The 2023 Executive Budget Document
Governor Youngkin's Proposed Amendments to the 2022-2024 Biennial Budget
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Released on December 15, 2022 
 
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
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 $238,740,974 $989,400,303 $1,228,141,277
    2022 Appropriation $237,622,379 $989,400,303 $1,227,022,682
    Governor's Amendments $1,118,595 $0 $1,118,595
2022-2024 2024 Governor's Proposed Budget $290,060,813 $978,216,051 $1,268,276,864
    2022 Appropriation $235,412,508 $727,897,537 $963,310,045
    Governor's Amendments $54,648,305 $250,318,514 $304,966,819
Positions Budget Summary
Biennium Fiscal Year Source GF NGF Total
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
    2022 Appropriation 1,605.50 2,273.00 3,878.50
    Governor's Amendments 0.00 0.00 0.00
2022-2024 2024 Proposed Positions 1,607.50 2,273.00 3,880.50
    2022 Appropriation 1,605.50 2,273.00 3,878.50
    Governor's Amendments 2.00 0.00 2.00
Operating Budget Addenda (in order of greatest impact)
Add appropriation for epidemiology and laboratory capacity grants Decision Package
  Provides appropriation for Epidemiology and Laboratory Capacity for Prevention and Control of Emerging Infectious Diseases Cooperative Agreement grants, which are not funded by the federal American Rescue Plan Act. This will reduce the number of mid-year administrative adjustments and increase budget transparency.
 
  FY 2023 FY 2024
Nongeneral Fund $0 $150,756,011
Provide required state match funding for drinking water infrastructure projects 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 State Revolving Fund. Increases the nongeneral fund appropriation as necessary to keep pace with the reimbursement and payment trends of drinking water grants.
 
  FY 2023 FY 2024
General Fund $0 $3,373,581
Nongeneral Fund $0 $91,864,181
Establish the Earn to Learn Nursing Education Acceleration program grant Decision Package
  Provides funding to establish the Earn to Learn Nursing Education Acceleration program for partnerships between educational and health institutions to increaset he number of nursing graduates receiving necessary clinical training to achieve certification. Grantees must provide participating students employment opportunites consistent with their current certification level.
 
  FY 2023 FY 2024
General Fund $0 $30,000,000
Enhance the Nurse Preceptor Incentive Program Decision Package
  Provides funding to increase the awards provided through the Nursing Preceptor Incentive Program to $5,000 per semester (up from $1,000). Expands the eligibility of preceptor awards to include registered nurses and licensed practical nurses to encourage more clinicians to become preceptors.
 
  FY 2023 FY 2024
General Fund $0 $10,000,000
Positions 0.00 1.00
Designate portion of opioid settlement funds for fentanyl response efforts Decision Package
  Provides funding to support costs associated with a statewide fentanyl response strategy pursuant to legislation to be introduced in the 2023 General Assembly Session. The funding would come from the Commonwealth share of opioid settlement funds deposited to the Commonwealth Opioid Abatement and Remediation Fund.
 
  FY 2023 FY 2024
Nongeneral Fund $0 $7,000,000
Establish psychiatric nursing graduate education loan repayment program Decision Package
  Provides loan repayments for psychiatric registered nurses and psychiatric nurse practitioners who work in Virginia over four years.
 
  FY 2023 FY 2024
General Fund $0 $5,000,000
Enhance the Behavioral Health Loan Repayment Program Decision Package
  Increases funding for the Behavioral Health Loan Repayment Program. Increases loan repayment awards from $30,000 to $50,000 for child and adolescent psychiatrists, psychiatric nurse practitioners, and psychiatrists. Allows psychiatrists in residency to apply and qualify for loan repayments.
 
  FY 2023 FY 2024
General Fund $0 $2,500,000
Provide additional support to address increases in rent costs for local health departments 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 $0 $943,856
Nongeneral Fund $0 $698,322
Increase funding to support salary adjustments for Office of the Chief Medical Examiner staff Decision Package
  Provides funding for salary adjustments for the Chief Medical Examiner, Assistant Chief Medical Examiners, and non-physician staff. This adjustment aligns salaries to be more competitive with other states.
 
  FY 2023 FY 2024
General Fund $0 $1,491,950
Add funds to address a reversion of federal funding for the Office of Drinking Water Decision Package
  Provides general fund resources to cover federal deferrals associated with payments to the U.S. Environmental Protection Agency dating back to March of 2021.
 
  FY 2023 FY 2024
General Fund $1,118,595 $0
Provide additional support for the nursing scholarships and loan repayment program Decision Package
  Provides additional support for the nursing scholarships and loan repayment programs to provide additional awards for licensed practical and registered nurses.
 
  FY 2023 FY 2024
General Fund $0 $1,000,000
Provide funding for cybersecurity threat management position Decision Package
  Provides funding to replace a contractor with a full-time cybersecurity analyst to protect and maintain the overall security of agency systems.
 
  FY 2023 FY 2024
General Fund $0 $163,918
Positions 0.00 1.00
Add funding for sexual assault forensic examiner training for emergency department staff Decision Package
  Funds sexual assault forensic examiner training for emergency department staff as required by the Code of Virginia.
 
  FY 2023 FY 2024
General Fund $0 $125,000
Increase drug-susceptible tuberculosis funding Decision Package
  Provides funding to account for an increase in tuberculosis medication costs and to provide treatment options to more individuals.
 
  FY 2023 FY 2024
General Fund $0 $50,000
Extend loan deadlines for COVID-19 pandemic response Decision Package
  Extends the repayment term for any existing treasury loan authorized for the purpose of COVID-19 pandemic response activities to June 30, 2024, upon notification from the Department of Emergency Management to the Department of Accounts that federal reimbursement expected from the Federal Emergency Management Agency has not yet been received by the treasury loans’ existing planned repayment date.
Restrict abortion services Decision Package
  Prevents expenditures from general or nongeneral fund sources to be used for providing abortion services, except as otherwise required by federal law.
Transfer State Office of Rural Health Grant matching funds to correct program area Decision Package
  Transfers appropriation for the State Office of Rural Health Grant matching funds to correct program area.


pdocagy2014 - Executive Budget Document Agency Details - 04-05-2026 18:13:02