|  | First Year - FY2021 | Second Year - FY2022 | Totals | 
|---|
|  Office of Health and Human Resources | $21,933,306,865$22,181,866,939
 | $22,894,276,509$22,738,646,368
 |  | 
|---|
|  Secretary of Health and Human Resources | $878,064 | $878,064 |  | 
| 291 | Administrative and Support Services | $878,064 | $878,064 |  | 
| Children's Services Act | $373,686,223 | $381,213,700 |  | 
| 292 | Protective Services | $371,426,427 | $379,203,904 |  | 
| 293 | Administrative and Support Services | $2,259,796 | $2,009,796 |  | 
| 293.10 | Language Only |  |  | 
|  Department for the Deaf and Hard-Of-Hearing | $3,587,725 | $3,587,725 |  | 
| 294 | Social Services Research, Planning, and Coordination | $3,587,725 | $3,587,725 |  | 
|  Department of Health | $785,787,377 | $781,129,340 |  | 
| 295 | Higher Education Student Financial Assistance | $2,985,000 | $2,985,000 |  | 
| 296 | Emergency Medical Services | $46,280,757 | $46,280,757 |  | 
| 297 | Medical Examiner and Anatomical Services | $15,451,106 | $15,451,106 |  | 
| 298 | Vital Records and Health Statistics | $8,517,050 | $8,517,050 |  | 
| 299 | Communicable Disease Prevention and Control | $109,901,022 | $109,966,944 |  | 
| 300 | Health Research, Planning, and Coordination | $19,671,239 | $19,671,239 |  | 
| 301 | State Health Services | $168,067,937 | $168,028,397 |  | 
| 302 | Community Health Services | $280,701,516 | $280,990,684 |  | 
| 303 | Financial Assistance to Community Human Services Organizations | $25,879,583 | $23,379,583 |  | 
| 304 | Drinking Water Improvement | $33,755,027 | $33,821,023 |  | 
| 305 | Environmental Health Hazards Control | $12,532,540 | $12,532,540 |  | 
| 306 | Emergency Preparedness | $34,333,979 | $34,333,979 |  | 
| 307 | Administrative and Support Services | $27,710,621 | $25,171,038 |  | 
| 307.10 | Language Only |  |  | 
|  Department of Health Professions | $35,314,989 | $35,436,849 |  | 
| 308 | Higher Education Student Financial Assistance | $65,000 | $65,000 |  | 
| 309 | Regulation of Professions and Occupations | $35,249,989 | $35,371,849 |  | 
|  Department of Medical Assistance Services | $16,837,588,064$17,063,136,781
 | $17,981,096,468$17,820,593,922
 |  | 
| 310 | Pre-Trial, Trial, and Appellate Processes | $17,991,740 | $17,991,740 |  | 
| 311 | Financial Assistance for Health Research | $3,810,000 | $300,000 |  | 
| 312 | Children's Health Insurance Program Delivery | $249,622,837$241,382,694
 | $270,236,306$258,207,202
 |  | 
| 313 | Medicaid Program Services | $16,030,222,525$16,268,112,956
 | $17,137,554,276$16,998,372,512
 |  | 
| 314 | Medical Assistance Services (Non-Medicaid) | $821,702 | $821,702 |  | 
| 315 | Medical Assistance Services for Low Income Children | $218,013,796$213,912,225
 | $237,496,600$228,204,922
 |  | 
| 316 | Medical Assistance Management Services (Forecasted) | $43,871,083 | $43,871,083 |  | 
| 317 | Administrative and Support Services | $273,234,381 | $272,824,761 |  | 
| 317.10 | Language Only |  |  | 
|  Department of Behavioral Health and Developmental Services | $178,602,337$178,663,540
 | $170,068,820$170,191,225
 |  | 
| 318 | Regulation of Public Facilities and Services | $5,373,153 | $5,373,153 |  | 
| 319 | Language Only |  |  | 
| 320 | Administrative and Support Services | $123,177,138$123,238,341
 | $110,597,199$110,719,604
 |  | 
| 321 | Central Office Managed Community and Individual Health Services | $50,052,046 | $54,098,468 |  | 
| 321.10 | Language Only |  |  | 
| Grants to Localities | $540,317,960 | $562,590,641$565,590,641
 |  | 
| 322 | Financial Assistance for Health Services | $540,317,960 | $562,590,641$565,590,641
 |  | 
| 322.10 | Language Only |  |  | 
| Mental Health Treatment Centers | $447,627,285 | $445,056,219 |  | 
| 323 | Instruction | $176,397 | $176,397 |  | 
| 324 | Secure Confinement | $23,558,686 | $23,558,686 |  | 
| 325 | Pharmacy Services | $19,792,383 | $19,792,383 |  | 
| 326 | State Health Services | $288,917,250 | $286,346,184 |  | 
| 327 | Facility Administrative and Support Services | $115,182,569 | $115,182,569 |  | 
| 328 | Language Only |  |  | 
| 328.10 | Language Only |  |  | 
| Intellectual Disabilities Training Centers | $75,449,717 | $58,455,359 |  | 
| 329 | Instruction | $3,654,086 | $3,654,086 |  | 
| 330 | Pharmacy Services | $2,878,724 | $2,715,600 |  | 
| 331 | State Health Services | $43,551,303 | $34,269,930 |  | 
| 332 | Facility Administrative and Support Services | $25,365,604 | $17,815,743 |  | 
| 333 | Language Only |  |  | 
| Virginia Center for Behavioral Rehabilitation | $51,782,685 | $56,640,432 |  | 
| 334 | Instruction | $227,847 | $227,847 |  | 
| 335 | Secure Confinement | $19,995,910 | $24,853,657 |  | 
| 336 | Pharmacy Services | $999,013 | $999,013 |  | 
| 337 | State Health Services | $13,777,650 | $13,777,650 |  | 
| 338 | Facility Administrative and Support Services | $16,782,265 | $16,782,265 |  | 
| 338.10 | Language Only |  |  | 
|  Department for Aging and Rehabilitative Services | $237,907,115 | $237,907,115 |  | 
| 339 | Rehabilitation Assistance Services | $101,912,565 | $101,912,565 |  | 
| 340 | Individual Care Services | $36,289,218 | $36,289,218 |  | 
| 341 | Nutritional Services | $22,019,603 | $22,019,603 |  | 
| 342 | Language Only |  |  | 
| 343 | Continuing Income Assistance Services | $54,961,470 | $54,961,470 |  | 
| 344 | Adult Programs and Services | $7,290,421 | $7,290,421 |  | 
| 345 | Administrative and Support Services | $15,433,838 | $15,433,838 |  | 
| 346 | Language Only |  |  | 
| 346.10 | Language Only |  |  | 
| Wilson Workforce and Rehabilitation Center | $23,126,402 | $23,046,402 |  | 
| 347 | Rehabilitation Assistance Services | $12,044,555 | $12,044,555 |  | 
| 348 | Facility Administrative and Support Services | $11,081,847 | $11,001,847 |  | 
| 348.10 | Language Only |  |  | 
|  Department of Social Services | $2,259,041,962$2,281,992,116
 | $2,073,260,415$2,075,010,415
 |  | 
| 349 | Program Management Services | $52,444,822$56,005,680
 | $49,918,659 |  | 
| 350 | Financial Assistance for Self-Sufficiency Programs and Services | $293,632,171$310,443,424
 | $148,847,863 |  | 
| 351 | Financial Assistance for Local Social Services Staff | $529,556,452 | $524,792,881 |  | 
| 352 | Child Support Enforcement Services | $770,838,766 | $770,838,766 |  | 
| 353 | Adult Programs and Services | $40,660,209 | $40,660,209 |  | 
| 354 | Child Welfare Services | $272,522,205 | $268,732,264 |  | 
| 355 | Financial Assistance for Supplemental Assistance Services | $83,257,450 | $83,257,450 |  | 
| 356 | Financial Assistance to Community Human Services Organizations | $59,707,967$62,107,967
 | $56,207,967$57,957,967
 |  | 
| 357 | Regulation of Public Facilities and Services | $35,317,447 | $15,956,745 |  | 
| 358 | Emergency Preparedness | $1,665,020 | $811,320 |  | 
| 359 | Administrative and Support Services | $119,439,453$119,617,496
 | $113,236,291 |  | 
| 360 | Language Only |  |  | 
| 361 | Language Only |  |  | 
| 361.10 | Language Only |  |  | 
|  Virginia Board for People with Disabilities | $2,293,486 | $2,093,486 |  | 
| 362 | Social Services Research, Planning, and Coordination | $1,692,011 | $1,692,011 |  | 
| 363 | Financial Assistance for Individual and Family Services | $601,475 | $401,475 |  | 
|  Department for the Blind and Vision Impaired | $77,242,746 | $78,742,746 |  | 
| 364 | Statewide Library Services | $1,200,674 | $1,200,674 |  | 
| 365 | State Education Services | $1,548,870 | $1,548,870 |  | 
| 366 | Rehabilitation Assistance Services | $15,837,108 | $15,837,108 |  | 
| 367 | Regional Office Support and Administration | $2,802,136 | $2,802,136 |  | 
| 368 | Rehabilitative Industries | $51,368,817 | $52,868,817 |  | 
| 369 | Administrative and Support Services | $4,485,141 | $4,485,141 |  | 
| 369.10 | Language Only |  |  | 
| Virginia Rehabilitation Center for the Blind and Vision Impaired | $3,072,728 | $3,072,728 |  | 
| 370 | Rehabilitation Assistance Services | $1,721,313 | $1,721,313 |  | 
| 371 | Administrative and Support Services | $1,351,415 | $1,351,415 |  |