Authority: §§ 32.1-11 through 32.1-12, 32.1-31, 32.1-145 through 32.1-147, 32.1-163 through 32.1-176, 32.1-198 through 32.1-211, 32.1-246, and 35.1-1 through 35.1-26, Code of Virginia; Title V of the U.S. Social Security Act; and Title X of the U.S. Public Health Service Act.

A.1. Out of this appropriation, $2,229,810 the first year and $2,229,810 the second year shall be paid from the general fund to the Virginia Health Care Foundation. These funds shall be matched with local public and private resources and shall be awarded to proposals which enhance access to primary health care for Virginia's uninsured and medically underserved residents, through innovative service delivery models. The Foundation, in coordination with the Virginia Department of Health, the Area Health Education Centers program, the Joint Commission on Health Care, and other appropriate organizations, is encouraged to undertake initiatives to reduce health care workforce shortages. The Foundation shall account for the expenditure of these funds by providing the Governor, the Secretary of Health and Human Resources, the Chairmen of the House Appropriations and Senate Finance Committees, the State Health Commissioner, and the Chairman of the Joint Commission on Health Care with a certified audit and full report on Foundation initiatives and results, including evaluation findings, not later than October 1 of each year for the preceding fiscal year ending June 30.

2. On or before October 1 of each year, the Foundation shall submit to the Governor and the Chairmen of the House Appropriations and Senate Finance Committees a report on the actual amount, by fiscal year, of private and local government funds received by the Foundation since its inception. The report shall include certification that an amount equal to the state appropriation for the preceding fiscal year ending June 30 has been matched from private and local government sources during that fiscal year.

3. Any funds in this Item intended for primary care demonstration projects of the Virginia Health Care Foundation which are unexpended as of June 30, 2001, and June 30, 2002, shall be reappropriated for use by the Foundation in the succeeding year.

B. Out of this appropriation, $25,000 the first year and $25,000 the second year shall be provided from the general fund for the activities of the Sewage Appeals Review Board.

C. Out of this appropriation, $35,000 in the first year and $35,000 in the second year from the general fund shall be provided to the Chesapeake Adult General Medical Clinic.

D. The Department of Health shall identify and explain differences in the amounts appropriated, available, and spent on dental health services through the cooperative budgets of local health departments. The Department shall also identify the impact of budget language that would require it to spend the full appropriation for dental health services on dental health services regardless of nongeneral funds and independent of other public health priorities. The Department also shall study the condition and utilization of the dental trailers throughout the Commonwealth and make recommendations regarding their future use. The Department shall submit its findings and recommendations to the Chairmen of the Senate Finance Committee, the House Appropriations Committee, and the Joint Commission on Health Care by September 15, 2000.