Authority: §§ 32.1-11 through 32.1-12, 32.1-31, 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. Notwithstanding § 32.1-163 through § 32.1-176, Code of Virginia, the Commissioner of Health shall increase, by no more than $280.00, those existing fees associated with the application for a construction permit for on-site sewage systems designed for less than 1,000 gallons per day, and alternative discharging systems not supported with certified work from an authorized onsite soil evaluator or a professional engineer working in consultation with an authorized onsite soil evaluator.

2. Notwithstanding § 32.1-163 through § 32.1-176, Code of Virginia, the Commissioner of the Health shall increase, by no more than $225.00, those fees associated with the application for a certification letter less than 1,000 gallons per day not supported with certified work from an authorized onsite soil evaluator or a professional engineer working in consultation with an authorized onsite soil evaluator.

3. Notwithstanding § 32.1-163 through § 32.1-176, Code of Virginia, the Commissioner of the Health shall increase, by no more than $125.00, those fees associated with the application for a construction permit or certification letter less than 1,000 gallons per day supported with certified work from an authorized onsite soil evaluator or a professional engineer working in consultation with an authorized onsite soil evaluator.

4. Notwithstanding § 32.1-163 through § 32.1-176, Code of Virginia, the Commissioner of Health shall increase, by no more than $165.00, those existing fees associated with the application for a construction permit for a private well.

5. Notwithstanding § 32.1-163 through § 32.1-176, Code of Virginia, the Commissioner of Health shall increase, by no more than $1,000.00, those existing fees associated with the application for a construction permit or certification letter designed for more than 1,000 gallons per day.

B. The Commissioner of Health is authorized to develop, in consultation with the regulated entities, a plan and specification review fee, not to exceed $75, and an annual permit renewal fee, each not to exceed $100 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, 2008, 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 $100. 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. Out of this appropriation, $75,000 the first year and $75,000 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.

E. Pursuant to the Department of Health's Policy Implementation Manual (#07-01), individuals who participate in a local festival, fair, or other community event where food is sold, shall be exempt from the annual temporary food establishment permit fee of $100.00 provided the event is held only one time each calendar year and the event takes place within the locality where the individual resides.

F. Out of this appropriation, $911,955 the first year and $504,205 the second year from the general fund and $362,947 the first year and $362,947 the second year from nongeneral funds is provided to address the cost of leasing new or expanding existing local health department facilities.  First priority shall be given to Prince William, Isle of Wight, Suffolk, and Roanoke City.