The 2018 Executive Budget Document
Governor McAuliffe's Proposed Budget for the 2018-2020 Biennum
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Released on December 18, 2017 
 
Department of Health [601]
Secretarial Area: Health and Human Resources
Operating Budget Summary
This table shows the Governor's proposed budget for the next two years and the agency's official budget for the previous six years.
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Biennium Fiscal Year Source GF NGF Total
2012-2014 2013 Chapter 1, 2014 Acts of Assembly $156,842,622 $464,592,306 $621,434,928
2012-2014 2014 Chapter 1, 2014 Acts of Assembly $154,009,573 $473,034,055 $627,043,628
2014-2016 2015 Chapter 732, 2016 Acts of Assembly $160,729,959 $480,503,381 $641,233,340
2014-2016 2016 Chapter 732, 2016 Acts of Assembly $165,510,117 $480,602,566 $646,112,683
2016-2018 2017 Chapter 1, 2018 Acts of Assembly $168,807,615 $529,096,894 $697,904,509
2016-2018 2018 Chapter 1, 2018 Acts of Assembly $170,525,146 $532,728,591 $703,253,737
2018-2020 2019 Governor's Proposed Budget $181,429,722 $551,113,813 $732,543,535
    Base Budget $170,525,146 $532,728,591 $703,253,737
    Addenda (Changes to the Base) $10,904,576 $18,385,222 $29,289,798
2018-2020 2020 Governor's Proposed Budget $184,408,467 $552,676,049 $737,084,516
    Base Budget $170,525,146 $532,728,591 $703,253,737
    Addenda (Changes to the Base) $13,883,321 $19,947,458 $33,830,779
Positions Budget Summary
Biennium Fiscal Year Source GF NGF Total
2012-2014 2013 Chapter 1, 2014 Acts of Assembly 1,544.00 2,215.00 3,759.00
2012-2014 2014 Chapter 1, 2014 Acts of Assembly 1,544.00 2,215.00 3,759.00
2014-2016 2015 Chapter 732, 2016 Acts of Assembly 1,485.00 2,191.00 3,676.00
2014-2016 2016 Chapter 732, 2016 Acts of Assembly 1,488.00 2,192.00 3,680.00
2016-2018 2017 Chapter 1, 2018 Acts of Assembly 1,490.00 2,192.00 3,682.00
2016-2018 2018 Chapter 1, 2018 Acts of Assembly 1,490.00 2,193.00 3,683.00
2018-2020 2019 Proposed Positions 1,503.00 2,195.00 3,698.00
    Base Budget 1,490.00 2,193.00 3,683.00
    Addenda (Changes to the Base) 13.00 3.00 16.00
2012-2014 2020 Proposed Positions 1,503.00 2,195.00 3,698.00
    Base Budget 1,490.00 2,193.00 3,683.00
    Addenda (Changes to the Base) 13.00 2.00 15.00
Operating Budget Addenda (in order of greatest impact)
•
Transfer positions and federal appropriation for the Child Adult Care Feeding Program At-risk and Summer Food Service Program to the Department of Education Decision Package
  Transfers the Child and Adult Care Feeding Program’s At-risk and Summer Food Service Program to the Department of Education as directed by item 294 H of Chapter 836.
 
  FY 2019 FY 2020
Nongeneral Fund ($14,999,176) ($14,999,176)
Positions (5.00) (5.00)
•
Increase federal appropriation for the Ryan White Program Decision Package
  Increases the federal appropriation for the Ryan White Program to reflect historical expenditure data. The federal Ryan White Treatment Extension Act Part B grant funding is distributed to each state based on a needs-based formula. The agency has secured this source of funding for the past five years as the formula determines an increase in need for HIV/AIDS Treatment Services.
 
  FY 2019 FY 2020
Nongeneral Fund $12,500,000 $12,500,000
•
Adjust appropriation for the centrally funded three percent salary increase for state employees Base Budget Adjustment
  Adjusts appropriation for the three percent salary increase for state employees budgeted in Central Appropriations, Item 475 X. of Chapter 836, 2017 Acts of Assembly.
 
  FY 2019 FY 2020
General Fund $2,278,961 $2,278,961
Nongeneral Fund $3,911,908 $3,911,908
•
Adjust appropriation for centrally funded health insurance costs Base Budget Adjustment
  Adjusts appropriation for the employer’s share of health insurance premiums budgeted in Central Appropriations, Item 475 G. of Chapter 836, 2017 Acts of Assembly.
 
  FY 2019 FY 2020
General Fund $2,280,469 $2,280,469
Nongeneral Fund $3,768,418 $3,768,418
•
Increase education and expand access to women’s reproductive health Decision Package
  Increases federal support for education and expanded access to women's reproductive health. The goal of this intervention is to remove barriers such as the cost and limited availability of Long Acting Reversible Contraception in order to increase access to and utilization of highly effective methods of contraception. This action uses Temporary Assistance for Needy Families funding.
 
  FY 2019 FY 2020
Nongeneral Fund $6,000,000 $6,000,000
Positions 1.00 1.00
•
Provide general fund support to develop an Electronic Health Records System Decision Package
  Provides general fund support to develop an Electronic Health Records System and provide an important and critical addition to Virginia’s health safety net. These organizations provide patients with free or low cost health services. This new system will allow the agency to efficiently and effectively operate its preventive health clinics, collect standard demographic information, and provide the capacity for electronic orders for laboratory tests, results, and prescriptions.
 
  FY 2019 FY 2020
General Fund $1,801,500 $4,201,500
Positions 1.00 1.00
•
Adjust appropriation for the centrally funded changes in agency information technology costs Base Budget Adjustment
  Adjusts appropriation for changes in information technology and telecommunications usage budgeted in Central Appropriations, Item 476 G. of Chapter 836, 2017 Acts of Assembly.
 
  FY 2019 FY 2020
General Fund $898,974 $898,974
Nongeneral Fund $1,966,248 $1,966,248
•
Increase federal appropriation for Drinking Water State Revolving Fund Decision Package
  Increases the federal appropriation for the Drinking Water State Revolving Fund, which provides low interest loans, as well as some grants, for drinking water projects to local governments and privately organized water suppliers. This increase is necessary to keep pace with the reimbursement and payment trends of the Environmental Protection Agency’s Safe Drinking Water Grant.
 
  FY 2019 FY 2020
Nongeneral Fund $2,500,000 $2,500,000
•
Increase nongeneral fund appropriation for the Emergency Medical Services Trauma Center Fund Decision Package
  Increases the federal appropriation for the Emergency Medical Services Trauma Center fund based on previous years’ expenditure data and is consistent with current spending levels.
 
  FY 2019 FY 2020
Nongeneral Fund $1,500,000 $1,500,000
•
Increase staff in the Office of the Chief Medical Examiner Decision Package
  Supports additional staff for the Office of the Chief Medical Examiner, which performs comprehensive death investigations for citizens and families in all applicable cases. These positions will help address a large increase in cases reported to the office.
 
  FY 2019 FY 2020
General Fund $1,472,900 $1,472,900
Positions 12.00 12.00
•
Adjust appropriation for centrally funded retirement rate changes Base Budget Adjustment
  Adjusts appropriation for changes in state employee retirement rates budgeted in Central Appropriations, Item 475 H. of Chapter 836, 2017 Acts of Assembly.
 
  FY 2019 FY 2020
General Fund ($446,566) ($446,566)
Nongeneral Fund ($766,543) ($766,543)
•
Require meningococcal vaccine prior to entering the sixth grade Decision Package
  Adds a requirement for one dose of meningococcal conjugate (MCV4) vaccine prior to entering the 6th grade. MCV4 vaccine was added to the Advisory Committee on Immunization Practices' Recommended Childhood and Adolescent Immunization Schedule in 2006.
 
  FY 2019 FY 2020
General Fund $0 $520,745
Nongeneral Fund $0 $1,562,236
•
Adjust appropriation for the centrally funded two percent salary increase for high turnover positions Base Budget Adjustment
  Adjusts appropriation for the two percent salary increase for state employees in high turnover job roles budgeted in Central Appropriations, Item 475 BB. of Chapter 836, 2017 Acts of Assembly.
 
  FY 2019 FY 2020
General Fund $327,125 $327,125
Nongeneral Fund $564,432 $564,432
•
Increase the Office of the Chief Medical Examiner's decedent transport rate Decision Package
  Increases general fund support to allow the Office of the Chief Medical Examiner to increase the decedent transport rate from $100 to $250 to secure transport services that remove decedents from the scene of death. The office finds it challenging to get funeral homes and transport companies to transport decedents at the current rate, which has remained unchanged since 2001.
 
  FY 2019 FY 2020
General Fund $700,000 $700,000
•
Provide support for the active supervision of a cooperative agreement in southwest Va Decision Package
  Provides nongeneral fund support for a Cooperative Agreement in southwest Virginia and Tennessee to merge two health systems, consistent with a corresponding legislative proposal. The Code currently allows VDH to seek reimbursement of up to $75,000, which is insufficient to adequately support the monitoring of the cooperative agreement. Companion legislative proposal seeks to authorize full reimbursement for services from parties involved.
 
  FY 2019 FY 2020
Nongeneral Fund $624,518 $624,518
Positions 6.00 6.00
•
Provide support for increases in rent for local health department facilities Decision Package
  Supports local health districts that are expecting significant cost increases due to moving to new facilities or rent increases in existing facilities by providing additional general and nongeneral fund appropriation. Health districts do not fully control the process for determining when and where their facilities will be located.
 
  FY 2019 FY 2020
General Fund $345,304 $345,304
Nongeneral Fund $230,959 $230,959
•
Increase support for the Virginia Association of Free and Charitable Clinics Decision Package
  Increases general fund support for the Virginia Association of Free and Charitable Clinics. These clinics are safety-net health care organizations that utilize a volunteer and staff model to provide a range of medical, dental, pharmacy, vision, and behavioral health services to economically disadvantaged individuals.
 
  FY 2019 FY 2020
General Fund $500,000 $500,000
•
Adjust appropriation for centrally funded state employee other post-employment benefit rate changes Base Budget Adjustment
  Adjusts appropriation for changes in state employee other post-employment benefit rates budgeted in Central Appropriations, Item 475 K. of Chapter 836, 2017 Acts of Assembly.
 
  FY 2019 FY 2020
General Fund $146,811 $146,811
Nongeneral Fund $252,015 $252,015
•
Adjust appropriation for centrally funded workers’ compensation premium changes Base Budget Adjustment
  Adjusts appropriation for workers’ compensation premiums budgeted in Central Appropriations, Item 475 V. of Chapter 836, 2017 Acts of Assembly.
 
  FY 2019 FY 2020
General Fund $51,229 $51,229
Nongeneral Fund $175,722 $175,722
•
Adjust appropriation for centrally funded information technology auditors and security officers Base Budget Adjustment
  Adjusts appropriation for information technology auditors and information security officers budgeted in Central Appropriations, Item 476 J. of Chapter 836, 2017 Acts of Assembly.
 
  FY 2019 FY 2020
General Fund $75,858 $75,858
Nongeneral Fund $128,762 $128,762
•
Increase in costs associated with the contract for the Virginia Environmental Information System (VENIS) Decision Package
  Supports increased costs associated with a new contract for the Virginia Environmental Information System by providing additional general fund support. The new contract will migrate the current database to a newer cloud-based application, which will provide improved flexibility to VDH and the vendor for creating and deploying changes to the database in response to changing business needs.
 
  FY 2019 FY 2020
General Fund $165,000 $223,000
•
Adjust appropriation for the centrally funded two percent salary increase for state-supported local employees Base Budget Adjustment
  Adjusts appropriation for the two percent salary increase for state-supported local employees budgeted in Central Appropriations, Item 475 Y. of Chapter 836, 2017 Acts of Assembly.
 
  FY 2019 FY 2020
General Fund $184,675 $184,675
•
Provide general fund to support mandated autopsy services for sudden unexpected infant deaths Decision Package
  Provides general fund support to the Office of the Chief Medical Examiner to continue improved autopsy services with the Division of Consolidated Laboratory Services for sudden unexpected infant deaths.
 
  FY 2019 FY 2020
General Fund $102,923 $102,923
•
Adjust appropriation for centrally funded internal service fund charges for the Personnel Management Information System Base Budget Adjustment
  Adjusts appropriation for the Personnel Management Information System internal service fund charges budgeted in Central Appropriations, Item 476 O. of Chapter 836, 2017 Acts of Assembly.
 
  FY 2019 FY 2020
General Fund $23,933 $23,933
Nongeneral Fund $41,081 $41,081
•
Adjust appropriation for centrally funded changes in Cardinal charges Base Budget Adjustment
  Adjusts appropriation for the reduction in Cardinal charges budgeted in Central Appropriations, Item 476 L. of Chapter 836, 2017 Acts of Assembly.
 
  FY 2019 FY 2020
General Fund ($4,520) ($4,520)
Nongeneral Fund ($13,122) ($13,122)
•
Transfer NGF appropriation between programs to account for where spending will occur Decision Package
  Transfers nongeneral fund appropriation between Financial Assistance to Community Human Services Organizations and Emergency preparedness to correctly align the appropriation with the proper program. This action nets to zero.
•
Transfer general fund between programs to reflect proper alignment Decision Package
  Transfers general fund from Communicable Disease Prevention and Control to Community Health Services to reflect where actual expenditures will occur. The amendment also distributes the impact of a general fund reduction strategy across the correct program areas. This action nets to zero.
•
Transfer appropriation within program and fund Decision Package
  Transfers appropriation at the sub-object level within the Office of the Chief Medical Examiner and Scholarships to accurately reflect where the appropriation has been expended based on three-years of expenditure data. This action nets to zero.
•
Develop study for restaurant inspection fees Decision Package
  Requires the department, in cooperation with the Department of Agriculture and Consumer Services, to develop a long-term plan to adequately fund the food safety and restaurant inspection programs. This amendment is language-only.
•
Establish new fees for voluntary upgrades, repairs, and reviews of onsite sewage systems Decision Package
  Establishes fees for onsite sewage system repairs, voluntary upgrades, and requests for written authorization from the agency. The department is in a five-year transition to phase out evaluation and design services that are available from the private sector, and would consequently lead to the loss of associated fee revenue. The new fees will allow the agency to continue to receive revenue for other onsite sewage services and continue agency operations without impacting the general fund.


pdocagy2014 - Executive Budget Document Agency Details - 06-29-2025 20:35:46