|  | First Year - FY2019 | Second Year - FY2020 | Totals | 
|---|
|  Office of Health and Human Resources | $16,788,153,180 | $18,507,494,586 |  | 
|---|
|  Secretary of Health and Human Resources | $830,743 | $830,743 |  | 
| 281 | Administrative and Support Services | $830,743 | $830,743 |  | 
| Children's Services Act | $351,184,662 | $361,101,047 |  | 
| 282 | Protective Services | $349,251,604 | $359,167,989 |  | 
| 283 | Administrative and Support Services | $1,933,058 | $1,933,058 |  | 
|  Department for the Deaf and Hard-Of-Hearing | $4,265,778 | $4,265,778 |  | 
| 284 | Social Services Research, Planning, and Coordination | $4,265,778 | $4,265,778 |  | 
|  Department of Health | $730,204,035 | $732,363,535 |  | 
| 285 | Higher Education Student Financial Assistance | $774,000 | $774,000 |  | 
| 286 | Emergency Medical Services | $44,851,484 | $44,851,484 |  | 
| 287 | Medical Examiner and Anatomical Services | $14,095,497 | $14,095,497 |  | 
| 288 | Vital Records and Health Statistics | $8,010,137 | $8,010,137 |  | 
| 289 | Communicable Disease Prevention and Control | $92,038,115 | $91,799,909 |  | 
| 290 | Health Research, Planning, and Coordination | $18,190,949 | $18,190,949 |  | 
| 291 | State Health Services | $163,419,548 | $163,419,548 |  | 
| 292 | Community Health Services | $267,476,216 | $267,614,422 |  | 
| 293 | Financial Assistance to Community Human Services Organizations | $23,239,583 | $21,239,583 |  | 
| 294 | Drinking Water Improvement | $29,195,627 | $29,195,627 |  | 
| 295 | Environmental Health Hazards Control | $10,879,124 | $10,937,124 |  | 
| 296 | Emergency Preparedness | $33,694,356 | $33,694,356 |  | 
| 297 | Administrative and Support Services | $24,339,399 | $28,540,899 |  | 
|  Department of Health Professions | $33,773,207 | $33,773,207 |  | 
| 298 | Higher Education Student Financial Assistance | $65,000 | $65,000 |  | 
| 299 | Regulation of Professions and Occupations | $33,708,207 | $33,708,207 |  | 
|  Department of Medical Assistance Services | $12,084,160,110 | $13,742,831,105 |  | 
| 300 | Pre-Trial, Trial, and Appellate Processes | $18,239,618 | $17,991,740 |  | 
| 301 | Financial Assistance for Health Research | $12,810,945 | $12,810,945 |  | 
| 302 | Children's Health Insurance Program Delivery | $200,025,684 | $211,343,011 |  | 
| 303 | Medicaid Program Services | $11,349,056,147 | $12,993,105,698 |  | 
| 304 | Medical Assistance Services (Non-Medicaid) | $821,702 | $821,702 |  | 
| 305 | Medical Assistance Services for Low Income Children | $156,888,591 | $162,674,282 |  | 
| 306 | Medical Assistance Management Services (Forecasted) | $64,204,564 | $62,784,520 |  | 
| 307 | Administrative and Support Services | $282,112,859 | $281,299,207 |  | 
|  Department of Behavioral Health and Developmental Services | $113,889,659 | $117,588,803 |  | 
| 308 | Regulation of Public Facilities and Services | $4,081,136 | $4,701,738 |  | 
| 309 | Language Only |  |  | 
| 310 | Administrative and Support Services | $96,848,446 | $96,376,988 |  | 
| 311 | Central Office Managed Community and Individual Health Services | $12,960,077 | $16,510,077 |  | 
| Grants to Localities | $446,744,254 | $459,692,678 |  | 
| 312 | Financial Assistance for Health Services | $446,744,254 | $459,692,678 |  | 
| Mental Health Treatment Centers | $390,122,553 | $396,340,600 |  | 
| 313 | Instruction | $176,397 | $176,397 |  | 
| 314 | Secure Confinement | $21,501,860 | $21,501,860 |  | 
| 315 | Pharmacy Services | $18,677,746 | $18,677,746 |  | 
| 316 | State Health Services | $244,851,323 | $251,069,370 |  | 
| 317 | Facility Administrative and Support Services | $104,915,227 | $104,915,227 |  | 
| 318 | Language Only |  |  | 
| Intellectual Disabilities Training Centers | $139,946,912 | $138,904,289 |  | 
| 319 | Instruction | $6,870,420 | $5,827,797 |  | 
| 320 | Pharmacy Services | $5,515,600 | $5,515,600 |  | 
| 321 | State Health Services | $69,918,683 | $69,918,683 |  | 
| 322 | Facility Administrative and Support Services | $57,642,209 | $57,642,209 |  | 
| 323 | Language Only |  |  | 
| Virginia Center for Behavioral Rehabilitation | $40,338,435 | $48,194,740 |  | 
| 324 | Instruction | $227,847 | $227,847 |  | 
| 325 | Secure Confinement | $12,098,368 | $18,159,479 |  | 
| 326 | Pharmacy Services | $999,013 | $999,013 |  | 
| 327 | State Health Services | $12,767,511 | $12,862,705 |  | 
| 328 | Facility Administrative and Support Services | $14,245,696 | $15,945,696 |  | 
|  Department for Aging and Rehabilitative Services | $244,503,243 | $244,503,243 |  | 
| 329 | Rehabilitation Assistance Services | $110,285,116 | $110,285,116 |  | 
| 330 | Individual Care Services | $36,059,218 | $36,059,218 |  | 
| 331 | Nutritional Services | $22,019,603 | $22,019,603 |  | 
| 332 | Language Only |  |  | 
| 333 | Continuing Income Assistance Services | $54,911,365 | $54,911,365 |  | 
| 334 | Adult Programs and Services | $6,920,474 | $6,920,474 |  | 
| 335 | Administrative and Support Services | $14,307,467 | $14,307,467 |  | 
| 336 | Language Only |  |  | 
| Wilson Workforce and Rehabilitation Center | $27,720,041 | $27,720,041 |  | 
| 337 | Rehabilitation Assistance Services | $13,554,195 | $13,554,195 |  | 
| 338 | Facility Administrative and Support Services | $14,165,846 | $14,165,846 |  | 
|  Department of Social Services | $2,103,174,543 | $2,122,089,772 |  | 
| 339 | Program Management Services | $42,408,598 | $42,408,598 |  | 
| 340 | Financial Assistance for Self-Sufficiency Programs and Services | $267,327,852 | $274,095,685 |  | 
| 341 | Financial Assistance for Local Social Services Staff | $484,194,170 | $495,412,252 |  | 
| 342 | Child Support Enforcement Services | $775,255,087 | $774,455,087 |  | 
| 343 | Adult Programs and Services | $39,661,169 | $40,960,209 |  | 
| 344 | Child Welfare Services | $234,276,500 | $234,356,991 |  | 
| 345 | Financial Assistance for Supplemental Assistance Services | $78,757,450 | $78,757,450 |  | 
| 346 | Financial Assistance to Community Human Services Organizations | $48,789,789 | $49,039,789 |  | 
| 347 | Regulation of Public Facilities and Services | $28,719,903 | $28,819,686 |  | 
| 348 | Administrative and Support Services | $103,784,025 | $103,784,025 |  | 
| 349 | Language Only |  |  | 
| 350 | Language Only |  |  | 
|  Virginia Board for People with Disabilities | $1,936,865 | $1,936,865 |  | 
| 351 | Social Services Research, Planning, and Coordination | $1,535,390 | $1,535,390 |  | 
| 352 | Financial Assistance for Individual and Family Services | $401,475 | $401,475 |  | 
|  Department for the Blind and Vision Impaired | $72,367,576 | $72,367,576 |  | 
| 353 | Statewide Library Services | $1,170,781 | $1,170,781 |  | 
| 354 | State Education Services | $1,362,094 | $1,362,094 |  | 
| 355 | Rehabilitation Assistance Services | $13,397,938 | $13,397,938 |  | 
| 356 | Regional Office Support and Administration | $2,593,034 | $2,593,034 |  | 
| 357 | Rehabilitative Industries | $50,768,817 | $50,768,817 |  | 
| 358 | Administrative and Support Services | $3,074,912 | $3,074,912 |  | 
| Virginia Rehabilitation Center for the Blind and Vision Impaired | $2,990,564 | $2,990,564 |  | 
| 359 | Rehabilitation Assistance Services | $1,651,313 | $1,651,313 |  | 
| 360 | Administrative and Support Services | $1,339,251 | $1,339,251 |  |