 1 providers eligible for the program, (i) add Tier III providers who are mental health professionals as defined in § 54.1-2400.1 who do not already qualify for the program, and (iii) adds academic medical centers as a preferred practice site. Child and adolescent psychiatry fellows are licensed psychiatrists in other states, but it generally takes six months or more to become licensed in Virginia. This change will help efforts to recruit these practitioners to Virginia, with the goal of retaining them in Virginia's behavioral healthcare workforce. The amendment also replaces language contained in the introduced budget which proposed to change the minimum term of practice from two to three years, returning it to the original two-year requirement.
 
  FY FY
General Fund ($750,000) ($750,000)
•
Healthier757 Health Literacy Initiative General Assembly Adjustment
  This amendment provides $500,000 each year from the general fund for Healthier757, which is a multi-stakeholder, integrated, community-based program that bridges the work site, home, and community, connecting citizens in the 757 area code through an interactive digital health platform that provides a vehicle for increasing awareness, communication, engagement, and behavior change. The language directs the grant funding to focus on Medicaid or lower-income members of the community.
 
  FY FY
General Fund $500,000 $500,000
•
2024 Special Session I: Remove Funding for Prescription Drug Affordability Board General Assembly Adjustment
  Removes all funding for the Prescription Drug Affordability Board. This is tied to legislation which the Governor intends to veto.
 
  FY FY
General Fund ($303,650) ($648,000)
•
Prescription Drug Affordability Board General Assembly Adjustment
  This amendment provides $303,650 the first year and $648,000 the second year from the general fund and three positions for the fiscal impact of legislation passed during the 2024 Regular Session, which establishes the Prescription Drug Affordability Board for the purpose of identifying high cost prescription drugs, reviewing pricing and cost information, conducting affordability reviews of selected prescription drug products, and if necessary, setting an upper payment limit, which shall apply to all purchases and payer reimbursements for the product dispensed in the Commonwealth.
 
  FY FY
General Fund $303,650 $648,000
Positions 3.00 3.00
•
Northern Virginia Firefighter Occupational Cancer Screening Pilot General Assembly Adjustment
  This amendment provides $430,000 each year from the general fund to the Virginia Department of Health to contract with a health system-affiliated cancer screening center in Planning District 8 for the purposes of executing the Northern Virginia Firefighter Occupational Cancer Screening Pilot. Funding is contingent upon demonstration of matching funds provided by the center, as well as an equal amount of matching funds provided by local governments in Planning District 8. The pilot will screen at least 900 firefighters (450 each year) distributed across Northern Virginia for occupational cancers and support a research study to identify the most effective screening modalities for occupational cancers in the firefighting profession. Language requires a report after two years to the Chairs of the House Appropriations and Senate Finance and Appropriations Committees, as well as a final report on the pilot program.
 
  FY FY
General Fund $430,000 $430,000
•
Sickle Cell Disease Registry General Assembly Adjustment
  This amendment adds $405,260 each year from the general fund and three positions for the fiscal impact of legislation passed during the 2024 Regular Session, which creates a statewide registry of sickle cell disease patients to be maintained by the State Health Commissioner.
 
  FY FY
General Fund $405,260 $405,260
Positions 3.00 3.00
•
2024 Special Session I: Health Wagon General Assembly Adjustment
  Reduces general fund support used to contract with the Health Wagon.
 
  FY FY
General Fund ($402,712) ($402,712)
•
Maintain Level Funding for ALS General Assembly Adjustment
  This amendment redirects $750,000 the first year from the general fund provided for the Amyotrophic Lateral Sclerosis (ALS) Association. Funding of $750,000 a year was provided in the 2023 Special Session I. The introduced budget added an additional $750,000 the first year only and this amendment redirects that funding for other priorities. The ALS Association will continue to receive $750,000 each year from the general fund.
 
  FY FY
General Fund ($750,000) $0
•
Adler Hospice Center General Assembly Adjustment
  This amendment provides $300,000 each year from the general fund for the Adler Inpatient Hospice Center in Aldie, Virginia, which is one of five inpatient hospice centers in Virginia. The funding will enable the center to continue providing critical hospice and palliative services to terminally ill Virginians, both adults and children who cannot be served in a home setting.
 
  FY FY
General Fund $300,000 $300,000
•
Technical: Move Funding for Virginia Health Workforce Development Authority to Item 279 General Assembly Adjustment
  This technical amendment moves $300,000 from the general fund each year in the introduced budget for the Virginia Health Workforce Development Authority (VHWDA) from this item to the correct item in the Virginia Department of Health and consolidates it with new funding provided to the VHWDA to support its operational costs pursuant to legislation passed during the 2024 Regular Session. A companion amendment in Item 279 provides the total funding for the VHWDA.
 
  FY FY
General Fund ($300,000) ($300,000)
•
Cost Analysis of PFAS and Copper EPA Rules General Assembly Adjustment
  This amendment directs the Department of Health to conduct a cost analysis of implementing pending federal Per- and Polyfluorinated Substances (PFAS) regulations for Virginia local water systems and directs the Virginia Department of Health to conduct an analysis of the cost to Virginia localities that will be incurred to implement pending Environmental Protection Agency Copper Rules for water system lead service lines. The report must include a cost analysis, possible funding models, and identify federal funding that may be available.
 
  FY FY
General Fund $500,000 $0
•
Prince William UVA Health Mobile 3D Mammography Screening General Assembly Adjustment
  This amendment adds $500,000 the first year from the general fund for Prince William UVA Health Mammogram Project to purchase the Hologic 3Dimensions Mammography System to offer 3D mammograms to women served by the hospital's mobile mammography van outreach services in Prince William County.
 
  FY FY
General Fund $500,000 $0
•
Staffing for the Office of the Chief Medical Examiner General Assembly Adjustment
  This amendment provides $250,000 each year from the general fund for three additional positions in the Office of the Chief Medical Examiner (OCME). In 2022, the OCME investigated 19,848 deaths and 9,691 fell under the OCME's jurisdiction which is an increase from 2017, when the OCME investigated 14,409 deaths and 7,187 fell within the OCME's jurisdiction. The OCME's current staffing levels are insufficient to effectively and efficiently support the increase in workload. Additionally, this increase in staffing is needed as the OCME continues to have difficulty recruiting board-certified forensic pathologists and requires additional support to ensure they are getting 90 percent of cases completed within 90 days.
 
  FY FY
General Fund $250,000 $250,000
Positions 3.00 3.00
•
Local Health Department Rent Increases General Assembly Adjustment
  This amendment provides $171,120 each year from the general fund to address increases in rent costs for local departments of health. This funding is provided for the Roanoke, Salem, Clifton Forge, Botetourt, Craig, Covington, Vinton, Prince William, Alexandria, Peninsula-Newport News, Peninsula-James City County, Peninsula-Williamsburg, Peninsula-York County, Peninsula-Poquoson, and Waynesboro health departments.
 
  FY FY
General Fund $171,120 $171,120
•
Pediatric Comprehensive Sickle Cell Clinic Network General Assembly Adjustment
  This amendment provides $145,000 each year from the general fund to increase access to pediatric treatment for Sickle Cell Disease. In fiscal year 2007, state funding for the program was at $450,000. However, state budget cuts continued to reduce the program funding until it reached its current funding of $305,000. The number of sickle cell patients/clients has increased and the program has not been able to provide all of the services to all of the clients that they were able to provide in the past. This funding reflects the growth in the costs of services and will allow more clients to be served.
 
  FY FY
General Fund $145,000 $145,000
•
Maternal Mortality Review Team Data Collection & Analysis General Assembly Adjustment
  This amendment provides $115,000 each year of the biennium for contractual support in the Office of the Chief Medical Examiner to assist with the implementation of House Bill 831, which expands the collection and analysis of maternal morbidity data for use by the Maternal Mortality Review Team.
 
  FY FY
General Fund $115,000 $115,000
•
Adult Comprehensive Sickle Cell Clinic Network General Assembly Adjustment
  This amendment provides $75,000 from the general fund each year to increase access to treatment for adults with Sickle Cell Disease. Current program funding is $805,000 a year. The Tidewater area has a very large concentration of sickle cell clients, however, no program was implemented for care services in this area. This additional funding will allow expansion of these services into the Tidewater area.
 
  FY FY
General Fund $75,000 $75,000
•
Sexual Assault Forensic Examiner Training General Assembly Adjustment
  This amendment provides $125,000 from the general fund the first year and $15,000 from the general fund for each subsequent year for a contract for the creation of a sexual assault forensic examiner (SAFE) training curriculum for hospital emergency department (ED) staff, which is mandated by § 32.1-162.15:4(F), Code of Virginia. The first year of the contract is for the creation of a brand new training curriculum and subsequent years of the contract would be for updates to the curriculum to ensure it meets statutory minimums.
 
  FY FY
General Fund $125,000 $15,000
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Naloxone Distribution in Public Schools General Assembly Adjustment
  This amendment adds $100,000 from the Commonwealth Opioid and Abatement and Remediation fund the second year for the purchase and distribution of additional opioid reversal agents for public school divisions by the Virginia Department of Health. The funding will enable the Department of Health to distribute a supply of opioid antagonists in an amount equivalent to at least two unexpired 20 doses to every public elementary and secondary school in the Commonwealth for the 2025-2026 school year. This will assist School Boards in complying with the provisions set forth in House Bill 732.
 
  FY FY
Nongeneral Fund $0 $100,000
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Rx Partnership General Assembly Adjustment
  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 during the biennium based upon the growth and success of the existing programs, the loss of access to key brand medications, and the increasing cost of generic medication.
 
  FY FY
General Fund $50,000 $50,000
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2024 Special Session I: Modify Item 272 H.1 to remove local match for NoVA Firefighter Occupational Cancer Screening Pilot General Assembly Adjustment
  None
•
Adjust Revenue Retention General Assembly Adjustment
  This amendment allows the Virginia Department of Health to retain three months, rather than only one month, of Certificate of Public Need application fees for operational needs in case of a revenue shortfall.
•
Enhanced Financial Controls and Monitoring General Assembly Adjustment
  This amendment directs the Virginia Department of Health to review the financial and operational status of the agency and provide quarterly updates on financial performance.
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Inventory and Review of Agency Fees General Assembly Adjustment
  This amendment directs the Virginia Department of Health to inventory all fees collected by the agency for its operations and report on their adequacy.
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Naloxone Distribution General Assembly Adjustment
  This language amendment designates $1.0 million each year from the amounts provided in the introduced budget to the Virginia Department of Health from the Commonwealth Opioid Abatement and Remediation Fund for the purchase and distribution of eight milligram naloxone nasal spray. The fund collects the Commonwealth's share of settlement payments from manufacturers, wholesalers, and retailers involved in the distribution of opioid products.
•
Remove Fire and Rescue Fingerprint Card Requirement General Assembly Adjustment
  This amendment removes language that requires local volunteer fire and rescue and emergency medical services personnel to submit fingerprint cards for background checks on volunteers applying to be a member of local EMS agencies. The process has changed significantly to obtain background checks and the submission of fingerprint cards is now outdated.
•
Remove Outdated Language Extending Sunset for Advisory Council on PANDAs and PAN General Assembly Adjustment
  This amendment strikes outdated language in the introduced budget to ensure consistency with legislation passed during the 2024 Regular Session, which extends the sunset for the Advisory Council on Pediatric Autoimmune Neuropsychiatric Disorders (PANDAs) associated with Streptococcal Infections and Pediatric Acute-Onset Neuropsychiatric Syndrome (PAN) from July 1, 2020, to July 1, 2028. Language contained in the introduced budget continued the Advisory Council indefinitely, whereas the legislation continues the Advisory Council until July 1, 2028.
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Trauma Center Fund Requirements General Assembly Adjustment
  This amendment directs the Office of Emergency Medical Services to determine an amount of funding support for hospitals that receive patients through the Virginia State Police (VSP) med-flight operations in the Richmond area in order to support the paramedics provided by Chesterfield County.
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Unexpended Balances in the Office of the Chief Medical Examiner General Assembly Adjustment
  This amendment requires that any unexpended balances at the end of the fiscal year in the Office of the Chief Medical Examiner for salaries for employees and unfilled positions shall be carried forward to the next fiscal year.


p3_bullets - Official Enacted Budget - 06-07-2025 07:50:17