The 2020 Executive Budget Document
Governor Northam's Proposed Budget for the 2020-2022 Biennum
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Released on December 17, 2019 
 
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
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 Chapter 1283, 2020 Acts of Assembly $182,107,747 $548,203,813 $730,311,560
2018-2020 2020 Chapter 1283, 2020 Acts of Assembly $180,711,343 $549,408,884 $730,120,227
2020-2022 2021 Governor's Proposed Budget $207,618,025 $583,975,009 $791,593,034
    Base Budget $182,537,044 $549,408,884 $731,945,928
    Addenda (Changes to the Base) $25,080,981 $34,566,125 $59,647,106
2020-2022 2022 Governor's Proposed Budget $208,946,502 $583,253,134 $792,199,636
    Base Budget $182,537,044 $549,408,884 $731,945,928
    Addenda (Changes to the Base) $26,409,458 $33,844,250 $60,253,708
Positions Budget Summary
Biennium Fiscal Year Source GF NGF Total
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 Chapter 1283, 2020 Acts of Assembly 1,503.00 2,196.00 3,699.00
2018-2020 2020 Chapter 1283, 2020 Acts of Assembly 1,504.50 2,198.00 3,702.50
2020-2022 2021 Proposed Positions 1,514.50 2,198.00 3,712.50
    Base Budget 1,504.50 2,198.00 3,702.50
    Addenda (Changes to the Base) 9.00 0.00 9.00
2012-2014 2022 Proposed Positions 1,514.50 2,198.00 3,712.50
    Base Budget 1,504.50 2,198.00 3,702.50
    Addenda (Changes to the Base) 10.00 0.00 10.00
Operating Budget Addenda (in order of greatest impact)
•
Increase the Office of Epidemiology's 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 2021 FY 2022
Nongeneral Fund $12,500,000 $12,500,000
•
Adjust appropriation for centrally funded changes to agency information technology costs Base Budget Adjustment
  Adjusts appropriation for changes to information technology and telecommunications usage budgeted in Central Appropriations, Item 475 G. of Chapter 854, 2019 Acts of Assembly.
 
  FY 2021 FY 2022
General Fund $3,857,193 $3,857,193
Nongeneral Fund $6,880,389 $6,880,389
•
Develop electronic health record 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. 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 2021 FY 2022
General Fund $7,011,531 $8,320,216
Positions 2.00 2.00
•
Adjust appropriation for centrally funded 2.75 percent salary increase for state employees Base Budget Adjustment
  Adjusts appropriation for the 2.75 percent salary increase for state employees budgeted in Central Appropriations, Item 474 T. of Chapter 854, 2019 Acts of Assembly.
 
  FY 2021 FY 2022
General Fund $2,154,638 $2,154,638
Nongeneral Fund $3,623,657 $3,623,657
•
Adjust appropriation for centrally funded 2.25 percent merit-based salary increase for state employees Base Budget Adjustment
  Adjusts appropriation for the 2.25 percent merit-based salary increase for state employees budgeted in Central Appropriations, Item 474 V. of Chapter 854, 2019 Acts of Assembly.
 
  FY 2021 FY 2022
General Fund $1,522,989 $1,522,989
Nongeneral Fund $2,575,954 $2,575,954
•
Increase general fund and nongeneral fund appropriation related to the EPA Drinking Water State Revolving Fund grant Decision Package
  Increases the general fund appropriation used as match to draw down the U.S. Environmental Protection Agency's grant funds for the Drinking Water Revolving Fund Grant. It also increases the nongeneral fund appropriation necessary to keep pace with the reimbursement and payment trends of the Environmental Protection Agency’s Safe Drinking Water Grant.
 
  FY 2021 FY 2022
General Fund $482,400 $482,400
Nongeneral Fund $3,000,000 $3,000,000
•
Increase general fund support for tobacco cessation through Quit Now Virginia Decision Package
  Supports nicotine cessation counseling through an evidence-based “quitline” program known as Quit Now Virginia (QNV). The emphasis will be on supporting nicotine cessation for Virginia Medicaid clients with a goal of helping to reduce Medicaid costs from smoking and tobacco related illnesses for both children and adults.
 
  FY 2021 FY 2022
General Fund $3,149,088 $3,149,088
•
Reduce Office of Information Management's HITECH general fund match Decision Package
  Reduces the general fund match and subsequent nongeneral fund appropriation for the Emergency Department Care Coordination program. As it is no longer in the building phase of the EDCC, funding for the match has been reduced accordingly.
 
  FY 2021 FY 2022
General Fund ($263,056) ($343,264)
Nongeneral Fund ($2,367,500) ($3,089,375)
•
Increase Hampton Roads Proton Therapy Institute funding Decision Package
  Increases funding for the Proton Therapy Institute at Hampton University. This funding allows the institute to continue to provide cancer care for patients in the Commonwealth. Funding will also assist in infrastructure development and advance the research and training components of the institute.
 
  FY 2021 FY 2022
General Fund $3,000,000 $3,000,000
•
Increase nongeneral fund appropriation due to increased indirect cost recovery rate Decision Package
  Increases nongeneral fund appropriation as a result of increases in indirect cost recoveries. The Virginia Department of Health has seen an increase in grant awards, which have an indirect rate component, as well as an increase in the rate they are allowed to charge for indirect costs.
 
  FY 2021 FY 2022
Nongeneral Fund $2,500,000 $2,500,000
•
Adjust appropriation for centrally funded changes to state health insurance premiums Base Budget Adjustment
  Adjusts appropriation for the employer’s share of health insurance premiums budgeted in Central Appropriations, Item 474 G. of Chapter 854, 2019 Acts of Assembly.
 
  FY 2021 FY 2022
General Fund $835,209 $835,209
Nongeneral Fund $1,395,957 $1,395,957
•
Renew funding for the Virginia Long Acting Reversible Contraception (LARC) initiative Decision Package
  Renews federal support for the education and expanded access for women's reproductive health. The goal of this intervention is to remove barriers such as financial and limited availability of Long Acting Reversible Contraception (LARC) in order to increase access to and utilization of highly effective methods of contraception using TANF funding.
 
  FY 2021 FY 2022
Nongeneral Fund $2,000,000 $2,000,000
•
Add funding to expand protection and prevent deaths from drug overdose to vulnerable populations Decision Package
  Expands the distribution of NARCAN and personal protection equipment to Virginia’s most at-risk populations, related to the opioid epidemic, through the local health departments and community services boards by providing general fund support to purchase kits and other medical supplies.
 
  FY 2021 FY 2022
General Fund $1,600,011 $1,600,011
•
Increase Central Pharmacy's nongeneral fund appropriation Decision Package
  Increases the nongeneral fund appropriation for the Central Pharmacy to store and distribute purchased pharmaceuticals (vaccines, flu shots, etc.) for the health districts. The Central Pharmacy recoups their costs from insurance along with a fee to cover their overhead from the districts as they distribute the pharmaceuticals. This would give the Central Pharmacy the spending authority to use existing resources.
 
  FY 2021 FY 2022
Nongeneral Fund $500,000 $500,000
•
Increase the Office of Radiological Health's nongeneral fund appropriation due to approved fees increase Decision Package
  Increases the Office of Radiological Health's nongeneral fund appropriation due to an increase in fee revenue for the Radioactive Materials Facilities Licensure Fund. Fees charged for X-ray machine registrations, X-ray machine inspections and shielding reviews performed by the Virginia Department of Health, and the fees charged for Radioactive Materials licenses all increased as of February 7, 2019.
 
  FY 2021 FY 2022
Nongeneral Fund $500,000 $500,000
•
Add funding for adult sickle cell services Decision Package
  Provides general fund appropriation to establish a comprehensive adult program for sickle cell disease within the Office of Family Health Services’ Children and Youth with Special Health Care Needs program.
 
  FY 2021 FY 2022
General Fund $305,000 $305,000
•
Add funding for community health workers - two year pilot Decision Package
  Increases local health department capacity to improve health outcomes in high-burden communities by providing general fund support and positions for four community health workers.
 
  FY 2021 FY 2022
General Fund $289,168 $289,168
Positions 4.00 4.00
•
Adjust appropriation for centrally funded changes to Cardinal Financials System charges Base Budget Adjustment
  Adjusts appropriation for changes to Cardinal Financials System internal service fund charges budgeted in Central Appropriations, Item 475 L. of Chapter 854, 2019 Acts of Assembly.
 
  FY 2021 FY 2022
General Fund $50,244 $50,244
Nongeneral Fund $235,845 $235,845
•
Adjust appropriation for centrally funded three percent salary increase for state-supported local employees Base Budget Adjustment
  Adjusts appropriation for the three percent salary increase for state-supported local employees budgeted in Central Appropriations, Item 474 U. of Chapter 854, 2019 Acts of Assembly.
 
  FY 2021 FY 2022
General Fund $280,044 $280,044
•
Increase the Office of the Chief Medical Examiner's federal appropriation due to increased federal funding Decision Package
  Increases the federal appropriation for the Office of the Chief Medical Examiner due to an increase in Enhanced Opioid Surveillance, Violent Death Reporting, and National Institute of Mental Health Neuropathology Project grants.
 
  FY 2021 FY 2022
Nongeneral Fund $250,000 $250,000
•
Adjust appropriation for centrally funded changes to agency rental costs Base Budget Adjustment
  Adjusts appropriation for changes to agency rental costs at the seat of government budgeted in Central Appropriations, Item 475 J. of Chapter 854, 2019 Acts of Assembly.
 
  FY 2021 FY 2022
General Fund ($15,552) ($15,552)
Nongeneral Fund $216,493 $216,493
•
Increase the Office of Radiological Health's nongeneral fund appropriation based on the revenue increase from the Virginia Department of Emergency Management Decision Package
  Increases the nongeneral fund appropriation due to an increase in revenue from Dominion Energy through the Virginia Department of Emergency Management. The funding is for the use of environmental monitoring and emergency preparedness activities, such as comprehensive surveillance, testing, and analyses associated with the North Anna and Surry power stations operated by Dominion.
 
  FY 2021 FY 2022
Nongeneral Fund $221,817 $221,817
•
Increase the Office of the Chief Medical Examiner's anatomical services appropriation due to increased revenues Decision Package
  Increases the nongeneral fund appropriation for the Virginia Anatomical Services Program as a result of increased revenues. This program provides cadavers to state medical schools and has continued to realize increased revenue over the past three fiscal years.
 
  FY 2021 FY 2022
Nongeneral Fund $200,000 $200,000
•
Add funding for a data management system for Virginia's Drinking Water Program Decision Package
  Provides general fund support to cover a portion of the costs associated with updating and securing water quality and monitoring databases. The Office of Drinking Water must update its current database system to meet state security standards and federal reporting requirements under the Safe Drinking Water Act and the National Primary Drinking Water Regulations implementation.
 
  FY 2021 FY 2022
General Fund $150,000 $250,000
•
Adds positions for the Shellfish Safety Division Decision Package
  Provides general fund and two positions to address a staffing shortage within the Office of Environmental Health Services and to address the steady increase in workload over the past several years. The volume of oyster production reported has significantly increased from 23,000 bushels in 2004, to over 700,000 bushels in 2017, without an increase in staff.
 
  FY 2021 FY 2022
General Fund $168,270 $168,270
Positions 2.00 2.00
•
Increase the Office of the Chief Medical Examiner's special revenue fund appropriation to use increased revenues Decision Package
  Increases the Office of the Chief Medical Examiner's nongeneral fund appropriation due to increased fee revenue. This increase is attributed in part to the ongoing work the Medical Examiner's Office is continuing to perform with the Department of Motor Vehicles, related to the National Highway Traffic Safety Administration's BAC Data Collection and Submission project.
 
  FY 2021 FY 2022
Nongeneral Fund $150,000 $150,000
•
Add funding for building Office of Health Equity infrastructure and capacity Decision Package
  Provides general fund support and one position to the Office of Health Equity to support a "Health in All Policies" position. This position would work with local communities to educate and gather feedback on policy issues, specifically those related to health equity.
 
  FY 2021 FY 2022
General Fund $150,000 $150,000
Positions 1.00 1.00
•
Add funding and a position for a wastewater infrastructure manager Decision Package
  Provides general fund appropriation and one position to support a Wastewater Infrastructure Manager in the Office of Environmental Health Services. This position is necessary to address the aging wastewater treatment systems in Virginia.
 
  FY 2021 FY 2022
General Fund $131,880 $131,880
Positions 1.00 1.00
•
Adjust appropriation for centrally funded workers’ compensation premium changes Base Budget Adjustment
  Adjusts appropriation for workers’ compensation premiums budgeted in Central Appropriations, Item 474 R. of Chapter 854, 2019 Acts of Assembly.
 
  FY 2021 FY 2022
General Fund $131,537 $131,537
•
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 2021 FY 2022
General Fund $75,889 $75,889
Nongeneral Fund $49,195 $49,195
•
Increase the Office of Health Equity's federal appropriation for the State Loan Repayment Grant Decision Package
  Increases the federal nongeneral fund appropriation for the Office of Health Equity due to an increase in State Loan Repayment Grant funding. The SLRP provides a non-taxed incentive to qualified medical, dental, behavioral health and pharmaceutical (pharmacists) professionals in return for a minimum of two years of service at an eligible practice site in one of the federally designated Health Professional Shortage Areas in a qualified field of practice in Virginia.
 
  FY 2021 FY 2022
Nongeneral Fund $111,000 $111,000
•
Adjust appropriation for centrally funded state employee other post-employment benefit rate changes Base Budget Adjustment
  Adjusts appropriation for changes to state employee other post-employment benefit rates budgeted in Central Appropriations, Item 474 K. of Chapter 854, 2019 Acts of Assembly.
 
  FY 2021 FY 2022
General Fund ($18,928) ($18,928)
Nongeneral Fund ($31,835) ($31,835)
•
Adjust appropriation for centrally funded retirement rate changes Base Budget Adjustment
  Adjusts appropriation for changes to contribution rates for state employee retirement plans budgeted in Central Appropriations, Item 474 H. of Chapter 854, 2019 Acts of Assembly.
 
  FY 2021 FY 2022
General Fund $18,929 $18,929
Nongeneral Fund $31,831 $31,831
•
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 475 K. of Chapter 854, 2019 Acts of Assembly.
 
  FY 2021 FY 2022
General Fund $12,592 $12,592
Nongeneral Fund $19,977 $19,977
•
Adjust appropriation for centrally funded internal service fund charges for the Personnel Management Information System Base Budget Adjustment
  Adjusts appropriation for Personnel Management Information System internal service fund charges budgeted in Central Appropriations, Item 475 O. of Chapter 854, 2019 Acts of Assembly.
 
  FY 2021 FY 2022
General Fund $1,765 $1,765
Nongeneral Fund $2,131 $2,131
•
Adjust appropriation for centrally funded changes to Performance Budgeting System charges Base Budget Adjustment
  Adjusts appropriation for changes to Performance Budgeting System internal service fund charges budgeted in Central Appropriations, Item 475 M. of Chapter 854, 2019 Acts of Assembly.
 
  FY 2021 FY 2022
General Fund $140 $140
Nongeneral Fund $1,214 $1,214
•
Update appropriation act language regarding coverage for abortions in cases of fetal anomalies Decision Package
  Protects women’s rights to make their own healthcare decisions.
•
Update organization name from CHIP of Virginia to Families Forward Decision Package
  Updates the name of the orginization from CHIP of Virginia to Families Forward, which was created as a result of the merger of Prevent Child Abuse Virginia, CHIP of Virginia, and Early Impact Virginia.
•
Transfer funding and positions to newly created service area for Population Health Decision Package
  Transfers current resources to a new service area for Population Health. Without this transfer the funds and positions will continue to be improperly aligned with actual execution. The Virginia Department of Health anticipates that this new service area would increase transparency about the programs and their funding as well as group similar programs and services together.
•
Mandatory reporting of Temporary Detention Orders by private hospitals Decision Package
  Mandates that inpatient hospitals report the admission source of any individuals meeting the criteria for voluntary or involuntary psychiatric commitment to the Board of Health. The board shall share the data with the Department of Behavioral Health and Developmental Services.
•
Increase Emergency Medical Services special fund reversion Decision Package
  Increases the Part 3 §3-1.01 W interfund transfer from the annual vehicle registration fee from the special medical services fund by $2.0 million.
•
Transfer funding and positions to newly created service area for the Cooperative Agreement Decision Package
  Transfers current resources to a new service area created for the Cooperative Agreement in Southwest Virginia. Without this transfer the funds and positions will continue to be improperly aligned with actual execution. The Virginia Department of Health anticipates that this new service area would increase transparency about the programs and their funding as well as group similar programs and services together.


pdocagy2014 - Executive Budget Document Agency Details - 06-07-2025 13:54:58