This amendment increases the general fund appropriation for Medicaid by $221,568 and reduces a like amount of nongeneral funds the second year, reflecting reduced revenues to the Virginia Health Care Fund (VHCF). Because revenues in the fund are required to be used as the state share of Medicaid, a reduction in revenue results in a need to increase the general fund amount for the program. The reduction in revenue is attributable to the elimination of a proposed $12 per roll fee for tax stamps contained in the introduced budget.