This amendment adds $11.1 million from the general fund the second year and $20.7 million from federal matching funds and language extending the provision for the payment of prenatal care for pregnant women through the Virginia Family Access to Medical Insurance Security (FAMIS) program regardless of the expectant mother's status, pursuant to provisions in Title XXI of the federal 2009 CHIP Reauthorization Act that includes care of all children without regard for an expectant mother's citizenship status who would otherwise be eligible under state requirements. A companion amendment in the Medicaid program (Item 313) reduces expenditures by $13.4 million general fund and $13.4 million in matching federal Medicaid funds based on the adoption of this change. Consequently, the provision of these services results in a savings of $2,292,083 to the general fund and the receipt of $7,253,601 more from matching federal funds for the CHIP program, which has a higher federal match rate than the Medicaid program.