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2008 Session

Budget Amendments - HB29 (Member Request)

Chief Patron: Landes
Use of COPN to Support Activities (language only)

Item 290.10 #2h

Item 290.10 #2h

Health And Human Resources
Health, Department of

Language
Page 122, after line 4, insert:
"290.10
Health Research, Planning, and Coordination (40600)
12,521,344 12,225,115
Health Research, Planning and Coordination (40603)
2,739,331 2,739,331
Regulation of Health Care Facilities (40607)
8,626,566 8,330,337
Certificate of Public Need (40608)
1,155,447 1,155,447
Fund Sources:
General
3,011,909 2,660,885
Special
1,868,013 1,868,013
Dedicated Special Revenue
451,798 451,798
Federal Trust
7,189,624 7,244,419
Authority: §§ 32.1-102.1 through 32.1-102.12; 32.1-122.01 through 32.1-122.08; and 32.1-123 through 32.1-138.5, Code of Virginia; and P.L. 96-79, as amended, Federal Code; and Title XVIII and Title XIX of the U.S. Social Security Act, Federal Code
A. Excess special fund revenue in the health planning fund in the amount of  $15,625 in the first year  will be reverted to the general fund.
B.  Supplemental funding for the regional health planning agencies shall be provided from the following sources:
1.  Special funds amounting to one-half of the Certificate of Public Need (40608) application fees, which shall be distributed quarterly, plus any remaining funds from Certificate of Public Need application fees in excess of those required to operate the Certificate of Public Need Program.
2. General fund appropriations in Health Research, Planning and Coordination unexpended at the end of each year of the biennium shall be reappropriated for expenditure by the regional health planning agencies in the succeeding fiscal year.
3. The Department of Health shall revise annual agreements with the regional health planning agencies to require an annual independent financial audit to examine the use of state funds and the reasonableness of those expenditures.
C.  Failure of any regional health planning agency to establish or sustain business operations shall cause funds to revert to the Central Office to support health planning and Certificate of Public Need functions.
D.  The Commissioner of Health shall continue implementation of the "Five-Year Action Plan: Improving Access to Primary Health Care Services in Medically Underserved Areas and Populations of the Commonwealth." A minimum of $150,000 the first year and $150,000 the second year from the general fund shall be provided to the Virginia Office of Rural Health, as the state match for the federal Office of Rural Health Policy Grant. The Commissioner is authorized to contract for services to accomplish the plan.
E.  Out of the Special Fund appropriation for this Item, $278,000 the first year and $278,000 the second year is appropriated from statewide indirect cost recoveries of this agency to match federal funds and support the programs of the Center for Quality Health Care Services and Consumer Protection. Amounts recovered in excess of these appropriations shall be deposited to the general fund.
F.  In order to improve the training of certified nurse assistants in the Commonwealth, the Department of Health shall provide nursing facilities the maximum flexibility allowed by the U.S. Centers for Medicare and Medicaid Services regarding the provision of on-site training for certified nurse assistants. The Department shall allow facilities to provide such on-site training regardless of the enforcement status of the facility, so long as serious patient health and safety violations are not involved."


Explanation
(This amendment substitutes language contained in Item 290, Chapter 847, Acts of Assembly of 2007, which directs the Department of Health to provide regional health planning agencies with a portion of excess Certificate of Public Need (COPN) fees, after retaining balances in the fund equal to one month's operational costs in case of revenue shortfalls. The new language proposed in this amendment would direct the Department of Health to provide regional health planning agencies one-half of the COPN fees quarterly plus any remaining funds in excess of those needed to operate the program. This amendment will replace language in Item 290, Chapter 847, Acts of Assembly of 2007, during enrolling of House Bill 29.)