Authority: §§ 32.1-11, 32.1-77, 32.1-89, and 32.1-90, Code of Virginia; P.L. 94-566, as amended, Title V of the U.S. Social Security Act and Title X of the U.S. Public Health Service Act, Federal Code; and P.L. 95-627, as amended, Federal Code.

A. Out of this appropriation, $999,804 the first year and $999,804 the second year from special funds is provided to support the newborn screening program and its expansion pursuant to Chapters 717 and 721, Act of Assembly of 2005, and Chapter 531, 2018 Acts of Assembly. Fee revenues sufficient to fund the Department of Health's costs of the program and its expansion shall be transferred from the Division of Consolidated Laboratory Services.

B. The Special Supplemental Nutrition Program for Women, Infants, and Children is exempt from the requirements of the Administrative Process Act (§ 2.2-4000 et seq.).

C. Out of this appropriation, $305,000 the first year and $305,000 the second year from the general fund shall be provided to the department's sickle cell program to address rising pediatric caseloads in the current program. Any remaining funds shall be used to develop transition services for youth who will require adult services to ensure appropriate medical services are available and provided for youth who age out of the current program.

D. It is the intent of the General Assembly that the State Health Commissioner continue providing services through child development clinics and access to children's dental services.

E. Out of this appropriation, $1,000,000 the first year and $1,000,000 the second year from the Temporary Assistance for Needy Families (TANF) block grant shall be provided to the Department of Health for the operation of the Resource Mothers program.

F.1. Out of this appropriation, $124,470 the first year and $124,470 the second year from the general fund and $82,980 the first year and $82,980 the second year from nongeneral funds shall be provided for the Virginia Department of Health to establish and administer a Perinatal Quality Collaborative. The Perinatal Quality Collaborative shall work to improve pregnancy outcomes for women and newborns by advancing evidence-based clinical practices and processes through continuous quality improvement with an initial focus on pregnant women with substance use disorder and infants impacted by neonatal abstinence syndrome.

2. Out of this appropriation, $315,000 the first year and $315,000 the second year from the general fund shall be provided to support efforts by the Virginia Neonatal Perinatal Collaborative (VNPC) to decrease maternal mortality and morbidity. Funding shall be used for a coordinator position for community engagement, training and education; the development of a pilot program of the Centers for Disease Control's levels of care assessment (LOCATe) tool in the Richmond metropolitan region and Tidewater region; and development of a Project ECHO tele-education model for education and training. Funding shall also be used to assist the VNPC with expanding capacity to address these issues through the use of software to advance data analytics.

G.1. Out of the appropriation, $750,000 the first year and $750,000 $100,000 the first year and $650,000 the second year from the general fund shall be transferred to the Virginia Sexual and Domestic Violence Prevention Fund.

2. The Department of Health shall continue to award and provide federal Rape Prevention and Education (RPE) funds through the cooperative agreement with the Centers for Disease Control to the six sexual and domestic violence organizations that received such funds in year two of the cooperative agreement. If however, the Centers for Disease Control does not approve or limits the cooperative agreement funding that can be awarded to these organizations, then the department shall make grants, notwithstanding any other provision of law, from the Virginia Sexual and Domestic Violence Prevention Fund in an amount the first year or the second year to ensure the same level of funding the organizations received in federal RPE funds in year two of the cooperative agreement.

H. Out of this appropriation, $250,000 the first year and $250,000 the second year from the general fund is provided to establish the Virginia Sickle Cell Patient Assistance Program. The Virginia Department of Health shall administer the program to provide health insurance premium assistance and cost sharing assistance to patients diagnosed with Sickle Cell Disease who do not qualify for Medicaid.

I. Out of this appropriation, $305,000 the first year and $805,000 the second year from the general fund is provided for a comprehensive adult program for sickle cell disease.