This amendment replaces language and reduces funding contained in the introduced language related to a pilot program to expand access to long acting reversible contraceptives through the Virginia Department of Health. The changes provide $3.0 million each year from the federal TANF block grant for a two-year pilot program to expand access to long acting reversible contraception (LARC) through qualified health care providers reimbursed at Medicaid rates. Language requires the Virginia Department of Health (VDH), in cooperation with the Department of Medical Assistance Services and stakeholders, to develop a plan to improve awareness of the Medicaid Plan First family planning program and refer women with a substance use disorder who seek family planning services to the Plan First program or participating providers in the pilot program. Language also requires the Virginia Department of Health to develop metrics to measure the effectiveness of the pilot program and submit a progress and final report to the Governor, Chairmen of House Appropriations and Senate Finance Committees, Secretary of Health and Human Resources and the Director of the Department of Planning and Budget.