|  | First Year - FY2021 | Second Year - FY2022 | Totals | 
|---|
|  Office of Health and Human Resources | $22,181,866,939$22,158,912,664
 | $22,738,646,368$23,689,617,791
 |  | 
|---|
|  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$371,589,472
 | $381,213,700$387,273,012
 |  | 
| 292 | Protective Services | $371,426,427$369,379,676
 | $379,203,904$385,091,773
 |  | 
| 293 | Administrative and Support Services | $2,259,796$2,209,796
 | $2,009,796$2,181,239
 |  | 
| 293.10 | Omitted |  |  | 
|  Department for the Deaf and Hard-Of-Hearing | $3,587,725$3,920,329
 | $3,587,725$3,628,725
 |  | 
| 294 | Social Services Research, Planning, and Coordination | $3,587,725$3,920,329
 | $3,587,725$3,628,725
 |  | 
|  Department of Health | $785,787,377$797,225,161
 | $781,129,340$929,696,654
 |  | 
| 295 | Higher Education Student Financial Assistance | $2,985,000$885,000
 | $2,985,000$3,120,000
 |  | 
| 296 | Emergency Medical Services | $46,280,757 | $46,280,757$49,751,484
 |  | 
| 297 | Medical Examiner and Anatomical Services | $15,451,106 | $15,451,106$16,052,252
 |  | 
| 298 | Vital Records and Health Statistics | $8,517,050 | $8,517,050 |  | 
| 299 | Communicable Disease Prevention and Control | $109,901,022$128,626,159
 | $109,966,944$248,857,180
 |  | 
| 300 | Health Research, Planning, and Coordination | $19,671,239$19,432,325
 | $19,671,239$21,425,593
 |  | 
| 301 | State Health Services | $168,067,937$167,167,937
 | $168,028,397$164,546,113
 |  | 
| 302 | Community Health Services | $280,701,516$280,625,627
 | $280,990,684$288,285,626
 |  | 
| 303 | Financial Assistance to Community Human Services Organizations | $25,879,583$22,839,583
 | $23,379,583$22,283,384
 |  | 
| 304 | Drinking Water Improvement | $33,755,027$33,122,627
 | $33,821,023$33,898,623
 |  | 
| 305 | Environmental Health Hazards Control | $12,532,540$12,232,390
 | $12,532,540$12,769,645
 |  | 
| 306 | Emergency Preparedness | $34,333,979 | $34,333,979 |  | 
| 307 | Administrative and Support Services | $27,710,621 | $25,171,038$25,855,725
 |  | 
| 307.10 | Omitted |  |  | 
|  Department of Health Professions | $35,314,989 | $35,436,849$36,158,084
 |  | 
| 308 | Higher Education Student Financial Assistance | $65,000 | $65,000 |  | 
| 309 | Regulation of Professions and Occupations | $35,249,989 | $35,371,849$36,093,084
 |  | 
|  Department of Medical Assistance Services | $17,063,136,781$17,072,684,492
 | $17,820,593,922$18,580,300,482
 |  | 
| 310 | Pre-Trial, Trial, and Appellate Processes | $17,991,740$15,287,716
 | $17,991,740$15,654,501
 |  | 
| 311 | Financial Assistance for Health Research | $3,810,000 | $300,000 |  | 
| 312 | Children's Health Insurance Program Delivery | $241,382,694$229,304,933
 | $258,207,202$282,255,323
 |  | 
| 313 | Medicaid Program Services | $16,268,112,956$16,296,817,318
 | $16,998,372,512$17,716,819,641
 |  | 
| 314 | Medical Assistance Services (Non-Medicaid) | $821,702 | $821,702 |  | 
| 315 | Medical Assistance Services for Low Income Children | $213,912,225$216,174,386
 | $228,204,922$229,857,696
 |  | 
| 316 | Medical Assistance Management Services (Forecasted) | $43,871,083 | $43,871,083$43,913,791
 |  | 
| 317 | Administrative and Support Services | $273,234,381$266,597,354
 | $272,824,761$290,677,828
 |  | 
| 317.10 | Omitted |  |  | 
|  Department of Behavioral Health and Developmental Services | $178,663,540$171,782,630
 | $170,191,225$181,185,667
 |  | 
| 318 | Regulation of Public Facilities and Services | $5,373,153 | $5,373,153$6,966,967
 |  | 
| 319 | Language Only |  |  | 
| 320 | Administrative and Support Services | $123,238,341$122,462,281
 | $110,719,604$114,854,911
 |  | 
| 321 | Central Office Managed Community and Individual Health Services | $50,052,046$43,947,196
 | $54,098,468$59,363,789
 |  | 
| 321.10 | Omitted |  |  | 
| Grants to Localities | $540,317,960$513,713,787
 | $565,590,641$556,815,857
 |  | 
| 322 | Financial Assistance for Health Services | $540,317,960$513,713,787
 | $565,590,641$556,815,857
 |  | 
| 322.10 | Omitted |  |  | 
| Mental Health Treatment Centers | $447,627,285$446,790,367
 | $445,056,219$444,048,210
 |  | 
| 323 | Instruction | $176,397 | $176,397 |  | 
| 324 | Secure Confinement | $23,558,686 | $23,558,686 |  | 
| 325 | Pharmacy Services | $19,792,383$21,474,408
 | $19,792,383$21,474,408
 |  | 
| 326 | State Health Services | $288,917,250$285,852,185
 | $286,346,184$283,280,002
 |  | 
| 327 | Facility Administrative and Support Services | $115,182,569$115,728,691
 | $115,182,569$115,558,717
 |  | 
| 328 | Language Only |  |  | 
| 328.10 | Omitted |  |  | 
| Intellectual Disabilities Training Centers | $75,449,717$75,309,717
 | $58,455,359$58,315,359
 |  | 
| 329 | Instruction | $3,654,086$3,514,086
 | $3,654,086$3,514,086
 |  | 
| 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$51,246,682
 | $56,640,432$51,246,682
 |  | 
| 334 | Instruction | $227,847 | $227,847 |  | 
| 335 | Secure Confinement | $19,995,910$19,459,907
 | $24,853,657$19,459,907
 |  | 
| 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 | Omitted |  |  | 
|  Department for Aging and Rehabilitative Services | $237,907,115$236,232,795
 | $237,907,115$238,057,795
 |  | 
| 339 | Rehabilitation Assistance Services | $101,912,565$100,388,245
 | $101,912,565$102,013,245
 |  | 
| 340 | Individual Care Services | $36,289,218$36,139,218
 | $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$7,340,421
 |  | 
| 345 | Administrative and Support Services | $15,433,838 | $15,433,838 |  | 
| 346 | Language Only |  |  | 
| 346.10 | Omitted |  |  | 
| Wilson Workforce and Rehabilitation Center | $23,126,402$23,046,402
 | $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
 | $11,001,847 |  | 
| 348.10 | Omitted |  |  | 
|  Department of Social Services | $2,281,992,116$2,253,491,892
 | $2,075,010,415$2,106,691,975
 |  | 
| 349 | Program Management Services | $56,005,680$53,942,409
 | $49,918,659$51,486,088
 |  | 
| 350 | Financial Assistance for Self-Sufficiency Programs and Services | $310,443,424$287,564,108
 | $148,847,863$161,677,856
 |  | 
| 351 | Financial Assistance for Local Social Services Staff | $529,556,452$522,053,226
 | $524,792,881$528,611,744
 |  | 
| 352 | Child Support Enforcement Services | $770,838,766$772,017,654
 | $770,838,766 |  | 
| 353 | Adult Programs and Services | $40,660,209 | $40,660,209$45,577,762
 |  | 
| 354 | Child Welfare Services | $272,522,205$267,400,227
 | $268,732,264$261,635,376
 |  | 
| 355 | Financial Assistance for Supplemental Assistance Services | $83,257,450 | $83,257,450 |  | 
| 356 | Financial Assistance to Community Human Services Organizations | $62,107,967$62,357,967
 | $57,957,967$70,082,967
 |  | 
| 357 | Regulation of Public Facilities and Services | $35,317,447$43,491,485
 | $15,956,745$16,311,476
 |  | 
| 358 | Emergency Preparedness | $1,665,020$983,275
 | $811,320$505,203
 |  | 
| 359 | Administrative and Support Services | $119,617,496$119,763,882
 | $113,236,291$116,707,287
 |  | 
| 360 | Language Only |  |  | 
| 361 | Language Only |  |  | 
| 361.10 | Omitted |  |  | 
|  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$100,319,671
 | $78,742,746$87,108,609
 |  | 
| 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$13,914,033
 | $15,837,108$14,202,971
 |  | 
| 367 | Regional Office Support and Administration | $2,802,136 | $2,802,136 |  | 
| 368 | Rehabilitative Industries | $51,368,817$76,368,817
 | $52,868,817$62,868,817
 |  | 
| 369 | Administrative and Support Services | $4,485,141 | $4,485,141 |  | 
| 369.10 | Omitted |  |  | 
| 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 |  |