Secretary of Health and Human Resources [188]
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
2020-2022 2021 Chapter 1, 2022 Acts of Assembly $878,064 $0 $878,064
2020-2022 2022 Chapter 1, 2022 Acts of Assembly $878,064 $0 $878,064
2022-2024 2023 Chapter1, 2024 Acts of Assembly $1,653,270 $0 $1,653,270
2022-2024 2024 Chapter1, 2024 Acts of Assembly $903,270 $0 $903,270
2024-2026 2025 Chapter 7, 2026 Acts of Assembly $964,759 $0 $964,759
2024-2026 2026 Chapter 7, 2026 Acts of Assembly $964,759 $0 $964,759
2026-2028 2027 Chapter 1. 2026 Acts of Assembly, Special Session I $1,060,134 $0 $1,060,134
2026-2028 2027 Base Budget $964,759 $0 $964,759
2026-2028 2027 Governor's Amendments $95,375 $0 $95,375
2026-2028 2027 General Assembly Adjustments $0 $0 $0
2026-2028 2028 Chapter 1. 2026 Acts of Assembly, Special Session I $1,060,134 $0 $1,060,134
2026-2028 2028 Base Budget $964,759 $0 $964,759
2026-2028 2028 Governor's Amendments $95,375 $0 $95,375
2026-2028 2028 General Assembly Adjustments $0 $0 $0
Positions Budget Summary
Biennium Fiscal Year Source GF NGF Total
2020-2022 2021 Chapter 1, 2022 Acts of Assembly 5.00 0.00 5.00
2020-2022 2022 Chapter 1, 2022 Acts of Assembly 5.00 0.00 5.00
2022-2024 2023 Chapter1, 2024 Acts of Assembly 5.00 0.00 5.00
2022-2024 2024 Chapter1, 2024 Acts of Assembly 5.00 0.00 5.00
2024-2026 2025 Chapter 7, 2026 Acts of Assembly 5.00 0.00 5.00
2024-2026 2026 Chapter 7, 2026 Acts of Assembly 5.00 0.00 5.00
2026-2028 2027 Chapter 1. 2026 Acts of Assembly, Special Session I 5.00 0.00 5.00
2026-2028 2027 Base Budget 5.00 0.00 5.00
2026-2028 2027 Governor's Amendments 0.00 0.00 0.00
2026-2028 2027 General Assembly Adjustments 0.00 0.00 0.00
2026-2028 2028 Chapter 1. 2026 Acts of Assembly, Special Session I 5.00 0.00 5.00
2026-2028 2028 Base Budget 5.00 0.00 5.00
2026-2028 2028 Governor's Amendments 0.00 0.00 0.00
2026-2028 2028 General Assembly Adjustments 0.00 0.00 0.00
Operating Budget Addenda (in order of greatest impact)
•
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 470 D. of Chapter 725, 2025 Acts of Assembly.
 
  FY FY
General Fund $49,528 $49,528
•
Adjust appropriation for centrally funded salary increases for state employees Base Budget Adjustment
  Adjusts appropriation for the salary increases for state employees budgeted in Central Appropriations, Item 469 R. of Chapter 725, 2025 Acts of Assembly.
 
  FY FY
General Fund $44,630 $44,630
•
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 469 G. of Chapter 725, 2025 Acts of Assembly.
 
  FY FY
General Fund $10,759 $10,759
•
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 469 H. of Chapter 725, 2025 Acts of Assembly.
 
  FY FY
General Fund ($10,310) ($10,310)
•
Adjust appropriation for centrally funded other post-employment benefit rate changes Base Budget Adjustment
  Adjusts appropriation for changes to state employee other post-employment benefit rates budgeted in Central Appropriations, Item 469 J. of Chapter 725, 2025 Acts of Assembly.
 
  FY FY
General Fund ($1,548) ($1,548)
•
Adjust appropriation for centrally funded liability insurance premium charges Base Budget Adjustment
  Adjusts appropriation for liability insurance premiums billed by the Department of the Treasury’s Division of Risk Management budgeted in Central Appropriations, Item 470 J. of Chapter 725, 2025 Acts of Assembly.
 
  FY FY
General Fund $1,090 $1,090
•
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 470 C. of Chapter 725, 2025 Acts of Assembly.
 
  FY FY
General Fund $1,044 $1,044
•
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 470 F. of Chapter 725, 2025 Acts of Assembly.
 
  FY FY
General Fund $443 $443
•
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 470 E. of Chapter 725, 2025 Acts of Assembly.
 
  FY FY
General Fund ($292) ($292)
•
Adjust appropriation for centrally funded workers’ compensation premium changes Base Budget Adjustment
  Adjusts appropriation for workers’ compensation premiums budgeted in Central Appropriations, Item 469 O. of Chapter 725, 2025 Acts of Assembly.
 
  FY FY
General Fund $31 $31
•
Coordinate Work Opportunities for Medicaid Expansion Enrollees (270 #1c) General Assembly Adjustment
  This amendment adds language requiring coordination by the Secretaries of Health and Human Resources and Labor in connecting applicants and enrollees in Medicaid expansion to work opportunities. These individuals will be subject to work requirements beginning January 1, 2027, and eligibility redeterminations every six months, rather than annually under current law. These changes are required pursuant to the federal legislation passed by Congress, July 2025.
•
Task Force on SNAP Error Rate and Community Engagement (270 #2c) General Assembly Adjustment
  This amendment requires the Secretary of Health and Human Resources to establish a Task Force on the Supplemental Nutrition Assistance Program (SNAP) error rate and implementation of Community Engagement requirements in the Medicaid program to ensure that the Commonwealth addresses the SNAP error rate in the most prudent manner possible and receives implementation updates for the Medicaid Community Engagement requirements.


p3_bullets - Official Enacted Budget - 10-22-2026 09:37:16