| • |
|
| |
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 |
$6,293,369 |
$6,293,369 |
| Nongeneral Fund |
$9,544,637 |
$9,544,637 |
|
| • |
|
| |
Removes COVID-19 grant funding that has expired. Specifically, removes all $12.0 million in appropriation for the Immunization and Vaccines for Children grant. |
| |
| |
FY |
FY |
| Nongeneral Fund |
($12,000,000) |
($12,000,000) |
|
| • |
|
| |
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 |
$1,933,819 |
$1,933,819 |
| Nongeneral Fund |
$2,963,592 |
$2,963,592 |
|
| • |
|
| |
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 |
($1,738,667) |
($1,738,667) |
| Nongeneral Fund |
($2,001,672) |
($2,001,672) |
|
| • |
|
| |
Removes one-time funding for perinatal health hub pilot program. The funding was first provided in the Governor's introduced budget bill to develop a report that includes, but is not limited to, a listing of participating community providers and award amounts, a description of services provided, a description of populations served, the number of individuals served, and an assessment of health outcomes and program effectiveness. Current balances will carry forward to complete this work. |
| |
| |
FY |
FY |
| General Fund |
($2,500,000) |
($2,500,000) |
|
| • |
|
| |
Removes one-time funding for non-emergency medical transportation services in rural areas. Funding was provided by the General Assembly for a pilot program. |
| |
| |
FY |
FY |
| General Fund |
($1,000,000) |
($1,000,000) |
|
| • |
|
| |
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 |
($198,633) |
($198,633) |
| Nongeneral Fund |
($636,898) |
($636,898) |
|
| • |
|
| |
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 |
$306,910 |
$306,910 |
| Nongeneral Fund |
$506,161 |
$506,161 |
|
| • |
|
| |
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 |
($295,559) |
($295,559) |
| Nongeneral Fund |
($452,942) |
($452,942) |
|
| • |
|
| |
Adjusts appropriation for the salary increase for state-supported local employees budgeted in Central Appropriations, Item 469 S. of Chapter 725, 2025 Acts of Assembly. |
| |
| |
FY |
FY |
| General Fund |
$736,888 |
$736,888 |
|
| • |
|
| |
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 |
($215,851) |
($215,851) |
| Nongeneral Fund |
($330,792) |
($330,792) |
|
| • |
|
| |
Adjusts appropriation for workers’ compensation premiums budgeted in Central Appropriations, Item 469 O. of Chapter 725, 2025 Acts of Assembly. |
| |
| |
FY |
FY |
| General Fund |
($71,721) |
($71,721) |
| Nongeneral Fund |
($219,823) |
($219,823) |
|
| • |
|
| |
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 |
($96,044) |
($96,044) |
| Nongeneral Fund |
($52,897) |
($52,897) |
|
| • |
|
| |
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 |
($26,441) |
($26,441) |
| Nongeneral Fund |
($112,308) |
($112,308) |
|
| • |
|
| |
Adjusts appropriation for reduced charges to customer agencies for the Department of General Services to perform lease administration services budgeted in Central Appropriations, Item 470 I. of Chapter 725, 2025 Acts of Assembly. |
| |
| |
FY |
FY |
| General Fund |
($29,616) |
($29,616) |
| Nongeneral Fund |
($42,701) |
($42,701) |
|
| • |
|
| |
Removes $60,000 in one-time implementation costs for a new system per HB1902 and leaves $50,000 to collect, maintain, and report ADT data information on patients who have experienced nonfatal opioid overdose. |
| |
| |
FY |
FY |
| General Fund |
($60,000) |
($60,000) |
|
| • |
|
| |
Adjusts appropriation for property insurance premiums billed by the Department of the Treasury’s Division of Risk Management budgeted in Central Appropriations, Item 470 M. of Chapter 725, 2025 Acts of Assembly. |
| |
| |
FY |
FY |
| General Fund |
$36,195 |
$36,195 |
| Nongeneral Fund |
$11,273 |
$11,273 |
|
| • |
|
| |
Adjusts appropriation for reduced fleet vehicle operational rate charges billed by the Department of General Services budgeted in Central Appropriations, Item 470 H. of Chapter 725, 2025 Acts of Assembly. |
| |
| |
FY |
FY |
| General Fund |
($13,156) |
($13,156) |
| Nongeneral Fund |
($10,859) |
($10,859) |
|
| • |
|
| |
Adjusts appropriation to reflect the assumed increase in the Virginia minimum wage effective January 1, 2026, and budgeted in Central Appropriations, Item 469 Q. of Chapter 725, 2025 Acts of Assembly. The amounts provided support the annualized general fund cost of increasing the Virginia minimum wage from $12.00 per hour to $12.89 per hour or the equivalent annual salary of $26,811. The actual minimum wage for January 1, 2026 will be communicated by the Commissioner of the Department of Labor and Industry by October 1, 2025. |
| |
| |
FY |
FY |
| General Fund |
$3,884 |
$3,884 |
| Nongeneral Fund |
$5,952 |
$5,952 |
|
| • |
|
| |
Reduces out-year spending for one-time supply purchases for positions to create uniform intermediate disciplinary action for hospitals, nursing homes, hospices, home care organizations (HCOs), managed care health insurance plan (MCHIP) licensees, and private review agents (PRAs). |
| |
| |
FY |
FY |
| General Fund |
($7,200) |
($7,200) |
|
| • |
|
| |
Adjusts appropriation for changes to Performance Budgeting system internal service fund charges budgeted in Central Appropriations, Item 470 G. of Chapter 725, 2025 Acts of Assembly. |
| |
| |
FY |
FY |
| General Fund |
$1,039 |
$1,039 |
| Nongeneral Fund |
($646) |
($646) |
|
| • |
|
| |
Adjusts appropriation to better align with operations and expenditures. |
| |
| |
FY |
FY |
| Nongeneral Fund |
($80,135,696) |
($91,457,280) |
|
| • |
|
| |
Supplants general fund with Temporary Assistance for Needy Families block grant funds for discretionary activities. |
| |
| |
FY |
FY |
| General Fund |
($7,400,000) |
($7,400,000) |
| Nongeneral Fund |
$7,400,000 |
$7,400,000 |
|
| • |
|
| |
Transfers the Opioid Overdose Reversal Agent Program to the Virginia Innovation Partnership Authority. |
| |
| |
FY |
FY |
| Nongeneral Fund |
($8,000,000) |
($8,000,000) |
|
| • |
|
| |
Provides support to complete and sustain an electronic health record system across all local health districts. |
| |
| |
FY |
FY |
| General Fund |
$8,247,355 |
$6,814,008 |
|
| • |
|
| |
Reduces excess general fund appropriation in the Office of Drinking Water. Current general fund is used as match to draw down federal Drinking Water State Revolving Funds. The match requirement for the federal grant will be fulfilled on June 30, 2027. A portion of funding will remain to support Office of Drinking Water operations. |
| |
| |
FY |
FY |
| General Fund |
$0 |
($4,536,715) |
|
| • |
|
| |
Provides funding to offset increased rental costs at the following local health department facilities: Roanoke City, Salem, West Piedmont, Eastern Shore, New River, Lord Fairfax, Central Shenandoah, Prince William, Chickahominy, Henrico, Piedmont, Mount Rogers, Southside, Alexandria, Virginia Beach, and Richmond City. |
| |
| |
FY |
FY |
| General Fund |
$655,913 |
$655,913 |
| Nongeneral Fund |
$423,335 |
$423,335 |
|
| • |
|
| |
Provides support for two medical facility inspectors to address the backlog of complaints regarding nursing homes. |
| |
| |
FY |
FY |
| General Fund |
$291,627 |
$291,627 |
| Positions |
2.00 |
2.00 |
|
| • |
|
| |
Extends and provides a total of $500,000 in one-time funding for the Northern Virginia Firefighter Occupational Screening Pilot Program to continue cancer screenings for firefighters. The program is nearing the end of its pilot period and this funding allows the pilot to continue for an extra year. |
| |
| |
FY |
FY |
| General Fund |
$70,000 |
($430,000) |
|
| • |
|
| |
Removes language allowing the Office of the Chief Medical Examiner to carry forward general fund appropriation for salaries or unfilled positions. |
| • |
|
| |
Prevents expenditures from general or nongeneral fund sources to be used for providing abortion services, except as otherwise required by federal law. |
| • |
|
| |
This amendment provides language ensuring the carry forward of $25.0 million GF from Item 280 I., Chapter 725, 2025 Acts of Assembly, provided for the Virginia Department of Health to provide one-time grants to localities to upgrade or replace existing drinking water infrastructure. Language also requires funding distribution levels to remain consistent with original offers made, which included $6.2 million GF to the Town of Bowling Green, $12.0 million GF to Greene County, and $6.8 million GF to Fauquier County. This amendment also creates a new grant of $50.0 million GF, subject to similar criteria as defined in the previous grant from Item 280 I., Chapter 725, 2025 Acts of Assembly and will allocate no less than $20.0 million to the City of Richmond, and with the remaining funds, give priority consideration to the Town of Orange, Town of Jarratt, and Town of Blackstone. Priority consideration will also be given to Fairfax County only for the purposes of providing assistance for local governments and well owners to connect to the public surface water systems when reasonably available. This amendment also establishes the Richmond Regional Water Workgroup to oversee drinking water grants in the City of Richmond. |
| |
| |
FY |
FY |
| General Fund |
$50,000,000 |
$0 |
|
| • |
|
| |
This amendment provides $14.9 million GF the first year, $16.9 million GF the second year, and $578,702 NGF each year to provide core public health services, maintain epidemiological response capacity and preparedness, and maintain public health systems, cloud infrastructure, and cybersecurity. Funding includes $4.6 million in both years to support state epidemiology positions, strengthening Virginia's ability to identify, track, and stop HIV/AIDS, measles, and other infectious disease outbreaks. It includes $750,373 GF in both years for six Medical Facility Inspector positions to address the nursing home complaint backlog. This amendment also includes $2.2 million GF and $578,702 NGF each year for eight community health services positions. It is the intent upon the enrolling of the bill that funding will be distributed to the appropriate items. |
| |
| |
FY |
FY |
| General Fund |
$14,937,705 |
$16,908,844 |
| Nongeneral Fund |
$578,702 |
$578,702 |
| Positions |
14.00 |
14.00 |
|
| • |
|
| |
This amendment provides an additional $4.0 million each year from the general fund in lieu of federal Temporary Assistance to Needy Families block grant funds to maintaining access to long-acting reversible contraceptives and other contraceptives and $600,000 general fund each year to support health care providers offering preventative services. |
| |
| |
FY |
FY |
| General Fund |
$4,600,000 |
$4,600,000 |
| Nongeneral Fund |
($4,000,000) |
($4,000,000) |
|
| • |
|
| |
This amendment provides $6.6 million GF each year to backfill the anticipated loss of funding for the Ryan White HIV/AIDS Part B for Grant Year 2026 (April 1, 2026 to March 1, 2027) and 2027 (April 1, 2027 to March 1, 2028). Funds will restore critical HIV-related medical and supportive services, and prevent disruptions in access to life-saving medications for Virginians living with HIV. Language requires the Department of Health to report on program funding annually by December 1 and submit a final report by June 30, 2028. |
| |
| |
FY |
FY |
| General Fund |
$6,600,000 |
$6,600,000 |
|
| • |
|
| |
This amendment adds $5.0 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 meet increasing high demand for medical, dental, vision, speech, hearing, and behavioral health care services, as well as prescription medication and substance use disorder services. |
| |
| |
FY |
FY |
| General Fund |
$5,000,000 |
$5,000,000 |
|
| • |
|
| |
This amendment appropriates $4.8 million each year from nongeneral funds generated from the increase in the fee for vital records from $12.00 to $15.00 pursuant to the provisions of Chapter 616 (House Bill 450), 2026 Acts of Assembly. It changes budget language to conform the budget to the provisions of the legislation. Further, it changes the portion of the fee revenue provided to all health districts from 65.0 percent to 85.0 percent and the portion going to the Office of Vital Records from 35.0 percent to 15.0 percent and allows for the fee revenue to be provided to all health districts, not just state administered health districts. |
| |
| |
FY |
FY |
| Nongeneral Fund |
$4,752,920 |
$4,752,920 |
|
| • |
|
| |
This amendment provides $3.1 million NGF each year by allowing $1.0 million of existing appropriations for Virginia's All Payer Claims Database to draw down federal matching dollars for Medicaid. Additional dollars generated will cover increased vendor costs and additional analytic support for state agency and private users and shall be limited to only Medicaid eligible costs. |
| |
| |
FY |
FY |
| Nongeneral Fund |
$3,075,000 |
$3,075,000 |
|
| • |
|
| |
This amendment provides an additional $5.0 million GF the first year for Virginia Federally Qualified Health Clinics to continue providing comprehensive medical, dental, maternal, and mental health services for the most vulnerable and uninsured Virginians, primarily in rural and urban settings. |
| |
| |
FY |
FY |
| General Fund |
$5,000,000 |
$0 |
|
| • |
|
| |
This amendment adds $300,000 the first year and $900,000 the second year from the general fund and $900,000 the first year and $2.7 million the second year from nongeneral funds for the Maternal Infant Early Childhood Home Visiting program. This evidence-based program provides critical home-based services for expectant and new parents in at-risk communities throughout Virginia. The federal program requires a 25 percent match to access Virginia's formula-based allocation of federal funding in the 2026-28 biennium to support expansion of services in localities with the greatest need. |
| |
| |
FY |
FY |
| General Fund |
$300,000 |
$900,000 |
| Nongeneral Fund |
$900,000 |
$2,700,000 |
|
| • |
|
| |
This amendment provides $2.5 million GF in the first year for the perinatal health hubs pilot development. This amendment reverses the action in the introduced budget to remove the one-time funding of $2.5 million GF each year allocated for the perinatal health hubs pilot development and extends the pilot program into the first year of the biennium. |
| |
| |
FY |
FY |
| General Fund |
$2,500,000 |
$0 |
|
| • |
|
| |
This amendment provides $1.8 million the second year from the general fund for the Virginia Department of Health to establish and maintain the Sickle Cell Coordinated Access Network, pursuant to the provisions of Chapters 838 and 839 (House Bill 1391/Senate Bill 813), 2026 Acts of Assembly. Funding will enable the Network to ensure that sickle cell specialists are available for extended periods of time to provide telehealth consultations with health care providers treating individuals with sickle cell trait and sickle cell disease across the Commonwealth. |
| |
| |
FY |
FY |
| General Fund |
$0 |
$1,815,358 |
|
| • |
|
| |
This amendment provides $500,000 GF each year to expand the Healthier757 initiative and launch the HealthierRVA initiative. |
| |
| |
FY |
FY |
| General Fund |
$500,000 |
$500,000 |
|
| • |
|
| |
This amendment provides an additional $450,000 GF each year for the Department of Health's pediatric sickle cell program. |
| |
| |
FY |
FY |
| General Fund |
$450,000 |
$450,000 |
|
| • |
|
| |
This amendment provides an additional $440,000 GF each year for the comprehensive adult program for sickle cell disease. |
| |
| |
FY |
FY |
| General Fund |
$440,000 |
$440,000 |
|
| • |
|
| |
This amendment adds $328,230 the first year and $372,230 the second year from the general fund and one position to effectuate the provisions of Chapter 846 (House Bill 1418), 2026 Session of the General Assembly, which directs the Virginia Department of Health to establish the Sickle Cell Trait Awareness and Education Program to raise public awareness of and education on sickle cell trait. |
| |
| |
FY |
FY |
| General Fund |
$382,230 |
$372,230 |
| Positions |
1.00 |
1.00 |
|
| • |
|
| |
This amendment provides $326,700 from nongeneral funds each year for the Virginia Center for Health Innovation to facilitate and run the Virginia Task Force on Primary Care. Currently, the Department of Health (VDH) receives $816,750 from the general fund each year to contract with the Virginia Center for Health Innovation, which qualifies for federal matching funds. This amendment would grant the Department of Medical Assistance Services the authority to modify the existing interagency agreement with VDH to match eligible funds from current appropriations for the Task Force on Primary Care. |
| |
| |
FY |
FY |
| Nongeneral Fund |
$326,700 |
$326,700 |
|
| • |
|
| |
This amendment adds $600,000 the first 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 provide additional 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 |
$600,000 |
$0 |
|
| • |
|
| |
This amendment adds $260,840 the first year and $313,000 the second year from the general fund to effectuate the provisions of Chapter 842 (House Bill 1403), 2026 Acts of Assembly, which directs the Virginia Department of Health to establish the Severe Maternal Morbidity Surveillance and Review Program for the purpose of identifying, analyzing, and reviewing instances of severe maternal morbidity. |
| |
| |
FY |
FY |
| General Fund |
$260,840 |
$313,000 |
|
| • |
|
| |
This amendment provides an additional $500,000 GF the first year for the Northern Virginia Firefighter Occupational Cancer Screening Pilot Program. |
| |
| |
FY |
FY |
| General Fund |
$500,000 |
$0 |
|
| • |
|
| |
This amendment provides $142,671 GF and 1.0 position each year for the Office of the Chief Medical Examiner (OCME) to investigate any case involving a manner of death consistent with Sudden Unexpected Death in Epilepsy (SUDEP) and provide a full report to a public or private institution. It also requires OCME to publish resources with information on SUDEP and a SUDEP death investigation form on its website. |
| |
| |
FY |
FY |
| General Fund |
$142,671 |
$142,671 |
| Positions |
1.00 |
1.00 |
|
| • |
|
| |
This amendment adds $250,000 the first year from the general fund to effectuate the provisions of Chapters 414 and 415 (House Bill 717/Senate Bill 247), 2026 Acts of Assembly, which requires an application by a nursing home to the Commissioner of Health for a change of operator license when a change of ownership or control of daily operations and management occurs. One-time funding would allow the Virginia Department of Health Office of Licensure and Certification to update an existing portal to receive applications for change of ownership licenses. |
| |
| |
FY |
FY |
| General Fund |
$250,000 |
$0 |
|
| • |
|
| |
This amendment provides the Virginia Department of Health (VDH) with $105,115 each year from the Commonwealth Opioid Abatement and Remediation Fund for the development of a strategic plan for opioid response to reduce rates of drug overdose and drug overdose deaths in the Commonwealth pursuant to the provisions of Chapters 667 and 668 (House Bill 794/Senate Bill 308), 2026 Acts of Assembly. |
| |
| |
FY |
FY |
| Nongeneral Fund |
$105,115 |
$105,115 |
|
| • |
|
| |
This amendment adds $95,197 the first year and $95,197 the second year from the general fund in the Virginia Department of Health (VDH) for the State Registrar to update its transmission of death data to the Department of Elections pursuant to the provisions of Chapter 1120 (House Bill 972), 2026 Acts of Assembly. This update would require changes to the transmission of a decedent's place of birth and death and the Department of Motor Vehicles (DMV) customer identifier number from the existing semi-monthly transmission of data to weekly, through an updated data sharing agreement and an annual data match with the Social Security Administration of deceased persons. |
| |
| |
FY |
FY |
| General Fund |
$95,197 |
$95,197 |
|
| • |
|
| |
This amendment provides $75,000 from the general fund each year as the state match for $225,000 each year from the Outdoor Advertising Association of Virginia (OAAV) for the purpose of initiating a public advertising campaign to promote childhood immunizations and other critical health issues. The funds provided by the OAAV represent a 3-for-1 discount for different types of advertising: traditional billboards, poster signage, and digital billboards. Run times can vary depending on options selected by the Virginia Department of Health. |
| |
| |
FY |
FY |
| General Fund |
$75,000 |
$75,000 |
|
| • |
|
| |
This amendment provides $50,000 GF each year for the ETSI Health Clinic in Portsmouth, Virginia. |
| |
| |
FY |
FY |
| General Fund |
$50,000 |
$50,000 |
|
| • |
|
| |
This amendment adds $50,000 from the general fund each year for the Virginia Health Care Foundation to contract with the Rx Partnership to improve access to medications for low-income Virginians. Funding will help efforts to minimize the loss of access to key brand medications and cover the increasing cost of generic medications. |
| |
| |
FY |
FY |
| General Fund |
$50,000 |
$50,000 |
|
| • |
|
| |
This amendment captures $5.0 million GF in prior year balances the first year in the Behavioral Health Loan Repayment Program at the Virginia Department of Health. |
| • |
|
| |
This amendment directs the Department of Health to establish a workgroup on childhood immunization schedules and immunizations for public health emergencies and collaborate with the Department of Medical Assistance, the Bureau of Insurance, and the Association of Health Plans to create recommendations to improve the availability and affordability of vaccines with respect to insurance coverage. The workgroup will report to the General Assembly by November 1, 2026. |
| • |
|
| |
This amendment directs the Board of Health to develop out-of-state food preparation regulations. |
| • |
|
| |
This amendment is a temporary measure to ensure pharmacists can administer new influenza and COVID-19 vaccines approved by the United States Food and Drug Administration. |
| • |
|
| |
This amendment transfers the administrative oversight of nursing scholarship and loan repayment programs from the Department of Health to the Virginia Health Workforce Development Authority (VHWDA) in accordance with the provisions of Chapters 25 and 430, 2026 Acts of Assembly. It further amends these chapters to provide broader authority for the VHWDA health workforce data to collect usable electronic health workforce data necessary for program evaluation and workforce forecasting. |