Decreases funding based on the most recent forecast of Medicaid expenditures. Medicaid expenditures are projected to increase in FY 2015 by 4.6 percent and in FY 2016 by 5.3 percent. Medicaid expenditures in FY 2014 were lower than budgeted. Factors decreasing expenditures as compared to last year's forecast include lower managed care rate increases, smaller hospital supplemental payments, higher savings from behavioral health reforms, and less enrollment than expected from outreach efforts through the federal exchange for health insurance. The revised forecast also includes the Governor's policy changes as part of the "A Healthy Virginia" program. This includes expenditures related to the Governor's Access Program for individuals that have a serious mental illness, an increase in enrollment from outreach efforts for children, providing dental coverage for pregnant women, and funding for behavioral health homes.