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Mission Statement Operating Budget Summary

	General Fund	Nongeneral Fund	Personnel Cost
2007 Appropriation	$ 161,715,879	$ 368,461,750	$ 211,733,243
2008 Appropriation	$ 169,123,134	$ 366,304,299	$ 211,733,243
2009 Appropriation	$ 169,074,602	$ 412,621,961	$ 242,766,661
2010 Appropriation	$ 163,781,770	$ 411,748,836	$ 250,895,230
2011 Base Budget	$ 164,182,909	$ 411,347,697	$ 250,895,230
2011 Addenda	$ (14,543,117)	$ 6,151,738	$ (2,194,567)
2011 Total	$ 149,639,792	$ 417,499,435	$ 248,700,663
2012 Base Budget	$ 164,182,909	$ 411,347,697	$ 250,895,230
2012 Addenda	$ (14,650,029)	$ 6,226,884	$ (2,205,695)
2012 Total	$ 149,532,880	$ 417,574,581	$ 248,689,535

Authorized Position Summary

	General Fund	Nongeneral Fund	Total Positions
2007 Appropriation	1,661.00	2,107.00	3,768.00
2008 Appropriation	1,664.00	2,107.00	3,771.00
2009 Appropriation	1,608.00	2,067.00	3,675.00
2010 Appropriation	1,579.00	2,043.00	3,622.00
2011 Base Budget	1,579.00	2,043.00	3,622.00
2011 Addenda	(24.78)	15.78	(9.00)
2011 Total	1,554.22	2,058.78	3,613.00
2012 Base Budget	1,579.00	2,043.00	3,622.00
2012 Addenda	(24.78)	15.78	(9.00)
2012 Total	1,554.22	2,058.78	3,613.00

• Distribute Central Appropriations amounts to agency budgets
  Adjusts the agency budget to reflect amounts moved to or from Central Appropriations to cover the cost of items such as changes in retirement and other benefit contribution rates, as well as the distribution of other centrally funded items.

  		FY 2011		FY 2012
  General Fund		($2,958,247)		($2,958,247)

• Restore general fund appropriation for the Drinking Water State Revolving Fund
  Restores funding used for drinking water infrastructure improvement projects in local communities. General fund appropriation was replaced with one-time federal dollars from the American Recovery and Reinvestment Act of 2009.

  		FY 2011		FY 2012
  General Fund		$2,600,000		$2,600,000

• Distribute amounts for real estate fees to agency budgets
  Transfers amounts for fees charged to agencies for central lease administration from the Department of General Services to agency budgets.

  		FY 2011		FY 2012
  General Fund		$48,823		$48,823

• Transfer appropriation from the Office of Family Health Services to the local health districts
  Transfers appropriation to reflect expenditures for the purchase of contraceptives and prenatal vitamins in the correct program and service area.

• Transfer funds for the purchase of pharmaceuticals from central office budget to districts
  Transfers appropriation to reflect expenditures for the purchase of vaccines in the correct program and service area.

• Increase Indirect Cost Recovery Fund appropriation and transfer to the appropriate service areas
  Increases the agency’s overall Indirect Cost Recovery appropriation to allow the agency to charge an increased amount of administrative needs to these funds and shift the appropriation to the appropriate service areas.

  		FY 2011		FY 2012
  Nongeneral Fund		$715,699		$715,699

• Transfer general fund appropriation among three programs
  Transfers general fund appropriation between service areas to reflect where expenditures actually occur, provide a general fund base increase for Office of the Chief Medical Examiner to meet growing expenditure demands, and correct a prior budget reduction placement.

• Transfer nongeneral fund appropriation between programs
  Transfers nongeneral fund appropriation between programs and service areas to properly align the agency’s appropriation within the Office of Environmental Health Services.

• Establish new appropriation in the Office of Epidemiology for the Radioactive Materials Program
  Establishes new nongeneral fund appropriation in the agency's Division of Radiological Health. Accounts for the collection of radiation control program fees, which the agency began collecting in March of 2009. The agency received appropriation administratively in 2010.

  		FY 2011		FY 2012
  Nongeneral Fund		$500,000		$500,000

• Increase agency maximum employment level
  Provides the agency with the ability to employ 23 additional full-time equivalent employees. The agency has worked with the Department of Planning and Budget to convert its contractors to full-time staff in cases where it resulted in savings and did not impact the delivery of services.

  		FY 2011		FY 2012
  Authorized Positions		23.00		23.00

• Transfer appropriation to the Department of Forensic Science (DFS) for operating expenses at the Western District facility
  Transfers appropriation from the Office of the Chief Medical Examiner (OCME) to DFS for OCME's share of the building maintenance and utility expenses where both entities are co-located.

  		FY 2011		FY 2012
  General Fund		($206,000)		($206,000)

• Transfer revenue generated by the $0.25 motor vehicle fee registration fee to support the Department of State Police's medevac program
  Transfers $1.0 million from the Rescue Squad Assistance Fund to the Department of State Police to support its med-flight operations. The Department of State Police will supplant general fund appropriation equal to the new revenue collected from the motor vehicle fee increase.

• Increase funding for Office of the Chief Medical Examiner due to Melendez-Diaz U.S. Supreme Court ruling
  Provides 10 additional positions to ensure adequate staff coverage in each of the four districts. The Central District will receive one administrative assistant and one death investigator. The Western District will receive one administrative assistant, one death investigator and two forensic pathologists. The Northern District will receive one administrative assistant and one forensic autopsy technician. The Tidewater District will receive one administrative assistant and one autopsy technician. This amendment also provides funding for ongoing operating costs.

  		FY 2011		FY 2012
  General Fund		$817,574		$1,115,054
  Authorized Positions		10.00		10.00

• Reduce funding for Olde Town Medical Center
  Reduces general fund support by 15 percent each year.

  		FY 2011		FY 2012
  General Fund		($1,805)		($1,805)

• Offset a portion of Comprehensive Health Investment Project (CHIP) of Virginia's Temporary Assistance for Needy Families (TANF) funding reduction
  Supplants TANF funds received by CHIP of Virginia with general fund. CHIP of Virginia currently receives $2.7 million of state support (general fund and TANF) each year; however the TANF expenditure had to be eliminated so that there would be sufficient TANF to cover mandated costs. This amendment provides general fund to backfill a portion of the lost TANF.

  		FY 2011		FY 2012
  General Fund		$717,559		$717,559
  Nongeneral Fund		($1,070,945)		($1,070,945)

• Reduce funding for Virginia Health Information
  Reduces general fund support by 15 percent each year.

  		FY 2011		FY 2012
  General Fund		($43,644)		($43,644)

• Reduce funding for St. Mary's Health Wagon
  Reduces general fund support by 15 percent each year.

  		FY 2011		FY 2012
  General Fund		($13,538)		($13,538)

• Eliminate federal funding for the Teen Pregnancy Prevention Programs (TPPI) in the Office of Family Health Services
  Supports TPPI through state funds. Eliminates all of the Temporary Assistance for Needy Families dollars for the program in the Richmond, Roanoke, Portsmouth, Norfolk, Eastern Shore, Crater, and Alexandria districts.

  		FY 2011		FY 2012
  Nongeneral Fund		($455,000)		($455,000)

• Eliminate School Fluoride and Rinse Education Program in the Office of Family Health Services
  Eliminates the staff associated with the program that is targeted to non-fluoridated rural areas. Training to school personnel regarding oral health is also eliminated.

  		FY 2011		FY 2012
  General Fund		($174,642)		($185,635)
  Authorized Positions		(2.00)		(2.00)

• Reduce funding for the Louisa Resource Council
  Reduces general fund support by 15 percent each year.

  		FY 2011		FY 2012
  General Fund		($1,378)		($1,378)

• Eliminate the Public Information Officer (PIO) position in the Office of Epidemiology
  Eliminates the non-direct service PIO position. Workload will be absorbed by the remaining staff.

  		FY 2011		FY 2012
  General Fund		($77,496)		($77,496)
  Authorized Positions		(1.00)		(1.00)

• Reduce funding for the Mission of Mercy dental project
  Reduces general fund support by 15 percent each year.

  		FY 2011		FY 2012
  General Fund		($3,750)		($3,750)

• Reduce funding for the Virginia Community Healthcare Association
  Reduces general fund support by 10 percent each year.

  		FY 2011		FY 2012
  General Fund		($240,875)		($240,875)

• Reduce funding for the Poison Control Centers
  Allows the agency to pursue one single statewide contract for toll-free poison control services.

  		FY 2011		FY 2012
  General Fund		($1,049,691)		($1,049,691)

• Reduce funding for the Community Health Center of the Rappahannock Region
  Reduces general fund support by 15 percent each year.

  		FY 2011		FY 2012
  General Fund		($7,500)		($7,500)

• Reduce unmatched general fund balance from the Water Supply Assistance Grant (WSAG) Program
  Removes the unmatched balance from the WSAG Program. Obligated waterworks projects will not be impacted.

  		FY 2011		FY 2012
  General Fund		($250,000)		($250,000)

• Reduce funding for the Arthur Ashe Health Center
  Reduces general fund support by 15 percent each year.

  		FY 2011		FY 2012
  General Fund		($13,352)		($13,352)

• Reduce funding for the Virginia Health Care Foundation
  Reduces general fund support by 10 percent each year.

  		FY 2011		FY 2012
  General Fund		($408,057)		($408,057)

• Eliminate funding for Voluntary Sterilization Project
  Eliminates the remaining funds for the Voluntary Sterilization Project in the Office of Family Health Services. Under the Medicaid Program, Plan First will reimburse public and private providers who provide contraceptive services to individuals who have children and for personal and/or medical reasons desire a permanent birth control method. Many of these clients are currently being served through the department and qualify for Plan First.

  		FY 2011		FY 2012
  General Fund		($300,000)		($300,000)

• Reduce funding for the Culturally and Linguistically Appropriate Services Grant
  Reduces state support to the local health districts for translation services.

  		FY 2011		FY 2012
  General Fund		($70,000)		($70,000)

• Reduce funding for the Virginia Association of Free Clinics
  Reduces general fund support by 10 percent each year.

  		FY 2011		FY 2012
  General Fund		($319,640)		($319,640)

• Supplant general fund appropriation with nongeneral fund resources in the Office of Minority Health and Public Policy
  Maximizes the use of grant funds to support allowable personnel costs associated with the functions of various grants.

  		FY 2011		FY 2012
  General Fund		($25,000)		($25,000)
  Nongeneral Fund		$25,000		$25,000

• Reduce funding to the AIDS resource and consultation center and early intervention treatment center
  Reduces general fund support for the resource and consultation center and Lynchburg AIDS by 15 percent each year.

  		FY 2011		FY 2012
  General Fund		($81,902)		($81,902)

• Reduce funding to Alexandria Neighborhood Health Services, Inc.
  Reduces general fund support by 15 percent each year.

  		FY 2011		FY 2012
  General Fund		($12,264)		($12,264)

• Eliminate the Girls Empowered to Make Success Program in the Office of Family Health Services
  Eliminates the program in the Three Rivers and Richmond Health Districts.

  		FY 2011		FY 2012
  General Fund		($176,800)		($176,800)

• Reduce funding for community-based sickle cell grants
  Reduces general fund support by 15 percent each year.

  		FY 2011		FY 2012
  General Fund		($13,500)		($13,500)

• Continue confidential HIV testing through public and private providers
  Eliminates remaining state support for the HIV anonymous testing sites located in Rappahannock, Thomas Jefferson, Alexandria, Arlington, Fairfax, West Piedmont, and Roanoke.

  		FY 2011		FY 2012
  General Fund		($179,000)		($179,000)

• Eliminate toxicologist wage position in the Office of Epidemiology
  Eliminates funding for a wage position designed to ease the transition of the previous toxicologist's retirement.

  		FY 2011		FY 2012
  General Fund		($60,000)		($60,000)

• Eliminate human services program coordinator position in the Division of Surveillance and Investigation
  Eliminates the non-direct service position in the Division of Surveillance and Investigation. Workload will be absorbed by remaining staff.

  		FY 2011		FY 2012
  General Fund		($52,802)		($62,943)
  Authorized Positions		(1.00)		(1.00)

• Reduce funding for the purchase of human papillomavirus (HPV) vaccines
  Reduces funding for the purchase of HPV vaccines to reflect demand.

  		FY 2011		FY 2012
  General Fund		($301,746)		($301,746)

• Reduce funding for the Nursing Scholarship and Loan Repayment Program
  Reduces support for nursing and nursing faculty scholarships. Current recipients will not be affected.

  		FY 2011		FY 2012
  General Fund		($200,000)		($200,000)
  Nongeneral Fund		($527,232)		($527,232)

• Reduce funding for Comprehensive Sickle Cell Services in the Office of Family Health Services
  Reduces funding for contracts to community groups that provide medical management education, and education and community outreach to children by 10 percent each year.

  		FY 2011		FY 2012
  General Fund		($35,000)		($35,000)

• Transfer a portion of the Trauma Center balance to the general fund
  Transfers nongeneral fund cash balance to the general fund.

  		FY 2011		FY 2012
  Revenue/Transfers		$1,455,000		$1,455,000

• Eliminate human resources position the Office of Epidemiology
  Eliminates the non-direct service Human Resources Specialist position. Functions will be absorbed by remaining staff.

  		FY 2011		FY 2012
  General Fund		($80,543)		($82,786)
  Authorized Positions		(1.00)		(1.00)

• Reduce funding for the Chesapeake Adult General Medical Clinic
  Reduces general fund support by 15 percent each year.

  		FY 2011		FY 2012
  General Fund		($3,065)		($3,065)

• Support X-ray Program with registration and inspection fee revenues
  Replaces the remaining general fund appropriation in the Office of Epidemiology with anticipated X-ray registration and inspection fee revenues.

  		FY 2011		FY 2012
  General Fund		($49,167)		($49,167)
  Nongeneral Fund		$49,167		$49,167

• Convert contract positions in the Office of Information Management
  Converts four contract positions to one wage and three classified positions.

  		FY 2011		FY 2012
  General Fund		($59,629)		($59,629)
  Authorized Positions		3.00		3.00

• Eliminate contractual services in the Office of Epidemiology
  Eliminates funds used to contract for services. Workload will be absorbed by existing staff.

  		FY 2011		FY 2012
  General Fund		($90,452)		($90,452)

• Supplant general fund appropriation with nongeneral fund resources in the Office of Information Management
  Maximizes the allowable nongeneral fund portion of Oracle license and support costs, based on the number of laptops and desktops. Services will not be impacted.

  		FY 2011		FY 2012
  General Fund		($190,080)		($190,080)
  Nongeneral Fund		$190,080		$190,080

• Redirect nongeneral fund resources in central management and administration offices
  Designates indirect cost recovery funds to support central management and administration offices. Services will not be impacted by this strategy.

  		FY 2011		FY 2012
  General Fund		($854,180)		($854,180)
  Nongeneral Fund		$854,180		$854,180

• Reduce funding for the Patient Advocate Foundation
  Reduces general fund support by 15 percent each year.

  		FY 2011		FY 2012
  General Fund		($33,750)		($33,750)

• Redirect nongeneral fund resources in the Office of Epidemiology
  Allows the agency to maximize grant funds to support allowable personnel costs associated with the functions of various grants. This strategy will not have an impact on services.

  		FY 2011		FY 2012
  General Fund		($62,516)		($62,516)
  Nongeneral Fund		$62,516		$62,516

• Eliminate one Virginia Epidemiology Response Team (VERT) position in the Office of Epidemiology
  Reduces the VERT team to eight members by eliminating one disease intervention specialist. These services can be provided by a public health nurse in the districts as needed.

  		FY 2011		FY 2012
  General Fund		($47,516)		($52,896)
  Authorized Positions		(1.00)		(1.00)

• Reduce funding for the Southwest Virginia Graduate Medical Education Consortium
  Reduces general fund support by 15 percent each year.

  		FY 2011		FY 2012
  General Fund		($37,952)		($37,952)

• Account for increase in efficiency and savings in the Office of Epidemiology
  Reduces general fund appropriation for operational and administrative costs due to agency efficiency and savings. Savings are the result of turnover and vacancy savings, ongoing operational efficiencies, and continued rigorous control of discretionary spending. No services will be impacted.

  		FY 2011		FY 2012
  General Fund		($116,344)		($116,344)

• Increase the use of nongeneral fund resources in the Office of Family Health Services
  Funds family planning services with nongeneral fund resources. Services will not be impacted by this strategy.

  		FY 2011		FY 2012
  General Fund		($475,000)		($475,000)
  Nongeneral Fund		$475,000		$475,000

• Reduce funding for State Pharmaceutical Assistance Program in the Office of Epidemiology
  Reduces SPAP funds that provide insurance premiums, coinsurance payments, and other out-of-pocket costs for approximately 146 individuals meeting the eligibility criteria in the Virginia AIDS Drug Assistance program (ADAP).

  		FY 2011		FY 2012
  General Fund		($85,000)		($85,000)

• Reduce funding for the Fan Free Clinic
  Reduces general fund support by 15 percent each year.

  		FY 2011		FY 2012
  General Fund		($2,456)		($2,456)

• Reduce funding for the Bedford Hospice House, Inc.
  Reduces general fund support by 15 percent each year.

  		FY 2011		FY 2012
  General Fund		($13,500)		($13,500)

• Eliminate six health district pharmacies
  Allows the six health districts to purchase and receive prescription drugs from the Department of Health's Central Pharmacy. The other health districts purchase and receive prescription drugs from the Central Pharmacy. This strategy results in layoffs of 10 of the 14 pharmacists working in these six health districts. The remaining four pharmacists will be moved to the Central Pharmacy.

  		FY 2011		FY 2012
  General Fund		($607,115)		($674,430)
  Nongeneral Fund		($407,743)		($449,620)
  Authorized Positions		(10.00)		(10.00)

• Reduce funding for the Jeanie Schmidt Free Clinic
  Reduces general fund support by 15 percent each year.

  		FY 2011		FY 2012
  General Fund		($6,750)		($6,750)

• Eliminate five health district case management obstetrical service projects
  Eliminates funding in Lenowisco, Cumberland Plateau, Three Rivers, Central Shenandoah, and Alleghany health districts. Each district develops its own strategies in support of their project. Minimal impact on services is expected.

  		FY 2011		FY 2012
  General Fund		($100,000)		($100,000)

• Reduce state and local match for health districts
  Reduces Community Health Services cooperative budget funding through a variety of actions, including turnover and vacancy savings, continued control on discretionary spending, and decreases in associated services.

  		FY 2011		FY 2012
  General Fund		($500,000)		($500,000)
  Nongeneral Fund		($333,333)		($333,333)

• Reduce funding for the AIDS Services and Education Grants Program in the Office of Epidemiology
  Reduces general fund support for all three contracts with community-based organizations by 50 percent each year.

  		FY 2011		FY 2012
  General Fund		($100,000)		($100,000)

• Eliminate the Partners in Prevention (PIP) Program
  Eliminates all state and Temporary Assistance for Needy Families appropriation for the program.

  		FY 2011		FY 2012
  General Fund		($382,500)		($382,500)
  Nongeneral Fund		($382,500)		($382,500)

• Contract laboratory services in 10 health districts
  Closes 10 district laboratories beginning September 1, 2010. Laboratory services will be provided through contracts, the same way as the other 25 health districts provide their laboratory services.

  		FY 2011		FY 2012
  General Fund		($657,048)		($760,953)
  Nongeneral Fund		($438,032)		($525,424)
  Authorized Positions		(29.00)		(29.00)

• Supplant general fund appropriation in the Office of the Chief Medical Examiner (OCME) with new vital records fees
  Increases the current vital records search fee from $12.00 to $20.00. General fund appropriation in OCME will be supplanted with new revenue generated from the vital records fee increase.

  		FY 2011		FY 2012
  General Fund		($2,500,000)		($2,500,000)
  Nongeneral Fund		$2,500,000		$2,500,000

• Increase environmental health services fees
  Increases all the base fees for restaurant, hotel, campground, and summer camp permits and plan reviews to cover the costs to perform the inspections in the local health districts. General fund appropriation will be supplanted with new revenue. Revenue accounts for 62 percent of the state's share, the remaining portion of the revenue will be divided up among the local health districts.

  		FY 2011		FY 2012
  General Fund		($3,780,481)		($3,780,481)
  Nongeneral Fund		$3,780,481		$3,780,481

• Establish new fee structure for the Marina Program in the Office of Environmental Health Services
  Increases nongeneral fund support by implementing operational permit fees for sewage facilities at marinas regulated by the Marina Program. General fund appropriation will be supplanted with new revenue.

  		FY 2011		FY 2012
  General Fund		($64,250)		($64,250)
  Nongeneral Fund		$64,250		$64,250

• Establish new fee structure for the Shellfish Sanitation Program in the Office of Environmental Health Services
  Establishes fees for certifications, marine resources, and National Pollutant Discharge Elimination System permits. General fund appropriation will be supplanted with new revenue.

  		FY 2011		FY 2012
  General Fund		($150,150)		($150,150)
  Nongeneral Fund		$150,150		$150,150

• Increase fees in the Office of Licensure and Certification
  Implements fee increases for nursing homes, inpatient and outpatient hospitals, home care centers, and hospice centers. General fund appropriation will be supplanted with new revenue.

  		FY 2011		FY 2012
  General Fund		($400,000)		($604,415)
  Nongeneral Fund		$400,000		$604,415