The 2022 Executive Budget Document
Governor Northam's Proposed Budget for the 2022-2024 Biennum
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Released on December 16, 2021 
 
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
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 Chapter 1, 2022 Acts of Assembly $192,953,062 $604,272,099 $797,225,161
2020-2022 2022 Chapter 1, 2022 Acts of Assembly $211,902,238 $721,576,816 $933,479,054
2022-2024 2023 Governor's Proposed Budget $239,677,653 $986,566,798 $1,226,244,451
    Base Budget $208,119,838 $721,576,816 $929,696,654
    Addenda (Changes to the Base) $31,557,815 $264,989,982 $296,547,797
2022-2024 2024 Governor's Proposed Budget $242,391,277 $726,897,537 $969,288,814
    Base Budget $208,119,838 $721,576,816 $929,696,654
    Addenda (Changes to the Base) $34,271,439 $5,320,721 $39,592,160
Positions Budget Summary
Biennium Fiscal Year Source GF NGF Total
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 Chapter 1, 2022 Acts of Assembly 1,513.50 2,198.00 3,711.50
2020-2022 2022 Chapter 1, 2022 Acts of Assembly 1,571.50 2,239.00 3,810.50
2022-2024 2023 Proposed Positions 1,605.50 2,273.00 3,878.50
    Base Budget 1,571.50 2,228.00 3,799.50
    Addenda (Changes to the Base) 34.00 45.00 79.00
2012-2014 2024 Proposed Positions 1,605.50 2,273.00 3,878.50
    Base Budget 1,571.50 2,228.00 3,799.50
    Addenda (Changes to the Base) 34.00 45.00 79.00
Operating Budget Addenda (in order of greatest impact)
•
Add appropriation for various COVID-19 federal grants not from the federal American Rescue Plan Act Decision Package
  Provides appropriation for Virginia Department of Health's COVID-19 response grants, not originating from the federal American Rescue Plan Act, to reduce the number of mid-year administrative adjustments and increase budget transparency.
 
  FY 2023 FY 2024
Nongeneral Fund $259,680,817 $0
•
Adjust appropriation for centrally funded five percent salary increase for state employees Base Budget Adjustment
  Adjusts appropriation for the five percent salary increase for state employees budgeted in Central Appropriations, Item 477 X. of Chapter 552, 2021 Acts of Assembly, Special Session I.
 
  FY 2023 FY 2024
General Fund $4,075,701 $4,075,701
Nongeneral Fund $7,128,215 $7,128,215
•
Provide funding for an integrated e-referral system Decision Package
  Provides appropriation to contract for an integrated e-referral system. The purpose of the system is to connect government agencies, health care providers, and community-based partners to enable participants in the system to refer patients to public health and social services.
 
  FY 2023 FY 2024
General Fund $8,000,000 $8,000,000
•
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 478 C. of Chapter 552, 2021 Acts of Assembly, Special Session I.
 
  FY 2023 FY 2024
General Fund ($2,188,972) ($2,188,972)
Nongeneral Fund ($3,948,962) ($3,948,962)
•
Add remaining general funds to complete the three-year phase-in of local match rate changes Decision Package
  Provides general fund to complete the phase-in of the local match rate changes by 2024 to meet the revised funding formula estimates for the cooperative health budget.
 
  FY 2023 FY 2024
General Fund $2,835,696 $5,671,392
•
Add funding for marijuana prevention and education Decision Package
  Provides funding for marijuana prevention and education for the period prior to receipt of revenues from sales.
 
  FY 2023 FY 2024
General Fund $2,240,000 $2,240,000
•
Provide matching funds for the Virginia State Loan Repayment Program federal grant Decision Package
  Provides funds to allow Virginia to draw down its entire federal share for the State Loan Repayment Program. The federal funding has a 1:1 match requirement, this would allow VDH to draw down a total of $1.5 million in federal funds.
 
  FY 2023 FY 2024
General Fund $1,200,000 $1,200,000
Nongeneral Fund $1,000,000 $1,000,000
•
Supplant Temporary Assistance for Needy Families funding with general fund to continue ongoing support for the Virginia Resource Mothers program Decision Package
  Supplants Temporary Assistance for Needy Families funding with general fund to continue ongoing support for the Virginia Resource Mothers Program. The program provides support to a high risk population of pregnant teens, teen mothers and their babies through care coordination and home visiting by Community Health Workers through the child's first birthday.
 
  FY 2023 FY 2024
General Fund $1,000,000 $1,000,000
Nongeneral Fund ($1,000,000) ($1,000,000)
•
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 477 H. of Chapter 552, 2021 Acts of Assembly, Special Session I.
 
  FY 2023 FY 2024
General Fund $612,346 $612,346
Nongeneral Fund $1,070,969 $1,070,969
•
Support for increases in rent at 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 2023 FY 2024
General Fund $878,435 $892,559
Nongeneral Fund $650,411 $661,967
•
Provide funding and positions to implement a Water Sampling Verification Program Decision Package
  Adds positions and funding to implement a Water Sampling Verification Program. The program shall ensure sampling is valid and representative of the actual water quality and conditions at the waterworks.
 
  FY 2023 FY 2024
General Fund $1,500,000 $1,500,000
Positions 7.00 7.00
•
Expand comprehensive harm reduction services Decision Package
  Expands comprehensive harm reduction (CHR) services to address an increase in demand for services at CHR sites in the central region. Services include sterile needle distribution, needle exchange, counseling, testing, and naloxone distribution.
 
  FY 2023 FY 2024
General Fund $1,061,875 $1,681,875
•
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 477 G. of Chapter 552, 2021 Acts of Assembly, Special Session I.
 
  FY 2023 FY 2024
General Fund $446,242 $446,242
Nongeneral Fund $804,350 $804,350
•
Provide funding and positions for assistant chief medical examiners for an increase in caseload Decision Package
  Adds funding to support three additional assistant chief medical examiners to assist with an increase in workload and to maintain National Association of Medical Examiners accreditation.
 
  FY 2023 FY 2024
General Fund $1,047,553 $1,047,553
Positions 3.00 3.00
•
Provide funding and positions for a Chesapeake Bay Septic Pilot program Decision Package
  Provides funding and positions to establish, operate, and develop necessary databases for a Chesapeake Bay Septic Pilot program. The pilot program, through local health departments, shall provide oversight of the septic tank pump out and inspection programs in the Eastern Shore, Middle Peninsula, and Northern Neck regions of Virginia.
 
  FY 2023 FY 2024
General Fund $1,038,611 $1,013,720
Positions 7.00 7.00
•
Provide funding to support equitable access to drinking water Decision Package
  Establishes a fund to provide support for small community waterworks. The proposed fund would help the Office of Drinking Water consolidate small waterworks to reduce health violations, improve the economies of scale, and address resilience and reliability at small and disadvantaged systems.
 
  FY 2023 FY 2024
General Fund $1,000,000 $1,000,000
•
Provide funding for data and quality management software licensing Decision Package
  Provides funding to support licensing costs for five pieces of necessary software. The maintenance and enhancement of these systems are crucial for the Virginia Department of Health to continue providing accurate and timely public health data.
 
  FY 2023 FY 2024
General Fund $826,637 $826,637
•
Adjust appropriation for centrally funded changes to Cardinal Human Capital Management System charges Base Budget Adjustment
  Adjusts appropriation for changes to Cardinal Human Capital Management System internal service fund charges budgeted in Central Appropriations, Item 478 G. of Chapter 552, 2021 Acts of Assembly, Special Session I.
 
  FY 2023 FY 2024
General Fund $263,110 $263,110
Nongeneral Fund $460,112 $460,112
•
Provide support for the ASK Childhood Cancer Foundation Decision Package
  Provides funding to contract with the ASK Childhood Cancer Foundation to facilitate the provision of pediatric cancer support services by pediatric cancer treatment centers in Virginia.
 
  FY 2023 FY 2024
General Fund $700,289 $700,289
•
Adjust appropriation for centrally funded workers’ compensation premium changes Base Budget Adjustment
  Adjusts appropriation for workers’ compensation premiums budgeted in Central Appropriations, Item 477 R. of Chapter 552, 2021 Acts of Assembly, Special Session I.
 
  FY 2023 FY 2024
General Fund ($132,286) ($132,286)
Nongeneral Fund ($462,669) ($462,669)
•
Provide funding for the Virginia Health Workforce Development Authority Decision Package
  Provides funding to support operational costs for the Virginia Healthcare Workforce Development Authority and establish a workgroup to conduct a study on addressing primary care workforce issues and potential solutions.
 
  FY 2023 FY 2024
General Fund $800,000 $300,000
•
Provide matching funds for the Virginia State Office of Rural Health federal grant Decision Package
  Provides funding to the State Office of Rural Health to draw down the full federal amount of $230,000. The Federal Office of Rural Health Policy requires a state match of three times that of the federal award. Therefore, the state match to receive the full federal amount is $690,000. This would provide VDH $540,000 for federal matching funds.
 
  FY 2023 FY 2024
General Fund $540,000 $540,000
•
Restore unalloted funding for state match for the Drinking Water State Revolving Fund 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 2023 FY 2024
General Fund $482,400 $482,400
•
Adjust appropriation for centrally funded five percent salary increase for state-supported local employees Base Budget Adjustment
  Adjusts appropriation for the five percent salary increase for state-supported local employees budgeted in Central Appropriations, Item 477 Y. of Chapter 552, 2021 Acts of Assembly, Special Session I.
 
  FY 2023 FY 2024
General Fund $438,132 $438,132
•
Provide funding for hospital plan reporting and review requirements Decision Package
  Adds positions and funding to support three Health Care Compliance Specialists to address new legislative mandates and to supplement the existing hospital state licensure inspection program. The legislation requires that every hospital licensed by the Virginia Department of Health shall provide to the department an approved plan for services that are provided to survivors of sexual assault.
 
  FY 2023 FY 2024
General Fund $283,696 $567,391
Positions 3.00 3.00
•
Transfer federal funding for Healthy Families to the Department of Social Services Decision Package
  Transfers Temporary Assistance for Needy Families funding for Healthy Families from the Virginia Department of Health back to the Department of Social Services.
 
  FY 2023 FY 2024
Nongeneral Fund ($417,822) ($417,822)
•
Provide funding and positions for medicolegal death investigators for an increase in caseload Decision Package
  Adds funding to support three medicolegal death investigators to address an increase in caseload for death investigations. The Office of Chief Medical Examiners has seen a 26 percent increase in the number of death investigations since 2016.
 
  FY 2023 FY 2024
General Fund $332,150 $332,150
Positions 3.00 3.00
•
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 478 F. of Chapter 552, 2021 Acts of Assembly, Special Session I.
 
  FY 2023 FY 2024
General Fund ($64,930) ($64,930)
Nongeneral Fund ($242,063) ($242,063)
•
Provide funding to support information technology portfolio management Decision Package
  Provides funding and positions to support an increase in information technology projects. These positions will ensure that all projects are completed on time, within the scope, and budget and will ensure that the business needs of the agency are clearly defined and implemented into information technology solutions.
 
  FY 2023 FY 2024
General Fund $265,851 $265,851
Positions 2.00 2.00
•
Provide support for a Pediatric Hospice and Palliative Care program Decision Package
  Provides funding to contract with Edmarc Hospice for Children to expand pediatric hospice and palliative care program services. The contract shall include, but not be limited to, implementing or expanding a telemedicine program.
 
  FY 2023 FY 2024
General Fund $500,000 $0
•
Restore unallotted funding to replace the Office of Drinking Water access database Decision Package
  Provides funding for 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 2023 FY 2024
General Fund $250,000 $250,000
•
Enhance genomic surveillance to combat emerging conditions Decision Package
  Enhances genomic surveillance efforts by supporting two positions to analyze and interpret genomic data. The purpose of this effort is to be able to better track the spread of emerging pathogens and mutations across the Commonwealth.
 
  FY 2023 FY 2024
General Fund $246,469 $246,469
Positions 2.00 2.00
•
Provide additional funding and positions for the Office of Internal Audit Decision Package
  Adds funding for two positions to address an increase in the investigative workload the Office of Internal Audit has had to perform.
 
  FY 2023 FY 2024
General Fund $231,448 $231,448
Positions 2.00 2.00
•
Provide funding for administrative costs associated with the Opioid Abatement Authority Decision Package
  Provides funding to the Virginia Department of Health for central office administrative functions for the Opioid Abatement Authority.
 
  FY 2023 FY 2024
Nongeneral Fund $200,000 $200,000
Positions 2.00 2.00
•
Restore unallotted funding for an increase in caseload for the Division of Shellfish Safety 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 2023 FY 2024
General Fund $190,764 $190,764
Positions 2.00 2.00
•
Provide funding to assess contamination in shellfish growing and harvesting areas Decision Package
  Provides funding for operating costs associated with the additional field work, data collection, and analyses necessary to assess contamination in shellfish growing and harvesting areas. The purpose is to eventually expand shellfish growing areas more equitably to rural communities who do not have these resources, including watersheds in the Northern Neck, Middle Peninsula, and Eastern Shore.
 
  FY 2023 FY 2024
General Fund $175,000 $175,000
•
Facilitate sharing of data regarding firearm violence in Virginia Decision Package
  Facilitates sharing of data regarding firearm violence in Virginia.
 
  FY 2023 FY 2024
General Fund $144,799 $144,799
Positions 1.00 1.00
•
Provide funding and positions to support the Grade 'A' Milk program Decision Package
  Adds one position and funding for an Environmental Health Coordinator to support the Grade A Milk Program. This position will serve as the agency lead for regulatory functions of the Grade A Milk program, including the provision of technical guidance to local health district Milk Specialists, coordination and delivery of necessary training, and coverage for plan review services for new milk plants in districts without a Milk Specialist.
 
  FY 2023 FY 2024
General Fund $149,952 $134,952
Positions 1.00 1.00
•
Provide funding and positions for an increase in regulatory caseloads Decision Package
  Adds one position and funding to address an increase in the regulatory caseload in the Office of Licensure and Certification. This increase in workload has had an impact on the office's ability to maintain a proper timetable for the promulgation of regulations and periodic regulatory reviews.
 
  FY 2023 FY 2024
General Fund $120,106 $120,106
Positions 1.00 1.00
•
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 478 D. of Chapter 552, 2021 Acts of Assembly, Special Session I.
 
  FY 2023 FY 2024
General Fund $26,433 $26,433
Nongeneral Fund $42,409 $42,409
•
Adjust appropriation for centrally funded general liability premium charges Base Budget Adjustment
  Adjusts appropriation for general liability premiums billed by the Department of the Treasury’s Division of Risk Management budgeted in Central Appropriations, Item 478 J. of Chapter 552, 2021 Acts of Assembly, Special Session I.
 
  FY 2023 FY 2024
General Fund $18,524 $18,524
Nongeneral Fund $31,590 $31,590
•
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 478 I. of Chapter 552, 2021 Acts of Assembly, Special Session I.
 
  FY 2023 FY 2024
General Fund ($9,009) ($9,009)
Nongeneral Fund ($14,028) ($14,028)
•
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 477 K. of Chapter 552, 2021 Acts of Assembly, Special Session I.
 
  FY 2023 FY 2024
General Fund $6,516 $6,516
Nongeneral Fund $11,393 $11,393
•
Provide additional funding for the Special Olympics Healthy Athletes program Decision Package
  Provides additional general fund support for the Special Olympics Healthy Athlete Program.
 
  FY 2023 FY 2024
General Fund $15,000 $15,000
•
Adjust appropriation for centrally funded minimum wage increases Decision Package
  Adjusts appropriation to reflect the increases in the Virginia minimum wage effective May 1, 2021 and January 1, 2022, and budgeted in Central Appropriations, Item 477 T. of Chapter 552, 2021 Acts of Assembly, Special Session I. The amounts provided support the annualized general fund cost of increasing the Virginia minimum wage from $7.25 per hour to $11.00 per hour or the equivalent annual salary of $22,880.
 
  FY 2023 FY 2024
General Fund $10,268 $10,268
•
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 478 H. of Chapter 552, 2021 Acts of Assembly, Special Session I.
 
  FY 2023 FY 2024
General Fund ($991) ($991)
Nongeneral Fund ($4,740) ($4,740)
•
Improve disease intervention services in Virginia Decision Package
  Provides nongeneral fund appropriation and positions to enact grant requirements for a supplemental award received from the Strengthening STD Prevention and Control for Health Departments federal grant. The purpose of the grant is to strengthen the capacity of public health departments to mitigate the spread of COVID-19 and other infections and enhance the disease intervention specialists workforce.
 
  FY 2023 FY 2024
Positions 32.00 32.00
•
Hire temporary staff to perform regulatory functions in disbursing federal American Rescue Plan Act funding for drinking water projects Decision Package
  Amends appropriation act language to allow existing federal American Rescue Plan Act funding to be used to hire temporary staff to assist with an increase in drinking water construction projects.
 
  FY 2023 FY 2024
Positions 11.00 11.00
•
Clarify language related to vital records fees Decision Package
  Clarifies that two dollars is the amount intended to go into the Vital Statistics Automation Fund.
•
Amend budget language for the Virginia Sexual and Domestic Violence Prevention fund Decision Package
  Removes language to fund six identified organizations at designated funding levels, without competition, from either Rape Prevention and Education funds as allowable or from the Virginia Sexual and Domestic Violence Prevention Fund. Current language excludes more than 40 other sexual violence/domestic violence organizations from accessing these funds.


pdocagy2014 - Executive Budget Document Agency Details - 04-04-2026 08:54:23