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. Notwithstanding § 32.1-163 through § 32.1-176, Code of Virginia, the Commissioner of Health shall increase, by no more than $37.50, those existing fees associated with the application for a construction permit for private wells, on-site sewage systems, and alternative discharging systems.

B. The Commissioner of Health is authorized to develop, in consultation with the regulated entities, a plan and specification review fee and an annual permit renewal fee, each not to exceed $40 per year, to be collected from all establishments, except K-12 public schools, that are subject to inspection by the Department of Health pursuant to §§ 35.1-13, 35.1-14, 35.1-16, and 35.1-17, Code of Virginia; however, any such establishment that is subject to any health permit fee, application fee, inspection fee, risk assessment fee or similar fee imposed by any locality as of January 1, 2002, shall be subject to this annual permit renewal fee only to the extent that the Department of Health fee and the locally imposed fee, when combined, do not exceed $40. This fee structure shall be subject to the approval of the Secretary of Health and Human Resources.

C. Out of this appropriation, $100,000 the first year and $100,000 the second year from the general fund shall be provided to the Virginia Department of Health to provide case management services to pregnant women in rural communities who lose obstetrical services.

D.  In the event that the City of Suffolk or the City of Portsmouth begins construction of a new human services building to be jointly occupied by local health and human services agencies, the Commissioner of Health may request that the Governor include funding for the state's share of the local health department's cost of leasing space in the facility during the development of the next budget.  When preparing the budget, the Governor may consider the Commissioner's request for funding the state share of lease costs for the space occupied by the Suffolk or Portsmouth local health department in the newly constructed facility.

E. Out of this appropriation, $500,000 the second year from the general fund shall be used to match available special funds for the development and implementation of an electronic medical records system for local health departments. Release of this appropriation shall be contingent upon the Virginia Department of Health collaborating with the Secretary of Technology to pursue a multi-source procurement. This procurement will ensure interoperability and be consistent with federal standards for the electronic exchange of health information.