The 2025 Executive Budget Document
Governor Youngkin's Proposed Amendments to the 2024-2026 Biennial Budget
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Released on December 18, 2025 
 
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
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 $299,933,728 $842,889,522 $1,142,823,250
    2024 Appropriation $299,815,177 $842,889,522 $1,142,704,699
    Governor's Amendments $118,551 $0 $118,551
2024-2026 2026 Governor's Proposed Budget $307,310,769 $771,481,733 $1,078,792,502
    2024 Appropriation $297,371,844 $839,034,522 $1,136,406,366
    Governor's Amendments $9,938,925 ($67,552,789) ($57,613,864)
Positions Budget Summary
Biennium Fiscal Year Source GF NGF Total
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 1,614.50 2,271.00 3,885.50
    2024 Appropriation 1,614.50 2,271.00 3,885.50
    Governor's Amendments 0.00 0.00 0.00
2024-2026 2026 Proposed Positions 1,614.50 2,271.00 3,885.50
    2024 Appropriation 1,614.50 2,271.00 3,885.50
    Governor's Amendments 0.00 0.00 0.00
Operating Budget Addenda (in order of greatest impact)
Reduce excess federal appropriation Decision Package
  Aligns appropriation with anticipated expenditures and revenues collected.
 
  FY 2025 FY 2026
Nongeneral Fund $0 ($68,074,469)
Provide funding for a perinatal health hub pilot program Decision Package
  Provides funding to support a perinatal health hub pilot program in Virginia to reduce maternal and infant mortality.
 
  FY 2025 FY 2026
General Fund $0 $2,500,000
Provide support to maintain compliance with drinking water regulations Decision Package
  Provides additional support to the Office of Drinking Water to maintain compliance with state and federal drinking water requirements.
 
  FY 2025 FY 2026
General Fund $0 $1,803,598
Add support for community health workers and doulas at local health districts Decision Package
  Provides additional support for community health workers and doulas at local health districts that serve localities with the highest rates of maternal mortality.
 
  FY 2025 FY 2026
General Fund $0 $1,000,000
Continue support for the Division of Disease Prevention due to decreased federal support Decision Package
  Provides support for the Division of Disease Prevention to continue sexually transmitted infection prevention efforts due to an unanticipated loss of grant funding.
 
  FY 2025 FY 2026
General Fund $0 $1,000,000
Support rent increases at local health department facilities Decision Package
  Provides funding to offset expected rental or moving costs at the following local health department facilities: Piedmont, Eastern Shore, Southside, Central Shenandoah, New River, Chesterfield, Prince William, Rappahannock, and Virginia Beach Health Districts.
 
  FY 2025 FY 2026
General Fund $0 $546,266
Nongeneral Fund $0 $421,680
Provide support for the Home Care Organization Licensure Program Decision Package
  Provides support for the Home Care Organization Licensure Program's biennial inspection workload.
 
  FY 2025 FY 2026
General Fund $0 $853,098
Provide support for information technology security audits and mandatory investigations Decision Package
  Provides support to the Office of Internal Audit for additional financial and information technology auditors to address an increase in workload.
 
  FY 2025 FY 2026
General Fund $0 $847,529
Fund electronic health records system Decision Package
  Provides funding to support initial costs of an electronic health record system for pilot sites and eventually for full implementation. This initiative will improve communication between patients and providers and to help providers work more efficiently.
 
  FY 2025 FY 2026
General Fund $0 $500,000
Establish a Large Animal Veterinary Loan Repayment program Decision Package
  Establishes the Large Animal Veterinary Loan Repayment program to provide loan repayments for large animal veterinarians operating in Virginia.
 
  FY 2025 FY 2026
General Fund $0 $450,000
Provide support for intermediate disciplinary actions for medical care facilities Decision Package
  Provides support for the administration of intermediate disciplinary actions for medical care facilities. This funding is tied to forthcoming legislation.
 
  FY 2025 FY 2026
General Fund $0 $319,883
Fund implementation of rainwater harvesting system regulations Decision Package
  Provides funding for the implementation of rainwater harvesting system regulations and associated database costs. The regulations provide standards for the use of rainwater harvesting systems, including systems that collect rainwater for human consumption.
 
  FY 2025 FY 2026
General Fund $118,551 $118,551
Complete opioid impact reduction registry Decision Package
  Provides Commonwealth Opioid Abatement and Remediation funding for one-time costs associated with the development of the Opioid Impact Reduction Registry.
 
  FY 2025 FY 2026
Nongeneral Fund $0 $100,000
Increase vital records fee for expedited records Decision Package
  Increases the amount charged for expedited records from $48.00 to $53.00 to cover for increased services costs.
Amend language for the State Pharmaceutical Assistance Program to expand access to purchase HIV prevention medication Decision Package
  Amends language for the State Pharmaceutical Assistance Program to expand access to purchase pre-exposure prophylaxis (PrEP) and non-occupational post exposure prophylaxis (n-PEP) HIV prevention medication, co-pays, and other out-of-pocket costs.
Remove budget language that prohibits changes to emergency medical services council regional boundaries Decision Package
  Eliminates restrictive language that prevents changes to current emergency medical services regional council boundaries.
Restrict taxpayer funding for 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 funding for naloxone purchases to correct service area Decision Package
  Transfers general fund appropriation for the purchase of naloxone to the correct service area.
Update language to reflect current funding levels for the Virginia Center for Health Innovation Decision Package
  Updates language to reflect current funding levels for the Virginia Center for Health Innovation.


pdocagy2014 - Executive Budget Document Agency Details - 06-07-2025 07:18:27