The 2014 Executive Budget Document
Governor McDonnell's Proposed Budget for the 2014-2016 Biennum
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Released on December 16, 2013 
 
Department of Health [601]
Secretarial Area: Health and Human Resources
Mission:
The Virginia Department of Health is dedicated to promoting and protecting the health of Virginians.
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
2008-2010 2009 Chapter 872, 2010 Acts of Assembly $169,074,602 $412,621,961 $581,696,563
2008-2010 2010 Chapter 872, 2010 Acts of Assembly $154,191,257 $413,541,356 $567,732,613
2010-2012 2011 Chapter 2, 2012 Acts of Assembly $153,525,069 $417,086,680 $570,611,749
2010-2012 2012 Chapter 2, 2012 Acts of Assembly $154,030,571 $420,617,827 $574,648,398
2012-2014 2013 Chapter 1, 2014 Acts of Assembly $156,842,622 $464,592,306 $621,434,928
2012-2014 2014 Chapter 1, 2014 Acts of Assembly $154,009,573 $473,034,055 $627,043,628
2014-2016 2015 Governor's Proposed Budget $164,984,315 $493,709,870 $658,694,185
    Base Budget $153,929,573 $473,034,055 $626,963,628
    Addenda (Changes to the Base) $11,054,742 $20,675,815 $31,730,557
2014-2016 2016 Governor's Proposed Budget $165,673,417 $495,301,108 $660,974,525
    Base Budget $153,929,573 $473,034,055 $626,963,628
    Addenda (Changes to the Base) $11,743,844 $22,267,053 $34,010,897
Positions Budget Summary
Biennium Fiscal Year Source GF NGF Total
2008-2010 2009 Chapter 872, 2010 Acts of Assembly 1,608.00 2,067.00 3,675.00
2008-2010 2010 Chapter 872, 2010 Acts of Assembly 1,570.00 2,039.00 3,609.00
2010-2012 2011 Chapter 2, 2012 Acts of Assembly 1,554.22 2,058.78 3,613.00
2010-2012 2012 Chapter 2, 2012 Acts of Assembly 1,555.22 2,219.78 3,775.00
2012-2014 2013 Chapter 1, 2014 Acts of Assembly 1,544.00 2,215.00 3,759.00
2012-2014 2014 Chapter 1, 2014 Acts of Assembly 1,544.00 2,215.00 3,759.00
2014-2016 2015 Proposed Positions 1,485.00 2,191.00 3,676.00
    Base Budget 1,544.00 2,215.00 3,759.00
    Addenda (Changes to the Base) (59.00) (24.00) (83.00)
2012-2014 2016 Proposed Positions 1,485.00 2,191.00 3,676.00
    Base Budget 1,544.00 2,215.00 3,759.00
    Addenda (Changes to the Base) (59.00) (24.00) (83.00)
Operating Budget Addenda (in order of greatest impact)
•
Increase funding for AIDS Drug Assistance Program Decision Package
  Provides an increase in general fund support for the AIDS Drug Assistance Program. This funding allows the agency to meet projected increases in client load for the program. There are currently 4,900 clients enrolled in the program. Enrollment is expected to increase by 28 percent in 2015. This funding will allow the agency to continue enrollment without implementing a waitlist.
 
  FY 2015 FY 2016
General Fund $3,449,442 $3,794,386
Nongeneral Fund $14,271,403 $15,698,542
•
Distribute Central Appropriation amounts to agency budgets Base Budget Adjustment
  Adjusts the agency budget to reflect amounts moved to or from Central Appropriations to cover the continued cost of public employee salary increases, increases in state employee health insurance premiums, changes in state employee retirement and other benefit contribution rates, and other centrally funded items being continued from the 2012-14 biennium into the 2014-16 biennium.
 
  FY 2015 FY 2016
General Fund $6,778,522 $6,778,522
•
Increase appropriation for the Trauma Fund Base Budget Adjustment
  Increases appropriation to the Trauma Center Fund. This action will enable the program to spend existing balances from increased revenue from the driver's license reinstatement fee.
 
  FY 2015 FY 2016
Nongeneral Fund $5,000,000 $5,000,000
•
Provide additional nongeneral fund appropriation for Communicable Disease Prevention and Control Base Budget Adjustment
  Provides additional appropriation to reflect increased revenue from prescription drug rebates and insurance copayments.
 
  FY 2015 FY 2016
Nongeneral Fund $2,500,000 $2,500,000
•
Decrease appropriation for the Special Supplemental Nutrition Program for Women, Infants, and Children Base Budget Adjustment
  Removes excess appropriation to more closely match actual expenditures.
 
  FY 2015 FY 2016
Nongeneral Fund ($2,000,000) ($2,000,000)
•
Remove one time funding and positions for local dental services. Base Budget Adjustment
  Removes funding that was provided to temporarily allow the agency to continue its existing community dental program while transitioning to a preventive model. This model is required to be in place by July 1, 2014. Also removes 20 positions associated with the community dental program.
 
  FY 2015 FY 2016
General Fund ($967,944) ($967,944)
Nongeneral Fund ($696,362) ($696,362)
Positions (20.00) (20.00)
•
Increase appropriation for the Rescue Squad Assistance Fund Base Budget Adjustment
  Increases appropriation for the Virginia Rescue Squad Assistance Fund. This action will enable the program to spend existing balances from increased revenue from the $6.25 For Life fee.
 
  FY 2015 FY 2016
Nongeneral Fund $1,500,000 $1,500,000
•
Maintain funding to the Virginia Resource Mothers Program Decision Package
  Continues funding for the Virginia Resource Mothers Program to maintain current operations. Federal funding supporting this program is no longer available. This state funding allows the agency to continue to provide support in all of the program sites for pregnant teens, teen mothers, and their babies.
 
  FY 2015 FY 2016
General Fund $614,914 $614,914
•
Provide additional funding for Hampton Roads Proton Beam Therapy Institute Decision Package
  Increases funding for the Proton Beam Therapy Institute at Hampton University. This funding allows the institute to continue to provide cancer care for the Commonwealth. Funding will also assist in infrastructure development and advance the research and training components of the institute.
 
  FY 2015 FY 2016
General Fund $490,000 $490,000
•
Increase in rent for local health department facilities Decision Package
  Provides funding for additional costs facing local health departments as they move to new facilities and experience rent increases. Local health districts do not control the process for determining when and where their facilities will be located and therefore cannot control the cost. This funding allows local health departments to maintain current operations and services.
 
  FY 2015 FY 2016
General Fund $176,929 $387,744
Nongeneral Fund $103,503 $267,602
•
Provide additional support for the information security program Decision Package
  Increases support for the agency’s information security program by funding two additional positions and agency-specific training. This funding allows the agency to meet stricter requirements under the Commonwealth security standard as well as increase the focus on cyber security to protect sensitive data.
 
  FY 2015 FY 2016
General Fund $317,378 $285,900
Positions 2.00 2.00
•
Modify funding for poison control centers Decision Package
  Reduces funding for poison control services to reflect funding two centers as opposed to three.
 
  FY 2015 FY 2016
General Fund ($300,000) ($300,000)
•
Provide funding for continued implementation of a system for electronic health records Decision Package
  Funds costs related to the agency's transition to the health information exchange (ConnectVirginia). This funding will support a sytem of electronic health records across the Commonwealth.
 
  FY 2015 FY 2016
General Fund $350,000 $150,000
•
Adjust funding to agencies for information technology and telecommunication charges Decision Package
  Adjusts the agency budget for information technology and telecommunication charges based on the required cost of living adjustments contained in the Northrop Grumman contract and the elimination of the debt recovery surcharge originally approved by the Joint Legislative Audit and Review Commission on July 12, 2010.
 
  FY 2015 FY 2016
General Fund $18,790 $270,649
•
Fund plan management activities related to the federal exchange Decision Package
  Provides general fund support for plan management activities related to the federal exchange. This funding covers the agency’s cost as it provides assistance to the State Corporation Commission in its involvement of Virginia's Federally-Facilitated Marketplace. Specifically, the funding supports the federal quality health plan certification process, while also supporting managed health care insurance plan requirements. These funds could be offset by federal funds if they become available.
 
  FY 2015 FY 2016
General Fund $96,150 $93,900
•
Adjust funding to reflect changes in rent charges at the seat of government Decision Package
  Adjusts agency funding for changes in the cost of rent charges at the seat of government. Overall rent rate changes are the result of additional costs to maintain facilities.
 
  FY 2015 FY 2016
General Fund $41,953 $69,342
•
Fund agency costs for the new Cardinal accounting system Decision Package
  Provides appropriation to the agency's budget to pay for the agency's share of the costs for the new Cardinal accounting system. The Department of Accounts allocates the yearly cost of the system to agencies based upon the number of transactions the agency completed in the previous fiscal year.
 
  FY 2015 FY 2016
General Fund $0 $83,647
•
Fund changes in state employee workers' compensation premiums Decision Package
  Adjusts the agency's budget for workers' compensation premiums based on the allocation of 2015 and 2016 program costs provided by the Department of Human Resource Management. The allocation is based on the historical experience of the agency and reflects the current policy of providing agencies with 50 percent of any increased costs and allowing agencies to retain 50 percent of any reduced costs.
 
  FY 2015 FY 2016
General Fund ($20,806) ($16,630)
•
Adjust agency appropriation for the cost of Performance Budgeting system charges Decision Package
  Provides appropriation to pay for the agency's share of ongoing Performance Budgeting system operating and maintenance costs. The general fund share of this cost was previously budgeted in Central Appropriations.
 
  FY 2015 FY 2016
General Fund $15,228 $15,228
•
Modify language for health safety net providers with reduced funds Decision Package
  Amends certain language to reflect the proper allocation of funds to health safety net providers and removes remaining funding for the Chesapeake Adult General Medical Clinic, which no longer exists. The Jeanie Schmidt Free Clinic is now known as “HealthWorks for Herndon” and other language has been updated.
 
  FY 2015 FY 2016
General Fund ($8,685) ($8,685)
•
Adjust funding for premium changes in the automobile insurance liability program Decision Package
  Adjusts agency funding for the approved premium changes in the state?s automobile insurance liability program.
 
  FY 2015 FY 2016
General Fund $2,871 $2,871
•
Remove indirect cost appropriation in the Office of Licensure and Certification Decision Package
  Eliminates the indirect cost appropriation for the Office of Licensure and Certification to reflect the agency's current budget.
 
  FY 2015 FY 2016
Nongeneral Fund ($2,729) ($2,729)
•
Reduce position level to reflect current operations Decision Package
  Decreases the maximum employment level to reflect current operations of the agency. These positions are not filled and not funded. Therefore there is no impact on agency operations.
 
  FY 2015 FY 2016
Positions (65.00) (65.00)
•
Transfer funding for dental prevention services Decision Package
  Moves funding from Community Health Services to the Office of Family Health Services. This transfer supports the transition to a dental hygienist prevention service delivery model, for which the Virginia Department of Health has been directed to implement. This action nets to zero.
•
Allocate information technology funding across the agency Decision Package
  Distributes funding provided for increased Virginia Information Technologies Agency costs to reflect proper use of agency resources by spreading costs across the agency. The action allocates the central allocation of funds provided to the agency across affected programs. This action nets to zero.
•
Reallocate general fund to support costs Decision Package
  Supplants general fund dollars from Community Health Services with nongeneral fund dollars from the Office of Family Health Services. This action will improve productivity by eliminating time and effort reporting requirements for senior leadership. This action nets to zero.
•
Transfer appropriation between programs and service areas to reflect current operations Decision Package
  Realigns resources within programs, between services areas, and to the correct subobject. This also transfers federal funds from community health services to the office of licensure and certification making appropriation available to cover anticipated expenditures. The Commonwealth Health Information Management and Exchange System grant ends in fiscal year 2014, therefore that appropriation is no longer needed. This action nets to zero.
•
Extend the deadline for implementation of the prevention only dental program Decision Package
  Extends the deadline for implementation of the prevention only program for the Mount Rogers, Western Tidewater, and Norfolk health districts until January 1, 2016. This action allows these health districts to continue to provide existing dental services for another 18 months during the transition. The agency has funding to operate these dental programs during the extension. This action is embedded in budget language.


pdocagy2014 - Executive Budget Document Agency Details - 06-03-2025 21:11:18