312#1s (VDH) Rx Partnership. SB5001 - Committee Approved

State Budget

2004 Special Session I

Budget Amendments - SB5001 (Committee Approved)

Bill Order » Item 312 #1s

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Rx Partnership

Item 312 #1s

Item 312 #1s	First Year - FY2005	Second Year - FY2006
Health And Human Resources
Health, Department of	FY2005 $110,000	FY2006 $110,000	GF

Language
Page 240, line 15, strike "$5,176,490" and insert "$5,286,490".
Page 240, line 15, strike "$5,176,490" and insert "$5,286,490".
Page 242, after line 30, insert:
"C. Out of this appropriation, $110,000 from the general fund each year shall be transferred to the Rx Partnership to improve access to free medications for low-income Virginians."

Explanation
(This amendment provides funding to support the establishment of the Rx Partnership, a public-private partnership to increase access to prescription medication for Virginia’s low-income, uninsured population. These funds shall be matched with public and/or private resources. The Rx Partnership will operate as a virtual warehouse by soliciting free medications from pharmaceutical manufacturers to be dispensed through affiliated non-profit, licensed pharmacies that are credentialed and monitored by Rx Partnership. This is a recommendation of the Joint Commission on Health Care.)

Item 312

Item 312	First Year - FY2005	Second Year - FY2006
Special Health Improvement and Demonstration Services (42000)	$5,176,490	$5,176,490
Pilot and Demonstration Services (42001)	FY2005 $5,176,490	FY2006 $5,176,490
Fund Sources:
General	FY2005 $1,552,325	FY2006 $1,552,325
Special	FY2005 $1,020,801	FY2006 $1,020,801
Dedicated Special Revenue	FY2005 $760,261	FY2006 $760,261
Federal Trust	FY2005 $1,843,103	FY2006 $1,843,103

Authority: § 32.1-2, Code of Virginia.

A.1. Out of this appropriation, $125,000 the first year and $125,000 the second year from the general fund is provided to the Comprehensive Health Investment Project (CHIP) of Virginia.

2. The Department of Social Services shall provide $2,020,640 the first year and $2,020,640 the second year from the federal Temporary Assistance for Needy Families (TANF) grant to the CHIP of Virginia.

3. In addition, the CHIP of Virginia shall receive $100,000 the first year and $100,000 the second year from other nongeneral funds subject to the availability of foster care prevention funding transferred from the Department of Social Services.

4. 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.

5. The general fund appropriation in this Item for the CHIP of Virginia projects shall not be used for administrative costs.

6. 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 the CHIP program increase its efforts to raise funds from local communities and other private or public sources with the goal of reducing reliance on general fund appropriations in the future.

7. Out of this appropriation, $49,358 the first year and $49,358 the second year is provided to the CHIP of Roanoke and 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 $95,625 the first year and $95,625 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.

C. Out of this appropriation shall be provided $11,250 the first year and $11,250 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.

D. Out of this appropriation, $15,300 the first year and $15,300 the second year from the general fund shall be provided to the Olde Towne Medical Center.

E. Out of this appropriation, $233,750 the first year and $233,750 the second year from the general fund shall be provided 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.

F. Out of this appropriation, $921,400 the first year and $921,400 the second year from the general fund shall be provided 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.

G. Notwithstanding § 32.1-19.1, Code of Virginia, the annual telemedicine study is suspended until such time as funding is available for this purpose.