|  | First Year - FY2021 | Second Year - FY2022 | Totals | 
|---|
|  Office of Health and Human Resources | $22,158,912,664 | $23,689,617,791$24,170,848,364
 |  | 
|---|
|  Secretary of Health and Human Resources | $878,064 | $878,064 |  | 
| 291 | Administrative and Support Services | $878,064 | $878,064 |  | 
| Children's Services Act | $371,589,472 | $387,273,012 |  | 
| 292 | Protective Services | $369,379,676 | $385,091,773 |  | 
| 293 | Administrative and Support Services | $2,209,796 | $2,181,239 |  | 
| 293.10 | Language Only |  |  | 
|  Department for the Deaf and Hard-Of-Hearing | $3,920,329 | $3,628,725 |  | 
| 294 | Social Services Research, Planning, and Coordination | $3,920,329 | $3,628,725 |  | 
|  Department of Health | $797,225,161 | $929,696,654$933,479,054
 |  | 
| 295 | Higher Education Student Financial Assistance | $885,000 | $3,120,000 |  | 
| 296 | Emergency Medical Services | $46,280,757 | $49,751,484 |  | 
| 297 | Medical Examiner and Anatomical Services | $15,451,106 | $16,052,252 |  | 
| 298 | Vital Records and Health Statistics | $8,517,050 | $8,517,050 |  | 
| 299 | Communicable Disease Prevention and Control | $128,626,159 | $248,857,180 |  | 
| 300 | Health Research, Planning, and Coordination | $19,432,325 | $21,425,593 |  | 
| 301 | State Health Services | $167,167,937 | $164,546,113 |  | 
| 302 | Community Health Services | $280,625,627 | $288,285,626 |  | 
| 303 | Financial Assistance to Community Human Services Organizations | $22,839,583 | $22,283,384 |  | 
| 304 | Drinking Water Improvement | $33,122,627 | $33,898,623$34,381,023
 |  | 
| 305 | Environmental Health Hazards Control | $12,232,390 | $12,769,645 |  | 
| 306 | Emergency Preparedness | $34,333,979 | $34,333,979$37,633,979
 |  | 
| 307 | Administrative and Support Services | $27,710,621 | $25,855,725 |  | 
| 307.10 | Language Only |  |  | 
|  Department of Health Professions | $35,314,989 | $36,158,084 |  | 
| 308 | Higher Education Student Financial Assistance | $65,000 | $65,000 |  | 
| 309 | Regulation of Professions and Occupations | $35,249,989 | $36,093,084 |  | 
|  Department of Medical Assistance Services | $17,072,684,492 | $18,580,300,482$19,014,726,270
 |  | 
| 310 | Pre-Trial, Trial, and Appellate Processes | $15,287,716 | $15,654,501 |  | 
| 311 | Financial Assistance for Health Research | $3,810,000 | $300,000 |  | 
| 312 | Children's Health Insurance Program Delivery | $229,304,933 | $282,255,323$271,720,435
 |  | 
| 313 | Medicaid Program Services | $16,296,817,318 | $17,716,819,641$18,170,277,935
 |  | 
| 314 | Medical Assistance Services (Non-Medicaid) | $821,702 | $821,702 |  | 
| 315 | Medical Assistance Services for Low Income Children | $216,174,386 | $229,857,696$221,360,078
 |  | 
| 316 | Medical Assistance Management Services (Forecasted) | $43,871,083 | $43,913,791 |  | 
| 317 | Administrative and Support Services | $266,597,354 | $290,677,828 |  | 
| 317.10 | Language Only |  |  | 
|  Department of Behavioral Health and Developmental Services | $171,782,630 | $181,185,667$182,097,542
 |  | 
| 318 | Regulation of Public Facilities and Services | $5,373,153 | $6,966,967 |  | 
| 319 | Language Only |  |  | 
| 320 | Administrative and Support Services | $122,462,281 | $114,854,911$115,766,786
 |  | 
| 321 | Central Office Managed Community and Individual Health Services | $43,947,196 | $59,363,789 |  | 
| 321.10 | Language Only |  |  | 
| Grants to Localities | $513,713,787 | $556,815,857$558,815,857
 |  | 
| 322 | Financial Assistance for Health Services | $513,713,787 | $556,815,857$558,815,857
 |  | 
| 322.10 | Language Only |  |  | 
| Mental Health Treatment Centers | $446,790,367 | $444,048,210$463,018,296
 |  | 
| 323 | Instruction | $176,397 | $176,397 |  | 
| 324 | Secure Confinement | $23,558,686 | $23,558,686 |  | 
| 325 | Pharmacy Services | $21,474,408 | $21,474,408$22,016,194
 |  | 
| 326 | State Health Services | $285,852,185 | $283,280,002$296,538,302
 |  | 
| 327 | Facility Administrative and Support Services | $115,728,691 | $115,558,717$120,728,717
 |  | 
| 328 | Language Only |  |  | 
| 328.10 | Language Only |  |  | 
| Intellectual Disabilities Training Centers | $75,309,717 | $58,315,359 |  | 
| 329 | Instruction | $3,514,086 | $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 | $51,246,682 | $51,246,682 |  | 
| 334 | Instruction | $227,847 | $227,847 |  | 
| 335 | Secure Confinement | $19,459,907 | $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 | Language Only |  |  | 
|  Department for Aging and Rehabilitative Services | $236,232,795 | $238,057,795 |  | 
| 339 | Rehabilitation Assistance Services | $100,388,245 | $102,013,245 |  | 
| 340 | Individual Care Services | $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 | $7,340,421 |  | 
| 345 | Administrative and Support Services | $15,433,838 | $15,433,838 |  | 
| 346 | Language Only |  |  | 
| 346.10 | Language Only |  |  | 
| Wilson Workforce and Rehabilitation Center | $23,046,402 | $23,046,402 |  | 
| 347 | Rehabilitation Assistance Services | $12,044,555 | $12,044,555 |  | 
| 348 | Facility Administrative and Support Services | $11,001,847 | $11,001,847 |  | 
| 348.10 | Language Only |  |  | 
|  Department of Social Services | $2,253,491,892 | $2,106,691,975$2,127,832,399
 |  | 
| 349 | Program Management Services | $53,942,409 | $51,486,088$48,512,957
 |  | 
| 350 | Financial Assistance for Self-Sufficiency Programs and Services | $287,564,108 | $161,677,856$152,165,798
 |  | 
| 351 | Financial Assistance for Local Social Services Staff | $522,053,226 | $528,611,744$542,461,819
 |  | 
| 352 | Child Support Enforcement Services | $772,017,654 | $770,838,766$768,160,191
 |  | 
| 353 | Adult Programs and Services | $40,660,209 | $45,577,762 |  | 
| 354 | Child Welfare Services | $267,400,227 | $261,635,376$268,745,955
 |  | 
| 355 | Financial Assistance for Supplemental Assistance Services | $83,257,450 | $83,257,450 |  | 
| 356 | Financial Assistance to Community Human Services Organizations | $62,357,967 | $70,082,967$70,166,967
 |  | 
| 357 | Regulation of Public Facilities and Services | $43,491,485 | $16,311,476$14,655,078
 |  | 
| 358 | Emergency Preparedness | $983,275 | $505,203 |  | 
| 359 | Administrative and Support Services | $119,763,882 | $116,707,287$133,623,219
 |  | 
| 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 | $100,319,671 | $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 | $13,914,033 | $14,202,971 |  | 
| 367 | Regional Office Support and Administration | $2,802,136 | $2,802,136 |  | 
| 368 | Rehabilitative Industries | $76,368,817 | $62,868,817 |  | 
| 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 |  |