The 2024 Executive Budget Document
Governor Youngkin's Proposed Budget for the 2024-2026 Biennum
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Released on December 20, 2023 
 
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
2021-2024 2022 Chapter1, 2024 Acts of Assembly $237,622,379 $989,400,303 $1,227,022,682
2020-2022 2022 Chapter 1, 2022 Acts of Assembly $211,902,238 $721,576,816 $933,479,054
2021-2024 2023 Chapter1, 2024 Acts of Assembly $246,225,920 $820,460,040 $1,066,685,960
2024-2026 2025 Governor's Proposed Budget $287,634,237 $834,889,522 $1,122,523,759
    Base Budget $235,412,508 $727,897,537 $963,310,045
    Addenda (Changes to the Base) $52,221,729 $106,991,985 $159,213,714
2024-2026 2026 Governor's Proposed Budget $288,550,904 $830,934,522 $1,119,485,426
    Base Budget $235,412,508 $727,897,537 $963,310,045
    Addenda (Changes to the Base) $53,138,396 $103,036,985 $156,175,381
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
2021-2024 2022 Chapter1, 2024 Acts of Assembly 1,605.50 2,273.00 3,878.50
2020-2022 2022 Chapter 1, 2022 Acts of Assembly 1,571.50 2,239.00 3,810.50
2021-2024 2023 Chapter1, 2024 Acts of Assembly 1,605.50 2,273.00 3,878.50
2024-2026 2025 Proposed Positions 1,605.50 2,271.00 3,876.50
    Base Budget 1,605.50 2,273.00 3,878.50
    Addenda (Changes to the Base) 9.00 (2.00) 7.00
2012-2014 2026 Proposed Positions 1,605.50 2,271.00 3,876.50
    Base Budget 1,605.50 2,273.00 3,878.50
    Addenda (Changes to the Base) 0.00 (2.00) (2.00)
Operating Budget Addenda (in order of greatest impact)
Continue Chapter 1 funding changes: Provide required state match funding for drinking water infrastructure projects Decision Package
  Provides for the ongoing impact of appropriation changes included in Chapter 1, 2023 Special Session I. 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. The amendment increases the nongeneral fund appropriation as necessary to keep pace with the reimbursement and payment trends of drinking water grants. The state match requirement will increase to 20 percent starting in 2025, it is currently 10 percent.
 
  FY 2025 FY 2026
General Fund $6,464,800 $6,464,800
Nongeneral Fund $91,654,000 $91,654,000
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 483 S. of Chapter 2, 2022 Acts of Assembly, Special Session I.
 
  FY 2025 FY 2026
General Fund $9,115,843 $9,115,843
Nongeneral Fund $15,004,640 $15,004,640
Reduce excess federal appropriation Decision Package
  Removes excess federal appropriation across programs.
 
  FY 2025 FY 2026
Nongeneral Fund ($12,588,619) ($12,588,619)
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 484 C. of Chapter 2, 2022 Acts of Assembly, Special Session I.
 
  FY 2025 FY 2026
General Fund $4,857,089 $4,857,089
Nongeneral Fund $7,070,693 $7,070,693
Allocate portion of opioid settlement funds for fentanyl response efforts Decision Package
  Allocates Commonwealth Opioid Abatement and Remediation fund dollars to support the Naloxone Distribution Program. Funding will support the purchase and distribution of opioid reversal agents as well as administrative costs such as shipping, test strips, and software modifications.
 
  FY 2025 FY 2026
Nongeneral Fund $5,519,145 $5,464,145
Enhance the Behavioral Health Loan Repayment Program Decision Package
  Provides additional support for the Behavioral Health Loan Repayment Program. This amendment increases incentives for tier 1 professions from $30,000 to $50,000 as well as expands program eligibility to include psychiatric registered nurses. Out of this amount, $1.0 million shall be set aside for eligible behavioral health professionals who are school-based.
 
  FY 2025 FY 2026
General Fund $5,000,000 $5,000,000
Supplant Temporary Assistance for Needy Families block grant funding for Families Forward with general fund Decision Package
  Supplants Temporary Assistance for Needy Families block grant funding for Families Forward with general fund.
 
  FY 2025 FY 2026
General Fund $2,400,000 $2,400,000
Nongeneral Fund ($2,400,000) ($2,400,000)
Continue support for the Earn to Learn Nursing Education Acceleration Program Decision Package
  Continues support for the Earn to Learn Nursing Education Acceleration Program for partnerships between educational and health institutions to increase the number of nursing graduates receiving necessary clinical training to achieve certification.
 
  FY 2025 FY 2026
General Fund $4,000,000 $4,000,000
Supplant Temporary Assistance for Needy Families block grant funding for contraceptives with general fund Decision Package
  Supplants Temporary Assistance for Needy Families block grant funding for access to contraceptives with general fund support starting in 2026.
 
  FY 2025 FY 2026
General Fund $0 $4,000,000
Nongeneral Fund $0 ($4,000,000)
Continue Chapter 1 funding changes: Enhance the Nurse Preceptor Incentive Program Decision Package
  Provides for the ongoing impact of appropriation changes included in Chapter 1, 2023 Special Session I. Provides funding to increase the awards provided through the Nursing Preceptor Incentive Program to $5,000 per semester (up from $1,000). Language expands the eligibility of preceptor awards to include registered nurses and licensed practical nurses to encourage more clinicians to become preceptors.
 
  FY 2025 FY 2026
General Fund $3,000,000 $3,000,000
Continue Chapter 1 funding changes: Provide funding for two percent salary increase Decision Package
  Adjusts appropriation for the two percent salary increase for state and state supported local employees budgeted in Central Appropriations, Paragraphs S, T, U, and V of Item 483, Chapter 1, 2023 Acts of Assembly, Special Session I.
 
  FY 2025 FY 2026
General Fund $2,177,113 $2,177,113
Supplant Temporary Assistance for Needy Families block grant funding for Resource Mothers with general fund Decision Package
  Supplants Temporary Assistance for Needy Families block grant funding for Resource Mothers with general fund.
 
  FY 2025 FY 2026
General Fund $1,000,000 $1,000,000
Nongeneral Fund ($1,000,000) ($1,000,000)
Provide funding to create sustainable financial oversight Decision Package
  Provides general fund support to improve compliance and audit findings and to create financial oversight for the agency.
 
  FY 2025 FY 2026
General Fund $1,765,106 $1,765,106
Provide state matching funds to expand home visiting services Decision Package
  Provides sufficient general fund support to use as the 25 percent state match to meet the minimum threshold to draw down federal funds. The associated nongeneral fund appropriation is also provided.
 
  FY 2025 FY 2026
General Fund $333,333 $500,000
Nongeneral Fund $1,000,000 $1,500,000
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 483 G. of Chapter 2, 2022 Acts of Assembly, Special Session I.
 
  FY 2025 FY 2026
General Fund $609,472 $609,472
Nongeneral Fund $1,049,611 $1,049,611
Continue Chapter 1 funding changes: Provide additional support to address increases in rent costs for local health departments Decision Package
  Provides for the ongoing impact of appropriation changes included in Chapter 1, 2023 Special Session I. 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 2025 FY 2026
General Fund $943,856 $943,856
Nongeneral Fund $698,322 $698,322
Continue Chapter 1 funding changes: Enhance the Behavioral Health Loan Repayment Program Decision Package
  Provides for the ongoing impact of appropriation changes included in Chapter 1, 2023 Special Session I. Increases funding for the Behavioral Health Loan Repayment Program.
 
  FY 2025 FY 2026
General Fund $1,500,000 $1,500,000
Continue Chapter 1 funding changes: Increase funding to support salary adjustments for Office of the Chief Medical Examiner staff Decision Package
  Provides for the ongoing impact of appropriation changes included in Chapter 1, 2023 Special Session I. Provides funding to increase the salaries of the assistant chief medical examiners and other support staff in the Office of the Chief Medical Examiner for the January 1, 2024 through June 30, 2024 timeframe. The cost of these salary adjustments would be annualized in the 2024-26 biennial budget. Based on recent information from the Virginia Department of Health, only 11 of the 19 medical examiners are filled.
 
  FY 2025 FY 2026
General Fund $1,491,950 $1,491,950
Add funding for Hampton Roads Proton Beam Therapy Institute Decision Package
  Adds funding for the Hampton Roads Proton Beam Therapy Institute at Hampton University to support efforts for proton therapy in the treatment of cancerous tumors with fewer side effects.
 
  FY 2025 FY 2026
General Fund $2,500,000 $0
Continue Chapter 1 funding changes: Provide support for Amyotrophic Lateral Sclerosis Association and increase support in the first year Decision Package
  Provides for the ongoing impact of appropriation changes included in Chapter 1, 2023 Special Session I. Funding will be used by the Amyotrophic Lateral Sclerosis Association to provide support for a durable medical equipment loan program, multidisciplinary amyotrophic lateral sclerosis clinics, adaptive communication programming, transportation stipends, and grants for respite care.
 
  FY 2025 FY 2026
General Fund $1,500,000 $750,000
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 483 T. of Chapter 2, 2022 Acts of Assembly, Special Session I.
 
  FY 2025 FY 2026
General Fund $1,004,541 $1,004,541
Provide additional support for the Nursing Scholarships and Loan Repayment Program Decision Package
  Provides additional support for the Nursing Scholarships and Loan Repayment program.
 
  FY 2025 FY 2026
General Fund $936,000 $936,000
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 484 F. of Chapter 2, 2022 Acts of Assembly, Special Session I.
 
  FY 2025 FY 2026
General Fund $135,531 $135,531
Nongeneral Fund $469,901 $469,901
Establish Office of Grants Administration Decision Package
  Provides support to establish the Office of Grants Administration and funding for three positions. Funding shall also be used to provide training on grants administration.
 
  FY 2025 FY 2026
General Fund $557,010 $557,010
Continue Chapter 1 funding changes: Provide support for the Samaritan House Decision Package
  Provides for the ongoing impact of appropriation changes included in Chapter 1, 2023 Special Session I. Funding will be used by the Samaritan House to support emergency and permanent housing, support services and community outreach to victims of domestic and sexual violence, human trafficking, and homelessness in Southeast Virginia.
 
  FY 2025 FY 2026
General Fund $500,000 $500,000
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 484 G. of Chapter 2, 2022 Acts of Assembly, Special Session I.
 
  FY 2025 FY 2026
General Fund $159,091 $159,091
Nongeneral Fund $258,700 $258,700
Adjust appropriation for centrally funded property insurance premium charges Base Budget Adjustment
  Adjusts appropriation for property insurance premiums billed by the Department of the Treasury’s Division of Risk Management budgeted in Central Appropriations, Item 484 J. of Chapter 2, 2022 Acts of Assembly, Special Session I.
 
  FY 2025 FY 2026
General Fund ($133,236) ($133,236)
Nongeneral Fund ($113,605) ($113,605)
Add funds to increase staffing of Healthcare Workforce Incentive Unit Decision Package
  Provides general fund support to convert two contractors into classified positions within the Health Workforce Incentive Unit.
 
  FY 2025 FY 2026
General Fund $231,373 $231,373
Transfer funds for administrative support of the Opioid Abatement Authority Decision Package
  Transfers nongeneral fund appropriation and positions to the Department of Behavioral Health and Developmental Services to perform administrative services for the Opioid Abatement Authority.
 
  FY 2025 FY 2026
Nongeneral Fund ($200,000) ($200,000)
Positions (2.00) (2.00)
Provide funding to conduct a wastewater surveillance demonstration project for fentanyl and norfentanyl Decision Package
  Allocates Commonwealth Opioid Abatement and Remediation fund dollars to conduct a wastewater surveillance demonstration project for fentanyl and norfentanyl in three geographically diverse localities. The demonstration project shall last one year.
 
  FY 2025 FY 2026
Nongeneral Fund $400,000 $0
Adjust appropriation for centrally funded workers’ compensation premium changes Base Budget Adjustment
  Adjusts appropriation for workers’ compensation premiums budgeted in Central Appropriations, Item 483 P. of Chapter 2, 2022 Acts of Assembly, Special Session I.
 
  FY 2025 FY 2026
General Fund ($65,588) ($65,588)
Nongeneral Fund $113,391 $113,391
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 484 E. of Chapter 2, 2022 Acts of Assembly, Special Session I.
 
  FY 2025 FY 2026
General Fund $66,449 $66,449
Nongeneral Fund $103,143 $103,143
Provide support for Special Olympics Virginia for Unified Champion Schools Decision Package
  Doubles support for Special Olympics Virginia for Unified Champion Schools.
 
  FY 2025 FY 2026
General Fund $150,000 $150,000
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 484 D. of Chapter 2, 2022 Acts of Assembly, Special Session I.
 
  FY 2025 FY 2026
General Fund ($14,007) ($14,007)
Nongeneral Fund ($97,617) ($97,617)
Adjust appropriation for centrally funded changes to agency leased space costs Base Budget Adjustment
  Adjusts appropriation for to increased charges to customer agencies for the Department of General Services to perform lease administration services. budgeted in Central Appropriations, Item 485 K. of Chapter 2, 2022 Acts of Assembly, Special Session I.
 
  FY 2025 FY 2026
General Fund $29,616 $29,616
Nongeneral Fund $42,701 $42,701
Adjust appropriation for centrally funded minimum wage increases Base Budget Adjustment
  Adjusts appropriation to reflect the increase in the Virginia minimum wage effective January 1, 2023, and budgeted in Central Appropriations, Item 483 R. of Chapter 2, 2022 Acts of Assembly, Special Session I. The amounts provided support the annualized general fund cost of increasing the Virginia minimum wage from $11.00 per hour to $12.00 per hour or the equivalent annual salary of $24,960.
 
  FY 2025 FY 2026
General Fund $27,168 $27,168
Nongeneral Fund $44,188 $44,188
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 484 I. of Chapter 2, 2022 Acts of Assembly, Special Session I.
 
  FY 2025 FY 2026
General Fund ($16,688) ($16,688)
Nongeneral Fund ($29,184) ($29,184)
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 484 H. of Chapter 2, 2022 Acts of Assembly, Special Session I.
 
  FY 2025 FY 2026
General Fund ($4,093) ($4,093)
Nongeneral Fund ($7,614) ($7,614)
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 483 H. of Chapter 2, 2022 Acts of Assembly, Special Session I.
 
  FY 2025 FY 2026
Nongeneral Fund $189 $189
Remove appropriation act language related to the Vaccine Equity Report Decision Package
  Removes language related to the Vaccine Equity Report.
Exempt the Office of Emergency Medical Services from a Part-3 transfer in 2025 Decision Package
  Exempts the Office of Emergency Medical Services from making a required transfer of $12.5 million to the general fund in 2025 as stated in Part 3 of Chapter 1, 2023 Acts of Assembly, Special Session I. The transfer will resume in 2026 and beyond.
Expands use of tuberculosis funding Decision Package
  Allows the agency to fully utilize all appropriation provided for tuberculosis medication purchases. Specifically, this would allow the agency to use all available funding for both drug-susceptible and drug-resistant tuberculosis based on need.
Align appropriation to where expenditures occur Decision Package
  Aligns appropriation to where expenditures occur. This moves state match for the State Office of Rural Health to the correct program area.


pdocagy2014 - Executive Budget Document Agency Details - 06-07-2025 13:22:47