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Mission Statement Operating Budget History

	General Fund	Nongeneral Fund	Positions
2005 Appropriation	$ 138,787,326	$ 338,103,991	3,670.00
2006 Appropriation	$ 142,773,275	$ 345,158,590	3,598.00
2007 Appropriation	$ 161,715,879	$ 368,461,750	3,768.00
2008 Appropriation	$ 169,123,134	$ 366,304,299	3,771.00

New Operating Budget Summary

	General Fund	Nongeneral Fund	Positions
2009 Base Budget	$ 169,123,134	$ 366,304,299	3,771.00
2009 Addenda	$ 10,144,932	$ 49,015,234	29.00
2009 Total	$ 179,268,066	$ 415,319,533	3,800.00
2010 Base Budget	$ 169,123,134	$ 366,304,299	3,771.00
2010 Addenda	$ 13,167,921	$ 45,984,243	29.00
2010 Total	$ 182,291,055	$ 412,288,542	3,800.00

• Distribute Central Appropriations amounts to agency budgets
  Adjusts the agency budget to reflect amounts moved from Central Appropriations to cover the cost of items such as the continuation of 2007 and 2008 salary and health insurance premium increases, as well as changes in retirement and disability contribution rates and other centrally funded items. For each year, $11.6 million (GF) and $14.5 million (NGF).

• Transfer appropriation to Department of Environmental Quality
  Transfers funding and two positions as authorized in Chapter 847, Item 295, Paragraph B, 2007 Appropriation Act. This transfer supports the Department of Environmental Quality's biosolids program pursuant to House Bill 2802, which was passed during the 2007 General Assembly Session. For each year, a reduction of $183,026 (GF).

• Remove appropriation for Comprehensive Health Investment Project of Roanoke
  Removes unsupported federal appropriation. For each year, a reduction of $249,358 (NGF).

• Increase appropriation in the Financial Assistance for Non Profit Emergency Medical Services Organizations and Localities
  Projects a revenue increase of four percent in the "Four for Life" Fund based on historical revenue collections and vehicle registrations. These funds are used to support the provision of training and education of Emergency Medical Services personnel, the purchase of equipment and supplies, and to support local government operations. For each year, $4.2 million (NGF).

• Increase appropriation in Trauma Center Fund
  Increases support due to increased revenue collections from the restoration of revoked motor vehicle licenses and multiple offenders convicted of driving under the influence. Revenue is used for defraying the costs of providing emergency medical care to victims of automobile accidents attributable to alcohol or drug use. For each year, $4.2 million (NGF).

• Increase appropriation in Special Supplemental Nutrition Program for Women, Infants, and Children
  Increases support due to the United States Department of Agriculture increasing its federal grant award from $57 million to $80 million. The grant covers food costs as well as an anticipated increase in program enrollment. For each year, $23.1 million (NGF).

• Reduce appropriation for Drinking Water State Revolving Fund
  Reduces support to reflect declining federal waterworks construction funding. For each year, a reduction of $4.5 million (NGF).

• Increase special fund appropriation for private grants and donations
  Increases support in Local and Maternal Child Health Services and Chronic Disease and Prevention Control service areas in order to meet revenue and expenditure needs. For each year, $900,000 (NGF).

• Remove appropriation in Injury and Violence Prevention
  Removes appropriation in order to be in compliance with Section 32.1-34.1 of the Code of Virginia, which allows donations to local health departments to be used only in conjunction with the Community Health Services program. For each year, a reduction of $10,000 (NGF).

• Remove appropriation and transfer two positions to the Department of Environmental Quality
  Removes funding related to the transfer of two positions as authorized in Item 295, Paragraph B of Chapter 847, 2007 Appropriation Act. This transfer supports the Department of Environmental Quality's biosolids program pursuant to House Bill 2802, which was passed during the 2007 General Assembly Session. The base adjustment within the department already includes the transfer of the general fund appropriation. For 2009, a decrease of $250,000 (NGF) and two positions. For 2010, a decrease of $250,000 (NGF).

• Adjust position level related to the Virginia Information Technology Agency transfer
  Reflects the administrative transfer of positions. The department signed a memorandum of agreement with the Virginia Information Technology Agency whereby 22 of the 77 full time positions originally transferred to the agency, during the 2005 General Assembly session, would return to the department. For 2009, 22 positions.

• Implement system-wide salary realignments for Chief Medical Examiner and forensic pathologist positions
  Raises the statewide average salary for experienced pathologist positions to $180,000 and newly trained pathologist positions to $160,000. The Chief Medical Examiner’s annual salary would also be adjusted to $200,000. The salary adjustments are needed to give the department the financial resources needed to fill these highly-recruited positions. For each year, $505,457 (GF).

• Fund positions within Office of Drinking Water Program
  Provides the full funding of salaries and benefits for nine current positions and supplemental funding for four additional positions. The Office of Drinking Water currently has multiple vacancies in critical areas that support the primacy requirements under the federal Safe Drinking Water Act. These requirements are directly focused on the protection of public health and the provision of clean, safe drinking water. For each year, $250,000 (GF).

• Continue 2008 budget reductions
  Continues the budget reductions included in the Governor's 2008 reduction plan into the 2008-10 biennium. For each year, a decrease of $38,369 (GF) and $890,000 (NGF).

• Substitute Temporary Assistance for Needy Families (TANF) dollars for general fund support of eligible activities
  Replaces general fund dollars for Teenage Pregnancy Prevention, Partners in Prevention, and Resource Mothers Programs with TANF appropriation. Recent data indicates that the TANF caseload has declined and with it the mandated expenditures for cash assistance and child care services. This reduction strategy will generate savings by supplanting general fund with TANF for certain eligible activities in FY 2009 without reducing the overall amount of support provided. For 2009, a decrease of $4.0 million (GF) and an increase of $4.0 million (NGF).

• Reduce public information office activities
  Implements cost savings initiatives regarding public information activities across all programs. For each year, a reduction of $75,000 (GF).

• Reduce pass-through to Arthur Ashe Health Center and AIDS Resource and Consultation Centers
  Reduces funding to both nonstate entities by five percent. For each year, a reduction of $35,988 (GF).

• Reduce funding to Virginia Health Information
  Reduces funding provided to support the administration of a patient level database and provide outpatient surgical and other medical data by five percent. For each year, a reduction of $15,314 (GF).

• Continue funding to State Pharmaceutical Assistance Program at current level
  Funding established for this program was reduced by five percent in FY 2008 as part of the department's savings strategy. This program will continue to operate at its current funding level, which pays insurance premiums, coinsurance payments, and other out of pocket costs for individuals in the Virginia AIDS Drug Assistance Program. For each year, a reduction of $15,000 (GF).

• Reduce funding to Regional Health Planning Agencies
  Reduces the authorized payment of general fund and certificate of public need revenue, in excess of the department's expenses, to Regional Health Planning Agencies by five percent. The reduction will allow the department to retain fees currently collected to support regional public hearings. For each year, a reduction of $16,654 (GF).

• Reduce funding to Poison Control Centers
  Reduces support provided for the department to contract with three poison control centers (University of Virginia in Charlottesville, Virginia Commonwealth University in Richmond, and the National Capital Poison Center in Washington, D.C.) by five percent. For each year, a reduction of $81,563 (GF).

• Eliminate funding to Blood Cord Initiative
  Eliminates funding established for the Virginia Cord Blood Bank Initiative. Legislative intent was that the nonprofit entity be responsible for the operation and administration of the initiative. For each year, a reduction of $200,000 (GF).

• Eliminate funding to Area Health Education Centers
  Eliminates funding to eight community Area Health Education Centers (Blue Ridge, Southside, Southwest Virginia, Greater Richmond, South Central, Rappahannock, Northern Virginia, and Eastern Virginia). For each year, a reduction of $400,000 (GF).

• Reduce funding for new electronic health records grants and interoperability funds
  Reduces funding used to encourage the adoption of electronic health records throughout Virginia. General fund support is also used to serve as match for available special funds for the development and implementation of an electronic medical records system for local health departments. For each year, a reduction of $550,000 (GF).

• Provide Office of Epidemiology bulletin electronically
  Discontinues printing the Office of Epidemiology's Bulletin in hard copy. The office will provide the same information electronically. For each year, a reduction of $96,000 (GF).

• Supplant Trauma Centers through nongeneral funds
  Supports the Trauma Center Fund through fines paid by those convicted of two or more driving under the influence-related offenses within 10 years and applying for reinstatement of suspended or revoked driver's licenses. Actual collection of revenue for the fund were estimated to be $4.2 million, however, actual collections in FY 2007 were $8.2 million. Eliminates general fund support. For each year, a reduction of $1.9 million (GF).

• Eliminate funding to Injury and Violence Prevention
  Supports the service area through federal grants. Annual federal grants awarded to the service area total over four million dollars. Because this service area is predominantly federally funded, emerging national injury and violence priorities generally drive categorical federal funding opportunities and, therefore, determine the services that are funded and able to be provided. For each year, a reduction of $102,000 (GF).

• Eliminate match for federal abstinence-only education grant
  Eliminates state funding for abstinence-only education. The status of the grant is uncertain due to its cancellation, and later reinstatement, by the federal government. Formal program evaluations at the federal level have indicated that this particular program is no more effective than any other birth control education effort. For each year, a reduction of $275,098 (GF).

• Reduce funding to Public Health Toxicology
  Reduces support to the Division of Public Health Toxicology. Since the division was formed in 1976, federal laws and regulations have taken much of the responsibility for the functions of the division. In addition, duties have been transferred, with staff, to other agencies, such as the Department of Environmental Quality. For 2009, a decrease of $275,788 (GF) and two positions. For 2010, a decrease of $275,788 (GF).

• Provide funding to support costs of leasing new or expanding existing local health department facilities
  Addresses local health department facility needs in Isle of Wight, Suffolk, and Roanoke City. For each year, $435,000 (GF) and $215,000 (NGF).

• Add two positions in Office of Minority Health and Public Health Policy
  Enables the office to hire two positions to assist in the designation of federal Health Professional Shortage Areas, federal Medically Underserved Areas, and Medically Underserved Populations. For 2009, $157,711 (GF) and two positions. For 2010, $153,363 (GF).

• Add support to expand the immunization registry system
  Expands the immunization registry, a web-based integrated information system currently used by local health departments to record and track immunizations administered on patients across the life span. Funding will be used for information technology services and support, as well as, travel, printing, user training, registry marketing, stakeholders meeting, digital certificate licenses and registry algorithm. The department received a federal Immunization and Vaccines for Children grant from the Centers for Disease Control and Prevention (CDC) totaling over four million dollars, of which over one million dollars is designated for registry support. The CDC expects each state receiving federal registry grant funds to be a part of the national registry system. For 2009, $1.4 million (NGF) and nine positions. For 2010, $1.3 million (NGF).

• Increase fees for onsite sewage and water services, restaurant, hotel, campground, and summer camp permit applications
  Assists local health departments in the protection of the public's health. Well and septic fee increases will enable more local health departments to fill positions, monitor the performance of advanced treatment systems after installation, and improve local health departments' capacity to conduct quality assurance reviews which will reduce the number of systems that fail due to preventable factors. The increase in food establishment fees will enable local health departments to fill positions and fully implement inspections based on critical risk factors. For 2009, $2.5 million (NGF). For 2010, a decrease of $1.1 million (GF) and an increase of $3.5 million (NGF).

• Increase support for shellfish and marina programs
  Increases support for the Division of Shellfish Sanitation and Marina Program. The appropriation increase will address increasing costs and workload for both programs. The department will conduct a study to examine the potential general fund savings of establishing and implementing a fee structure within both programs, making them self-sufficient in FY 2010. For 2009, $216,320 (GF).

• Provide additional funding to community-based health safety net providers to stabilize their operations, expand access to healthcare services, and coordinate services for uninsured Virginians
  Increases access to the most basic primary healthcare for Virginia's one million uninsured residents. Community-based providers consist of free clinics, health centers, local health departments, and other local or regional organizations providing care to the uninsured. For each year, $5.0 million (GF).

• Increase funding for Virginia Breast and Cervical Cancer Early Detection Program
  Provides funding for additional breast and cervical cancer screenings and diagnostic tests for an additional 1,333 women ages 18-44. Funding will also provide supplies and educational materials used by local health workers in the recruitment and enrollment of minority and rarely/never screened women between the ages of 18-44. For 2010, $300,000 (GF).

• Fund the Virginia Dental Health Foundation's Mission of Mercy Dental Project
  Supports the Virginia Dental Health Foundation, a nonprofit organization within the Virginia Dental Association. Funding will be used to purchase dental equipment and supplies to provide dental services for Virginia’s uninsured. For each year, $50,000 (GF).

• Reduce funding to Regional Health Planning Agencies
  Reduces support to nonstate entities by 50 percent. The reduction will allow the department to retain fees currently collected to support regional public hearings. For each year, a reduction of $166,536 (GF).

• Fund Domestic Violence Prevention Enhancement and Leadership Through Alliances (DELTA) Project
  Supports the program, which seeks to reduce the number of new cases of intimate partner violence (IPV) in seven locally funded communities. Virginia is one of 14 states selected to implement the DELTA project through the Centers for Disease Control and Prevention (CDC). This project is in its fifth year and brings together diverse members of local communities to plan, implement, and evaluate projects designed to prevent domestic violence before it starts, particularly in populations at high-risk for perpetrating violence. For each year, $288,000 (GF).

• Modify language concerning the scholarship program to accurately reflect program expenditures and expectations
  Reflects current program expenditures and expectations, such as increased general funds provided for financial incentives to psychiatrists who commit to practice in underserved areas of the state, scholarships, and loan repayments for nursing and dental students. This amendment is embedded in budget language.

• Authorize the Department of Health to charge market rates for medical care services
  Allows the department to charge market rates for medical care services to local health department patients covered by private commercial insurance. If the insurance company denies a claim for medical care services provided by the department to such a person, the patient portion of the bill shall not be greater than if the person did not have private health insurance. This amendment is embedded in budget language.

• Move language concerning the Trauma Fund into the correct program
  Moves language concerning the Trauma Fund from the Administrative and Support Services program to the Emergency Medical Services program, where appropriation and authority for the fund is located. This amendment is embedded in budget language.