The 2026 Executive Budget Document
Governor Youngkin's Proposed Budget for the 2026-2028 Biennial Budget
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Released on December 17, 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
2020-2022 2022 Chapter 1, 2022 Acts of Assembly $211,902,238 $721,576,816 $933,479,054
2022-2024 2023 Chapter1, 2024 Acts of Assembly $237,622,379 $989,400,303 $1,227,022,682
2022-2024 2024 Chapter1, 2024 Acts of Assembly $246,225,920 $820,460,040 $1,066,685,960
2024-2026 2025 Chapter 725, 2025 Acts of Assembly $326,633,728 $842,889,522 $1,169,523,250
2024-2026 2026 Chapter 725, 2025 Acts of Assembly $309,700,157 $771,481,733 $1,081,181,890
2026-2028 2027 Governor's Proposed Budget $314,624,268 $688,339,449 $1,002,963,717
    Base Budget $309,700,157 $771,481,733 $1,081,181,890
    Addenda (Changes to the Base) $4,924,111 ($83,142,284) ($78,218,173)
2026-2028 2028 Governor's Proposed Budget $308,154,206 $677,017,865 $985,172,071
    Base Budget $309,700,157 $771,481,733 $1,081,181,890
    Addenda (Changes to the Base) ($1,545,951) ($94,463,868) ($96,009,819)
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
2020-2022 2022 Chapter 1, 2022 Acts of Assembly 1,571.50 2,239.00 3,810.50
2022-2024 2023 Chapter1, 2024 Acts of Assembly 1,605.50 2,273.00 3,878.50
2022-2024 2024 Chapter1, 2024 Acts of Assembly 1,605.50 2,273.00 3,878.50
2024-2026 2025 Chapter 725, 2025 Acts of Assembly 1,614.50 2,271.00 3,885.50
2024-2026 2026 Chapter 725, 2025 Acts of Assembly 1,615.50 2,271.00 3,886.50
2026-2028 2027 Proposed Positions 1,617.50 2,271.00 3,888.50
    Base Budget 1,615.50 2,271.00 3,886.50
    Addenda (Changes to the Base) 2.00 0.00 2.00
2012-2014 2028 Proposed Positions 1,617.50 2,271.00 3,888.50
    Base Budget 1,615.50 2,271.00 3,886.50
    Addenda (Changes to the Base) 2.00 0.00 2.00
Operating Budget Addenda (in order of greatest impact)
Adjust appropriation to reflect agency operations Decision Package
  Adjusts appropriation to better align with operations and expenditures.
 
  FY 2027 FY 2028
Nongeneral Fund ($80,135,696) ($91,457,280)
Adjust appropriation for centrally funded salary increases for state employees Base Budget Adjustment
  Adjusts appropriation for the salary increases for state employees budgeted in Central Appropriations, Item 469 R. of Chapter 725, 2025 Acts of Assembly.
 
  FY 2027 FY 2028
General Fund $6,293,369 $6,293,369
Nongeneral Fund $9,544,637 $9,544,637
Supplant general fund with Temporary Assistance for Needy Families block grant funds for discretionary activities Decision Package
  Supplants general fund with Temporary Assistance for Needy Families block grant funds for discretionary activities.
 
  FY 2027 FY 2028
General Fund ($7,400,000) ($7,400,000)
Nongeneral Fund $7,400,000 $7,400,000
Remove COVID-19 grant funding that has expired Base Budget Adjustment
  Removes COVID-19 grant funding that has expired. Specifically, removes all $12.0 million in appropriation for the Immunization and Vaccines for Children grant.
 
  FY 2027 FY 2028
Nongeneral Fund ($12,000,000) ($12,000,000)
Transfer Opioid Overdose Reversal Agent Program to the Virginia Innovation Partnership Authority Decision Package
  Transfers the Opioid Overdose Reversal Agent Program to the Virginia Innovation Partnership Authority.
 
  FY 2027 FY 2028
Nongeneral Fund ($8,000,000) ($8,000,000)
Provide support to complete and sustain an electronic health record system Decision Package
  Provides support to complete and sustain an electronic health record system across all local health districts.
 
  FY 2027 FY 2028
General Fund $8,247,355 $6,814,008
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 469 G. of Chapter 725, 2025 Acts of Assembly.
 
  FY 2027 FY 2028
General Fund $1,933,819 $1,933,819
Nongeneral Fund $2,963,592 $2,963,592
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 470 C. of Chapter 725, 2025 Acts of Assembly.
 
  FY 2027 FY 2028
General Fund ($1,738,667) ($1,738,667)
Nongeneral Fund ($2,001,672) ($2,001,672)
Remove one-time funding for perinatal health hub pilot program Base Budget Adjustment
  Removes one-time funding for perinatal health hub pilot program. The funding was first provided in the Governor's introduced budget bill to develop a report that includes, but is not limited to, a listing of participating community providers and award amounts, a description of services provided, a description of populations served, the number of individuals served, and an assessment of health outcomes and program effectiveness. Current balances will carry forward to complete this work.
 
  FY 2027 FY 2028
General Fund ($2,500,000) ($2,500,000)
Reduce excess general fund in the Office of Drinking Water Decision Package
  Reduces excess general fund appropriation in the Office of Drinking Water. Current general fund is used as match to draw down federal Drinking Water State Revolving Funds. The match requirement for the federal grant will be fulfilled on June 30, 2027. A portion of funding will remain to support Office of Drinking Water operations.
 
  FY 2027 FY 2028
General Fund $0 ($4,536,715)
Support rent increases at local health department facilities Decision Package
  Provides funding to offset increased rental costs at the following local health department facilities: Roanoke City, Salem, West Piedmont, Eastern Shore, New River, Lord Fairfax, Central Shenandoah, Prince William, Chickahominy, Henrico, Piedmont, Mount Rogers, Southside, Alexandria, Virginia Beach, and Richmond City.
 
  FY 2027 FY 2028
General Fund $655,913 $655,913
Nongeneral Fund $423,335 $423,335
Remove one-time funding for non-emergency medical transportation services in rural areas Base Budget Adjustment
  Removes one-time funding for non-emergency medical transportation services in rural areas. Funding was provided by the General Assembly for a pilot program.
 
  FY 2027 FY 2028
General Fund ($1,000,000) ($1,000,000)
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 470 E. of Chapter 725, 2025 Acts of Assembly.
 
  FY 2027 FY 2028
General Fund ($198,633) ($198,633)
Nongeneral Fund ($636,898) ($636,898)
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 470 D. of Chapter 725, 2025 Acts of Assembly.
 
  FY 2027 FY 2028
General Fund $306,910 $306,910
Nongeneral Fund $506,161 $506,161
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 469 H. of Chapter 725, 2025 Acts of Assembly.
 
  FY 2027 FY 2028
General Fund ($295,559) ($295,559)
Nongeneral Fund ($452,942) ($452,942)
Adjust appropriation for centrally funded salary increase for state-supported local employees Base Budget Adjustment
  Adjusts appropriation for the salary increase for state-supported local employees budgeted in Central Appropriations, Item 469 S. of Chapter 725, 2025 Acts of Assembly.
 
  FY 2027 FY 2028
General Fund $736,888 $736,888
Adjust appropriation for centrally funded 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 469 J. of Chapter 725, 2025 Acts of Assembly.
 
  FY 2027 FY 2028
General Fund ($215,851) ($215,851)
Nongeneral Fund ($330,792) ($330,792)
Address nursing home complaint backlog Decision Package
  Provides support for two medical facility inspectors to address the backlog of complaints regarding nursing homes.
 
  FY 2027 FY 2028
General Fund $291,627 $291,627
Positions 2.00 2.00
Adjust appropriation for centrally funded workers’ compensation premium changes Base Budget Adjustment
  Adjusts appropriation for workers’ compensation premiums budgeted in Central Appropriations, Item 469 O. of Chapter 725, 2025 Acts of Assembly.
 
  FY 2027 FY 2028
General Fund ($71,721) ($71,721)
Nongeneral Fund ($219,823) ($219,823)
Extend Northern Virginia Firefighter Occupational Screening Pilot Program Decision Package
  Extends and provides a total of $500,000 in one-time funding for the Northern Virginia Firefighter Occupational Screening Pilot Program to continue cancer screenings for firefighters. The program is nearing the end of its pilot period and this funding allows the pilot to continue for an extra year.
 
  FY 2027 FY 2028
General Fund $70,000 ($430,000)
Adjust appropriation for centrally funded liability insurance premium charges Base Budget Adjustment
  Adjusts appropriation for liability insurance premiums billed by the Department of the Treasury’s Division of Risk Management budgeted in Central Appropriations, Item 470 J. of Chapter 725, 2025 Acts of Assembly.
 
  FY 2027 FY 2028
General Fund ($96,044) ($96,044)
Nongeneral Fund ($52,897) ($52,897)
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 470 F. of Chapter 725, 2025 Acts of Assembly.
 
  FY 2027 FY 2028
General Fund ($26,441) ($26,441)
Nongeneral Fund ($112,308) ($112,308)
Adjust appropriation for centrally funded changes to agency leased space costs Base Budget Adjustment
  Adjusts appropriation for reduced charges to customer agencies for the Department of General Services to perform lease administration services budgeted in Central Appropriations, Item 470 I. of Chapter 725, 2025 Acts of Assembly.
 
  FY 2027 FY 2028
General Fund ($29,616) ($29,616)
Nongeneral Fund ($42,701) ($42,701)
Reduce out-year spending for VHI costs related to HB1902 Base Budget Adjustment
  Removes $60,000 in one-time implementation costs for a new system per HB1902 and leaves $50,000 to collect, maintain, and report ADT data information on patients who have experienced nonfatal opioid overdose.
 
  FY 2027 FY 2028
General Fund ($60,000) ($60,000)
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 470 M. of Chapter 725, 2025 Acts of Assembly.
 
  FY 2027 FY 2028
General Fund $36,195 $36,195
Nongeneral Fund $11,273 $11,273
Adjust appropriation for centrally funded changes to agency vehicle fleet charges Base Budget Adjustment
  Adjusts appropriation for reduced fleet vehicle operational rate charges billed by the Department of General Services budgeted in Central Appropriations, Item 470 H. of Chapter 725, 2025 Acts of Assembly.
 
  FY 2027 FY 2028
General Fund ($13,156) ($13,156)
Nongeneral Fund ($10,859) ($10,859)
Adjust appropriation for centrally funded minimum wage increases Base Budget Adjustment
  Adjusts appropriation to reflect the assumed increase in the Virginia minimum wage effective January 1, 2026, and budgeted in Central Appropriations, Item 469 Q. of Chapter 725, 2025 Acts of Assembly. The amounts provided support the annualized general fund cost of increasing the Virginia minimum wage from $12.00 per hour to $12.89 per hour or the equivalent annual salary of $26,811. The actual minimum wage for January 1, 2026 will be communicated by the Commissioner of the Department of Labor and Industry by October 1, 2025.
 
  FY 2027 FY 2028
General Fund $3,884 $3,884
Nongeneral Fund $5,952 $5,952
Reduce out-year spending for one-time supply purchases Base Budget Adjustment
  Reduces out-year spending for one-time supply purchases for positions to create uniform intermediate disciplinary action for hospitals, nursing homes, hospices, home care organizations (HCOs), managed care health insurance plan (MCHIP) licensees, and private review agents (PRAs).
 
  FY 2027 FY 2028
General Fund ($7,200) ($7,200)
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 470 G. of Chapter 725, 2025 Acts of Assembly.
 
  FY 2027 FY 2028
General Fund $1,039 $1,039
Nongeneral Fund ($646) ($646)
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.
Remove carryforward language for the Office of the Chief Medical Examiner Decision Package
  Removes language allowing the Office of the Chief Medical Examiner to carry forward general fund appropriation for salaries or unfilled positions.


pdocagy2014 - Executive Budget Document Agency Details - 01-01-2026 15:49:44