The 2011 Executive Budget Document
Department of Health
[
http://www.vdh.state.va.us/
]
Mission Statement
The Virginia Department of Health is dedicated to promoting and protecting the health of Virginians.
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 | $ 154,191,257 | $ 413,541,356 | $ 243,110,192 |
2011 Base Budget | $ 150,892,089 | $ 416,972,055 | $ 243,811,772 |
2011 Addenda | $ 2,132,980 | $ 114,625 | $ 67,895 |
2011 Total | $ 153,025,069 | $ 417,086,680 | $ 243,879,667 |
2012 Base Budget | $ 146,701,940 | $ 416,842,786 | $ 241,498,558 |
2012 Addenda | $ 4,401,398 | $ 3,879,456 | $ 3,847,112 |
2012 Total | $ 151,103,338 | $ 420,722,242 | $ 245,345,670 |
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 | 1,570.00 | 2,039.00 | 3,609.00 |
2011 Base Budget | 1,554.22 | 2,058.78 | 3,613.00 |
2011 Addenda | 0.00 | 0.00 | 0.00 |
2011 Total | 1,554.22 | 2,058.78 | 3,613.00 |
2012 Base Budget | 1,554.22 | 2,058.78 | 3,613.00 |
2012 Addenda | 1.00 | 66.00 | 67.00 |
2012 Total | 1,555.22 | 2,124.78 | 3,680.00 |
Recommended Operating Budget Addenda
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Adjust current fee structure in the Office of Licensure and CertificationIncreases the current fees assessed and collected for outpatient and inpatient hospital inspections, nursing home, home care and hospice inspections. The proposed fee structure for inpatient and outpatient hospitals and nursing homes would fully support these three programs. The proposed fee structure for home care and hospice inspections have been adjusted downward from what is required to fully fund these two programs due to the relatively small size of the average home care and hospice program.
FY 2011 FY 2012 Nongeneral Fund $ 0 $ 604,415
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Continue agency-wide restrictions on discretionary spendingGenerates general fund savings by continuing agency-wide restrictions on discretionary spending, travel, hiring, and other non-core services.
FY 2011 FY 2012 General Fund $ (1,467,020) $ (1,467,020)
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Provide additional funding for the Title V State Abstinence Education grant programProvides funding for the federal Title V State Abstinence Education grant program. The purpose of the program is to support decisions to refrain from sexual activity until marriage, with a focus on those groups with historically high rates of out-of-wedlock pregnancies.
FY 2011 FY 2012 General Fund $ 0 $ 382,688 Nongeneral Fund $ 0 $ 507,285
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Provide additional nongeneral fund appropriation for the Epidemiology and Laboratory Capacity GrantProvides nongeneral fund appropriation to support the Centers for Disease Control and Prevention's Epidemiology and Laboratory Capacity Grant and to build public health capacity in conjunction with national health-care reform.
FY 2011 FY 2012 Nongeneral Fund $ 0 $ 320,737
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Provide additional nongeneral fund appropriation for the First Time Motherhood/New Parent InitiativeProvides nongeneral fund appropriation to support the recently awarded Health Resources and Services Administration Grant under the First Time Motherhood/New Parent Initiative to establish a partnership with the Department of Social Services' 2-1-1 VIRGINIA system. The 2-1-1 VIRGINIA system provides information through phone and Internet format regarding statewide and regional services available to assist residents with access to a full-range of health and human services.
FY 2011 FY 2012 Nongeneral Fund $ 0 $ 370,938
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Provide additional nongeneral fund appropriation for the Infrastructure Improvement GrantProvides nongeneral fund appropriation for a new Centers for Disease Control and Prevention Grant, to strengthen public health infrastructure by improving performance management. The grant is intended to increase the department's capacity to routinely evaluate and improve the effectiveness of its organization, practices, partnerships, programs and use of resources, and to assess the effect of resulting systems improvements on the public's health.
FY 2011 FY 2012 Nongeneral Fund $ 0 $ 300,000
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Provide additional nongeneral fund appropriation for the Maternal, Infant, and Early Childhood Home Visiting grant programProvides nongeneral fund appropriation to coordinate a federal grant to increase evidence-based home visiting programs as part of the state's early childhood system. The primary objectives of the grant program are to provide support to parents so that children enter school healthy and ready to learn and to foster collaborations among local home visiting services that will target "at risk" populations living in "at risk" communities.
FY 2011 FY 2012 Nongeneral Fund $ 0 $ 500,000
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Provide additional nongeneral fund appropriation to manage a new federal National Office of Minority Health grant program designed to eliminate health disparitiesProvides nongeneral fund appropriation to manage a new federal National Office of Minority Health grant program. The purpose of the State Partnership Program to Improve Minority Health is to facilitate the improvement of minority health and elimination of health disparities through the development of partnerships with State offices of minority health. The department will use federal funds to support Healthy People 2020, a comprehensive, nationwide health promotion and disease prevention agenda, continue the department's efforts to conduct its health impact assessment, develop a Health Equity Plan, and enhance the department's capacity to conduct culturally and linguistically appropriate services training.
FY 2011 FY 2012 Nongeneral Fund $ 0 $ 140,000
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Provide additional positions to address an increase in workload, demand for public health services, and support for federal grantsIncreases the agency's maximum employment level in FY 2012. The additional positions are needed to address an increase in workload, demand for public health services, and support for federal grants.
FY 2011 FY 2012 Authorized Positions $ 0 $ 65
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Provide general fund appropriation to expand access to Plan First Family Planning ServicesProvides additional resources for the agency to expand access to Plan First Family Planning Services. By expanding access to these services, the agency expects to reduce infant mortality and the rate and number of intentional pregnancy terminations.
FY 2011 FY 2012 General Fund $ 0 $ 500,000 Authorized Positions $ 0 $ 1
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Provide general fund appropriation to support surveillance for Lyme and other vector-borne diseasesProvides general fund support for the Lyme Disease Task Force, which will bring recommendations and information to the Governor regarding Lyme disease on diagnosis, prevention, public education, medical treatment, and will also consider the impact of Lyme disease on children.
FY 2011 FY 2012 General Fund $ 0 $ 15,000
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Provide general fund support for pharmaceutical needs of HIV positive individualsProvides additional general fund support to the AIDS Drug Assistance Program (ADAP). The program provides medications to low-income, uninsured individuals with HIV/AIDS. The additional support is needed to address the increasing number of clients enrolled in the program, as well as the increasing cost of medications per client.
FY 2011 FY 2012 General Fund $ 3,600,000 $ 3,600,000
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Provide general fund support to Operation SmileProvides general fund support for Operation Smile. Operation Smile is an international medical humanitarian organization dedicated to raising awareness of this life-threatening issue and providing lasting solutions that will allow children to be healed, regardless of financial standing, well into the future.
FY 2011 FY 2012 General Fund $ 0 $ 500,000
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Provide nongeneral fund appropriation in the Office of Environmental Health for the federal Chesapeake Bay Protection and Restoration mandateProvides nongeneral fund appropriation to support the federal Chesapeake Bay Protection and Restoration mandate. On May 12, 2009, President Obama issued Executive Order 13508, which is intended to protect and restore the health, heritage, natural resources, and social and economic value of the nation's largest estuarine ecosystem and the natural sustainability of its watershed. The goal of the mandate is to address overall nitrogen pollution from onsite sewage systems and will require the implementation of best management practices for both new and existing onsite sewage systems.
FY 2011 FY 2012 Nongeneral Fund $ 114,625 $ 109,158
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Reduce general fund support in the State Health Services programReduces the Maternal and Child Health Block Grant match in the Office of Family Health Services. The State Health Services program will utilize general fund support to meet grant matching requirements through administrative efficiences and controls on discretionary spending, travel, and hiring.
FY 2011 FY 2012 General Fund $ 0 $ (1,000,000)
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Remove automatic reappropriationRemoves language authorizing the automatic carryforward of June 30 general fund balances. Any such balances will remain eligible for reappropriation pursuant to criteria in Section 4-1.05 of the Appropriation Act.
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Restore general fund appropriation in the Division of Shellfish SanitationRestores general fund appropriation in the Division of Shellfish Sanitation in the second year. The restoration of general fund appropriation allows the division to continue the classification of all tidal waters in Virginia for the public health safety of shellfish harvesting and the inspection and certification of shellfish processing facilities.
FY 2011 FY 2012 General Fund $ 0 $ 150,150
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Restore general fund appropriation in the Marina ProgramRestores general fund appropriation in the Marina Program in the second year. The restoration will provide required matching funds for the Clean Vessel Act Grant and construction assistance for sewage pump-out facilities and support educational activities and inspections intended to protect public health and the environment by preventing the unlawful discharge of sewage into Virginia's waters.
FY 2011 FY 2012 General Fund $ 0 $ 64,250
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Restore general fund appropriation in the Office of the Chief Medical ExaminerRestores general fund appropriation necessary for the operation of the Office of the Chief Medical Examiner in the second year.
FY 2011 FY 2012 General Fund $ 0 $ 2,500,000
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Transfer central office dental program activities and administration costs to Maternal and Child Health Block GrantMaximizes nongeneral fund resources by redirecting federal Maternal and Child Health Block Grant funds to the Central Dental Program. This savings strategy will enable the agency to reduce its general fund appropriation while maintaining support for a core public health service.
FY 2011 FY 2012 General Fund $ 0 $ (715,504)
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Transfer hearings officer position to Office of Emergency Medical ServicesTransfers the general fund supported hearings officer position from the Office of Family Health Services to the Office of Emergency Medical Services where the majority of the work occurs. This transfer will move the cost of the position to the more appropriate fund source.
FY 2011 FY 2012 General Fund $ 0 $ (128,166)
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Correct nongeneral fund appropriation in the department's base budgetTransfers appropriation to the correct fund in the department's base budget. This amendment nets to zero.
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Increase nongeneral fund appropriation for the Commonwealth Health Information Management and Exchange System GrantIncreases the agency's nongeneral fund appropriation to account for the continuation of the federal Commonwealth Health Information Management and Exchange System Grant. The American Recovery and Reinvestment Act grant is scheduled to end in FY 2013.
FY 2011 FY 2012 Nongeneral Fund $ 0 $ 4,026,923
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Reduce nongeneral fund appropriation in Community Health ServicesReduces nongeneral fund appropriation. The nongeneral fund appropriation was increased in FY 2011 and FY 2012 as a result of the savings strategy to increase several Environmental Health Services' fees. There is adequate appropriation in the Community Health Services program to cover expenditures.
FY 2011 FY 2012 Nongeneral Fund $ 0 $ (3,000,000)
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Transfer available nongeneral fund appropriation to HIV/AIDS Prevention and Treatment Services to support pharmaceutical costsTransfers special fund appropriation from Women, Infants, and Children (WIC) and Community Nutrition Services to HIV/AIDS Prevention and Treatment Services. The transfer allows the agency to support four pharmacy positions and additional operating costs at the Central Pharmacy. This amendment nets to zero.
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Transfer general fund appropriation from Communicable Disease Prevention and Control to Community Health ServicesTransfers general fund appropriation from Local Immunization Services to Local Communicable Disease Investigation, Treatment, and Control. This amendment moves appropriation to where expenditures related to the prevention, detection, assessment, and treatment and control of communicable diseases actually occur. This amendment nets to zero.
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Transfer general fund appropriation to reflect the Culturally and Linguistically Appropriate Services Grant savings strategyTransfers general fund appropriation from Health Research, Planning and Coordination to Support for Local Management, Business and Facilities to properly reflect the Culturally and Linguistically Appropriate Services Grant savings strategy. General fund appropriation for the Culturally and Linguistically Appropriate Services Grant was reduced by $70,000 in FY 2011 and FY 2012. This amendment reflects the general fund appropriation reduction of the Culturally and Linguistically Appropriate Services Grant in the correct service area. This amendment nets to zero.
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Transfer general fund appropriation within Administrative and Support Services to where expenditures occurTransfers general fund appropriation from Office of Information Management to Information Technology Services. This amendment transfers funding to where the expenditures occur and eliminates the need to transfer general fund appropriation administratively. This amendment nets to zero.
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Transfer nongeneral appropriation to the correct fund detailTransfers special appropriation from the Office of Vital Records to Communicable Disease Prevention and Control. The amendment eliminates the need to transfer appropriation to the correct fund administratively. This amendment nets to zero.
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Transfer nongeneral fund appropriation to Anatomical Services to offset program expendituresTransfers nongeneral fund appropriation from Women, Infants, and Children (WIC) and Community Nutrition Services to Anatomical Services. The additional appropriation is needed to offset program expenditures, including body transport services, embalming equipment purchase, biological testing services, and wage personnel. This amendment nets to zero.
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Transfer nongeneral fund appropriation to Bedding and Upholstery Inspection to meet increased program operational costsTransfers nongeneral fund appropriation from Women, Infants, and Children (WIC) and Community Nutrition Services to Bedding and Upholstery Inspection. This amendment allows the Bedding and Upholstery Inspection service area to meet increased operational costs associated with a new database that will improve the permit and license process and data reporting. This amendment nets to zero.
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Transfer nongeneral fund appropriation to Radiological Health and Safety Regulation to meet program operating costsTransfers nongeneral fund appropriation from Women, Infants, and Children (WIC) and Community Nutrition Services to Radiological Health and Safety Regulation. The additional appropriation is required to support program operating costs. This amendment nets to zero.
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Transfer nongeneral fund appropriation to Radiological Health and Safety Regulation to support X-ray inspection and registration activitiesTransfers nongeneral fund appropriation from Women, Infants, and Children (WIC) and Community Nutrition Services to Radiological Health and Safety Regulation. The additional nongeneral fund appropriation is needed due to the increase in revenues collected from X-ray inspection fees. This amendment nets to zero.
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Transfer nongeneral fund appropriation to State Health Services to meet the increased need for child restraint safety seatsTransfers federal appropriation from Emergency Preparedness and Response to Injury Violence and Prevention. Additional funding is needed to support the Child Passenger Safety Program, which provides income eligible families with education and free child safety and booster seats. This amendment nets to zero.
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Transfer one full-time position from the Virginia Information Technologies Agency to the departmentTransfers one full-time position from the Virginia Information Technologies Agency (VITA) back to the department. The position was transferred from VITA back to the department administratively in FY 2011 and is restored here to manage "out of scope" information technology projects at the agency.
FY 2011 FY 2012 Authorized Positions $ 0 $ 1