Authority: § 32.1-2, Code of Virginia.

A.1. Out of this appropriation, $1,642,544 the first year and $1,642,544 the second year is provided from the general fund, and $100,000 the second year from nongeneral funds to the Comprehensive Health Investment Project of Virginia (CHIP of Virginia). The purpose of the program is to develop, expand, and operate a network of local public-private partnerships providing comprehensive care coordination, family support and preventive medical and dental services to low-income, at-risk children. General fund appropriations from this Item for CHIP projects shall be used to pay for local services and shall not be used for administrative costs. CHIP of Virginia shall continue to pursue raising funds and in-kind contributions from local communities. It is the intent of the General Assembly that CHIP program increase their efforts to raise funds from local communities and other private or public sources with the goal of reducing the reliance on general fund appropriations in the future.

2. Out of the appropriation for CHIP of Virginia, $58,068 in the first year and $58,068 in the second year shall be used as matching funds to add three full-time equivalent public health nurse positions to expand services in the Roanoke Valley and Allegheny Highlands.

B. Out of this appropriation shall be provided $37,500 the first year and $37,500 the second year from the general fund for the Virginia Transplant Council's educational activities. The Virginia Transplant Council shall develop and submit a grant proposal to the U.S. Department of Health and Human Services to receive funding in order to better support promotion and coordination of organ donation activities. The Virginia Department of Health shall provide technical assistance to the Virginia Transplant Council in developing the grant proposal.

C. Out of this appropriation shall be provided $100,000 the first year and $100,000 the second year from the general fund for the Arlandria Health Center for Women and Children. The Health Center shall pursue raising funds and in-kind contributions from the local community.

D. Out of this appropriation shall be provided $25,000 the first year and $25,000 the second year from the general fund for the Louisa County Resource Council. The Council shall continue to pursue raising funds and in-kind contributions from the local community.

E. Out of this appropriation, $20,000 the first year and $20,000 the second year from the general fund shall be provided to the Olde Towne Medical Center.

F. Out of this appropriation, $25,000 the first year from the general fund shall be provided to the Northern Virginia Dental Clinic.

G. Out of this appropriation, $15,000 the second year from the general fund is provided for Women's Health Virginia, a statewide initiative to promote and improve women's and girls' health in Virginia, for an annual conference and for health education, prevention and research activities. Women's Health Virginia shall pursue raising funds and in-kind contributions from private and other public sources.

H. Out of this appropriation, $125,000 from the general fund shall be provided in the second year of the biennium to the Virginia Primary Care Association for the purchase of pharmaceuticals and medically necessary pharmacy supplies, and to provide pharmacy services to low-income, uninsured patients of the Community and Migrant Health Centers throughout Virginia. The uninsured patients served with these funds shall have family incomes no greater than 200 percent of the federal poverty level. The amount allocated to each Community and Migrant Health Center shall be determined through an allocation methodology developed by the Virginia Primary Care Association. The allocation methodology shall ensure that funds are distributed such that the Community and Migrant Health Centers are able to serve the pharmacy needs of the greatest number of low-income, uninsured persons. The Virginia Primary Care Association shall establish accounting and reporting mechanisms to track the disbursement and expenditure of these funds. The Virginia Primary Care Association shall submit an interim report regarding the disbursement and expenditure of these funds and the number of low-income, uninsured persons receiving pharmaceuticals to the Commissioner of Health, the Chairmen of the House Appropriations and Senate Finance Committees, and the Joint Commission on Health Care by November 1, 1999, and shall submit a final report no later than August 1, 2000.

I. Out of this appropriation, $600,000 from the general fund shall be provided the second year to the Virginia Association of Free Clinics for the purchase of pharmaceuticals and medically necessary pharmacy supplies, and to provide pharmacy services to low-income, uninsured patients of the Free Clinics throughout Virginia. The amount allocated to each Free Clinic shall be determined through an allocation methodology developed by the Virginia Association of Free Clinics. The allocation methodology shall ensure that funds are distributed such that the Free Clinics are able to serve the pharmacy needs of the greatest number of low-income, uninsured adults. The Virginia Association of Free Clinics shall establish accounting and reporting mechanisms to track the disbursement and expenditure of these funds. The Virginia Association of Free Clinics shall submit an interim report regarding the disbursement and expenditure of these funds and the number of low-income, uninsured persons receiving pharmaceuticals to the Commissioner of Health, the Chairmen of the House Appropriations and Senate Finance Committees, and the Joint Commission on Health Care by November 1, 1999, and shall submit a final report no later than August 1, 2000.

J. The Department of Health shall conduct a study of the cost effectiveness and medical efficacy of its telemedicine projects located in Lancaster County, Lee County, and the City of Danville. The Department shall provide initial results of this study to the Chairmen of the Senate Finance Committee, the House Appropriations Committee, and the Joint Commission on Health Care prior to December 1, 2000. The final report shall be submitted prior to October 1, 2001.