Authority: § 32.1-2, Code of Virginia.

A.1. Out of this appropriation, $571,000 the first year and $571,000 $2,712,890 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 $2,141,890 the first year and $2,141,890 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. Of this appropriation, $49,358 the first year and $49,358 the second year from the general fund 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.1. Out of this appropriation, $433,750 the first year and $433,750 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.

2.  Out of this appropriation, $500,000 the first year and $750,000 the second year from the general fund shall be provided to the Virginia Primary Care Association to expand existing or develop new community health centers in medically underserved and economically disadvantaged areas of the Commonwealth.  The Association shall consult with the Virginia Health Care Foundation on funding allocation decisions.  It is the intent of the General Assembly that funding be used to match funding solicited by the Virginia Primary Care Association from local and federal sources, and other public or private organizations.  On September 1, 2007, and each year thereafter, the Virginia Primary Care Association shall report on the use of the funding to the Chairmen of the House Appropriations and Senate Finance Committees and the Joint Commission on Health Care.

3.  Out of this appropriation, $175,000 each year from the general fund shall be provided to the Virginia Primary Care Association to expand access to care provided through community health centers.

F.1. Out of this appropriation, $1,321,400 the first year and $1,321,400 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.

2.  Out of this appropriation, $167,500 the first year and $175,000 the second year from the general fund shall be provided to the Virginia Association of Free Clinics to expand access to health care services.

G.1.a. Out of this appropriation, $400,000 the first year and $400,000 the second year from the general fund are provided pursuant to § 32.1-122.7, Code of Virginia, to support the Virginia Statewide Area Health Education Centers. General fund appropriations in this item shall be used for the recruitment and retention, practice support, and training of health care professionals in medically underserved areas or areas with medically underserved populations.  The Director, Department of Planning and Budget, has the authority to make this transfer.

b.  Of this appropriation, no less than $100,000 the first year and $100,000 the second year from the general fund shall be used to develop and implement a statewide nursing recruitment and retention program in collaboration with nursing and health care groups.

2.  The Department of Medical Assistance Services, to the extent permissible under federal law, shall enter into an agreement with the Virginia Statewide Area Health Education Centers so that qualifying funds may be used at the discretion of each center for obtaining matching nongeneral funds when available.

3.  The Statewide Area Health Education Centers (AHEC) Program shall submit a report by October 1 each year to the Chairmen of the Senate Finance Committee, the House Appropriations Committee, and the Joint Commission on Health Care that documents (i) the actions taken to secure nonstate funding to support AHEC activities, and (ii) a cash match of at least 100 percent of the funds provided by the Commonwealth.

H. Out of this appropriation, $295,920 the first year and $295,920 the second year from the general fund are provided to support the development of the Southwest Virginia Graduate Medical Education Consortium to create and support medical residency preceptor sites in rural and underserved communities in Southwest Virginia.

I. Out of this appropriation, $605,000 the first year and $605,000 the second year is provided from the general fund to support the regional AIDS resource and consultation centers and one local early intervention and treatment center.

J. Out of this appropriation, $114,750 the first year and $114,750 the second year is provided from the general fund to support the Arthur Ashe Health Center in Richmond.

K. Out of this appropriation, $22,500 the first year and $22,500 the second year from the general fund shall be provided to the Fan Free Clinic for AIDS related services.

L.1. Out of this appropriation, $3,600,571 the first year and $3,600,571 $4,050,571 the second year from the general fund and $200,000 the first year and $200,000 the second year from federal funds shall be paid 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. Of this appropriation, $200,000 the first year and $200,000 the second year from federal Temporary Assistance to Needy Families/Social Services Block Grant funds shall be paid to the Virginia Health Care Foundation for programs that assist low-income persons in the acquisition of reduced cost medication from pharmaceutical manufacturers.

4. Of this appropriation, $125,000 the first year and $125,000 the second year from the general fund shall be paid to the Virginia Health Care Foundation to expand the Pharmacy Connection software program to unserved or underserved regions of the Commonwealth.

5. Of this appropriation, $105,000 the first year and $105,000 the second year from the general fund shall be provided to the Virginia Health Care Foundation for the Rx Partnership to improve access to free medications for low-income Virginians.

6.  Of this appropriation, $1,600,000 from the general fund the first year and $1,600,000 from the general fund the second year shall be provided to the Virginia Health Care Foundation to increase the capacity of the Commonwealth's health safety net providers to expand services to unserved or underserved Virginians.  Of this amount, (i) $850,000 the first year and $850,000 the second year shall be used to underwrite service expansions and/or increase the number of patients served at existing sites or at new sites, (ii) $600,000 the first year and $600,000 $850,000 the second year shall be used for Medication Assistance Coordinators who provide outreach assistance, and (iii) $150,000 the first year and $150,000 the second year shall be made available for locations with existing medication assistance programs.

M. Out of this appropriation, $26,775 in the first year and $26,775 in the second year from the general fund shall be provided to the Chesapeake Adult General Medical Clinic.

N. Out of this appropriation, $306,271 the first year and $306,271 the second year from the general fund is provided to support the administration of the patient level data base, including the outpatient data reporting system.

O. Out of this appropriation, $100,000 in the first year and $100,000 in the second year from the general fund shall be provided to the St. Mary's Health Wagon.

P.1.a. Out of this appropriation, $750,000 $1,050,000 in the first year and $800,000 in the second year from the general fund shall be provided to encourage the adoption of electronic health records throughout the Commonwealth.

b.  The Governor shall establish an Advisory Committee on Electronic Health Records for the purpose of developing recommendations for the design and implementation of electronic health records systems in Virginia that will advance interoperability while protecting patient privacy.  Members of the Advisory Committee shall be appointed by the Governor and shall be composed of a representative from the hospital industry, a practicing physician, a representative of a pharmaceutical manufacturer, a representative of a licensed health insurance carrier, a corporate purchaser of health care, consumers, the Department of Medical Assistance Services, the Department of Mental Health, Mental Retardation and Substance Abuse Services, the Virginia Information Technology Agency, the Department of Human Resource Management, and other members as appointed by the Governor.  The Secretary of  Health and Human Resources and the Secretary of Technology shall serve as co-chairs of the Advisory Committee.  Beginning October 1, 2007 and each year thereafter, the Advisory Committee shall submit to the Governor and  the General Assembly an annual report of its activities, findings and recommendations.

2. Of this appropriation, $250,000 the first year shall be used to match private funding available for a pilot project developing a Master Patient Index. The Department of Health shall report to the Governor, the Chairmen of the House Appropriations and Senate Finance Committees, and the State Board of Health on the progress of the implementation of the pilot project by November 1, 2006.

3. Of this appropriation, $500,000 $800,000 the first year and $800,000 the second year shall be used to issue grants to providers for the acquisition of electronic health records.

Q. Out of this appropriation, $100,000 the first year and $100,000 the second year shall be used to continue the pilot project connecting public health providers to Carilion Health System's electronic health records system. The clinical sites shall be local health departments. The Department shall be responsible, in collaboration with the Carilion Health System, for designing, implementing, administering, and evaluating the pilot program. The amount allocated to each clinical site by the Department of Health shall be used to pay for operational support, infrastructure, software licensing, and connectivity. The Department of Health shall report to the Governor, the Chairmen of the House Appropriations and Senate Finance Committees, and the State Board of Health on the progress of the implementation of the pilot project by October 15, 2006.

R. Out of this appropriation, $50,000 the first year and $50,000 the second year from the general fund is provided to the Virginia Transplant Council to maintain and operate the Virginia Organ and Tissue Donor Registry.

S.  Out of this appropriation, $60,000 the first year from the general fund shall be provided to Piedmont Access to Health Services, Inc. for an additional family nurse practitioner to deliver health care services at community health centers in Danville and Martinsville.  The Commissioner of Health shall not allot the funds appropriated until the organization submits a financial plan to ensure the new position will be self-sustaining by fiscal year 2009.

T.  Out of this appropriation, $150,000 from the general fund the first year shall be used for start-up costs related to pilot projects in the Northern Neck and Emporia, pursuant to Chapter 926 of the 2005 Acts of Assembly, to provide alternative arrangements for prenatal and delivery services in areas where obstetrical departments at community hospitals no longer exist.